Food insecurity in Piura, Peru, in the context of post-earthquake and the COVID-19 pandemic

Introduction Piura, located in a seismic zone, faces challenges related to food security. The aim of this study was to analyze aspects related to food insecurity in the region following the 6.1-magnitude earthquake that occurred in 2021, within the context of the COVID-19 pandemic. Methods A secondary analysis was performed in 177 people exposed to the earthquake in Piura. Food insecurity was assessed with the Household Food Insecurity Access Scale. Its association with insomnia, resilience, anxiety/depressive symptoms, and general variables were determined using generalized linear models. Results Food insecurity was observed in 31.1% (95% CI: 24.3–38.4) of participants. This prevalence was higher in people with mild (PR: 1.73, 95% CI: 1.12–2.70) and moderate (PR: 1.55, 95% CI: 1.09–2.22) anxiety symptoms, severe depressive symptoms (PR: 2.74, 95% CI: 1.24–6.03), and previous exposure to the El Niño Phenomenon (PR: 1.72; 95% CI: 1.06–2.81). An income higher than 5000 Peruvian soles (approximately 1300 US dollars) was associated with a lower prevalence of food insecurity (PR: 0.22, 95% CI: 0.13–0.40). Conclusions Overall, three out of 10 individuals experienced food insecurity after the 2021 earthquake in Piura. Food insecurity may be aggravated by mental disorders, previous exposure to the El Niño phenomenon, and the COVID-19 pandemic. Our study contributes to the field by exploring a range of variables related to food insecurity in a unique context: post-earthquake and during the COVID-19 health emergency in Peru. These findings enhance our understanding of food insecurity at the regional level and highlight the need for preventive food security programs in seismic events.

[1]  Mario J. Valladares-Garrido,et al.  Prevalence and factors associated with food insecurity in eight high-altitude cities in Peru during the second wave of the COVID-19 pandemic: a retrospective, cross-sectional study , 2022, BMC Public Health.

[2]  C. Davison,et al.  Investigating the role of climate-related disasters in the relationship between food insecurity and mental health for youth aged 15–24 in 142 countries , 2022, PLOS global public health.

[3]  Mario J. Valladares-Garrido,et al.  Time in Service and Resilience in Active Military Personnel during the COVID-19 Pandemic: A Cross-Sectional Study in Northern Peru , 2022, International journal of environmental research and public health.

[4]  Mario J. Valladares-Garrido,et al.  Smartphone overuse, depression & anxiety in medical students during the COVID-19 pandemic , 2022, PloS one.

[5]  Mario J. Valladares-Garrido,et al.  Association between Family Dysfunction and Post-Traumatic Stress Disorder in School Students during the Second COVID-19 Epidemic Wave in Peru , 2022, International journal of environmental research and public health.

[6]  Mario J. Valladares-Garrido,et al.  Clinical-epidemiologic variation in patients treated in the first and second wave of COVID-19 in Lambayeque, Peru: A cluster analysis , 2022, International Journal of Infectious Diseases.

[7]  Mario J. Valladares-Garrido,et al.  Mental Health Disturbance after a Major Earthquake in Northern Peru: A Preliminary, Cross-Sectional Study , 2022, International journal of environmental research and public health.

[8]  Mario J. Valladares-Garrido,et al.  Prevalence and Factors Associated with Insomnia in Military Personnel: A Retrospective Study during the Second COVID-19 Epidemic Wave in Peru , 2022, Healthcare.

[9]  M. Aneesh,et al.  Loss of Livelihood, Wages, and Employment During the COVID-19 Pandemic in Selected Districts of Chhattisgarh in India, and Its Impact on Food Insecurity and Hunger , 2022, Frontiers in Public Health.

[10]  V. Paz-Soldan,et al.  Determinants of food insecurity among households with children in Villa el Salvador, Lima, Peru: the role of gender and employment, a cross-sectional study , 2022, BMC Public Health.

[11]  Mario J. Valladares-Garrido,et al.  Self-medication in hospitalized patients with COVID-19: A cross-sectional study in northern Peru. , 2022, Germs.

[12]  M. Ramírez-Soto,et al.  Analysis of Excess All-Cause Mortality and COVID-19 Mortality in Peru: Observational Study , 2022, Tropical medicine and infectious disease.

