Informal assistance to urban families and the risk of household food insecurity

被引:35
作者
King, Christian [1 ,2 ]
机构
[1] Univ Nebraska, Dept Nutr & Hlth Sci, 1041 Ruth Leverton Hall, Lincoln, NE 68583 USA
[2] Univ Nebraska, Dept Nutr & Hlth Sci, 1041 Ruth Leverton Hall, Lincoln, NE 68583 USA
关键词
Food insecurity; Poverty; Social support; Neighborhood; Community; Social cohesion; Social control; Collective efficacy; PERCEIVED PERSONAL DISPARITY; SOCIAL SUPPORT; COLLECTIVE EFFICACY; NEIGHBORHOOD CHARACTERISTICS; CHILD HEALTH; INCOME; COHESION; PARTICIPATION; SAFETY; WOMEN;
D O I
10.1016/j.socscimed.2017.07.030
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Rationale: Food insecurity is a persistent social problem affecting one out of eight households in the United States. While evidence shows that public assistance programs (formal assistance) are effective in reducing food insecurity, there is more limited evidence documenting how informal support, through social capital, affects food insecurity. Objective: To examine the role of informal support (through instrumental social support, social cohesion, social control, and social participation) on food insecurity transitions using longitudinal data of a sample of disadvantaged urban mothers from the Fragile Families and Child Wellbeing Study. In addition, the study examines whether these associations vary by participation in the Supplemental Nutrition Assistance Program (SNAP) using interaction terms. Method: The sample includes 2481 mothers of children between ages three and five. The analysis uses unadjusted and adjusted logistic regressions. Interaction terms are included to examine formal and informal support. In addition, the analysis uses structural equation modeling to examine direct and indirect associations of the informal support variables on food insecurity. Results: Social support and social cohesion reduce the risk of food insecurity, reduce the risk of remaining food insecure, and reduce the risk of becoming food insecure. Social control has an indirect effect on food insecurity, which is mainly through social cohesion. Social participation also has an indirect effect through social support and social cohesion. SNAP participation for mothers with little to no informal support did not reduce the risk of food insecurity. Conclusion: Instead of focusing on improving the food access of households, interventions should be expanded to the neighborhood level. Building social capital for low-income residents would increase the cohesiveness of their neighborhoods and their access to social support, which would increase the availability of resources to prevent or overcome food insecurity and other hardships. (C) 2017 Elsevier Ltd. All rights reserved.
引用
收藏
页码:105 / 113
页数:9
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