Application of a Theoretical Model Toward Understanding Continued Food Insecurity Post Hurricane Katrina
| Autor: | David M. Abramson, Kimberly Gill, Mia A. Papas, Lauren A. Clay |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Adult Male Adolescent Psychometrics Sense of community Disaster Planning Odds Food Supply Stress Disorders Post-Traumatic 03 medical and health sciences Social support 0302 clinical medicine Environmental health Surveys and Questionnaires Adaptation Psychological Humans 030212 general & internal medicine Survivors Aged 030109 nutrition & dietetics Cyclonic Storms Public Health Environmental and Occupational Health Community Participation Disaster recovery Social Support Middle Aged Models Theoretical Mental health Distress Cross-Sectional Studies Logistic Models Female Basic needs Psychology Psychosocial |
| Zdroj: | Disaster medicine and public health preparedness. 12(1) |
| ISSN: | 1938-744X 1935-7893 |
| Popis: | ObjectiveDisaster 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.MethodsUsing 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.ResultsNearly 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.ConclusionsRecovery efforts should focus on fostering social-support networks and increased self-efficacy to improve food insecurity post disaster. (Disaster Med Public Health Preparedness. 2018;12:47–56) |
| Databáze: | OpenAIRE |
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