Diabetes and Hypertension Are Associated with Food Insecurity in a Cameroonian Population: A Case-Control Study

Diabetes and hypertension are the most prevalent cardiovascular risk factors. Recent studies showed an increase in the prevalence of food insecurity in our country. The aim of this study was to assess how food insecurity affects the dietary habits, socio-demographic characteristics and metabolic profile of individuals with diabetes or hypertension. This case-control study was conducted among diabetic and hypertensive participants (cases) and diabetic and hypertensive normal (controls) during the screening campaigns for nutrition-related chronic diseases. The sociodemographic, clinical and biochemical parameters of the participants were analyzed. Logistic regression analyses were performed to identify factors associated with diabetes and hypertension in the study population. Bivariate analyses showed that male gender (OR = 1.972;95% CI: 1.250 - 3.089), regular alcohol consumption (OR = 2.012;95% CI: 1.294 - 3.130), low fruit consumption (OR = 1.590;95% CI: 1.016 - 2.488), low dietary diversity (OR = 2.915;95% CI: 1.658 - 5.127) and abdominal obesity (OR = 1.893, CI 95% 1.203 - 2.978) were significantly associated with hypertension. In addition, low fruit consumption (OR = 1.829;95% CI 1.092 - 3.064), low legume consumption (OR = 3.515;95% CI 1.861 - 6.635), and hypertriglyceridaemia (OR = 2.241, 95% CI 1.139 - 4.408) were significantly associated with diabetes. The indirect association observed between food insecurity and diabetes and hypertension suggests the need for nutritional policies aimed at popularizing the production and consumption of fruits and legumes. Similarly, health services need to be aware and informed of the important role that food insecurity can play in the development of diabetes and hypertension.

Food insecurity increases the risk of overweight and chronic diseases in adolescents: a systematic review and meta-analysis

To investigate the relationship between food insecurity(FI)and overweight/obesity(OW/OB)or corresponding chronic diseases in adolescents,33 studies with 181135 individuals were included in this meta-analysis.Six studies and 10 studies,reported a higher risk of overweight and obesity in adolescents experiencing FI,respectively(OR 1.38,95%CI 1.20‒1.58,P<0.0001;OR 1.11,95%CI 1.01‒1.22,P=0.035,respectively).Based on the pooled results,adolescents with severe FI had the highest risk of OW/OB(OR 1.45,95%CI 1.20‒1.75,P<0.0001).The pooled OR indicated no signifi cant association between FI and OW/OB,when the adolescents were stratifi ed into those under 6 years old and those between 6 and 18 years old.Eleven studies assessed the relationship between FI and the risk of chronic diseases.The anemia subgroup was significantly associated with FI(OR 1.67,95%CI 1.30‒2.13,P<0.0001).Severe FI was reported to increase the risk of hypertension(OR 1.59,95%CI 1.28‒1.98,P<0.0001).Furthermore,a pooled analysis revealed a signifi cant association between FI and the risk of chronic diseases in both 6 and 6-18-year-old subgroups.

The Effects of Job Insecurity, Emotional Exhaustion, and Met Expectations on Hotel Employees’ Pro-Environmental Behaviors: Test of a Serial Mediation Model

There are a plethora of empirical pieces about employees’pro-environmental behaviors.However,the extant literature has either ignored or not fully examined various factors(e.g.,negative or positive non-green workplace factors)that might affect employees’pro-environmental behaviors.Realizing these voids,the present paper proposes and tests a serial mediation model that examines the interrelationships of job insecurity,emotional exhaustion,met expectations,and proactive pro-environmental behavior.We used data gathered from hotel customer-contact employees with a time lag of one week and their direct supervisors in China.After presenting support for the psychometric properties of the measures via confirmatory analysis in LISREL 8.30,the abovementioned linkages were gauged using the PROCESS plug-in for statistical package for social sciences.The findings delineated support for the hypothesized associations.Specifically,emotional exhaustion and met expectations partly mediated the effect of job insecurity on proactive pro-environmental behavior.More importantly,emotional exhaustion and met expectations serially mediated the influence of job insecurity on proactive pro-environmental behavior.These findings have important theoretical implications as well as significant implications for diminishing job insecurity,managing emotional exhaustion,increasing met expectations,and enhancing ecofriendly behaviors.

