Bolivia is one of the poorest countries in Latin America. This study analyzes whether rural poverty increases the incidence of food insecurity and whether food insecurity perpetuates the condition of poverty among the rural poor in Bolivia. In order to achieve this aim, the risks that households face and the capacity of households to implement coping strategies in order to mitigate vulnerability shocks are identified. We suggest that efforts by households to become food secure may be difficult in rural areas because of poverty and the vulnerability associated with a lack of physical assets, low levels of human capital, poor infrastructure, and poor health; as well as the precarious regional environment aggravating the severity of vulnerability to food insecurity.

This study aims to examine how the migration experience influences newcomer mothers’ young child feeding and care practices and their children’s overall health. The thesis comprises three separate manuscripts, each of which examines one of the three intermediate determinants of the nutritional status of young children (UNICEF 1990): access to healthcare, household food insecurity, and child feeding and care practices. The research was conducted in Toronto’s Jane-Finch neighbourhood, a suburban neighbourhood home to a high density of newcomers. Thirty-two participants (16 Sri Lankan Tamil and 16 Latin American) who had migrated to Canada within the past five years as refugee claimants or family sponsored immigrants participated in the study. Data collection consisted of semi-structured interviews with women from low-income households who had a child between the ages of 1 and 5 years. Spanish and Tamil speaking interviewers interviewed each participant two or three times. Data was analyzed using a mid-level approach in which broad analytical themes are determined prior to analysis and specific themes were then generated based on participants’ perspectives and are grounded in the data. The first manuscript examines newcomer mothers’ experiences accessing physicians for their children and identifies the major gaps between mothers’ expectations and their actual experiences that lead to barriers in communication and overall patient dissatisfaction. The second manuscript demonstrates that mothers’ past experiences with food insecurity affect two aspects of the construct of food insecurity: its managed aspect and its temporal nature. This finding has implications for the measurement of food insecurity in newcomer populations. The third manuscript reveals that newcomer mothers are exposed to several parallel and often conflicting systems of knowledge concerning health and nutrition for their children, and that their utilization of Canada’s Food Guide is impeded by its failure to acknowledge alternate parallel knowledge systems. These findings can be applied to the development of social and health policy aimed at improving cultural competency in healthcare and nutrition education and at ameliorating the income constraints leading to household food insecurity.

Charitable food assistance programs such as food banks, food pantries, soup kitchens and community meals are the main food resource available to Canadians who are experiencing food insecurity. A survey was conducted with 48 agencies that operate food assistance programs in Greater Victoria, 30 of which were providing meals. In comparison to groceries or hampers, meals made up the majority of food relief available in the region. An exploration of the characteristics, resources and resource-related challenges of charitable meal programs provided insight as to how the food relief system operates, who is being served and the limitations facing agencies responding to food needs at the community-level. A comparison of meal provisioning in a selection of meal programs in 2011 to a similar survey conducted in 2008 found meal provisioning increased two-fold over this three year time span, all while agencies relied more on food donations and nearly half underwent major changes to their services mainly due to constrained resources. This study afforded the opportunity to discuss responsiveness of this system to food insecurity in Greater Victoria. / Graduate

Canadian social scientist researchers have frequently pointed out the necessity of understanding food banks and the conceptualization of food insecurity as political in relation to the institutionalization of food banks and their collective interaction with federal, provincial, and corporate bodies. However, a comprehensive understanding of this role must additionally engage with discursive practices at the community level. Food banks, as the source to which hundreds of thousands of Canadians turn each month to receive temporary relief from hunger, offer a wealth of information in this regard. Through a discourse analysis of documentation produced and collected by a prominent British Columbia food bank, this research investigates how discourses, images, and constructions of poverty and food insecurity influence and are influenced by the policies and practices of providing food relief. Overall, 1391 documents were analyzed, totaling 3285 pages covering the time period from 1989 up to 2008. This thesis concludes that although various understandings of food insecurity exist within the food bank documents, certain understandings are more commonly produced, specifically in the external documentation, as well as in food bank policies and procedures. Commonly produced understandings included an individualized conceptualization of food insecurity and of those who are food insecure and discourses of differential deservedness among food bank users. Policies and procedures included a malleability of food distribution eligibility and a utilitarian guide to the framework of food bank operations. I argue that the reproduction of these discourses, along with the implementation of these particular policies and procedures within the food bank, are key processes through which the possibility of a conceptualization of food insecurity as political is diminished at the individual and community level.

