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Journal of Immigrant and Minority Health

, Volume 9, Issue 3, pp 157–169 | Cite as

The Household Food Insecurity and Health Outcomes of U.S.–Mexico Border Migrant and Seasonal Farmworkers

  • M. Margaret Weigel
  • Rodrigo X. Armijos
  • Yolanda Posada Hall
  • Yolanda Ramirez
  • Rubi Orozco
Original Paper

Abstract

Emerging evidence suggests chronic household food insecurity has an adverse effect on health. This study examined the prevalence, predictors and health outcomes associated with food insecurity in 100 migrant and seasonal farmworker (MSFW) households living on the U.S.–Mexico border. Data were collected using the U.S. Food Security Scale, California Agricultural Worker’s Health Survey, and objective anthropometric, clinical and biochemical indicators. Food insecurity affected 82% of households; 49% also had hunger. Household food insecurity was predicted by the presence of minor children in the home and low maternal education. Food insecure households were more likely to have at least one member affected by symptoms of depression (deprimido), nervios (an ethnospecific condition), learning disorders, and symptoms suggestive of gastrointestinal infection. Although not directly associated with food insecurity, adult obesity, central body adiposity, elevated blood pressure, and blood lipid and glucose disturbances were common. These findings highlight the significant food security and health challenges faced by border area MSFW families.

Keywords

U.S. Food Security Scale Hispanic Health outcomes Obesity 

Notes

Acknowledgments

The project was supported, in part, by funding from the Office of Rural Health Policy (ORHP) Special Projects, Health Resources and Services Administration, Department of Health and Human Services, “Migrant Border Health Initiative” (AHQR 02EM000075F2).

