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Prevalence and socio-economic determinates of food insecurity in Veterans: findings from National Health and Nutrition Examination Survey
- Ronna Robbins, Kathryn N Porter Starr, Odessa Addison, Elizabeth A Parker, Sarah J Wherry, Sunday Ikpe, Monica C Serra
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- Journal:
- Public Health Nutrition / Volume 26 / Issue 7 / July 2023
- Published online by Cambridge University Press:
- 13 March 2023, pp. 1478-1487
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- Article
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Objective:
To determine predictors of the association between being a Veteran and adult food security, as well as to examine the relation of potential covariates to this relationship.
Design:Data collected during 2011–2012, 2013–2014 and 2015–2016 National Health and Nutrition Examination Survey (NHANES) were pooled for analyses. Veterans (self-reported) were matched to non-Veterans on age, race/ethnicity, sex and education. Adjusted logistic regression was used to determine the odds of Veterans having high food security v. the combination of marginal, low and very low food security compared with non-Veterans.
Setting:2011–2012, 2013–2014 and 2015–2016 NHANES.
Participants:1227 Veterans; 2432 non-Veterans.
Results:Veteran status had no effect on the proportion of food insecurities between Veterans and non-Veterans reporting high (Veterans v. non-Veteran: 79 % v. 80 %), marginal (9 % v. 8 %), low (5 % v. 6 %) and very low (8 % v. 6 %) food security (P = 0·11). However, after controlling for covariates, Veterans tended to be less likely to have high food security (OR: 0·82 (95 % CI 0·66, 1·02), P = 0·07). Further, non-Hispanic White Veterans (OR: 0·72 (95 % CI 0·55, 0·95), P = 0·02) and Veterans completing some college (OR: 0·71 (95 % CI 0·50, 0·99), P < 0·05) were significantly less likely to experience high food security compared with non-Veterans.
Conclusion:This study supports previous research findings that after controlling for covariates, Veterans tend to be less likely to have high food security. It also highlights ethnicity and level of education as important socio-economic determinates of food security status in Veterans.
Chapter 6 - After the Arab Spring, Mobilizing for Change in Egypt
- Edited by Minky Worden
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- Book:
- The Unfinished Revolution
- Published by:
- Bristol University Press
- Published online:
- 15 April 2023
- Print publication:
- 04 July 2012, pp 73-78
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Summary
When I was young, my mother told me that the most courageous Egyptian women were in history books—she admired the courage and leadership of early feminists like Hoda Sharawy, but she said that those were the old days, when women had no voice at all. As an English literature major at Cairo’s Ain Shams University and later, as I started my career as a human resources specialist, I followed the news and discussed political life with friends. I never thought that I would become an activist myself.
Then, in 2005, I joined the liberal, secular Al-Ghad party. It was my first political “school,” alongside a diverse group of people, some as young as sixteen. I was swept up in the Egyptian Movement for Change because I believed that its slogan kefaya—“enough”—gave voice to something long inside the hearts of Egyptians who chafed under the repressive rule of President Hosni Mubarak since 1981. I went to demonstrations and to the streets to hear the speeches of Dr. Ayman Nour, the only one serious in his candidacy against Mubarak. And I began to take a leadership role, fundraising, running trainings and seminars, and encouraging the youth to speak out against corruption and military rule.
When I told my mother that I was working with the political party, she expressed concern. “They will be silent, you will be alone out there,” she cautioned. “There is no hope for a change in Egypt.”
If change was to come, I told her, it would be from the Egyptian people’s own hands. Indeed, at this time, social media helped us mobilize more and more, and I started a Facebook group that called for people to stay at home for a nationwide workers’ strike on April 6, 2008. That day, on my way to a demonstration in Tahrir Square, police arrested me for calling the strike. For more than two weeks I was held in Al-Qanater prison, sometimes interrogated for hours, until I felt like dying. Those eighteen days were difficult and discouraging, but meeting with fellow activists inside the prison convinced me that I should be prepared to sacrifice for what I believed in.
