skip to main content
US FlagAn official website of the United States government
dot gov icon
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
https lock icon
Secure .gov websites use HTTPS
A lock ( lock ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.


Title: The syndemic effects of food insecurity, water insecurity, and HIV on depressive symptomatology among Kenyan women
Award ID(s):
1759972
PAR ID:
10274757
Author(s) / Creator(s):
; ; ; ; ;
Date Published:
Journal Name:
Social Science & Medicine
ISSN:
0277-9536
Page Range / eLocation ID:
113043
Format(s):
Medium: X
Sponsoring Org:
National Science Foundation
More Like this
  1. Abstract Objective: Water plays a critical role in the production of food and preparation of nutritious meals, yet few studies have examined the relationship between water and food insecurity. The primary objective of this study, therefore, was to examine how experiences of household water insecurity (HWI) relate to experiences of household food insecurity (HFI) among a pastoralist population living in an arid, water-stressed region of northern Kenya. Design: We implemented the twelve-item Household Water Insecurity Experiences (HWISE, range 0–36) Scale and the nine-item Household Food Insecurity Access Scale (HFIAS, range 0–27) in a cross-sectional survey to measure HWI and HFI, respectively. Data on socio-demographic characteristics and intake of meat and dairy in the prior week were collected as covariates of interest. Setting: Northern Kenya, June–July 2019. Participants: Daasanach pastoralist households ( n 136) from seven communities. Results: In the prior 4 weeks, 93·4 % and 98·5 % of households had experienced moderate-to-severe HWI and HFI, respectively. Multiple linear regression analyses indicated a strong association between HWI and HFI. Each point higher HWISE score was associated with a 0·44-point (95 % CI: 0·22, 0·66, P = 0·003) higher HFIAS score adjusting for socio-economic status and other covariates. Conclusions: These findings demonstrate high prevalence and co-occurrence of HWI and HFI among Daasanach pastoralists in northern Kenya. This study highlights the need to address HWI and HFI simultaneously when developing policies and interventions to improve the nutritional well-being of populations whose subsistence is closely tied to water availability and access. 
    more » « less
  2. This study initiated an exploration into how community members, specialists in housing issues, and social scientists might collaborate to address homelessness in Alaska. Through interviews and participant observation of planning meetings and related activities, the researchers are gathering insights from design experts, community organizers, and experts working on urban-rural homelessness in Alaska. This includes gathering information about cold weather design processes and issues facing urban-rural homelessness in Alaska, as well as the identification of possible research questions that can inform the development of a grant application for a multi-year research study. The study includes in-person as well as virtual research activities. Because of geographic distances, the majority of initial research activities were conducted virtually, but in-person field site visits began to take place June 15, 2021, and subsequent trips have taken place from August 2021-onward. These research trips involve site visits, participation in meetings, and in-person interviews when possible. Phase 1: 24 initial interviews were conducted with a range of stakeholders about housing insecurity in Alaska and the impacts of the COVID-19 pandemic. Includes interviewees from remote villages, from the Association of Alaskan Housing Authorities (AAHA), homeless advocates, designers, social scientists, engineers, and builders. Topics included myths about homelessness, homeless versus houseless terminology, research organizations, policies, impacts of pandemic, housing needs, and contrasting strategies. Analysis and synthesis with subsequent data is ongoing. 01: policy 02: interview with researcher 03: homelessness - Anchorage - rural communities - data sharing 04: design in rural communities 05: housing shortages in rural communities 06: technical issues in housing - collaborating with rural communities 07: homeless community in Fairbanks 08: history of Cold Climate Housing Research Center 09: design - homelessness - Anchorage 10: homelessness - rural/hub/urban - need for housing design repository 11: homelessness - Nome - Savoonga - designers need to visit villages 12: reverse interview - designer interviews researchers 13: homelessness - Anchorage - Bethel - housing costs 14: homelessness - rural/hub/urban spectrum - subsistence - houseless term 15: homelessness data and Bethel - impacts of pandemic - myths 16: homelessness data and Bethel - impacts of pandemic 17: ISERC (Integrated Security Education and Research Center) research 18: homelessness data and Bethel - CARES Act 19: homelessness data (gaps) and Bethel - CARES Act 20: homelessness data and Bethel 21: designer - public awareness and museum exhibits 22: veterans and community organizer 23: AAHA staff member 24: homelessness - Fairbanks - pandemic impacts on rescue missions Phase 2: 49 additional interviews were conducted with support from NSF funding (NSF 2103356: RAPID: COVID-19, Remote Ethnography, and the Rural Alaskan Housing Crisis). A meta-data description of the participants and topics are attached ('RAPID_interview_list___Descriptions'). 
    more » « less