2023
Risk factors for household food insecurity in the Eastern Caribbean Health Outcomes Research Network cohort study
Martinez-Brockman J, Hromi-Fiedler A, Galusha D, Oladele C, Acosta L, Adams O, Maharaj R, Nazario C, Nunez M, Nunez-Smith M, Pérez-Escamilla R, Group O. Risk factors for household food insecurity in the Eastern Caribbean Health Outcomes Research Network cohort study. Frontiers In Public Health 2023, 11: 1269857. PMID: 38074748, PMCID: PMC10702572, DOI: 10.3389/fpubh.2023.1269857.Peer-Reviewed Original ResearchConceptsEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudyCohort studyRisk factorsHousehold food insecurityPrevalence of HHFIPopulation-based longitudinal cohort studyBivariate analysisCaribbean Food Security ScaleSex stratified analysisImportant risk factorLongitudinal cohort studyPotential risk factorsCohort study dataYears of ageSelf-rated physical healthEnvironmental risk factorsCross-sectional analysisHFI statusPrimary outcomeMultivariable analysisSmoking statusFood insecuritySevere food insecurityOrdinal logistic regressionStratified analysis
2017
Food insecurity, food coping strategies, and child health among Ghanaians and long term Liberian refugees living in Ghana
Hromi‐Fiedler A, Lartey A, Gallego‐Perez D, Sandow A, Perez‐Escamilla R. Food insecurity, food coping strategies, and child health among Ghanaians and long term Liberian refugees living in Ghana. The FASEB Journal 2017, 31 DOI: 10.1096/fasebj.31.1_supplement.639.35.Peer-Reviewed Original ResearchChild healthHousehold food insecurityChild health statusFood insecurePreventive health careCross-sectional surveyHousehold Food Security ScaleFamily/friendsSevere food insecurityFood insecurityChildren 6Household membersDiagnosis confirmationFood Security ScaleGhanaian childrenSectional surveyHealth problemsHealth statusGhanaian womenAdditive scoreLiberian childrenCoping strategiesHealth careMonthsHealth
2013
Persistent food insecurity is associated with active coping strategies among low‐income pregnant Latinas
Hromi‐Fiedler A, Bermúdez‐Millán A, Leon J, Segura‐Pérez S, Pérez‐Escamilla R. Persistent food insecurity is associated with active coping strategies among low‐income pregnant Latinas. The FASEB Journal 2013, 27: 1054.17-1054.17. DOI: 10.1096/fasebj.27.1_supplement.1054.17.Peer-Reviewed Original ResearchLow-income pregnant LatinasPersistent food insecurityPregnant LatinasUnadjusted logistic regression analysisActive coping strategiesLogistic regression analysisHousehold Food Security ScaleCoping strategiesFood insecurityFood Security ScalePregnancyHealth disparitiesRegression analysisBrief COPEActive copingSubscalesSecurity ScaleHigh levelsAvoidant copingLatinasAdapted versionFindingsPersistent household food insecurity, HIV, and maternal stress in Peri-Urban Ghana
Garcia J, Hromi-Fiedler A, Mazur RE, Marquis G, Sellen D, Lartey A, Pérez-Escamilla R. Persistent household food insecurity, HIV, and maternal stress in Peri-Urban Ghana. BMC Public Health 2013, 13: 215. PMID: 23497026, PMCID: PMC3608015, DOI: 10.1186/1471-2458-13-215.Peer-Reviewed Original ResearchConceptsPersistent household food insecurityMaternal HIV diagnosisHIV-positive womenMaternal stressHousehold food insecurityFood insecure householdsHIV diagnosisSevere food insecure householdsBinary multivariate logistic regression modelMultivariate logistic regression modelInsecure householdsHIV-negative groupUS Household Food Security Survey ModuleHousehold Food Security Survey ModuleTime points postpartumFood Security Survey ModuleStress ScaleLogistic regression modelsMaternal HIVFood insecureHIV infectionVoluntary counselingFood insecurityIndependent associationMonths postpartum
2011
Stress and the Social Determinants of Maternal Health among Puerto Rican Women: A CBPR Approach