[13]  Rufino Cabrera,et al.  Prevalencia y Factores Asociados con Depresión en Personal de Salud Durante la Pandemia de SARS-CoV-2 en el Departamento de Piura, Perú , 2021, Revista Colombiana de Psiquiatría.

[14]  Virgilio E. Failoc-Rojas,et al.  Mortalidad en pacientes hospitalizados por COVID-19. Estudio prospectivo en el norte del Perú, 2020 , 2021, Revista médica de Chile (Impresa).

[15]  M. Taquet,et al.  Depression and anxiety disorders during the COVID-19 pandemic: knowns and unknowns , 2021, The Lancet.

[16]  G. Bendezú-Quispe,et al.  Prevalence and factors associated with food insecurity in Latin America and the Caribbean during the first wave of the COVID-19 pandemic , 2021, Heliyon.

[17]  R. Milà-Villarroel,et al.  The Measurement of Food Insecurity in High-Income Countries: A Scoping Review , 2021, International journal of environmental research and public health.

[18]  M. Luetke,et al.  Associations between hurricane exposure, food insecurity, and microfinance; a cross-sectional study in Haiti. , 2021, World development.

[19]  L. Goulao,et al.  The impact of COVID-19 on diet quality, food security and nutrition in low and middle income countries: A systematic review of the evidence , 2021, Clinical Nutrition.

[20]  M. Edwards,et al.  Assessment of Household Food Insecurity During a Medical Mission to Chincha, Peru , 2021, Cureus.

[21]  H. Anckarsäter,et al.  Patterns of Lifetime Criminality in Mentally Disordered Offenders – Findings From a Nationally Representative Cohort , 2021, Frontiers in Psychiatry.

[22]  J. Gómez‐Salgado,et al.  Effects of the COVID-19 Pandemic on Mental Health in Peru: Psychological Distress , 2021, Healthcare.

[23]  M. Gray,et al.  The influence of natural disasters on violence, mental health, food insecurity, and stunting in the Philippines: Findings from a nationally representative cohort , 2021, SSM - population health.

[24]  V. Agyapong,et al.  The Role of Social Determinants in Mental Health and Resilience After Disasters: Implications for Public Health Policy and Practice , 2021, Frontiers in Public Health.

[25]  R. Nayga,et al.  The association between food insecurity and mental health during the COVID-19 pandemic , 2021, BMC Public Health.

[26]  C. Recklitis,et al.  Validation of the Insomnia Severity Index (ISI) for identifying insomnia in young adult cancer survivors: comparison with a structured clinical diagnostic interview of the DSM-5 (SCID-5). , 2021, Sleep medicine.

[27]  D. Hernandez,et al.  Disentangling food insecurity and maternal depression: Which comes first? , 2021, Public health nutrition.

[28]  S. Gosling,et al.  Small Effects: The Indispensable Foundation for a Cumulative Psychological Science , 2021, Perspectives on psychological science : a journal of the Association for Psychological Science.

[29]  Luis Varona,et al.  Dynamics of the impact of COVID-19 on the economic activity of Peru , 2021, PloS one.

[30]  Valdimar Sigurdsson,et al.  Development and psychometric evaluation of the Anticipated Food Scarcity Scale (AFSS) , 2020, Appetite.

[31]  R. Atun,et al.  COVID-19 Response in Latin America , 2020, The American journal of tropical medicine and hygiene.

[32]  Sandra M. Neer,et al.  Examining the Role of Anxiety and Depression in Dietary Choices among College Students , 2020, Nutrients.

[33]  E. Shadmi,et al.  Health equity and COVID-19: global perspectives , 2020, International Journal for Equity in Health.

[34]  C. Bambra,et al.  The COVID-19 pandemic and health inequalities , 2020, Journal of Epidemiology & Community Health.

[35]  Carlos Alberto Tello-Ayllón Evolución de la pandemia COVID19 en las regiones andinas del Perú , 2020, Anales de la Facultad de Medicina.

[36]  A. Sultana,et al.  Epidemiology of mental health problems in COVID-19: a review , 2020, F1000Research.

[37]  R. Longmore,et al.  The Economy in the Time of Covid-19 , 2020 .