Charitable food assistance programs such as food banks, food pantries, soup kitchens and community meals are the main food resource available to Canadians who are experiencing food insecurity. A survey was conducted with 48 agencies that operate food assistance programs in Greater Victoria, 30 of which were providing meals. In comparison to groceries or hampers, meals made up the majority of food relief available in the region. An exploration of the characteristics, resources and resource-related challenges of charitable meal programs provided insight as to how the food relief system operates, who is being served and the limitations facing agencies responding to food needs at the community-level. A comparison of meal provisioning in a selection of meal programs in 2011 to a similar survey conducted in 2008 found meal provisioning increased two-fold over this three year time span, all while agencies relied more on food donations and nearly half underwent major changes to their services mainly due to constrained resources. This study afforded the opportunity to discuss responsiveness of this system to food insecurity in Greater Victoria. / Graduate

No description available.

Background: Access to safe and nutritious food is a universal right, which is essential for well-being. Food security exists when “all people at all times have physical and economic access to sufficient, safe, and nutritious foods to meet their dietary needs and food preferences for an active and healthy life”. Despite a call by global leaders to ensure food security and eradicate food insecurity, food insecurity remains a serious public health concern in Canada. While public health nurses are ideally situated to advance this public health priority, they have been conspicuously absent from important research and decision-making tables where work to address these inequities take place. This is the impetus for this study. Purpose: To explore how public health nurses engage in work to address food insecurity. The study uncovers the dynamic interplay of structures, processes, and agency that enable and constrain public health nurses work. An understanding of the sociopolitical contexts of public health helps to strengthen public health nurses’ engagement in food insecurity thereby contributing to health equity in Canada. Methodology: A holistic qualitative case study approach informed by the tenets of critical realism was used to guide this study in Nova Scotia. Primary data sources were 19 individual interviews and a review of 33 documents. Data were transcribed verbatim. Data analysis was guided by Framework Analysis and matrix construction. The trustworthiness of data was ensured through Lincoln and Guba’s criteria for qualitative studies. Findings: Four major themes include: 1) Framing Food (In)Security, 2) The Role of Public Health Nurses; 3) Navigating the Terrain of Food Insecurity; and 4) Resources to Advance Food Insecurity Work in Public Health Nursing Practice. Discussion and Implications: The dynamic interplay among leaders with differing ideologies and organizational culture has an impact on health equity agendas and subsequently on public health nursing engagement in work to address food insecurity. Capitalizing on a “clash of cultures” is associated with effective community food security outcomes. We must continue to illuminate the tensions among public health nurses and other stakeholders as well as address issues of power relations both within and external to the public health system. Conclusion: Public health may benefit greatly from building capacity of public health nurses’ to engage in both upstream and downstream food insecurity work.

