Diet is one modifiable risk factor for hypertension. The low-sodium DASH (Dietary Approaches to Stop Hypertension) eating plan has been shown to significantly reduce the risk of hypertension and cardiovascular disease. However, there is a lack of available health information on the economic feasibility and cultural acceptability of DASH for low-income African American (AA) populations who are at the most risk for hypertension. An integrative review was conducted to summarize empirical literature on the economic feasibility and cultural acceptability of the DASH plan for low-income AAs using these databases: PubMed, EMBASE, CINAHL Complete, AGRICOLA, Web of Science Core Collection, ProQuest’s Dissertations, Theses Citation Index, and Google Scholar. Study elements from articles in the final analysis were extracted. Eleven (11) published works met the study’s inclusion criteria. Major themes were the availability and access of healthy foods, economic impact of obtaining healthy foods, material resources for cooking, food literacy, and the cultural acceptability of the DASH plan. These findings suggest that cost and cultural familiarity inhibit low-income AAs from benefiting from the DASH plan. Additional research is needed to develop and pilot test low-cost, culturally sensitive DASH eating plans for low-income AAs.

Following rising unemployment rates and consequent loss of income due to COVID-19, many people have been seeking meal assistance. This study examines the impact of a community-based free meal distribution program during the pandemic in Kentucky, reviewing characteristics of recipients of the program. Demographics, health behaviors, food insecure classification, and rating of importance of the meal program were collected. Qualitative feedback on the impact of the program was collected via open response. Of the 92 participants using the meal service, the cohort was female, Black, 43 years of age (43.5 ± 15.0 years), with a household income under 30,000 USD before COVID, decreased income since COVID, and were food insecure. Recipients rated the importance of the service as 8.7 ± 1.8 (of 10), and those with children indicated the importance as 4.2 ± 1.1 (of 5). Qualitative data on program importance highlighted four response categories including “changed habits”, “mental wellbeing”, “provided resources”, and “other”. In response to the COVID-19 pandemic, many individuals have struggled. Meal assistance programs are a fundamental asset in the community that have seen marketed demand since COVID-19. Collaboration with, and evaluation of, meal assistance programs can be valuable for continued programmatic funding support.

Food waste and food insecurity present a troubling paradox found across the globe, in local communi­ties, and on college campuses. The Campus Kitch­en at the University of Kentucky (CK) is a student-led, sustainability-focused service organiza­tion in the Feeding America Network that can serve as a local food waste checkpoint in the south­east region of the United States and address com­munity and campus food insecurity through com­munity-build­ing activities. Farm-to-Fork (F2F), a free weekly meal and education program of CK, provides a case study of leveraging existing resources like student volunteers, CK infrastruc­ture, and campus partners to address college food insecurity. In this case study, we evaluate the pilot model of CK and its F2F Program. The data gath­ered consist of the amount of food recovered, the number of meals prepared and distributed, and demographics and behavioral perceptions of col­lege students attend­ing F2F. From August 2018 to December 2019, CK food recovery and meal data were collected and an F2F cross-sectional student survey (N=284) was administered twice. The pro­gram develop­ment, implementation, and evaluation of F2F relies on the social -ecological model (SEM) to capture and highlight the complicated issues of food waste and food insecurity, and the layered approach any initiative addressing such issues must take. Ulti­mately, F2F highlights how programs such as CK can expand their missions of reducing food waste and food insecurity in communities and on college campuses. CK’s economically and envi­ronmentally sustainable practices can be built upon to improve the diversion of food waste and use socially inclu­sive approaches to provide healthy meals and resources to populations experiencing challenges with food insecurity, both on and off campus, as well as educate all those involved. In turn, such an initiative highlights the need to move beyond stopgap measures, such as food pantries, in both community and campus programs targeting food waste and food insecurity.

College food insecurity (FI) and poor psychosocial health are prevalent public health issues in the U.S., yet often overlooked. Since the COVID-19 pandemic, repercussions on these critical inequity issues remain unclear. During the summer months of 2020, this cross-sectional survey examined associations between students’ self-reported FI and perceived stress (PSS-10), one aspect of poor psychosocial health. An anonymous online survey was distributed to a convenience sample of college students at a land grant institution of higher education in the southeastern U.S., and $10 e-gift card was provided to survey respondents. The survey response rate was 26.2% (n=235) and participants were predominantly female, White, and from upper-division including junior and senior students. Among respondents, 31.3% were food insecure and 37.8% were laid off or temporarily furloughed. Students who worked before the pandemic were 3.49 times more likely to continue working despite the pandemic; however, employment status was not significantly associated with since-PSS-10 scores or FI. In multiple linear regression models, pre-PSS-10 scores, age, and lower division were significant predictors of since-PSS-10 scores. Additionally, students experiencing FI and having higher pre-PSS-10 scores were predicted of having higher since-PSS-10 scores. This study adds important findings about college FI and perceived stress to the limited literature regarding college student health during the pandemic. A more rigorous study design with a larger, nationally or regionally representative sample is recommended for future studies. To address both complex issues of college FI and poor psychosocial health, a multi-faceted interdisciplinary approach, well-supported by college administrators, would be warranted.

Objective: To describe current food insecurity (FI)-related training among nutrition/dietetics, public health, and social work students. Methods: A cross-sectional online survey was used among students (n = 306) enrolled in health-related programs at 12 US universities. Participants reported FI-related course-based and extracurricular experiences and rated confidence to address FI on a scale of 1-3. Open-ended questions investigated perceived definitions of FI and impactful course activities. Descriptive statistics and thematic analysis were used for data analysis. Results: Participants' FI definitions were multifaceted. Most (80.6%) reported FI being covered in at least 1 course. The overall mean confidence to address FI was 2.2 0.48. Participants suggested increasing application-based opportunities and skills training. Conclusions and Implications: Most students have a basic understanding of FI and report high confidence to address it in the future. Impactful FI-related experiences and participants' suggestions guide developing an FI training resource to enhance student FI competency and sensitivity.

The objective of this study was to develop and to test the validity and reliability of a survey aimed to evaluate internal and external factors associated with college food insecurity. Researchers used a mixed methods approach to evaluate the College Perspectives around Food Insecurity survey. Survey items were constructed from interview data and assigned a social cognitive theory concept (environment, personal, or behavior). Two rounds of expert reviews established content validity (Round 1, n = 3; Round 2, n = 2). Researchers evaluated face validity through two rounds of cognitive interviews with college students 18+ years old (Round 1, n = 9; Round 2, n = 16) and tested survey reliability (n = 105). Researchers used descriptive statistics, test-retest reliability statistics, and Cronbach’s alpha scores for data analysis. The initial survey contained 143 items. After feedback from expert reviewers and cognitive interviews, the final survey contained 99 items. Test-retest reliability was 0.99, and Cronbach’s alpha scores were 0.74 for environment, 0.47 for personal, and 0.39 for behavior. The College Perspectives around Food Insecurity survey can be used to better understand internal and external factors associated with food insecurity in college students, which can inform interventions aimed at assisting this population.