Social connectedness is associated with food security among peri-urban Peruvian Amazonian communities

Background: Food insecurity is a major global public health issue. Social capital has been identified as central to maintaining food security across a wide range of low- and middle-income country contexts, but few studies have examined this relationship through sociocentric network analysis. Objecti...

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Main Authors: Gwenyth O. Lee, Pamela J. Surkan, Jon Zelner, Maribel Paredes Olórtegui, Pablo Peñataro Yori, Ramya Ambikapathi, Laura E. Caulfield, Robert H. Gilman, Margaret N. Kosek
Format: Article
Language:English
Published: Elsevier 2018-04-01
Series:SSM: Population Health
Online Access:http://www.sciencedirect.com/science/article/pii/S2352827317302021
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author Gwenyth O. Lee
Pamela J. Surkan
Jon Zelner
Maribel Paredes Olórtegui
Pablo Peñataro Yori
Ramya Ambikapathi
Laura E. Caulfield
Robert H. Gilman
Margaret N. Kosek
author_facet Gwenyth O. Lee
Pamela J. Surkan
Jon Zelner
Maribel Paredes Olórtegui
Pablo Peñataro Yori
Ramya Ambikapathi
Laura E. Caulfield
Robert H. Gilman
Margaret N. Kosek
author_sort Gwenyth O. Lee
collection DOAJ
description Background: Food insecurity is a major global public health issue. Social capital has been identified as central to maintaining food security across a wide range of low- and middle-income country contexts, but few studies have examined this relationship through sociocentric network analysis. Objective: We investigated relationships between household- and community-level social connectedness, household food security, and household income; and tested the hypothesis that social connectedness modified the relationship between income and food security. Methods: A cross-sectional census with an embedded questionnaire to capture social relationships was conducted among eleven peri-urban communities. Community connectedness was related to study outcomes of food security and per-capita income through regression models. Results: Of 1520 households identified, 1383 were interviewed (91.0%) and 1272 (83.9%) provided complete data. Households in the youngest communities had the most total contacts, and the highest proportion of contacts outside of the community. Household income was also associated with more outside-community contacts (0.05 more contacts per standard deviation increase in income, p<0.001).Less food secure households reported more contacts nearby (0.24 increase in household food insecurity access scale (HFIAS) for each additional contact, p<0.001). After adjusting for household-level socioeconomic status, membership in an older, larger, and better-connected community, with a greater proportion of residents engaged in rural livelihood strategies, was associated with greater food security (-0.92 decrease in HFIAS for each one-unit increase in community mean degree, p=0.008). There was no evidence that social connectedness modified the relationship between income and food security such that lower-income households benefited more from community membership than higher-income households. Conclusions: Although households reported networks that spanned rural villages and urban centers, contacts within the community, with whom food was regularly shared, were most important to maintaining food security. Interventions that build within-community connectedness in peri-urban settings may increase food security. Keywords: Peru, Food security, Social capital, Social networks
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spelling doaj.art-d4636310833f4e9a900813924838faf62022-12-21T18:27:54ZengElsevierSSM: Population Health2352-82732018-04-014254262Social connectedness is associated with food security among peri-urban Peruvian Amazonian communitiesGwenyth O. Lee0Pamela J. Surkan1Jon Zelner2Maribel Paredes Olórtegui3Pablo Peñataro Yori4Ramya Ambikapathi5Laura E. Caulfield6Robert H. Gilman7Margaret N. Kosek8Department of Epidemiology, School of Public Health, University of Michigan, M5071 SPH II, 1415 Washington Heights, Ann Arbor, MI 48109-2029, USA; Corresponding author.Department of International Health, the Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USADepartment of Epidemiology, School of Public Health, University of Michigan, M5071 SPH II, 1415 Washington Heights, Ann Arbor, MI 48109-2029, USAAsociación Benéfica PRISMA, Iquitos, PerúDepartment of International Health, the Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USADepartment of Global and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USADepartment of International Health, the Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USADepartment of International Health, the Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USADepartment of International Health, the Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USABackground: Food insecurity is a major global public health issue. Social capital has been identified as central to maintaining food security across a wide range of low- and middle-income country contexts, but few studies have examined this relationship through sociocentric network analysis. Objective: We investigated relationships between household- and community-level social connectedness, household food security, and household income; and tested the hypothesis that social connectedness modified the relationship between income and food security. Methods: A cross-sectional census with an embedded questionnaire to capture social relationships was conducted among eleven peri-urban communities. Community connectedness was related to study outcomes of food security and per-capita income through regression models. Results: Of 1520 households identified, 1383 were interviewed (91.0%) and 1272 (83.9%) provided complete data. Households in the youngest communities had the most total contacts, and the highest proportion of contacts outside of the community. Household income was also associated with more outside-community contacts (0.05 more contacts per standard deviation increase in income, p<0.001).Less food secure households reported more contacts nearby (0.24 increase in household food insecurity access scale (HFIAS) for each additional contact, p<0.001). After adjusting for household-level socioeconomic status, membership in an older, larger, and better-connected community, with a greater proportion of residents engaged in rural livelihood strategies, was associated with greater food security (-0.92 decrease in HFIAS for each one-unit increase in community mean degree, p=0.008). There was no evidence that social connectedness modified the relationship between income and food security such that lower-income households benefited more from community membership than higher-income households. Conclusions: Although households reported networks that spanned rural villages and urban centers, contacts within the community, with whom food was regularly shared, were most important to maintaining food security. Interventions that build within-community connectedness in peri-urban settings may increase food security. Keywords: Peru, Food security, Social capital, Social networkshttp://www.sciencedirect.com/science/article/pii/S2352827317302021
spellingShingle Gwenyth O. Lee
Pamela J. Surkan
Jon Zelner
Maribel Paredes Olórtegui
Pablo Peñataro Yori
Ramya Ambikapathi
Laura E. Caulfield
Robert H. Gilman
Margaret N. Kosek
Social connectedness is associated with food security among peri-urban Peruvian Amazonian communities
SSM: Population Health
title Social connectedness is associated with food security among peri-urban Peruvian Amazonian communities
title_full Social connectedness is associated with food security among peri-urban Peruvian Amazonian communities
title_fullStr Social connectedness is associated with food security among peri-urban Peruvian Amazonian communities
title_full_unstemmed Social connectedness is associated with food security among peri-urban Peruvian Amazonian communities
title_short Social connectedness is associated with food security among peri-urban Peruvian Amazonian communities
title_sort social connectedness is associated with food security among peri urban peruvian amazonian communities
url http://www.sciencedirect.com/science/article/pii/S2352827317302021
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