Using life-history theory within a biocultural perspective, this research explores whether household food insecurity correlates with early or delayed menarche among adolescent females in Tampa Bay, Florida. Early onset of puberty and menstruation is connected with numerous health consequences including growth stunting, obesity, type-2 diabetes, adult-onset asthma, reproductive cancers, increased risk for depression, behavioral problems, and early sexual activity which increases the risk for STIs and ovarian cancer. Early menarche also seems to disproportionally impact disadvantaged and minority groups. While there are many known factors that influence age at menarche (e.g.: genetics, diet), little is understood regarding the effect of food insecurity on menstrual timing. When considering food insecurity as an environmental adversity, long-term exposure may result in biological trade-offs within growth and development. Using a mixed-methods approach, 40 girls and 36 parents or guardians from Pinellas, Hillsborough, and Manatee counties participated in household dyadic interviews that included the assessment of household food security, girls’ dietary analysis, and anthropometry. Using quantitative analyses, the associations of diet, food security, and body size/composition to menarche were evaluated. A Cox hazards model and regression further analyzed the association of food insecurity and the timing of menarche. The research concludes that adolescents and their families are vulnerable to food insecurity for both biological and social reasons. Qualitative results examine the prevalence, experiences, and perpetrators of food insecurity, as well as strategies used by families to mitigate food insecurity. Food insecurity in this study refers to the inconsistent or limited access to adequate amounts of safe and nutritious foods to sustain health and wellbeing. Food insecurity does not necessarily result in hunger. Once can have access to enough calories and not feel hungry but may still be food insecure if their access does not include enough high-quality, nutritious foods. Quantitative analyses showed that iliac height, waist-hip ratio, snack consumption, and household food insecurity is associated with age at menarche among this sample. Spearman’s Rho confirms that height, leg length (p = 0.032, rs = 0.407), and snack consumption (p = 0.042, rs = 0.464) significantly positively correlate with age at menarche. Waist-hip ratio significantly negatively correlates with age at menarche (p = 0.032, rs = -0.518). Cox Hazard Regression analysis interprets that for every one unit increase in household food security survey score, the risk of experiencing menarche increases by 25% (p = 0.023, OR = 1.25). However, when adding leg length, waist-hip ratio, and snack consumption to the Cox Hazard Regression equation, no variables significantly predict menarche. These findings provide a better understanding of the biocultural influences within the timing of menarche. The research provides new insights and further stresses the importance of improving food assistance programs for adolescents and families with older children.

Para a mensuração da insegurança alimentar freqüentemente são feitas estimativas a partir da definição de linhas de pobreza ou indigência, associando o grau de carência alimentar ao nível de rendimentos do domicílio, intuindo que famílias pobres (baixa renda) vivam em condição de insegurança alimentar. Entretanto, é possível encontrar unidades domiciliares com rendimentos situados abaixo da linha de pobreza e que vivem em segurança alimentar, do mesmo modo que existem aquelas com rendimentos acima do corte da pobreza que passa por restrição alimentar quantitativa. O exercício teórico desenvolvido por Amartya Sen, abrange uma série de conceitos que permitem a análise de realidades sociais, como a insegurança alimentar no Rio Grande do Sul, de maneira multidimensional, incorporando variáveis quantitativas e indo além delas. Um desses conceitos que pode auxiliar na compreensão das dificuldades de acesso digno a alimentos adequados, quantitativamente e qualitativamente, é a noção de intitulamento (entitlement), termo que foi originalmente desenvolvido por Sen para tratar do problema da fome na Ásia e na África. Através da abordagem das capacitações, o objetivo deste trabalho é analisar os intitulamentos que se relacionam com a insegurança alimentar no Rio Grande do Sul, e avaliar os impactos dessa situação para a expansão das capacitações das famílias rurais gaúchas. Os resultados da análise realizada, através do Coeficiente de Contingência, Teste Qui-Quadrado e do modelo de regressão Probit, que permitiram diferenciar e tecer comentários entre os espaços rural e urbano do Rio Grande do Sul, evidenciam a necessidade de um tratamento multidimensional para a caracterização das situações de insegurança alimentar no estado gaúcho, sugerindo a inclusão de novas percepções que permitam melhor caracterizar as dificuldades de acesso à alimentação adequada, propondo uma alternativa à perspectiva tradicional. / Frequently, estimates to measure food insecurity are made based on the definition of poverty lines or indigence, associating the degree of lack of food considering the household productivity, and having in mind that poor families (low income) live in a condition of nutrition insecurity. However, it is possible to find household units with income considered below the poverty line and that live in a nutritional stability, as well as those ones with income above poverty line that have quantitative food restriction. The theoretical exercise developed by Amartya Sen encloses a series of concepts which allows the analysis of social reality, like food insecurity in Rio Grande do Sul, in a multidimensional way, including quantitative analysis and venturing beyond them. One of these concepts which can help the understanding of those difficulties of reaching dignified access to adequate nutritional levels, quantitatively and qualitatively, is the notion of entitlements, terminology which was originally developed by Sen to deal with the problem of hunger in Asia and Africa. By means of the capability approach, the objective of this work is to analyze the entitlements which are intertwined with food insecurity in Rio Grande do Sul, and evaluate the impacts of this situation to expand the condition of rural families in the state of Rio Grande do Sul. The results of this analysis which was performed through contingency coefficient, chi-square tests and a probit regression model, which allow to differentiate between rural and urban spaces in Rio Grande do Sul, show clearly the necessity of a multidimensional treatment in the Gaucho State, suggesting an inclusion of new concepts which allow better characterize the difficulties of access to adequate alimentation, proposing an alternative to traditional perspective.