[38]  C. Myers,et al.  Food Insecurity and Psychological Distress: a Review of the Recent Literature , 2020, Current Nutrition Reports.

[39]  K. Mirzaei,et al.  Is there any association between dietary patterns, food security status and psychiatric disorders among Iranian earthquake victims? , 2020, BMJ military health.

[40]  Orlando Scoppetta,et al.  Validity of the Patient Health Questionnaire-9 (PHQ-9) for depression screening in adult primary care users in Bucaramanga, Colombia. , 2020, Revista colombiana de psiquiatria.

[41]  Ashley D. Ross,et al.  Factors Associated with Food Insecurity Following Hurricane Harvey in Texas , 2020, International journal of environmental research and public health.

[42]  A. M. Chisaguano,et al.  Food insecurity and malnutrition in vulnerable households with children under 5 years on the Ecuadorian coast: a post-earthquake analysis. , 2020, Rural and remote health.

[43]  B. Lindtjørn,et al.  Performance of an adapted household food insecurity access scale in measuring seasonality in household food insecurity in rural Ethiopia: a cohort analysis , 2019, BMC Nutrition.

[44]  V. Borja-Aburto,et al.  Prevalence of Post-traumatic Stress Disorder and Depression After the September 19th, 2017 Earthquake in Mexico. , 2019, Archives of medical research.

[45]  Amado Alejandro Báez,et al.  Natural Disasters. , 2019, Critical care clinics.

[46]  G. Melendez‐Torres,et al.  Valid group comparisons can be made with the Patient Health Questionnaire (PHQ-9): A measurement invariance study across groups by demographic characteristics , 2019, PloS one.

[47]  Q. Cui,et al.  Association between earthquake experience and depression 37 years after the Tangshan earthquake: a cross-sectional study , 2019, BMJ Open.

[48]  David C. Funder,et al.  Evaluating Effect Size in Psychological Research: Sense and Nonsense , 2019, Advances in Methods and Practices in Psychological Science.

[49]  P. Raeissi,et al.  Natural disasters and challenges toward achieving food security response in Iran , 2019, Journal of education and health promotion.

[50]  M. A. Guisande,et al.  Spanish validation of the 10-item Connor–Davidson Resilience Scale (CD-RISC 10) with non-professional caregivers , 2019, Aging & mental health.

[51]  A. Thorne-Lyman,et al.  Nutritional resilience in Nepal following the earthquake of 2015 , 2018, PloS one.

[52]  H. Woodrow,et al.  : A Review of the , 2018 .

[53]  I. Kawachi,et al.  Social Capital and Dietary Intakes Following the 2011 Great East Japan Earthquake and Tsunami , 2018, Journal of epidemiology.

[54]  R. Neff,et al.  Assessing food system vulnerabilities: a fault tree modeling approach , 2018, BMC Public Health.

[55]  Stephen H. Bell,et al.  A ?scoping review. , 2018, Sexual health.

[56]  S. Bartels,et al.  Health Outcomes for Children in Haiti Since the 2010 Earthquake: A Systematic Review , 2017, Prehospital and Disaster Medicine.

[57]  E. Mohammadi,et al.  Barriers and facilitators related to the implementation of a physiological track and trigger system: A systematic review of the qualitative evidence , 2017, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[58]  M. DelBello,et al.  The Generalized Anxiety Disorder 7-item scale in adolescents with generalized anxiety disorder: Signal detection and validation. , 2017, Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists.

[59]  P. Winters,et al.  Assessing Food Insecurity in Latin America and the Caribbean Using FAO’s Food Insecurity Experience Scale , 2017 .

[60]  Gilles E. Gignac,et al.  Effect size guidelines for individual differences researchers , 2016 .

[61]  Mariano Meseguer de Pedro,et al.  Propiedades psicométricas de la versión española de la escala de resiliencia de 10 ítems de Connor-Davidson (CD-RISC 10) en una muestra multiocupacional , 2016 .

[62]  S. Grady,et al.  El Niño, Climate, and Cholera Associations in Piura, Peru, 1991–2001: A Wavelet Analysis , 2016, EcoHealth.

[63]  S. McGuire,et al.  FAO, IFAD, and WFP. The State of Food Insecurity in the World 2015: Meeting the 2015 International Hunger Targets: Taking Stock of Uneven Progress. Rome: FAO, 2015. , 2015, Advances in nutrition.

