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The impact of food aid interventions on food insecurity, diet quality and mental health in households with children in high-income countries: a systematic review

The impact of food aid interventions on food insecurity, diet quality and mental health in households with children in high-income countries: a systematic review
The impact of food aid interventions on food insecurity, diet quality and mental health in households with children in high-income countries: a systematic review
Objective: households with children accessing food aid in high-income countries are often food insecure. We aimed to review the evidence on food aid interventions in households with children and impact on food insecurity, diet quality and mental health.

Design: a systematic search was conducted using Web of Science, MEDLINE, CINAHL and PsycINFO. Articles published from January 2008 to July 2022 including cross-sectional, cohort and interventional studies in high-income countries were eligible.

Setting: food aid is defined as the use of interventions providing free food items by community and/or charitable organisations.

Participants: two-parent, lone parent or households with a primary caregiver with at least one child ≤ 18 years.

Results: from a total of 10 394 articles, nine were included. Food banks, mobile pantry combined with a free meal for children, backpack provision during school term and food parcel home delivery interventions were evaluated. Food bank models offering additional support such as community programmes, health and social services, cooking classes and free meals for children, client-choice-based models and programmes providing convenient access were associated with improved food security and diet quality (increased intake of wholegrains, fruit and vegetables). One study reported an improvement in mental health and food bank access at the end of 18 months but not at earlier timepoints and one study reported no change in parents' mental health.

Conclusions: accessing food aid was linked to improved diet quality and reduced food insecurity in some studies. Allowing clients to choose food items and providing support services were most effective.
1368-9800
Stahacz, Charlotte
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Alwan, Nisreen A.
0d37b320-f325-4ed3-ba51-0fe2866d5382
Taylor, Elizabeth
880bd662-b8bb-46a2-8db1-7fe31bd540ae
Smith, Dianna
e859097c-f9f5-4fd0-8b07-59218648e726
Ziauddeen, Nida
8b233a4a-9763-410b-90c7-df5c7d1a26e4
Stahacz, Charlotte
8717089a-4b86-48e3-9f26-5b3854927dce
Alwan, Nisreen A.
0d37b320-f325-4ed3-ba51-0fe2866d5382
Taylor, Elizabeth
880bd662-b8bb-46a2-8db1-7fe31bd540ae
Smith, Dianna
e859097c-f9f5-4fd0-8b07-59218648e726
Ziauddeen, Nida
8b233a4a-9763-410b-90c7-df5c7d1a26e4

Stahacz, Charlotte, Alwan, Nisreen A., Taylor, Elizabeth, Smith, Dianna and Ziauddeen, Nida (2024) The impact of food aid interventions on food insecurity, diet quality and mental health in households with children in high-income countries: a systematic review. Public Health Nutrition, 27, [e195]. (doi:10.1017/S1368980024001769).

Record type: Article

Abstract

Objective: households with children accessing food aid in high-income countries are often food insecure. We aimed to review the evidence on food aid interventions in households with children and impact on food insecurity, diet quality and mental health.

Design: a systematic search was conducted using Web of Science, MEDLINE, CINAHL and PsycINFO. Articles published from January 2008 to July 2022 including cross-sectional, cohort and interventional studies in high-income countries were eligible.

Setting: food aid is defined as the use of interventions providing free food items by community and/or charitable organisations.

Participants: two-parent, lone parent or households with a primary caregiver with at least one child ≤ 18 years.

Results: from a total of 10 394 articles, nine were included. Food banks, mobile pantry combined with a free meal for children, backpack provision during school term and food parcel home delivery interventions were evaluated. Food bank models offering additional support such as community programmes, health and social services, cooking classes and free meals for children, client-choice-based models and programmes providing convenient access were associated with improved food security and diet quality (increased intake of wholegrains, fruit and vegetables). One study reported an improvement in mental health and food bank access at the end of 18 months but not at earlier timepoints and one study reported no change in parents' mental health.

Conclusions: accessing food aid was linked to improved diet quality and reduced food insecurity in some studies. Allowing clients to choose food items and providing support services were most effective.

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More information

Accepted/In Press date: 10 June 2024
Published date: 4 October 2024
Additional Information: For the purpose of Open Access, the author has applied a Creative Commons Attribution (CC BY) licence to any Author Accepted Manuscript version arising.

Identifiers

Local EPrints ID: 492082
URI: http://eprints.soton.ac.uk/id/eprint/492082
ISSN: 1368-9800
PURE UUID: a95762dc-de9c-4fd5-a728-cf70b61e87ee
ORCID for Nisreen A. Alwan: ORCID iD orcid.org/0000-0002-4134-8463
ORCID for Elizabeth Taylor: ORCID iD orcid.org/0000-0002-7680-2865
ORCID for Dianna Smith: ORCID iD orcid.org/0000-0002-0650-6606
ORCID for Nida Ziauddeen: ORCID iD orcid.org/0000-0002-8964-5029

Catalogue record

Date deposited: 16 Jul 2024 16:45
Last modified: 05 Oct 2024 04:04

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Contributors

Author: Charlotte Stahacz
Author: Elizabeth Taylor ORCID iD
Author: Dianna Smith ORCID iD
Author: Nida Ziauddeen ORCID iD

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