Skip to main content
×
Home

Application of a Theoretical Model Toward Understanding Continued Food Insecurity Post Hurricane Katrina

  • Lauren A. Clay (a1) (a2), Mia A. Papas (a3), Kimberly Gill (a2) and David M. Abramson (a4)
Abstract
ABSTRACT Objective

Disaster recovery efforts focus on restoring basic needs to survivors, such as food, water, and shelter. However, long after the immediate recovery phase is over, some individuals will continue to experience unmet needs. Ongoing food insecurity has been identified as a post-disaster problem. There is a paucity of information regarding the factors that might place an individual at risk for continued food insecurity post disaster.

Methods

Using data from a sample (n=737) of households severely impacted by Hurricane Katrina, we estimated the associations between food insecurity and structural, physical and mental health, and psychosocial factors 5 years after Hurricane Katrina. Logistic regression models were fit and odds ratios (OR) and 95% CI estimated.

Results

Nearly one-quarter of respondents (23%) reported food insecurity 5 years post Katrina. Marital/partner status (OR: 0.7, CI: 0.42, 0.99), self-efficacy (OR: 0.56, CI: 0.37, 0.84), sense of community (OR: 0.7, CI: 0.44, 0.98), and social support (OR: 0.59, CI: 0.39, 0.89) lowered the odds of food insecurity and explained most of the effects of mental health distress on food insecurity. Social support, self-efficacy, and being partnered were protective against food insecurity.

Conclusions

Recovery efforts should focus on fostering social-support networks and increased self-efficacy to improve food insecurity post disaster. (Disaster Med Public Health Preparedness. 2017;page 1 of 10)

