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Food insecurity among veterans of the US wars in Iraq and Afghanistan

  • Rachel Widome (a1), Agnes Jensen (a2), Ann Bangerter (a2) and Steven S Fu (a2) (a3)
Abstract
Abstract Objective

Food insecurity, or lack of access to sufficient food for a healthful lifestyle, has been associated with many aspects of poor health. While the economic struggles among veterans of the wars in Iraq and Afghanistan have been documented, it is unknown how commonly this population struggles to afford food. Our purpose was to document the prevalence and correlates of food insecurity among US veterans of the wars in Iraq and Afghanistan.

Design

A cross-sectional survey.

Subjects

US military veterans who had served in the wars in Iraq and Afghanistan since October 2001.

Setting

Subjects responded to a survey mailed to them in summer 2012. Food security was measured by the US Household Food Security Module: Six Item Short Form. Demographic and behavioural health items were also included. Survey data were matched to medical record data from the Department of Veterans Affairs.

Results

Over one in four veterans reported past-year food insecurity with 12 % reporting very low food security. Food-insecure veterans tended to be younger, not married/partnered, living in households with more children, earning lower incomes, had a lower final military pay grade, were more likely to use tobacco, reported more frequent binge drinking and slept less, compared with those who were food secure (P<0·05 for all associations listed).

Conclusions

Previously undocumented, the problem of hunger among our newest veterans deserves attention.

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Copyright
Corresponding author
*Corresponding author: Email widome@umn.edu
References
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1. Iraq and Afghanistan Veterans of America (2011) IAVA – Model, Mission and History. http://iava.org/about (accessed October 2013).
2. Institute of Medicine (2013) Returning Home from Iraq and Afghanistan: Assessment of Readjustment Needs of Veterans, Service Members, and Their Families. Washington, DC: National Academies Press.
3. Parker ED, Widome R, Nettleton JA et al. (2010) Food security and metabolic syndrome in US adults and adolescents: findings from the National Health and Nutrition Examination Survey, 1999–2006. Ann Epidemiol 20, 364370.
4. Weiser SD, Young SL, Cohen CR et al. (2011) Conceptual framework for understanding the bidirectional links between food insecurity and HIV/AIDS. Am J Clin Nutr 94, issue 6, 1729S1739S.
5. Ivers LC & Cullen KA (2011) Food insecurity: special considerations for women. Am J Clin Nutr 94, issue 6, 1740S1744S.
6. Seligman HK, Bindman AB, Vittinghoff E et al. (2007) Food insecurity is associated with diabetes mellitus: results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999–2002. J Gen Intern Med 22, 10181023.
7. Martin KS & Ferris AM (2007) Food insecurity and gender are risk factors for obesity. J Nutr Education Behav 39, 3136.
8. Wilde PE & Peterman JN (2006) Individual weight change is associated with household food security status. J Nutr 136, 13951400.
9. Laraia BA (2013) Food insecurity and chronic disease. Adv Nutr 4, 203212.
10. Coleman-Jensen A, Nord M & Singh A (2013) Household Food Security in the United States in 2012. Economic Research Report no. 155. Washington, DC: US Department of Agriculture, Economic Research Service.
11. VA Information Resource Center – VIReC (2014) OEF/OIF/OND Roster. http://www.virec.research.va.gov/OEF-OIF-OND-Roster/Overview.htm (accessed April 2014).
12. Dillman DA, Smyth JD & Christian LM (2009) Internet, Mail, and Mixed-Mode Surveys: The Tailored Design Method. Hoboken, NJ: John Wiley & Sons, Inc.
13. Elbogen EB, Sullivan CP, Wolfe J et al. (2013) Homelessness and money mismanagement in Iraq and Afghanistan veterans. Am J Public Health 103, Suppl. 2, S248S254.
14. Vogt D, Vaughn R, Glickman ME et al. (2011) Gender differences in combat-related stressors and their association with postdeployment mental health in a nationally representative sample of US OEF/OIF veterans. J Abnorm Psychol 120, 797806.
15. Beckham JC, Becker ME, Hamlett-Berry KW et al. (2008) Preliminary findings from a clinical demonstration project for veterans returning from Iraq or Afghanistan. Mil Med 173, 448451.
16. LeardMann CA, Powell TM, Smith TC et al. (2013) RIsk factors associated with suicide in current and former US military personnel. JAMA 310, 496506.
17. Eber S, Barth S, Kang H et al. (2013) The National Health Study for a New Generation of United States Veterans: methods for a large-scale study on the health of recent veterans. Mil Med 178, 966969.
18. US Department of Agriculture (2008) US Household Food Security Survey Module: Six-Item Short Form. Washington, DC: US Department of Agriculture.
19. Blumberg SJ, Bialostosky K, Hamilton WL et al. (1999) The effectiveness of a short form of the Household Food Security Scale. Am J Public Health 89, 12311234.
20. US Department of Agriculture, Economic Research Service (2013) Definitions of Food Security. http://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/definitions-of-food-security.aspx#.UwzMsyRRGr8 (accessed February 2014).
21. Craig CL, Marshall AL, Sjöström M et al. (2003) International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 35, 13811395.
22. US Department of Commerce, Bureau of Economic Analysis (2013) Widespread economic growth in 2012. http://bea.gov/newsreleases/regional/gdp_state/gsp_newsrelease.htm (accessed October 2013).
23. US Department of Veterans Affairs (2012) 2011 Survey of Veteran Enrollees’ Health and Reliance Upon VA. Washington, DC: Department of Veterans Affairs, Veterans Health Administration, Office of the Assistant Deputy Under Secretary for Health for Policy and Planning.
24. Feeding America (2014) Map the Meal Gap. Food Insecurity in your County. http://feedingamerica.org/hunger-in-america/hunger-studies/map-the-meal-gap.aspx (accessed February 2014).
25. Cook JT, Black M, Chilton M et al. (2013) Are food insecurity’s health impacts underestimated in the US population? Marginal food security also predicts adverse health outcomes in young US children and mothers. Adv Nutr 4, 5161.
26. Central Intellegence Agency (2013) The World Factbook 2013–14 . Washington, DC: CIA; available at https://www.cia.gov/library/publications/the-world-factbook/index.html.
27. Bilmes LJ (2013) The Financial Legacy of Iraq and Afghanistan: How Wartime Spending Decisions Will Constrain Future National Security Budgets. Cambridge, MA: Harvard Kennedy School of Government.
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Public Health Nutrition
  • ISSN: 1368-9800
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