Obstetrical Emergencies in Ouahigouya Regional Teaching Hospital (Burkina Faso) in the Context of Insecurity Linked to Armed Groups: A Comparative Study between Patients from Precarious Security Zones and Those from Safe Areas

Introduction: Insecurity can be an obstacle to access to emergency obstetric and newborn care, that is why we proposed to study obstetrical emergencies in Ouahigouya Regional Teaching Hospital, a referral hospital in a region plagued by insecurity linked to armed groups. Method: This was an analytical cross-sectional study with prospective data collection over a 4-month period, from June 10 to October 10, 2020. Patients from precarious security areas were compared to those from safer areas. The Chi squared and Fisher tests were used for comparison of variables. Results: Obstetric emergencies accounted for 38.62% of admissions, from which 25.59% came from precarious security zones. Age was similar in both comparison groups. However, patients from unsafe areas were more likely to reside in rural areas (p 0.001) and more likely to be in unpaid occupations (p 0.001). Prenatal visits were less frequent (p 0.01) and women were more often multigravidae (p 0.01) in the precarious security group of patients. Apart from the more frequent uterine rupture (p = 0.02) in the group from precarious security zones, diagnosed complications and maternal mortality were similar in the 2 groups, while perinatal mortality was higher in the group of patients from precarious security zones (p 0.01). Conclusion: The precarious security situation has negative consequences on maternal and perinatal morbidity and mortality. Further studies are needed for better understanding of these consequences, and improvement of health system resilience strategies, to reduce related maternal and fetal morbidity and mortality.

Contribution of attachment insecurity to health-related quality of life in depressed patients

AIM: To examine the individual contributions of insecure attachment styles and depression symptom severity to health-related quality of life(HRQo L) in patients diagnosed with adjustment disorder(AJD) with depressed mood. METHODS: Participants were 67 patients diagnosed with International Classification of Diseases, Tenth edition AJD with depressed mood, who completed standardised self-report questionnaires measuring study variables. Mean scores and SDs were computed for the outcome and predictor measures. Pearson correlations among the measures were computed. The study hypotheses were tested using analysis of variance(ANOVA) and multiple regression analyses. All analyses were performed using the SPSS-17 software package(SPSS Inc., Chicago, IL, United States).RESULTS: ANOVA showed a significant main effect of the insecure attachment styles on depression symptom severity and life satisfaction scores. The results suggestthat depressive symptoms were more severe(F = 4.13, df = 2.67, P < 0.05) and life satisfaction was poorer(F = 5.69, df = 2.67, P < 0.01) in both anxious-ambivalently and avoidantly attached patients compared with their securely attached counterparts, whereas the two insecure groups did not significantly differ by these variables. The anxious/ambivalent attachment style and depression symptom severity significantly contributed to HRQo L, accounting for 21.4% and 29.7% of the total variance, respectively [R2 = 0.79; Adjusted R2 = 0.77; F(5, 67) = 33.68, P < 0.0001], even after controlling for gender, marital and employment status confounders.CONCLUSION: The results show that the anxious/ambivalent attachment style together with depression symptom severity substantially and independently predict the HRQo L outcome in AJD with depressed mood.

Food and Nutritional Insecurity before and during the COVID-19 Pandemic in Households of Women Belonging to a Social Program

Introduction: According to the National Health and Nutrition Survey, the Mexican households in 2018 had food insecurity at 55.5% while in 2012 it was 70%. Food insecurity is a global health problem and now with the COVID-19 pandemic, it has increased. Objective: To compare the levels of food and nutritional insecurity in women’s households from two Social Impulse Centers of the Secretary for Human Social Development (SEDESHU) before and during the COVID-19 pandemic. Methods: A comparative and cross-sectional study was carried out in 41 women participating in a nutritional intervention program in two social promotion centers. Food security was measured with the Latin American and Caribbean Food Security Scale (ELCSA), comparing it in a period from January to April 2020: before and during the health contingency. Socio-economic and demographic variables were also measured, as well as access to water during the COVID-19 pandemic. Results: Food insecurity levels during the COVID-19 contingency were found to have increased by more than 60% (from 31.7% to 93%);the main risk factors associated with unemployment and access to healthy food. The COVID-19 contingency reflects impacts on households, but because women participated in the nutritional intervention program, it could influence by observing that, at least, the use of food was adequate since apparently food waste was minimal. Conclusions: The implementation of an educational nutrition program can be a strategy in the face of contingencies or extraordinary situations. In this way, the negative impact could be less in the population that does not have any type of food education.