[64]  G. Díaz,et al.  Seguridad alimentaria en familias vulnerables de Cajicá, Colombia,2012. , 2015 .

[65]  J. von Schreeb,et al.  A Promising Tool to Assess Long Term Public Health Effects of Natural Disasters: Combining Routine Health Survey Data and Geographic Information Systems to Assess Stunting after the 2001 Earthquake in Peru , 2015, PloS one.

[66]  Claire E. Altman,et al.  Migrant youth’s emerging dietary patterns in Haiti: the role of peer social engagement , 2014, Public Health Nutrition.

[67]  E. Trzcinski,et al.  Features of Child Food Insecurity after the 2010 Haiti Earthquake: Results from Longitudinal Random Survey of Households , 2012, PloS one.

[68]  E. Bixler,et al.  The Spanish version of the Insomnia Severity Index: a confirmatory factor analysis. , 2012, Sleep medicine.

[69]  J. García-Campayo,et al.  Reliability and validity of the Spanish version of the 10-item Connor-Davidson Resilience Scale (10-item CD-RISC) in young adults , 2011, Health and quality of life outcomes.

[70]  C. Morin,et al.  The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response. , 2011, Sleep.

[71]  J. García-Campayo,et al.  Cultural adaptation into Spanish of the generalized anxiety disorder-7 (GAD-7) scale as a screening tool , 2010, Health and quality of life outcomes.

[72]  Murray B Stein,et al.  Psychometric analysis and refinement of the Connor-davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience. , 2007, Journal of traumatic stress.

[73]  B. Löwe,et al.  A brief measure for assessing generalized anxiety disorder: the GAD-7. , 2006, Archives of internal medicine.

[74]  C. F. Bond,et al.  One Hundred Years of Social Psychology Quantitatively Described , 2003 .

[75]  R. Spitzer,et al.  The PHQ-9 , 2001, Journal of General Internal Medicine.

[76]  C. Morin,et al.  Validation of the Insomnia Severity Index as an outcome measure for insomnia research. , 2001, Sleep medicine.

[77]  P Speck,et al.  Global perspectives , 1999, Palliative medicine.

[78]  J. Cohn,et al.  Psychological Distress , 1998, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[79]  C. Olson,et al.  Development of indicators to assess hunger. , 1990, The Journal of nutrition.

[80]  T. Otterbring,et al.  Firstborns buy better for the greater good: Birth order differences in green consumption values , 2022, Personality and Individual Differences.

[81]  Gerhard Nahler Observational Study , 2018 .

[82]  R. Stevenson Psychological Correlates of Habitual Diet in Healthy Adults , 2017, Psychological bulletin.

[83]  S. Roesch,et al.  The psychometric properties of the generalized anxiety disorder-7 scale in Hispanic Americans with English or Spanish language preference. , 2014, Cultural diversity & ethnic minority psychology.

[84]  Hualou Liang Wavelet Analysis , 2014, Encyclopedia of Computational Neuroscience.

[85]  阡陌,et al.  Sense and Nonsense , 2011 .

[86]  W. Stuart Review of recent literature , 2008, American Potato Journal.

[87]  G. Davies,et al.  Knowns and Unknowns , 2003 .

[88]  Victor Alberto Laguna-Torres,et al.  Dermatite epidêmica por Paederus irritans em Piura, Perú, 1999, relacionada ao fenômeno El Niño , 2002 .

[89]  K. Shadan,et al.  Available Online at , 2002 .

[90]  R. Spitzer,et al.  The PHQ-9: validity of a brief depression severity measure. , 2001, Journal of general internal medicine.

[91]  Rick H. Hoyle,et al.  Confirmatory Factor Analysis , 1983 .

[92]  P. Sopp Cluster analysis. , 1996, Veterinary immunology and immunopathology.

[93]  E. Ferro Historia de los sismos más notables ocurridos en el Perú (1513-1974) , 1978 .

[94]  R. Ristl,et al.  Does the choice of intraoperative fluid modify abdominal aneurysm repair outcomes? , 2019, Medicine.

[95]  J. Nicholl,et al.  A systematic review of the evidence , 2022 .