Copyright
Corresponding author
Correspondence and reprint requests to Lauren Clay, PhD, MPH, Health Services Administration, D’Youville College, 320 Porter Avenue, KAB 429, Buffalo, NY 14201 (e-mail: clayl@dyc.edu).
References
Hide All
1. USDA Food and Nutrition Service. Supplemental nutrition assistance program: a short history of SNAP. https://www.fns.usda.gov/snap/short-history-snap. Last updated November 20, 2014. Accessed August 11, 2014.
2. World Hunger Education Service. Hunger in America: 2016 United States hunger and poverty facts. http://www.worldhunger.org/hunger-in-america-2015-united-states-hunger-and-poverty-facts/. Last updated October 9, 2016. Accessed July 28, 2014.
3. Gundersen C, Ziliak JP. Childhood food insecurity in the US: trends, causes, and policy options. Future Child. 2014;24(2):1-19.
4. Coleman-Jensen A, Gregory C, Rabbitt G. Food security in the U.S.: overview. http://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us.aspx; Updated February 21, 2017. Accessed April 17, 2015.
5. Tarasuk VS, Beaton GH. Women’s dietary intakes in the context of household food insecurity. J Nutr. 1999;129(3):672-679.
6. Dixon LB, Winkleby MA, Radimer KL. Dietary intakes and serum nutrients differ between adults from food-insufficient and food-sufficient families: third National Health and Nutrition Examination Survey, 1988-1994. J Nutr. 2001;131(4):1232-1246.
7. Cristofar S, Basiotis P. Dietary intakes and selected characteristics of women ages 19–50 years and their children ages 1–5 years by reported perception of food sufficiency. J Nutr Educ. 1992;24(2):53-58.
8. Rose-Jacobs R, Black MM, Casey PH, et al. Household food insecurity: associations with at-risk infant and toddler development. Pediatrics. 2008;121(1):65-72.
9. Seligman HK, Laraia BA, Kushel MB. Food insecurity is associated with chronic disease among low-income NHANES participants. J Nutr. 2010;140(2):304-310.
10. Campbell CC. Food insecurity: a nutritional outcome or a predictor variable? J Nutr. 1991;121(3):408-415.
11. Stuff JE, Casey PH, Szeto KL, et al. Household food insecurity is associated with adult health status. J Nutr. 2004;134(9):2330-2335.
12. Okechukwu CA, El Ayadi AM, Tamers SL, Sabbath EL, Berkman L. Household food insufficiency, financial strain, work–family spillover, and depressive symptoms in the working class: the work, family, and health network study. Am J Public Health. 2012;102(1):126-133.
13. Webber CB, Sobal J, Dollahite JS. Physical disabilities and food access among limited resource households. Disabil Stud Q. 2007;27(3):127.
14. Olson CM, Rauschenbach BS, Frongillo EA Jr, Kendall A. Factors contributing to household food insecurity in a rural upstate New York county. IRP Discussion Paper. Madison, WI: Institute for Research on Poverty. 1996; 1107-1196.
15. Dinour LM, Bergen D, Yeh M. The food insecurity–obesity paradox: a review of the literature and the role food stamps may play. J Am Diet Assoc. 2007;107(11):1952-1961.
16. Weinreb L, Wehler C, Perloff J, et al. Hunger: its impact on children’s health and mental health. Pediatrics. 2002;110(4):e41-49.
17. Whitaker RC, Phillips SM, Orzol SM. Food insecurity and the risks of depression and anxiety in mothers and behavior problems in their preschool-aged children. Pediatrics. 2006;118(3):e859-e868.
18. Kursmark M, Weitzman M. Recent findings concerning childhood food insecurity. Curr Opin Clin Nutr Metab Care. 2009;12(3):310-316.
19. Alaimo K, Olson CM, Frongillo EA Jr, Briefel RR. Food insufficiency, family income, and health in US preschool and school-aged children. Am J Public Health. 2001;91(5):781-786.
20. Coleman-Jensen A, Rabbitt M, Gregory C, Singh A. Household food security in the united states in 2014. Econ Res Ser. 2015:194.
21. Rose D. Economic determinants and dietary consequences of food insecurity in the United States. J Nutr. 1999;129(2S suppl):517S-520S.
22. Mauldon J. Predicting hunger and overcrowding: how much difference does income make? UC Data Arch Tech Assist. 1998:1114-1196.
23. Alaimo K, Briefel RR, Frongillo EAJ, Olson CM. Food insufficiency exists in the United States: results from the third National Health and Nutrition Examination Survey (NHANES III). Am J Public Health. 1998;88(3):419-426.
24. Rose D, Gundersen C, Oliveira V. Socio-economic determinants of food insecurity in the united states: evidence from the SIPP and CSFII datasets. Socio-Economic Determinants of Food Insecurity in the United States, Technical Bulletin No. 1869; Washington, DC: 1998.
25. Hamilton WL, Cook JT, Thompson WW, et al. Household food security in the United States in 1995: Technical report of the food security measurement project. Report 53-3198-5-028, FNS USDA. 1997.