Food insecurity and other possible factors contributing to low birth weight: A case control study in Addis Ababa, Ethiopia

Objective: To determine the association between low birth weight and household food insecurity at government hospitals in Addis Ababa, Ethiopia.Methods: A case control study was carried out on 468 mothers with term neonates from February 1, 2017 to May 15, 2017. The cases were women who gave term babies weighing less than 2500 g and the controls were those having 2500 g or above. In the included hospitals, choices of cases were done as the cases found and the next three eligible newborns in the maternity room were the controls. Data were collected by using pretested and structured questionnaire. Standard beam balance was used to measure the neonatal weight by trained midwifery. The data were entered into a computer using Epi-Data 3.1 and exported to Stata version 14 for data management and analysis. Results: Mothers having food insecurity [adjusted odd ratio (AOR) 3.58;95% confidence interval (CI) (1.79-7.16)], mid-upper arm circumference [AOR 7.70;95% CI (4.39-13.60)], hypertension [AOR 4.81;95% CI (2.33-9.93)], and early age [AOR 3.88;95% CI (1.35-11.15)] showed statistically significant association with low birth weight. Conclusions: Household food insecurity, hypertension, mid-upper arm circumference and early age in women were significant predictors of low birth weight. The provision of adequate nutrient for pregnant mothers having household food insecurity should be assured in order to prevent adverse birth weight outcomes.

Lipid and Diabetic Profiles of School Teachers in Afghanistan Facing Food Insecurity and Their Association with Knowledge Relating to Healthy Lifestyle

Objectives: To investigate lipid and diabetic profiles of school teachers in Kabul, Afghanistan, who face food insecurity, and examine the association of those with the teachers’ knowledge of non-communicable diseases (NCDs). Methods: A survey to examine biochemical indicators of NCDs (triglycerides (TG), total cholesterol (TC), high-density lipoprotein (HDL), hemoglobin A1c (HbA1c), blood pressure, height, weight, waist circumference), food insecurity, lifestyle and knowledge of NCDs was conducted among 600 school teachers. Analyses were made of biochemical indicators of NCDs, blood pressure, metabolic syndrome, obesity, and subject’s lifestyle in relation to food security and the subject’s knowledge of NCDs. Results: Thirty-nine percent of school teachers experienced food insecurity. The percentage of TC ≥ 200 mg/dL;HbA1c ≥ 5.5%;hypertension and metabolic syndrome were 20.2%, 29.7%, 32.2% and 33.7%, respectively. Food insecurity was associated with lower fruit and vegetable consumption and higher potato consumption. Food insecurity was associated with increased TC (AOR 2.03;95%CI: 1.23 - 3.34), decreased HDL (AOR 1.70;95%CI: 1.12 - 2.58), increased HbA1c (AOR 1.73;95%CI: 1.14 - 2.64), hypertension (AOR 1.68;95%CI: 1.01 - 2.80) and diagnosis of metabolic syndrome (AOR 1.78;95%CI: 1.18 - 2.68), after adjustment by demographic, socioeconomic and lifestyle variables. Among people living under condition of food insecurity, greater NCD knowledge was associated with smaller prevalence of TG ≥ 150 mg/dL, HDL Conclusions: Under conditions of food insecurity, diets have less variety and individuals are more likely to exhibit biomedical risk factors of NCDs. Even under conditions of food insecurity, people with knowledge of NCDs may have better coping strategies for their choice of lifestyles and exhibited a lower percentage of risk factors of NCDs.

