Clinical trial NCT05424367: Food Environment, Food Insecurity, and Health Behaviors in NH Hispanics
Official title: Assessment of Food Environment, Food Insecurity, and Health Behaviors Throughout the COVID-19 Pandemic in NH Hispanics
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Obesity
Food Insecurity
Keywords: Hispanic/Latino
Psychosocial Wellbeing
Overweight and obesity
Food Insecurity
COVID-19 pandemic
Lead sponsor: University of New Hampshire
Sponsor class: OTHER
First posted: 2022-06-21
Enrollment: 139
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: This study included a convenience sample in which participants were primarily recruited by past participants (without prompting by study staff). Unique participants (excluding participants who completed both surveys, N=139) were mostly female (81.3%). Of those who reported age (N=138), as well as weight and height information (N=132), the average age was 45.6 years (SD=14.9) and the average BMI was overweight (M=28.6, SD=5.2).

Brief summary: This telephone-based survey included adults of Hispanic/Latino background residing in New Hampshire (NH). Information on food security and access, food environment, and health status and behaviors was collected through validated questionnaires. This project addresses the need for assessment of barriers to nutrition and health during COVID-19 in this population.

Detailed description: This telephone-based survey included a convenience sample of Hispanic/Latino adults (\>18 years) with cultural origin in a Spanish-speaking country and residing in NH. A subgroup of the study population was assessed at baseline and 6-months following baseline. Validated questionnaires assessing the following outcomes were included:

* Demographics
* Food Access
* Food Security
* Physical Activity
* Dietary Intake
* Eating Behaviors
* Weighing Behaviors
* Psychology
* Sleep Behaviors
* Acculturation
* Gastrointestinal Symptoms
* COVID-19 Vaccine Behaviors

Objective food access will be assessed through mapping and calculation of proximity of subjects' residential addresses to various food sources.

Eligibility criteria: Inclusion Criteria:

* Hispanic or Latino cultural background
* Current New Hampshire Resident

Exclusion Criteria:

* Previous participation (cannot complete the survey more than once unless re-contacted for follow-up)

Primary outcomes:
measure: The correlation between weight status and indicators of physical and psychological wellbeing during the COVID-19 pandemic.
timeFrame: March 2021 - September 2021
measure: Correlation between food insecurity, psychosocial factors, and weight status.
timeFrame: March 2021 - September 2021
measure: Role of lifestyle and psychosocial factors in dietary fiber intake.
timeFrame: March 2021 - September 2021
measure: Updated New Hampshire (NH) food access database and characterization of barriers to healthy nutrition in NH Hispanics.
timeFrame: October 2021 - March 2022
measure: Assessment of the physical and psychosocial burden of food insecurity.
timeFrame: March 2021 - March 2022
measure: Characterization of the impact of the COVID-19 pandemic on health behaviors and their correlation with food insecurity and weight status.
timeFrame: October 2021 - March 2022
Secondary outcomes:
Other outcomes:
Locations:
city: Durham
country: United States
facility: Dao Research Lab, University of New Hampshire
state: New Hampshire
Study officials:
affiliation: University of New Hampshire
name: Maria C Dao, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Kamdar N, Rozmus CL, Grimes DE, Meininger JC. Ethnic/Racial Comparisons in Strategies Parents Use to Cope with Food Insecurity: A Systematic Review of Published Research. J Immigr Minor Health. 2019 Feb;21(1):175-188. doi: 10.1007/s10903-018-0720-y.
citation: Mousa TY, Freeland-Graves JH. Food security of food recipients of a food pantry and soup kitchen. Public Health Nutr. 2019 Jun;22(8):1451-1460. doi: 10.1017/S1368980018003658. Epub 2019 Feb 8.
citation: Carlson SJ, Andrews MS, Bickel GW. Measuring food insecurity and hunger in the United States: development of a national benchmark measure and prevalence estimates. J Nutr. 1999 Feb;129(2S Suppl):510S-516S. doi: 10.1093/jn/129.2.510S.
citation: Hernandez DC, Reesor LM, Murillo R. Food insecurity and adult overweight/obesity: Gender and race/ethnic disparities. Appetite. 2017 Oct 1;117:373-378. doi: 10.1016/j.appet.2017.07.010. Epub 2017 Jul 22.
citation: Alarcon RD, Parekh A, Wainberg ML, Duarte CS, Araya R, Oquendo MA. Hispanic immigrants in the USA: social and mental health perspectives. Lancet Psychiatry. 2016 Sep;3(9):860-70. doi: 10.1016/S2215-0366(16)30101-8.
citation: Ogden CL, Fakhouri TH, Carroll MD, Hales CM, Fryar CD, Li X, Freedman DS. Prevalence of Obesity Among Adults, by Household Income and Education - United States, 2011-2014. MMWR Morb Mortal Wkly Rep. 2017 Dec 22;66(50):1369-1373. doi: 10.15585/mmwr.mm6650a1.
citation: Forrest KYZ, Leeds MJ, Ufelle AC. Epidemiology of Obesity in the Hispanic Adult Population in the United States. Fam Community Health. 2017 Oct/Dec;40(4):291-297. doi: 10.1097/FCH.0000000000000160.