26. American Red Cross. Oklahoma tornadoes six-month update. http://www.redcross.org/images/MEDIA_CustomProductCatalog/m24724835_oklahoma_tornadoes_sixmonth_update.pdf; 2013. Accessed November 4, 2016.
27. American Red Cross. Annual report 2014. http://www.redcross.org/images/MEDIA_CustomProductCatalog/m44340081_2014AnnualReport.pdf. 2014. Accessed November 4, 2015.
28. FEMA. Community food bank of NJ assists disaster survivors. https://www.fema.gov/media-library/assets/images/63440. Updated March 19, 2014. Accessed November 1, 2015.
29. Food Research Action Center. An advocate’s guide to the disaster food stamp program. http://frac.org/newsite/wp-content/uploads/2009/09/dfspguide06.pdf. 2006. Accessed November 8, 2015.
30. White House. Hurricane sandy govt resources. https://www.whitehouse.gov/sites/default/files/docs/hurricane_sandy_govt_resources.pdf. Updated nd. Accessed September 15, 2015.
31. Bandura A. Social Foundations of Thought and Action: A Social Cognitive Theory. Vol 1986. 1st ed. Englewood, NJ: Prentice Hall; 1985.
32. Abramson DM, Stehling-Ariza T, Park YS, Walsh L, Culp D. Measuring individual disaster recovery: a socioecological framework. Disaster Med Public Health Preparedness. 2010;4(suppl 1):S46.
33. Nord M. Food insecurity in households with children: prevalence, severity, and household characteristics. USDA Economic Research Service Economic Information Bulletin. 2009;56.
34. Wehler C, Weinreb LF, Huntington N, et al. Risk and protective factors for adult and child hunger among low-income housed and homeless female-headed families. Am J Public Health. 2004;94(1):109-115.
35. Kirkpatrick SI, Tarasuk V. Housing circumstances are associated with household food access among low-income urban families. J Urban Health. 2011;88(2):284-296.
36. Cutts DB, Pheley AM, Geppert JS. Hunger in midwestern inner-city young children. Arch Pediatr Adolesc Med. 1998;152(5):489-493.
37. Kaiser L, Baumrind N, Dumbauld S. Who is food-insecure in California? Findings from the California Women’s Health Survey, 2004. Public Health Nutr. 2007;10(06):574-581.
38. Chávez N, Telleen S, Kim YOR. Food insufficiency in urban Latino families. J Immigr Minor Health. 2007;9(3):197-204.
39. Clay LA, Goetschius JB, Papas MA, Kendra J. Influence of mental health on disaster preparedness: findings from the behavioral risk factor surveillance system, 2007–2009. J Homel Secur Emerg Manag. 2014;11(3):375-392.
40. Norris FH, Friedman MJ, Watson PJ, Byrne CM, Diaz E, Kaniasty K. 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981-2001. Psychiatry Interpers Biol Process. 2002;65(3):207-239.
41. Bourque LB, Siegel JM, Kano M, Wood MM. Weathering the storm: the impact of Hurricanes on physical and mental health. Ann Am Acad Pol Soc Sci. 2006;604(1):129-151.
42. Clements B. Disasters and Public Health: Planning and Response. Oxford, UK: Butterworth-Heinemann; 2009.
43. Eisenman DP, Zhou Q, Ong M, Asch S, Glik D, Long A. Variations in disaster preparedness by mental health, perceived general health, and disability status. Disaster Med Public Health Preparedness. 2009;3(1):33.
44. Galea S, Nandi A, Vlahov D. The epidemiology of post-traumatic stress disorder after disasters. Epidemiol Rev. 2005;27(1):78-91.
45. Bonanno G, Galea S, Bucciarelli A, Vlahov D. What predicts psychological resilience after disaster? The role of demographics, resources, and life stress. J Consult Clin Psychol. 2007;75(5):671-682.
46. Neria Y, Nandi A, Galea S. Post-traumatic stress disorder following disasters: a systematic review. Psychol Med. 2008;38(4):467.
47. Benight CC, Swift E, Sanger J, Smith A, Zeppelin D. Coping self‐efficacy as a mediator of distress following a natural disaster. J Appl Soc Psychol. 2006;29(12):2443-2464.
48. Benight CC, Ironson G, Klebe K, et al. Conservation of resources and coping self-efficacy predicting distress following a natural disaster: a causal model analysis where the environment meets the mind. Anxiety Stress Coping. 1999;12(2):107-126.
49. Norris FH, Kaniasty K. Received and perceived social support in times of stress: a test of the social support deterioration deterrence model. J Pers Soc Psychol. 1996;71(3):498-511.
50. Garasky S, Morton LW, Greder KA. The effects of the local food environment and social support on rural food insecurity. J Hunger Environ Nutr. 2006;1(1):83-103.
51. Frongillo EA, Valois P, Wolfe WS. Using a concurrent events approach to understand social support and food insecurity among elders. Fam Econ Nutr Rev. 2003;15(1):25.
52. Abramson DM, Stehling-Ariza T, Park YS, et al. Second wind: the impact of Hurricane Gustav on children and families who survived Katrina, NCDP Research Brief. New York, NY: National Center for Disaster Preparedness, Mailman School of Public Health, Columbia University; 2009.