Chapter 10 - Under Siege in Somalia
- Edited by Minky Worden
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- Book:
- The Unfinished Revolution
- Published by:
- Bristol University Press
- Published online:
- 15 April 2023
- Print publication:
- 04 July 2012, pp 117-128
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Summary
Iignored their call, so they came to my gate unannounced: six members of the Somali insurgent group Hizbul Islam, with a request to speak with me in person. By this time, April 2010, their militia had controlled our area for the past year—the latest in an endless line of transitional leaders, warlords, and regimes I’d seen since the collapse of Somalia’s government. I was examining a severely malnourished child, who hadn’t eaten for at least four days, when a security guard ran in with the news. I was not willing to abandon my patient for a conversation with people whose only clear goals were to rob, to take over, or to kill.
My medical practice began in 1983 as a one-room clinic on my family’s farm, ten miles outside Mogadishu. As hard as it may be to imagine, Somalia was peaceful when I moved here. But now, after more than twenty years of civil war caused by interclan fighting, that one room is a four-hundred-bed hospital; the land behind it, once fertile, now utterly parched, offers refuge to more than ninety thousand internally displaced people—a fraction of the nearly half million who now live along that main road, which stretches northwest from our destroyed capital city. (About 1.5 million Somalis have been displaced by the violence.) The need in our area is unimaginable, but my mission as a doctor is the same. I rise long before dawn with a singular focus: to meet my patients’ needs.
As I spoke with the child’s mother, one of my fellow doctors tried to reason with the Hizbul Islam soldiers—jittery, aggressive young men with henna-dyed beards, wearing red-and-white checkered scarves. He told them that in our area, we are known as a safe haven, a refuge; we treat all victims of the conflict equally, no matter what side they’re on. The six men refused to leave, so I assembled my committee of elders and we sat down together to talk.
One of the militants began the conversation with an insult: “You are an old woman, and we are stronger than you,” he said. “You have to hand over the authority of the hospital and the management of your camp to us.”
“That’s impossible,” I said. “This is my property. I am the doctor here, and I have the knowledge for it.
Contributors
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- By Nicholas B. Allen, Stephanie Assuras, Robert M. Bilder, Joan C. Borod, John L. Bradshaw, Warrick J. Brewer, Ariel Brown, Nik Brown, Tyrone Cannon, Audrey Carstensen, Cameron S. Carter, Luke Clark, Phyllis Chua, Thilo Deckersbach, Richard A. Depue, Tali Ditman, Aleksey Dumer, David E. Fleck, Lara Foland-Ross, Judith M. Ford, Nelson Freimer, Paolo Fusar-Poli, Nathan A. Gates, Terry E. Goldberg, George Graham, Igor Grant, Melissa J. Green, Michelle M. Halfacre, Wendy Heller, John D. Herrington, Garry D. Honey, Jennifer E. Iudicello, Henry J. Jackson, J. David Jentsch, Donald Kalar, Paul Keedwell, Ester Klimkeit, Nancy S. Koven, Donna A. Kreher, Gina R. Kuperberg, Edythe London, Dan I. Lubman, Daniel H. Mathalon, Patrick D. McGorry, Philip McGuire, George R. Mangun, Gregory A. Miller, Albert Newen, Jack B. Nitschke, Jaak Panksepp, Christos Pantelis, Mary Philips, Russell A. Poldrack, Scott L. Rauch, Susan M. Ravizza, Steven Paul Reise, Nicole Rinehart, Angela Rizk-Jackson, Trevor W. Robbins, Tamara A. Russell, Fred W. Sabb, Cary R. Savage, Kimberley R. Savage, J. Cobb Scott, Marc L. Seal, Larry J. Seidman, Paula K. Shear, Marisa M. Silveri, Nadia Solowij, Laura Southgate, G. Lynn Stephens, D. Stott Parker, Stephen M. Strakowski, Simon A. Surguladze, Kate Tchanturia, René Testa, Janet Treasure, Eve M. Valera, Kai Vogeley, Anthony P. Weiss, Sarah Whittle, Stephen J. Wood, Steven Paul Woods, Murat Yücel, Deborah A. Yurgelun-Todd
- Edited by Stephen J. Wood, University of Melbourne, Nicholas B. Allen, University of Melbourne, Christos Pantelis, University of Melbourne
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- Book:
- The Neuropsychology of Mental Illness
- Published online:
- 10 May 2010
- Print publication:
- 01 October 2009, pp xv-xx
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