Nutrition, Dietetics & Health

Food Insecurity and Disease
Prevalence, Policy, and Politics

Editor: Areej Hassan, MD, MPH

Food Insecurity and Disease

Pub Date: December 2016
Hardback Price: $149.95 US
Hard ISBN: 9781771884914
E-Book ISBN: 978-1-315-36576-3
Pages: 280 pages with index
Binding Type: hardback
Notes: 6 b/w and 2 color illustrations

This title includes a number of Open Access chapters.

Food insecurity and disease are inextricably linked. The chapters in this valuable compendium reinforce that message by specifically linking food insecurity to various forms of chronic disease, including HIV/AIDS and obesity, as well as mental health issues.

Providing a nuanced look at food insecurity and its connection to disease, the quality of the research gathered here advances our understanding of this issue; the chapter authors have provided us with a solid foundation on which to build well-informed clinical practice, further research, and effective future policy.

The chapters included are broadly broken into five sections:
  • defining food security and insecurity
  • food insecurity and mental health
  • food insecurity and HIV
  • food security and obesity and diabetes
  • policy, power, and politics
With a roster of expert contributors from around the world, the book examines a variety of issues, including
  • the significant association between food insecurity and mania symptoms
  • the relationship between food insecurity and HIV risk
  • how food insecurity affects individuals’ ability to manage their diabetes
  • the link between obesity and food insecurity
  • how food insecurity affects women and girls, who are disproportionately disempowered through current processes and politics of food’s production, consumption, and distribution
  • the power of large food corporations over the global food system
  • the paradox of the food insecurity and obesity (since 1995 an additional 65 million people are malnourished, and one in five adults is now overweight)
The research in the final section of the book addresses the “what next?” question; other words, how can we shape politics and policy to address this urgent international crisis?


1. Definitions of Food Security
United States Department of Agriculture

2. Food Insecurity in Adults with Mood Disorders: Prevalence Estimates and Associations with Nutritional and Psychological Health
Karen M. Davison and Bonnie J. Kaplan
3. Household Food Insecurity and Mental Distress Among Pregnant Women in Southwestern Ethiopia: A Cross Sectional Study Design
Mulusew G. Jebena, Mohammed Taha, Motohiro Nakajima, Andrine Lemieux, Fikre Lemessa, Richard Hoffman, Markos Tesfaye, Tefera Belachew, Netsanet Workineh, Esayas Kebede, Teklu Gemechu, Yinebeb Tariku, Hailemariam Segni, Patrick Kolsteren, and Mustafa al’Absi

4. Is Food Insecurity Associated with HIV Risk? Cross-Sectional Evidence from Sexually Active Women in Brazil
Alexander C. Tsai, Kristin J. Hung, and Sheri D. Weiser
5. Food Insecurity Is a Barrier to Prevention of Mother-to-Child HIV Transmission Services in Zimbabwe: A Cross-Sectional Study
Sandra I. McCoy, Raluca Buzdugan, Angela Mushavi, Agnes Mahomva, Frances M. Cowan, and Nancy S. Padian
6. A Pre-Post Pilot Study of Peer Nutritional Counseling and Food Insecurity and Nutritional Outcomes Among Antiretroviral Therapy Patients in Honduras
Kathryn P. Derose, Melissa Felician, Bing Han, Kartika Palar, Blanca Ramírez, Hugo Farías, and Homero Martínez
7. Relationship between Food Insecurity and Mortality among HIV-Positive Injection Drug Users Receiving Antiretroviral Therapy in British Columbia, Canada
Aranka Anema, Keith Chan, Yalin Chen, Sheri Weiser, Julio S. G. Montaner, and Robert S. Hogg
8. Shamba Maisha: Pilot Agricultural Intervention for Food Security and HIV Health Outcomes in Kenya: Design, Methods, Baseline Results and Process Evaluation of a Cluster-Randomized Controlled Trial
Craig R. Cohen, Rachel L. Steinfeld, Elly Weke, Elizabeth A. Bukusi, Abigail M. Hatcher, Stephen Shiboski, Richard Rheingans, Kate M. Scow, Lisa M. Butler, Phelgona Otieno, Shari L. Dworkin, and Sheri D. Weiser

9. Challenges of Diabetes Self-Management in Adults Affected by Food Insecurity in a Large Urban Centre of Ontario, Canada
Justine Chan, Margaret DeMelo, Jacqui Gingras, and Enza Gucciardi
10. Children’s Very Low Food Security Is Associated with Increased Dietary Intakes in Energy, Fat, and Added Sugar Among Mexican-Origin Children (6-11 Y) in Texas Border Colonias
Joseph R. Sharkey, Courtney Nalty, Cassandra M. Johnson, and Wesley R. Dean
11. Obesity Prevention and National Food Security: A Food Systems Approach
Lila Finney Rutten, Amy Lazarus Yaroch, Heather Patrick, and Mary Story

12. Food Sovereignty: Power, Gender, and the Right to Food
Rajeev C. Patel
13. Big Food, Food Systems, and Global Health
David Stuckler and Marion Nestle

About the Authors / Editors:
Editor: Areej Hassan, MD, MPH
Assistant Professor of Pediatrics, Harvard Medical School; Attending Physician, Boston Children’s Hospital, Boston, Massachusetts, USA

Areej Hassan, MD, MPH, is an attending in the Division of Adolescent/Young Adult Medicine at Boston Children’s Hospital and Assistant Professor of Pediatrics at Harvard Medical School. She completed her residency training in Pediatrics at Brown University before her fellowship at BCH. In addition to primary care, Dr.Hassan focuses her clinical interests on reproductive endocrinology and global health. She also maintains an active role in medical education and has particular interest in building and developing innovative teaching tools through open educational resources. She currently teaches, consults, and is involved in pediatric and adolescent curricula development at multiple sites abroad in Central America and Southeast Asia.

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