Contextual Influences on Household and Child Food Security Among Mexican-origin Mothers of Young Children


Book Description

Food insecurity is related to numerous poor health and development outcomes, particularly in children. A greater proportion of Hispanic households in the U.S. experience food insecurity compared to non-Hispanic white households, but there is little evidence about distinctions between Hispanic ethnic subgroups in regards to food insecurity prevalence and coping strategies. Considering that Mexicanorigin and Mexican American Hispanics are the largest Hispanic subgroup in the U.S. and that the majority of children living in poverty are Hispanic with at least one Mexican-origin parent, more research is needed to understand their distinct risk factors, as well as their immigrant experience and coping strategies, and how these relate to food security status. To date, there are no published data on food provisioning related to food security among Mexican-origin households in the northeast U.S. nor are there data that account for both the immigrant's life course and current ecological system in the U.S. The purpose of this research was to capture multiple levels of influence on household and child food security status and related coping strategies among Mexican-origin households with children, using a mixed-methods approach guided by two theoretical constructs: life course perspective and ecological systems theory. Analyses of national survey data revealed that among all Hispanic households in the U.S., Mexican- and Salvadoran-origin households are most at risk and Cuban-origin are least at risk, compared to U.S.origin Hispanic households. In addition, among U.S.-origin Hispanic households, those with Mexican and Puerto Rican nativity (maternal origin) are most at risk and those with Cuban nativity are least at risk, compared to Hispanics with U.S.origin maternal nativity. In addition, our qualitative findings suggest that recent, low-income Mexican-origin mothers rely on culture and life course experiences, particularly those in Mexico, to shape how they feed their families and children in the U.S. These food-provisioning strategies exhibit important attributes of mothers towards maintaining a food secure household, particularly behaviors related to food resource management and planning. Understanding these multi-level contextual influences on Mexican-origin households provides valuable insight into ways to facilitate protective coping strategies through culturally-tailored programming at both federal and local levels.







Communities in Action


Book Description

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.




The State of Food Security and Nutrition in the World 2018


Book Description

New evidence this year corroborates the rise in world hunger observed in this report last year, sending a warning that more action is needed if we aspire to end world hunger and malnutrition in all its forms by 2030. Updated estimates show the number of people who suffer from hunger has been growing over the past three years, returning to prevailing levels from almost a decade ago. Although progress continues to be made in reducing child stunting, over 22 percent of children under five years of age are still affected. Other forms of malnutrition are also growing: adult obesity continues to increase in countries irrespective of their income levels, and many countries are coping with multiple forms of malnutrition at the same time – overweight and obesity, as well as anaemia in women, and child stunting and wasting.




Mental Health and Disasters


Book Description

A reference on mental health and disasters, focused on the full spectrum of psychopathologies associated with many different types of disasters.




Social Vulnerability to Disasters


Book Description

With chapters that incorporate additional perspectives on social vulnerability, this second edition focuses on the social construction of disasters, demonstrating how the characteristics of an event are not the only reason that tragedies unfurl. It incorporates disaster case studies to illustrate concepts, relevant and seminal literature, and the most recent data available. In addition to highlighting the U.S. context, it integrates a global approach and includes numerous international case studies. The book highlights recent policy changes and current disaster management approaches and infuses the concept of community resilience and building capacity throughout the text.




The Social Determinants of Mental Health


Book Description

The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.




Reducing Risks for Mental Disorders


Book Description

The understanding of how to reduce risk factors for mental disorders has expanded remarkably as a result of recent scientific advances. This study, mandated by Congress, reviews those advances in the context of current research and provides a targeted definition of prevention and a conceptual framework that emphasizes risk reduction. Highlighting opportunities for and barriers to interventions, the book draws on successful models for the prevention of cardiovascular disease, injuries, and smoking. In addition, it reviews the risk factors associated with Alzheimer's disease, schizophrenia, alcohol abuse and dependence, depressive disorders, and conduct disorders and evaluates current illustrative prevention programs. The models and examination provide a framework for the design, application, and evaluation of interventions intended to prevent mental disorders and the transfer of knowledge about prevention from research to clinical practice. The book presents a focused research agenda, with recommendations on how to develop effective intervention programs, create a cadre of prevention researchers, and improve coordination among federal agencies.