Para a mensuração da insegurança alimentar freqüentemente são feitas estimativas a partir da definição de linhas de pobreza ou indigência, associando o grau de carência alimentar ao nível de rendimentos do domicílio, intuindo que famílias pobres (baixa renda) vivam em condição de insegurança alimentar. Entretanto, é possível encontrar unidades domiciliares com rendimentos situados abaixo da linha de pobreza e que vivem em segurança alimentar, do mesmo modo que existem aquelas com rendimentos acima do corte da pobreza que passa por restrição alimentar quantitativa. O exercício teórico desenvolvido por Amartya Sen, abrange uma série de conceitos que permitem a análise de realidades sociais, como a insegurança alimentar no Rio Grande do Sul, de maneira multidimensional, incorporando variáveis quantitativas e indo além delas. Um desses conceitos que pode auxiliar na compreensão das dificuldades de acesso digno a alimentos adequados, quantitativamente e qualitativamente, é a noção de intitulamento (entitlement), termo que foi originalmente desenvolvido por Sen para tratar do problema da fome na Ásia e na África. Através da abordagem das capacitações, o objetivo deste trabalho é analisar os intitulamentos que se relacionam com a insegurança alimentar no Rio Grande do Sul, e avaliar os impactos dessa situação para a expansão das capacitações das famílias rurais gaúchas. Os resultados da análise realizada, através do Coeficiente de Contingência, Teste Qui-Quadrado e do modelo de regressão Probit, que permitiram diferenciar e tecer comentários entre os espaços rural e urbano do Rio Grande do Sul, evidenciam a necessidade de um tratamento multidimensional para a caracterização das situações de insegurança alimentar no estado gaúcho, sugerindo a inclusão de novas percepções que permitam melhor caracterizar as dificuldades de acesso à alimentação adequada, propondo uma alternativa à perspectiva tradicional. / Frequently, estimates to measure food insecurity are made based on the definition of poverty lines or indigence, associating the degree of lack of food considering the household productivity, and having in mind that poor families (low income) live in a condition of nutrition insecurity. However, it is possible to find household units with income considered below the poverty line and that live in a nutritional stability, as well as those ones with income above poverty line that have quantitative food restriction. The theoretical exercise developed by Amartya Sen encloses a series of concepts which allows the analysis of social reality, like food insecurity in Rio Grande do Sul, in a multidimensional way, including quantitative analysis and venturing beyond them. One of these concepts which can help the understanding of those difficulties of reaching dignified access to adequate nutritional levels, quantitatively and qualitatively, is the notion of entitlements, terminology which was originally developed by Sen to deal with the problem of hunger in Asia and Africa. By means of the capability approach, the objective of this work is to analyze the entitlements which are intertwined with food insecurity in Rio Grande do Sul, and evaluate the impacts of this situation to expand the condition of rural families in the state of Rio Grande do Sul. The results of this analysis which was performed through contingency coefficient, chi-square tests and a probit regression model, which allow to differentiate between rural and urban spaces in Rio Grande do Sul, show clearly the necessity of a multidimensional treatment in the Gaucho State, suggesting an inclusion of new concepts which allow better characterize the difficulties of access to adequate alimentation, proposing an alternative to traditional perspective.