Food Insecurity and Depressive Symptoms in Adolescents Aged 12–15 Years from Low- and Middle-Income Countries

Purpose:Little is known about the role of food insecurity(FIS)on depressive symptoms among adolescents.Thus,this study aimed to explore the association between FIS and depressive symptoms among adolescents aged 12–15 years from low-and middle-income countries across the world.Methods:Data from the Global school-based Student Health Survey were analyzed in 51,702 adolescents[mean(SD)age 13.8(1.0)years;49.3% girls].Self-reported measures assessed depressive symptoms during the past 12 months,and food insecurity.Partici-pants reporting yes for depressive symptoms.FIS was categorized intofive levels,including‘never’,‘rarely’,‘some-times’,‘most of the time’and‘always’.Multivariable logistic regression analysis was performed,and a country-wise meta-analysis was undertaken to compare country difference in the associations between FIS and depressive symptoms.Results:The prevalence of depressive symptoms was 30.0%,respectively.Compared with those reporting never for FIS,adolescents with increased severity of FIS were more likely to report depressive symptoms regardless of gender.Country-wise meta-analysis demonstrated that having FIS versus not having FIS was asso-ciated with 60%greater odds for depressive symptoms(OR=1.60;95%CI:1.52–1.69)but with a moderate between-country heterogeneity(I^(2)=12.7%).Conclusion:The current study indicates that alleviating FIS may be an effective prevention against depressive symptoms among adolescents from LMICs.Future studies should adopt improved study design to confirm or negate our researchfindings,which informs more efficient public mental health interventions.

A Systematic Review of the Literature on the Relationships between Chronic Diseases and Food Insecurity

Background: The association between food insecurity (FI) and obesity is now so well documented that scholars have dubbed it the “‘new’ food insecurity” and cited it as a leading cause of increased chronic disease (CD) risk. Here, the chain of causality is assumed to be FI → obesity → CD. However, this model overlooks the possible direct associations between FI and CD independent of obesity. Aim: This study assessed the literature on relationships between FI and CD. Methods: We conducted a systematic literature review of electronic databases. Selection criteria were designed to elicit studies that assessed FI and CD using a measure of CD other than obesity. Results: Fifty-one articles met the inclusion criteria. Forty-five studies (87%) reported a statistically significant association between FI and CD, but only 15 adjusted for obesity. The association was less consistent for asthma and dyslipidemia than for diabetes, hypertension, and other dietrelated CDs, and most were conducted in the USA or Canada. Conclusion: There is a body of literature documenting relationships between FI and CD, but it is heavily biased toward Western nations, ecological study designs, and type 2 diabetes as the CD of focus. A small subset of the literature controls for BMI, demonstrating that a portion of the FI-CD relationship cannot be fully explained by obesity. Possible direct pathways linking FI and CD include systematic effects of poverty that accompanies FI, micronutrient deficiencies, and environmental exposure to toxins;however, exploration of these alternative pathways is limited by study designs that fail to include obesity as a control variable.

Effects of COVID-19 Pandemic and Poverty on Food Insecurity: Yearly Spatial Analysis

Spatial regression analysis was applied separately to the annual US state-level food insecurity data from 2015 through 2018, and 2020 to examine the effects of race, region of residency, and poverty particularly due to the COVID-19 pandemic. The results of the analysis suggested that the US food insecurity level was trending downwards between 2015 and 2018 but increased by 33.5% in 2020, obviously due to the COVID-19 pandemic. Also, residents from the West experienced higher food insecurity levels relative to the Mid-West between 2015 and 2018. The analysis also revealed that race is not a determining factor of food insecurity as both White and Black are equally affected to a significant level. Rather, the most salient determinant of food insecurity is poverty. The effects of poverty were positive and strongly significant from 2015 through 2018. The effect was, however, mild in 2020 probably due to the stimulus and unemployment checks people received through the Care Act. This result underscored the importance of SNAP and other government intervention programs in addressing the country’s food insecurity problems.

Theoretical Application to Understand Food Insecurity Among College Students: A Multi-Systems Life Course Perspective

Empirical studies have shown a distinct relationship between academic performance and food insecurity in college students. Specifically, food-insecure students are more likely to report a lower grade point average than their food secure counterparts. Since the Great Recession, more attention has been given to the topic of hunger and food insecurity among college students;however, the literature still lacks a comprehensive examination of various issues facing today’s college students. Using a multi-systems life course (MSLC) perspective, this paper provides a conceptual explanation of the lived experience of college students by offering a better understanding of the unique challenges faced by this population. Findings from this study will assist researchers, practitioners, and university administrators in their efforts to address hunger among this population.