Bermúdez-Millán A, Damio G, Cruz J, D'Angelo K, Segura-Pérez S, Hromi-Fiedler A, Pérez-Escamilla R. Stress and the Social Determinants of Maternal Health among Puerto Rican Women: A CBPR Approach. Journal Of Health Care For The Poor And Underserved 2011, 22: 1315-1330. PMID: 22080712, PMCID: PMC3642771, DOI: 10.1353/hpu.2011.0108.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultCommunity-Based Participatory ResearchConnecticutFemaleFocus GroupsFood SupplyHealth Services AccessibilityHispanic or LatinoHumansMaternal WelfarePregnancyPregnancy OutcomePrejudicePrenatal CarePuerto RicoQualitative ResearchRisk FactorsSocial EnvironmentSocial SupportSocioeconomic FactorsStress, PsychologicalSurveys and QuestionnairesYoung AdultConceptsFood insecurityPuerto Rican womenQualitative research projectFocus groupsCommunity experiencesLack of accessFocus group findingsMaternal healthCBPR approachState of ConnecticutSocial determinantsQuality educationHealth care accessPovertySignificant life stressorsResearch projectInsecurityUnsafe environmentRace/ethnicityPremature birthCare accessReproductive ageGroup findingsChild healthEducationPersistent Food Insecurity (PFI), HIV, and Maternal Stress Levels in Peri‐Urban Ghana
Garcia J, Hromi‐Fiedler A, Mazur R, Marquis G, Sellen D, Lartey A, Pérez‐Escamilla R. Persistent Food Insecurity (PFI), HIV, and Maternal Stress Levels in Peri‐Urban Ghana. The FASEB Journal 2011, 25: 216.6-216.6. DOI: 10.1096/fasebj.25.1_supplement.216.6.Peer-Reviewed Original ResearchPersistent food insecurityMaternal stress levelsHIV-positiveHIV-positive womenUS Household Food Security Survey ModuleHousehold Food Security Survey ModuleFood Security Survey ModuleHIV statusVoluntary counselingMonths postpartumMaternal stressIntervention studiesHIVStress scoresTime pointsCohen scaleWomenSurvey ModuleFood insecurePeri-urban GhanaFood insecurityHospitalPostpartumMonthsStress levelsAre the Latin American and Caribbean Food Security Scale (ELCSA) items comparable across countries?
Perez‐Escamilla R, Paras P, Acosta M, Peyrou S, Nord M, Hromi‐Fiedler A. Are the Latin American and Caribbean Food Security Scale (ELCSA) items comparable across countries? The FASEB Journal 2011, 25: 226.8-226.8. DOI: 10.1096/fasebj.25.1_supplement.226.8.Peer-Reviewed Original ResearchPublic opinion surveysHousehold food insecurityProportion of householdsOpinion surveyFood insecurityFood securityCountriesCaribbean regionChild itemsSocial unacceptabilityRasch model assumptionsHouseholdsRepresentative sampleUruguayELCSABalanced mealsMexicoInsecuritySeverity orderGuanajuatoScale itemsSecurity
2010
Household food insecurity is associated with depressive symptoms among low‐income pregnant Latinas
Hromi‐Fiedler A, Bermúdez‐Millán A, Segura‐Pérez S, Pérez‐Escamilla R. Household food insecurity is associated with depressive symptoms among low‐income pregnant Latinas. Maternal And Child Nutrition 2010, 7: 421-430. PMID: 20735732, PMCID: PMC3008302, DOI: 10.1111/j.1740-8709.2010.00266.x.Peer-Reviewed Original ResearchConceptsLow-income pregnant LatinasPrenatal depressive symptomsPregnant LatinasHousehold food insecurityDepressive symptomsPrenatal depressionRisk factorsEpidemiological Studies Depression ScaleIndependent risk factorFood-secure womenUS Household Food Security Survey ModuleCross-sectional studyHistory of depressionHousehold Food Security Survey ModuleFood Security Survey ModuleThird of participantsFood insecurityIndependent associationDepression riskDepression ScaleFair healthLogistic regressionSymptomsEPDSUSA studyFood insecurity is a risk factor for elevated levels of depression symptoms among low‐income pregnant Latinas