53. USDA Economic Research Service. Food security in the US—measurement. http://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/measurement.aspx. Updated December 30, 2015. Accessed June 6, 2016.
54. Ware JE Jr, Kosinski M, Keller SD. A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220-233.
55. Abramson D, Stehling-Ariza T, Garfield R, Redlener I. Prevalence and predictors of mental health distress post-Katrina: findings from the Gulf coast child and family health study. Disaster Med Public Health Preparedness. 2008;2(2):77.
56. Brewin CR, Rose S, Andrews B, et al. Brief screening instrument for post-traumatic stress disorder. Br J Psychiatry. 2002;181:158-162.
57. Chavis DM, Lee KS, Acosta JD. The sense of community (SCI) revised: The reliability and validity of the SCI-2. Paper presented at the 2nd International Community Psychology Conference, Lisboa, Portugal. 2008.
58. Schwarzer R, Jerusalem M. Generalized self-efficacy scale. In: Weinman J, Wright S, Johnson M, eds. Measures in Health Psychology: A User’s Portfolio, Causal and Control Beliefs. Vol. 1. Windsor, UK: NFER-NELSON; 1995;35-37.
59. Jerusalem M, Schwarzer R, Schwarzer R. Self-efficacy as a resource factor in stress appraisal processes. In: Schwarzer R, ed. Self-Efficacy: Thought Control of Action. Washington, DC: Hemisphere Publishing Corp; 1992:xiv, 410 pp.
60. Scholz U, Doña BG, Sud S, Schwarzer R. Is general self-efficacy a universal construct? psychometric findings from 25 countries. Eur J Psychol Assess. 2002;18(3):242.
61. Raudenbush SW, Sampson RJ. Ecometrics: toward a science of assessing ecological settings, with application to the systematic social observation of neighborhoods. Sociol Methodol. 1999;29(1):1-41.
62. Sampson RJ, Raudenbush SW, Earls F. Neighborhoods and violent crime: a multilevel study of collective efficacy. Science. 1997;277(5328):918-924.
63. Sampson RJ, Raudenbush SW. Seeing disorder: neighborhood stigma and the social construction of “broken windows”. Soc Psychol Q. 2004;67(4):319-342.
64. Hosmer DW Jr, Lemeshow S. Applied Logistic Regression. Hoboken, NJ: John Wiley & Sons; 2004.
65. Akaike H. A new look at the statistical model identification. IEEE Trans Automat Control. 1974;19(6):716-723.
66. Burnham KP, Anderson DR. Multimodel inference understanding AIC and BIC in model selection. Sociol Methods Res. 2004;33(2):261-304.
67. Coleman-Jensen A, Nord M, Andrews M, Carlson S. Household food security in the United States in 2010. USDA-ERS Economic Research Report No. 125; Washington, DC: 2011.
68. Riley LD. The sandwich generation: challenges and coping strategies of multigenerational families. Fam J. 2005;13(1):52-58.
69. Yzermans CJ, Donker GA, Kerssens JJ, Dirkzwager AJE, Soeteman RJH, Ten Veen PMH. Health problems of victims before and after disaster: a longitudinal study in general practice. Int J Epidemiol. 2005;34(4):820-826.
70. Dirkzwager AJE, Grievink L, Van der Velden PG, Yzermans CJ. Risk factors for psychological and physical health problems after a man-made disaster prospective study. Br J Psychiatry. 2006;189(2):144-149.
71. Kim SC, Plumb R, Gredig Q, Rankin L, Taylor B. Medium-term post-Katrina health sequelae among new Orleans residents: predictors of poor mental and physical health. J Clin Nurs. 2008;17(17):2335-2342.
72. Foa EB, Stein DJ, McFarlane AC. Symptomatology and psychopathology of mental health problems after disaster. J Clin Psychiatry. 2006;67(suppl 2):15-25.
73. Chang CM, Connor KM, Lai TJ, Lee LC, Davidson JRT. Predictors of posttraumatic outcomes following the 1999 Taiwan earthquake. J Nerv Ment Dis. 2005;193(1):40-46.
74. Alaimo K, Briefel RR, Frongillo EA Jr, Olson CM. Food insufficiency exists in the United States: results from the third National Health and Nutrition Examination Survey (NHANES III). Am J Public Health. 1998;88(3):419-426.
75. Kendra JM, Wachtendorf T. Elements of resilience after the world trade center disaster: reconstituting New York city’s emergency operations centre. Disasters. 2003;27(1):37-53.
76. Kendra JM, Wachtendorf T. Rebel food renegade supplies: convergence after the world trade center attack; 2001.
77. American Red Cross. American Red Cross Annual Report 2015. http://www.redcross.org/images/MEDIA_CustomProductCatalog/m57440149_Annual-Report-2015.pdf. Accessed February 9, 2016.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Disaster Medicine and Public Health Preparedness
  • ISSN: 1935-7893
  • EISSN: 1938-744X
  • URL: /core/journals/disaster-medicine-and-public-health-preparedness
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Full text views

Total number of HTML views: 1
Total number of PDF views: 24 *
Loading metrics...

Abstract views

Total abstract views: 161 *
Loading metrics...

* Views captured on Cambridge Core between 31st July 2017 - 24th November 2017. This data will be updated every 24 hours.