References

  1. 1.
    Anderson SA. Core indicators of nutritional state for difficult-to-sample populations. J Nutr 1990;120(Suppl):1557S–1600SGoogle Scholar
  2. 2.
    Nord M, Andrews M, Carlson S. Household food security in the United States, 2004. Economic Research Report 2005; No. (ERR11) 65 pp. Available at: http://www.ers.usda.gov/publications/err11/Google Scholar
  3. 3.
    Kaiser LL, Townsend MS, Melgar-Quiñonez HR, Fujii ML, Crawford PB. Choice of instrument influences relations between food insecurity and obesity in Latino women. Am J Clin Nut 2004;80(5):1372–1378Google Scholar
  4. 4.
    Kasper J, Gupta SK, Tran P, Cook JT, Meyer AF. Hunger in legal immigrants in California, Texas, and Illinois. Am J Pub Health 2000 ,90(10):1629–1633PubMedGoogle Scholar
  5. 5.
    Alaimo K, Olson C, Frongillo EA. Low family income and food insufficiency in relation to overweight in U.S. children: is there a paradox? Arch Pediatr Adol Med 2001;155(10):1161–1167Google Scholar
  6. 6.
    United States Department of Labor. Findings from the National Agricultural Worker Survey (NAWS), 2001–2002. A demographic and employment profile of United States Farm Workers. Research Report 2005; No. 9Google Scholar
  7. 7.
    United States Department of Health and Human Services, Public Health Service, Health Resources and Services Administration, Bureau of Health Care Delivery and Assistance, Migrant Health Program. An Atlas of state profiles which estimate number of migrant and seasonal farm workers and members of their families. Rockville, MD: Migrant Health Program; 1990Google Scholar
  8. 8.
    Cason KL, Nieto-Montenegro S, Chavez-Martinez A, Lee N, Snyder A. Dietary intake and food security among migrant farm workers in Pennsylvania. Unpublished technical report, Joint ERS Food and Nutrition Research Small Grants Program, Washington, DC, 2003Google Scholar
  9. 9.
    Quandt SA, Arcury TA, Early J, Tapia J, Davis JD. Household food security among migrant and seasonal Latino farm workers in North Carolina. Public Health Rep 2004;119:568–576PubMedCrossRefGoogle Scholar
  10. 10.
    Shotland J. Full fields, empty cupboards: the nutritional status of migrant farm workers in America. Washington, DC: Public Voice for Food and Health Policy, 1989Google Scholar
  11. 11.
    Essa J. Nutrition, health, and food security practices, concerns, and perceived barriers of Latino farm/industry workers in Virginia. M.S. thesis, Department of Human Nutrition, Foods, and Exercise, Virginia Polytechnic Institute and State University, August 8, 2001Google Scholar
  12. 12.
    Townsend MS, Peerson J, Love B, Achterberg C, Murphy SP. Food insecurity is positively related to overweight in women. J Nutr 2001;131:1738–1745PubMedGoogle Scholar
  13. 13.
    Adams EJ, Grumer-Strawn L, Chavez G. Food insecurity is associated with increased risk of obesity in California women. J Nutr 2003;133:1070–1074PubMedGoogle Scholar
  14. 14.
    Olson CM. Nutrition and health outcomes associated with food insecurity and hunger. J Nutr 1999;129:521–524Google Scholar
  15. 15.
    Casey PH, Szeto K, Lensing S, Bogle M, Weber J. Children in food-insufficient, low-income families: prevalence, health, and nutrition status. Arch Pediatr Adolesc Med 2001;155(4):508–514PubMedGoogle Scholar
  16. 16.
    Stuff JE, Casey PH, Szeto KL, Gossett JM, Robbins JM, Simpson PM, Connell C, Bogle ML. Household food insecurity is associated with adult health status. J Nutr 2004;134:2330–2335PubMedGoogle Scholar
  17. 17.
    Tarasuk VS, Beaton GH. Women’s dietary intakes in the context of household food insecurity. J Nutr 1999;129:672–679PubMedGoogle Scholar
  18. 18.
    Cook JT, Frank DA, Berkowitz C, Black MM, Casey PH, Cutts DB, Meyers AF, Zaldivar N, Skalicky A, Levenson S, Heeren T, Nord M. Food insecurity is associated with adverse health outcomes among human infants and toddlers. J Nutr 2004;134(6):1432–1438PubMedGoogle Scholar
  19. 19.
    Tarasuk V. Household food insecurity with hunger is associated with women’s food intakes, health and household circumstances. J Nutr 2001;131:2670–2676PubMedGoogle Scholar