Hromi‐Fiedler A, Bermúdez‐Millán A, Chapman D, Segura‐Pérez S, Damio G, Melgar‐Quiñonez H, Pérez‐Escamilla R. Food insecurity is a risk factor for elevated levels of depression symptoms among low‐income pregnant Latinas. The FASEB Journal 2010, 24: 104.2-104.2. DOI: 10.1096/fasebj.24.1_supplement.104.2.Peer-Reviewed Original ResearchPrenatal depression symptomsLow-income pregnant LatinasDepression symptomsElevated levelsPregnant LatinasRisk factorsEpidemiologic Studies Depression ScaleUS Household Food Security Survey ModuleLow maternal ageMultivariate logistic regressionLow-income LatinasHousehold Food Security Survey ModuleSelf-perceived healthFood Security Survey ModuleMaternal ageDepression riskDepression ScaleDepressive symptomsFair healthFood insecurityPhysical symptomsSymptomsHealth disparitiesEliminating Health DisparitiesLogistic regression
2009
Household Food Insecurity Is Associated with Childhood Malaria in Rural Haiti 1 , 2
Pérez-Escamilla R, Dessalines M, Finnigan M, Pachón H, Hromi-Fiedler A, Gupta N. Household Food Insecurity Is Associated with Childhood Malaria in Rural Haiti 1 , 2. Journal Of Nutrition 2009, 139: 2132-2138. PMID: 19741201, DOI: 10.3945/jn.109.108852.Peer-Reviewed Original ResearchConceptsClinical malariaRisk factorsHousehold food insecurityAdditional risk factorsRisk of malariaPoor child healthFood insecureChildhood malariaChildren 1Child BMIFood insecuritySevere food insecureChild vitaminChild healthMultivariate analysisMalariaConvenience sampleWomenBMIReference time periodColostrumSupplementationRisk factors for severe household food insecurity in rural South Haiti
Perez‐Escamilla R, Dessalines M, Finnigan M, Hromi‐Fiedler A, Pachón H, Gupta N. Risk factors for severe household food insecurity in rural South Haiti. The FASEB Journal 2009, 23: 918.7-918.7. DOI: 10.1096/fasebj.23.1_supplement.918.7.Peer-Reviewed Original ResearchSevere household food insecurity is associated with childhood malaria in rural South Haiti
Perez‐Escamilla R, Dessalines M, Finnigan M, Hromi‐Fiedler A, Pachón H, Gupta N. Severe household food insecurity is associated with childhood malaria in rural South Haiti. The FASEB Journal 2009, 23: 918.6-918.6. DOI: 10.1096/fasebj.23.1_supplement.918.6.Peer-Reviewed Original ResearchRisk factorsHousehold food insecuritySevere household food insecurityAdditional risk factorsPoor child healthChildhood malariaFood insecuritySevere food insecurityChild BMIHigh riskChild healthMultivariate analysisMaternal educationMalariaConvenience sampleChildrenMonthsWomenBMIReference time periodColostrumFood insecurity is associated with pregnancy outcomes among low‐income Latinas
Hromi‐Fiedler A, Bermúdez‐Millán A, Chapman D, Segura‐Pérez S, Damio G, Melgar‐Quiñonez H, Pérez‐Escamilla R. Food insecurity is associated with pregnancy outcomes among low‐income Latinas. The FASEB Journal 2009, 23: 737.4-737.4. DOI: 10.1096/fasebj.23.1_supplement.737.4.Peer-Reviewed Original ResearchGestational weight gainPregnancy outcomesLow-income LatinasFood security scoreWeight gainSuboptimal pregnancy outcomesFood-secure womenHousehold Food Security ScalePregravid BMIFood insecurityInfant birthweightLow birthweightPrevalence ratesFood Security ScalePregnancyHealth disparitiesPoint increaseSecure womenOutcomesBirthweightScoresSecurity ScaleIndirect effectsMacrosomiaBMIMaternal HIV status is associated with food insecurity at 12 months post‐partum in Ghana
Perez‐Escamilla R, Lartey A, Mazur R, Sellen D, Hromi‐Fiedler A, Marquis G. Maternal HIV status is associated with food insecurity at 12 months post‐partum in Ghana. The FASEB Journal 2009, 23: 918.5-918.5. DOI: 10.1096/fasebj.23.1_supplement.918.5.Peer-Reviewed Original ResearchAdult food insecurityHIV statusUnknown HIV statusMaternal HIV statusUS Household Food Security Survey ModuleHousehold Food Security Survey ModuleModerate food insecurityHousehold food insecurity statusFood Security Survey ModuleHIV-negativeFood insecurityHIV-positiveSevere food insecurityFood insecurity statusMild food insecurityHIVWomenMonthsSurvey ModuleProportion of householdsSummative scoresStatusGhana's Eastern RegionSub-Saharan AfricaAdaptation of the US Household Food Security Survey Module for Low-Income Pregnant Latinas: Qualitative Phase