The Role of Philosophy in Insecurity and Good Governance in Nigeria

This paper re-emphasizes the relevance of philosophy in combating insecurity and bringing about good governance in Nigeria.It laments on the Nigerian negligence to the worth of philosophy in addressing the Nigerian social challenges which have called for concerns.Hence,the attitude of Nigerians to have soon forgotten the indispensability of philosophy in addressing social challenges,criticizing the political elites to bring about justice and good governance among other things,is really amazing.Consequently,Nigeria counts backwards whereas her counterparts count forward in terms of development,social tranquillity,good governance,practical and sincere consciousness of morality,strong economy and security,health and education wise,etc.Hence this paper attempts,with every possible effort,to define philosophy and elucidate its worth in tactically engaging insecurity and bringing about good governance.The end of this research will show that philosophy and its critical and systematic tenets are the basic answers to Nigerian challenges especially as they concern insecurity and bad governance.We will critically employ historical and ex post facto methods.

Psychological Well-Being of Adolescents in South Western Nigeria: Its Association with Sociodemographic Characteristics and Perceived Food Insecurity

Psychological well-being (PWB) which is a measure of life satisfaction in adolescence plays a great role in their behavioral lifestyle. The aim of this study was to assess the adolescents’ psychological well-being, its association with perceived food insecurity, and their sociodemographic characteristics. Using multistage random sampling, 352 students from three secondary schools in Ado Local Government in Nigeria were recruited. A self-administered questionnaire adapted from existing literature was used for data collection. About fifty-six percent of the adolescents had high psychological well-being. Most of the students studied had a high estimate of themselves in their self-autonomy and personal growth development. While Tribe (p = 0.032), type of family (p < 0.001), present class (p = 0.039) and class repetition (p = 0.018) were significantly associated with psychological well-being of adolescents, most adolescents had a medium to high food insecurity. Self-autonomy and personal growth development in adolescents are associated with the type of family structure, the higher the social class of the family and the lower of the occurrence of repetition of a class shall be. A stable family environment is beneficial to adolescents.

Coping with the Impact of Climate Change: A Dive into Precision Agriculture in the United States

With the continued increase in the number of people that are food insecure globally, which could be increasing because of the ongoing Ukraine-Russia war, leading to reduction in international agribusinesses, coupled with drastic climate change exacerbating the problem of food insecurity, there is a constant need to come up with innovative approaches to solve this global issue. In this article, we articulated how precision agriculture can be a tool for ensuring food security in the United States. This study aims to reiterate the significance of precision agriculture in solving global food insecurity.

Security and Insecurity In Cyberspace

U.S.strategies open the door to cyber warfare The United States is preparing for the next generation of war,one that will not be fought on traditional theatersland,sea and air-but in thew orld of computers and information networks:cyberspace.

Spatial Pattern and Distribution of Crime in Suleja Lga, Niger State, Nigeria

The study examines the Spatial Pattern and Distribution of Crime in Suleja LGA, Niger State, Nigeria. The study used GIS and statistical methods to analyse the pattern and distribution of crime incidence in the study area. The records of each crime incidence were geocoded. Microsoft Excel was used to collate and organise the crime entries before they were imported into the ArcGIS Pro 2.0 environment. A geodatabase was created where the spatial and aspatial data were encoded and geospatial analysis was performed. The study reveals that the crime distribution pattern is generally clustered with a Global Moran’s I index of 0.097, a Z-score of 1.87, and a P-value < 0.06. Furthermore, the study reveals that armed robbery (61), kidnapping (40), car theft (33), culpable homicide (31), rape (29), and robbery (13) cases rank the highest in crime rate. Equally, findings of the study show that Chaza, Kwamba, Madalla, Suleja central, and Gaboda are the major crime hotspot zones at 90% confidence, as analysed using the Getis-Ord Gi* (Hot spot analysis) spatial statistics tool in ArcGIS Pro 2.0. The research therefore recommends that more effort be put into fighting crime, especially in areas where there are low-security formations, as they mostly have the highest record of crimes committed. Also, the patrol units should be equipped with GPS for better surveillance and real-time tracking of criminal activities.

