Utilization of Informal Food Support Among Low-Income Households: Application of Andersen’s Service Use Model

Households on public assistance often turn to informal food support, such as food pantries, home delivery food programs, and soup kitchens, to cushion their consumption needs. Despite its important role in addressing food insecurity among low-income households, research examining determinants of informal food support use remains scarce. Guided by Andersen’s health service use model, this study aims to identify the predisposing, enabling, and need factors of informal food support use among low-income households. Results indicated that predisposing factors of informal food support use include education, age, and race. Enabling factors include Supplemental Nutrition Assistance Program (SNAP) recipiency, employment status, and household income. Food security status is a significant need factor of informal food support use. Implications for practice and future research are discussed.

[1]  K. Davis,et al.  A Policy Option to Enhance Access and Affordability for Medicare’s Low-Income Beneficiaries. , 2018, Issue brief.

[2]  K. Shelnutt,et al.  Why Are Hungry College Students Not Seeking Help? Predictors of and Barriers to Using an On-Campus Food Pantry , 2018, Nutrients.

[3]  C. Trinh,et al.  SNAP(ed): The Supplemental Nutrition Assistance Program, the Household Expense Calculation and the Adequacy of Benefits , 2013 .

[4]  J. Mabli,et al.  Supplemental Nutrition Assistance Program Participation and Emergency Food Pantry Use , 2017, Journal of nutrition education and behavior.

[5]  Christian A. Gregory,et al.  Household Food Security in the United States in 2016 , 2017 .

[6]  J. Brooks,et al.  Beyond food insecurity , 2016 .

[7]  D. Buys,et al.  Does Participation in Home-Delivered Meals Programs Improve Outcomes for Older Adults? Results of a Systematic Review , 2015, Journal of nutrition in gerontology and geriatrics.

[8]  J. Will,et al.  Toward an Understanding of Food Pantry Food Recipients and the Agencies that Serve Them , 2015 .

[9]  L. Edmunds,et al.  Relation between annual trends in food pantry use and long-term unemployment in New York State, 2002-2012. , 2015, American journal of public health.

[10]  Kirang Kim,et al.  Factors contributing to participation in food assistance programs in the elderly population , 2014, Nutrition research and practice.

[11]  A. Kumar,et al.  Dynamics of Poverty and Food Insecurity in Orissa:Macro Analysis and Case Studies , 2011 .

[12]  V. Nebbitt,et al.  Assessing Effects of Food Stamp Program Participation on Child Food Security in Vulnerable Households: Do Informal Supports Matter? , 2009 .

[13]  Julia L. Mendez,et al.  Parental Engagement and Barriers to Participation in a Community-Based Preventive Intervention , 2009, American journal of community psychology.

[14]  E. Frongillo,et al.  Patterns of food insecurity and participation in food assistance programmes over time in the elderly , 2009, Public Health Nutrition.

[15]  S. Travis,et al.  Participant Characteristics Predicting Voluntary Early Withdrawal from a Multidisciplinary Program Providing Home-Delivered Meals and Dietitian/Social Work Case Management to Homebound Elders , 2005, Journal of nutrition for the elderly.

[16]  Jennie E. Raymond,et al.  Use of Food Pantries and Food Stamps in Low‐Income Households in the United States , 2005 .

[17]  M. Lun THE EFFECTS OF RACE AND GENDER ON PREDICTING IN-HOME AND COMMUNITY-BASED SERVICE USE BY OLDER ADULTS , 2004 .

[18]  M. Berner,et al.  The Shifting Pattern of Food Security Support: Food Stamp and Food Bank Usage in North Carolina , 2004 .

[19]  J. Kronenfeld Chronic Care, Health Care Systems and Services Integration , 2004 .

[20]  B. Rogers,et al.  Public versus private food assistance: barriers to participation differ by age and ethnicity. , 2003, Journal of nutrition education and behavior.

[21]  R. Toseland,et al.  Predictors of health and human services use by persons with dementia and their family caregivers. , 2002, Social science & medicine.

[22]  Patricia Mcgrath Morris,et al.  Living on the edge: examination of people attending food pantries and soup kitchens. , 2002, Social work.

[23]  C. Bailey,et al.  Food Security of Low-Income Single Parents in East Alabama: Use of Private and Public Programs in the Age of Welfare Reform * , 2002 .

[24]  B. Daponte Private versus Public Relief: Use of Food Pantries versus Food Stamps among Poor Households , 2000 .

[25]  S Magura,et al.  Substance Misuse and Related Infectious Diseases in a Soup Kitchen Population , 2000, Substance use & misuse.

[26]  Sue Ann Anderson,et al.  Core indicators of nutritional state for difficult-to-sample populations. , 1990, The Journal of nutrition.

[27]  R. Andersen,et al.  Societal and individual determinants of medical care utilization in the United States. , 1973, The Milbank Memorial Fund quarterly. Health and society.