  20. 20.
    Skalicky A, Meters AF, Adams WG, Yang Z, Book JT, Frank DA. Child food insecurity and iron deficiency anemia in low-income infants and toddlers in the United States. Matern Child Health J 2005;19:1–9Google Scholar
  21. 21.
    Dixon LB, Winkleby MA, Radimer KL. Dietary intakes and serum nutrients differ between adults from food-insufficient and food-sufficient families: third National Health And Nutrition Examination Survey, 1988–1994. J Nutr 2001;131:1232–1246PubMedGoogle Scholar
  22. 22.
    California Agricultural Worker Health Survey (CAWHS). California Institute for Rural Studies (CIRS). Suffering in silence: a report on the health of California’s agricultural workers. Available at: http://www.calendow.org/reference/publications/pdf/agricultural/AgrWorkersSurveyver012301.pdf, 2002Google Scholar
  23. 23.
    Kowalski K, Hoffman CJ, McClure A. Nutritional patterns and needs of migrant farm workers in northwest Michigan. J Am Diet Assoc 1999;99:221–224PubMedCrossRefGoogle Scholar
  24. 24.
    Poss J, Pierce R. Characteristics of selected migrant farm workers in West Texas and Southern New Mexico. Californian J Health Promot 2003;1(2):138–147Google Scholar
  25. 25.
    Mazur RE, Marquis GS, Jensen HH. Diet and food insufficiency among Hispanic youths: acculturation and socioeconomic factors in the third National Health and Nutrition Examination Survey. Am J Clin Nutr 2003;78(6):1120–1127PubMedGoogle Scholar
  26. 26.
    Dever GA. Migrant health status: profile of a population with complex health problems. Migrant clinician’s network monograph series. Austin, TX: Migrant Clinician’s Network, 1999Google Scholar
  27. 27.
    Slesinger DP. Health status and needs of migrant farm workers in the United Stated: a literature review. J Rural Health 1992;8(3):227–234PubMedCrossRefGoogle Scholar
  28. 28.
    Nelson K, Cunningham W, Andersen R, Harrison G. Is food insufficiency associated with health status and health care utilization among adults with diabetes? J Gen Intern Med 2001;16:404–411PubMedCrossRefGoogle Scholar
  29. 29.
    Vozoris NT, Tarasuk VS. Household food insufficiency is associated with poorer health. J Nutr 2003;133:120–126PubMedGoogle Scholar
  30. 30.
    Garcia JG, Matheny-Dresser KS, Zerr AD. Respiratory health of Hispanic migrant farm workers in Indiana. Am J Ind Med 1996;29(1):23–32PubMedCrossRefGoogle Scholar
  31. 31.
    Anon. Prevention and control of tuberculosis in migrant farm workers. Recommendations of the Advisory Council for the Elimination of Tuberculosis. MMWR Recomm Rep 1992;5;41(RR-10):1–15Google Scholar
  32. 32.
    Hansen E, Donahue M. Health issues of migrant and seasonal farmworkers. J Health Care Poor Underserved 2003;14(2):153–164PubMedCrossRefGoogle Scholar
  33. 33.
    Alaimo K, Olson CM, Frongillo EA Jr, Briefel RR. Food insufficiency, family income, and health in US preschool and school-aged children. Am J Public Health. 2001;91(5):781–786PubMedGoogle Scholar
  34. 34.
    Wehler CA, Scott RI, Anderson JJ. Community childhood hunger identification project. Washington, DC: Food Research and Action Center, 1995Google Scholar
  35. 35.
    Chandra RK. Nutrition and the immune system from birth to old age. Eur J Clin Nutr. 2002;56(Suppl 3): S73–S76PubMedCrossRefGoogle Scholar
  36. 36.
    Lamas O, Marti A, Martinez JA. Obesity and immunocompetence. Eur J Clin Nutr. 2002;56(Suppl 3): S42–S45PubMedCrossRefGoogle Scholar
  37. 37.
    Martí A, Marcos A, Martínez JA. Obesity and immune function relationships. Obes Rev 2001;2(2):131–140PubMedCrossRefGoogle Scholar
  38. 38.
    Laraia BA, Siega-Riz AM, Gundersen C, Dole N. Psychosocial factors and socioeconomic indicators are associated with household food insecurity among pregnant women. J Nutr. 2006;136(1):177–182PubMedGoogle Scholar
  39. 39.
    Siefert K, Heflin CM, Corcoran ME, Williams DR. Food insufficiency and the physical and mental health of low-income women. Women Health 2001;32(1–2):159–177PubMedCrossRefGoogle Scholar