Hromi-Fiedler A, Bermúdez-Millán A, Segura-Pérez S, Damio G, Pérez-Escamilla R. Adaptation of the US Household Food Security Survey Module for Low-Income Pregnant Latinas: Qualitative Phase. Journal Of Hunger & Environmental Nutrition 2009, 4: 62-80. PMID: 20046909, PMCID: PMC2748279, DOI: 10.1080/19320240802706841.Peer-Reviewed Original ResearchLow-income pregnant LatinasHousehold Food Security Survey ModuleUS Household Food Security Survey ModulePregnant LatinasFood Security Survey ModuleFood insecurityCheap foodParticipants' recommendationsSurvey ModuleFood securityFocus groupsLatinasQualitative phaseUnited StatesVulnerable populationsFace validityGood face validityLow-cost foodsPostpartum LatinasBalanced mealsQuestionsFinal adaptationInsecurityTarget populationCommunityPsychometric Properties of an Adapted Version of the US Household Food Security Survey Module for Assessing Food Insecurity Among Low-Income Pregnant Latinas
Hromi-Fiedler A, Bermúdez-Millán A, Melgar-Quiñonez H, Pérez-Escamilla R. Psychometric Properties of an Adapted Version of the US Household Food Security Survey Module for Assessing Food Insecurity Among Low-Income Pregnant Latinas. Journal Of Hunger & Environmental Nutrition 2009, 4: 81-94. PMID: 20046913, PMCID: PMC2748343, DOI: 10.1080/19320240802706866.Peer-Reviewed Original ResearchHousehold Food Security Survey ModulePregnant LatinasFood Security Survey ModuleLow-income pregnant LatinasU.S. Household Food Security Survey ModuleUS Household Food Security Survey ModuleSurvey ModulePsychometric propertiesPast monthPregnancyAdapted versionInternal validitySeverity levelsFood insecurityLatinas
2007
Food insecurity and HIV status among pregnant Ghanaian women: Preliminary results from the RIING study
Perez‐Escamilla R, Lartey A, Mazur R, Sellen D, Hromi‐Fiedler A, Marquis G. Food insecurity and HIV status among pregnant Ghanaian women: Preliminary results from the RIING study. The FASEB Journal 2007, 21: a311-a311. DOI: 10.1096/fasebj.21.5.a311-d.Peer-Reviewed Original ResearchHIV statusMaternal HIV infectionPregnant Ghanaian womenUnknown HIV statusSevere hungerHIV-negativeHIV infectionHIV-positivePregnant womenFood secure householdsFood insecurityFood Security ModuleGhanaian womenUnknown statusModerate hungerWomenCronbach's alphaHIVSecure householdsFood insecureStatusAlphaHungerPreliminary resultsAdult itemsFood insecurity status influences nutrient intakes among pregnant Latinas
Hromi‐Fiedler A, Bermúdez‐Millán A, Chapman D, Segura‐Pérez S, Damio G, Melgar‐Quiñones H, Pérez‐Escamilla R. Food insecurity status influences nutrient intakes among pregnant Latinas. The FASEB Journal 2007, 21: a1052-a1052. DOI: 10.1096/fasebj.21.6.a1052.Peer-Reviewed Original ResearchFood insecurity statusNutrient intakeLow-income Latina womenHousehold Food Security ScalePregnant LatinasVitamin DDietary intakeFood insecurityCronbach's alpha coefficientPuerto Rican descentFood Security ScaleVitamin B12PregnancyLatina womenIntakeSignificant differencesAlpha coefficientFood insecureStatusSecurity ScaleHigh levelsHungerTertileAdult itemsFood
2006
Pre‐gravid BMI and food insecurity during pregnancy among Latinas
Hromi‐Fiedler A, Pérez‐Escamilla R, Bermúdez‐Millán A, Chapman D, Segura‐Pérez S, Damio G, Melgar‐Quiñones H. Pre‐gravid BMI and food insecurity during pregnancy among Latinas. The FASEB Journal 2006, 20: a1004-a1004. DOI: 10.1096/fasebj.20.5.a1004.Peer-Reviewed Original ResearchPre-gravid BMIFood Security ScaleSelf-reported pre-pregnancy weightLow-income Latina womenPre-pregnancy weightHousehold Food Security ScaleFood insecurity statusFood insecurityCronbach's alpha coefficientPuerto Rican descentBMIPregnancyIOM standardsLatina womenSecurity ScaleAlpha coefficientPuerto RicansPopulationParticipantsObeseLatinasBaselineWomen