The Comparative Performance of Nutrient-Film Technique and Deep-Water Culture Method of Hydroponics for GREENBOX Technology

With the rising pressures on food security, GREENBOX technology was developed as an avenue for fresh leafy vegetable crop production in urban settings. GREENBOX units were designed to be thermally insulated and climate controlled, with an artificial lighting source that utilized soilless cultivation techniques. Previous studies conducted on GREENBOX technology used the Nutrient Film Technique (NFT);however, various hydroponic methods exist, such as the Deep-Water Culture (DWC) method being the most used. The APS Laboratory for Sustainable Food at Florida Gulf Coast University (FGCU) compared the crop growth performance between DWC and NFT systems using GREENBOX technology. The following study monitored environmental conditions and compared productivity and biomass data of Rex Butterhead Lettuce crops between DWC and NFT systems. We assembled two GREENBOX units using commercially available materials and the standard nutrient solution for fertigation. The crops grown in DWC and NFT were in a 4 × 6 configuration. The DWC and NFT systems were used to grow Lettuce Lactuca sativa “Rex Butterhead” over 30 days to full bloom from prepared plugs grown for 14 days. We collected environmental data including Photosynthetic Photon Flux Density (PPFD, μmol/m2∙s), Daily Light Integral (DLI, mol/ m2∙d), temperature (˚C), relative humidity (%), and Vapor Pressure Deficit (VPD, kPa). We collected lettuce crop growth data, which included wet weight (g), dry weight (g), leaf area (cm2), and chlorophyll concentration (μmol/m2). We derived data, including the Specific Leaf Area (SLA, cm2/g) and biomass productivity (kg/m2), from previously collected data. We used descriptive statistics to present the collected data. A paired t-test was performed to understand the differences in biomass and productivity parameters between the DWC and NFT-grown lettuce crops. Both the DWC and NFT-grown crops could grow lettuce crops to harvest weight at full bloom. Observed data demonstrated that the biomass parameters and productivity did not differ significantly between the two hydroponics techniques. Therefore, we believe both hydroponic methods may be similar in growth performance and may be used in future iterations of GREENBOX design and prove suitable for fresh vegetable crop production in urban settings.

The Assessment of Growth Performance of Brassica rapa var. chinensis ‘Li Ren Choi’, Spinacia oleracea ‘Auroch’, Eruca sativa ‘Astro’, and Brassica rapa var. japonica Using GREENBOX Technology

Obtaining nutritious food is becoming increasingly difficult due to the growing urban population and the degradation of soil, water, and air from mechanized and industrialized agricultural techniques. More than half the global population resides in urban areas, with not enough surrounding agricultural land to meet food requirements. Food traveling long distances, an average of 1020 miles, has resulted in increased food miles for the average food item in the United States of America, representing wasted resources. The novel GREENBOX technology was invented in response to increasing pressures on food security. Previous studies conducted on GREENBOX technology assessed the technical feasibility of utilizing Lettuce Lactuca sativa ‘Rex Butterhead’. We at the APS Laboratory for Sustainable Food at Florida Gulf Coast University assessed the technical feasibility of growing different leafy green vegetable crops. GREENBOX technology consists of thermally insulated climate-controlled enclosures, an artificial lighting source, a soilless cultivation method (hydroponics), and environmental control modules. We assembled two GREENBOX units to assess the environmental conditions and growth performance of Brassica rapa var. chinensis ‘Li Ren Choi’, Spinach Spinacia oleracea ‘Auroch’, Arugula Eruca sativa ‘Astro’, and Mizuna Brassica Brassica rapa var. japonica. Plugs were cultivated and then transplanted in a randomized manner to the nutrient film technique (NFT) channels, subsequently grown for 30 days to full bloom and ready for harvest. Fertigation was carried out using a standard concentration nutrient solution. Crops were arranged in twelve blocks of four species each. We collected environmental data including daily light integral (DLI, mol/m2∙d), temperature (˚C), relative humidity (%), and vapor pressure deficit (VPD, kPa). Collected biomass data included wet weight (g), dry weight (g), leaf area (cm2), and chlorophyll concentration (mg/cm2). We then derived the Specific Leaf Area (SLA, cm2/g). Descriptive statistics were utilized to understand the differences in biomass parameters between the four crops grown. We also compared the performance parameters of our crops with existing peer-reviewed literature and found it superior, if not comparable to commonly found industrial output. We determined that all crops grew to full bloom, demonstrating that GREENBOX technology may be used to grow a variety of different leafy green vegetable crops.