  40. 40.
    Weinreb L, Wehler C, Perloff J, Scott R, Hosmer D, Sagor L, Gundersen C. Hunger: its impact on children’s health and mental health. Pediatrics 2002; 110(4):e41PubMedCrossRefGoogle Scholar
  41. 41.
    Alaimo K, Olson CM, Frongillo EA Jr. Food insufficiency and American school-aged children’s cognitive, academic, and psychosocial development. Pediatrics 2001 108(1):44–53PubMedGoogle Scholar
  42. 42.
    Alaimo K, Olson CM, Frongillo EA. Family food insufficiency, but not low family income, is positively associated with dysthymia and suicide symptoms in adolescents. J Nutr 2002;132(4):719–725PubMedGoogle Scholar
  43. 43.
    Casey PH, Szeto KL, Robbins JM, Stuff JE, Connell C, Gossett JM, Simpson PM. Child health-related quality of life and household food security. Arch Pediatr Adolesc Med 2005;159(1):51–56PubMedCrossRefGoogle Scholar
  44. 44.
    Jyoti DF, Frongillo EA, Jones SJ. Food insecurity affects school children’s academic performance, weight gain, and social skills. J Nutr 2005;135(12):2831–2839PubMedGoogle Scholar
  45. 45.
    Hovey JD, Magana CG. Psychosocial predictors of anxiety among immigrant Mexican migrant farm workers: implications for prevention and treatment. Cultur Divers Ethnic Minor Psychol 2002;8(3):274–289PubMedCrossRefGoogle Scholar
  46. 46.
    Hovey JD, Magana CG. Cognitive, affective, and physiological expressions of anxiety symptomatology among Mexican migrant farmworkers: predictors and generational differences. Community Mental Health J 2002;38(3):223–237CrossRefGoogle Scholar
  47. 47.
    Kim-Godwin YS, Bechtel GA. Stress among migrant and seasonal farmworkers in rural southeast North Carolina. J Rural Health 2004;20:271–278PubMedCrossRefGoogle Scholar
  48. 48.
    Flores G, Fuentes-Afflick E, Barbot O, Carter-Pokras O, Claudio L, Lara M, McLaurin JA, Pachter L, Ramos-Gomez FJ, Mendoza F, Valdez RB, Villarruel AM, Zambrana RE, Greenberg R, Weitzman M. The health of Latino children: urgent priorities, unanswered questions, and a research agenda. JAMA 2002;288(1):82–90Google Scholar
  49. 49.
    Kupersmidt JB, Martin SL, McCarraher DR. A Spanish version of the CASA: issues in translation for use with Hispanic migrant farm workers and preliminary results of a study of services use in this population. Proceedings of the fifth annual research conference on a system of care for childern’s mental health: expanding the research base, vol 1, pp 81–90, 1993Google Scholar
  50. 50.
    Eastman C. Migrant farm workers in Southern New Mexico. Available at: http://cahe.nmsu.edu/ pubs/research/economics/RR707.pdf, 1996Google Scholar
  51. 51.
    Marentes C. Sin Fronteras Organizing Project: working to empower Chile pickers. Borderline 1998;6(8). Available at: http://www.us-mex.org/borderlines/1998/bl49sin.htmlGoogle Scholar
  52. 52.
    Muhib FB, Lin LS, Stueve A, Miller RL, Ford WL, Johnson WD, Smith PJ. Community intervention trial for youth study team: A venue-based method for sampling hard-to-reach populations. Public Health Rep 2001;116:216–222PubMedCrossRefGoogle Scholar
  53. 53.
    Harrison GG, Stormer A, Herman DR, Winham DM. Development of a Spanish-language version of the U.S. household food security survey module. J Nutr 2003;133(4):1192–1197PubMedGoogle Scholar
  54. 54.
    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;129:510–516Google Scholar
  55. 55.
    Frongillo EA Jr, Rauschenbach BS, Olson CM, Kendall A, Colmenares AG. Questionnaire-based measures are valid for the identification of rural households with hunger and food insecurity. J Nutr 1997;27(5): 699–705Google Scholar
  56. 56.
    California Institute for Rural Studies(CIRS). California Agricultural Workers Health Survey (CAWHS) instruments (English and Spanish versions). Available at: http://www.cirsinc.org/recent.htmlGoogle Scholar
  57. 57.
    Center for Disease Control and Prevention (CDC). Defining overweight and obesity. Available at: http://www.cdc.gov/nccdphp/dnpa/obesity/defining.htm, 2004Google Scholar
  58. 58.
    Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, Gordon DJ, Krauss RM, Savage PJ, Smith SC Jr, Spertus JA, Costa F. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute scientific statement: executive summary. Circulation 2005;25:112(17):e285–e290Google Scholar
  59. 59.
    Executive Summary of the 3rd Report of The National Cholesterol Education Program (NCEP). Expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). JAMA 2001;285:2486–2497Google Scholar
  60. 60.
    Gibson R. Principles of nutritional assessment. 2nd ed. New York: Oxford University Press, 2005Google Scholar
  61. 61.
    Centers for Disease Control and Prevention. CDC Growth Charts. Available at: http://www.cdc.gov/ nccdphp/dnpa/growthcharts/training/powerpoint/slides/028.html, 2002Google Scholar
  62. 62.
    Centers for Disease Control, Prevention (CDC). CDC’s recommendations to prevent and control iron deficiency in the United States. MMWR 1998;47(RR-3):1–36Google Scholar
  63. 63.
    Chobanian AV, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ, the National High Blood Pressure Education Program Coordinating Committee. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: The JNC 7 report. Available at: JAMA. 2003;289:(doi:10.1001/jama.289.19.2560)Google Scholar
  64. 64.
    Nord M, Andrews M, Carlson S. Household food insecurity in the United States, 2003. Washington, DC: Economic Research Service, U.S. Department of Agriculture, November 2004Google Scholar
  65. 65.
    Furness BW, Simon PA, Wold CM, Asarian-Anderson J. Prevalence and predictors of food insecurity among low-income households in Los Angeles County. Pub Health Nutr 2004;7(6):791–794CrossRefGoogle Scholar
  66. 66.
    Oberholser CA, Tuttle CR Assessment of household food security among food stamp recipient families in Maryland. Am J Public Health. 2004;94(5):790–795PubMedCrossRefGoogle Scholar
  67. 67.
    Magana CG, Hovey JD. Psychosocial stressors associated with Mexican migrant farmworkers in the midwest United States. J Immigr Health 2003;5(2):75–86PubMedCrossRefGoogle Scholar
  68. 68.
    Alderete E, Vega WA, Kolody B, Aguilar-Gaxiola S. Lifetime prevalence of and risk factors for psychiatric disorders among Mexican migrant farm workers in California. Am J Public Health 2000;90(4):608–614PubMedGoogle Scholar
  69. 69.
    Kleinman RE, Murphy JM, Little M, Pagano M, Wehler CA, Regal K, Jellinek MS. Hunger in children in the United States: potential behavioral and emotional correlates. Pediatrics 1998;101(1):E3PubMedCrossRefGoogle Scholar
  70. 70.
    Stang J, Bayer CT. Position of the American Dietetic Association: child and adolescent food and nutrition programs. J Am Diet Assoc 2003;103(7):887–893PubMedCrossRefGoogle Scholar
  71. 71.
    Kempson KM, Palmer Keenan D, Sadani PS, Ridlen S, Scotto Rosato N. Food management practices used by people with limited resources to maintain food sufficiency as reported by nutrition educators. J Am Diet Assoc 2002;102(12): 1795–1799PubMedCrossRefGoogle Scholar
  72. 72.
    Kaiser LL, Melgar-Quinonez HR, Lamp CL, Johns MC, Sutherlin JM, Harwood JO. Food security and nutritional outcomes of preschool-age Mexican-American children. J Am Diet Assoc 2002;102(7):924–929PubMedCrossRefGoogle Scholar
  73. 73.
    Laraia BA, Siega-Riz AM, Evenson KR. Self-reported overweight and obesity are not associated with concern about enough food among adults in New York and Louisiana. Prev Med 2004;38(2):175–181PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • M. Margaret Weigel
    • 1
  • Rodrigo X. Armijos
    • 1
  • Yolanda Posada Hall
    • 2
  • Yolanda Ramirez
    • 1
    • 2
    • 3
  • Rubi Orozco
    • 3
  1. 1.Human Immunology and Nutrition Research Laboratory, Department of Health Promotion, College of Health SciencesUniversity of Texas at El PasoEl PasoUSA
  2. 2.University of Texas at Houston School of Public Health, El Paso Regional CampusEl PasoUSA
  3. 3.California Department of Health ServicesRichmondUSA

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