"We Want to Eat and be Healthy just like Everybody Else:" How Social Infrastructures Affect Nutrition Equity in a Racialized Urban Community in the United States

Authors

Gabby Headrick, The Milken Institute School of Public Health, George Washington University, Washington, DC, United States.
Kiera Abdul, The Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Shireen Guru, The University at Buffalo School of Architecture and Planning, The University at Buffalo State University of New York, Buffalo, NY, United States.
Allison DeHonney, Urban Fruits & Veggies, Buffalo, NY, United States.
Alyssa J. Moran, The Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Pamela J. Surkan, The Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Samina Raja, The University at Buffalo School of Architecture and Planning, The University at Buffalo State University of New York, Buffalo, NY, United States.
Yeeli Mui, The Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.

Document Type

Journal Article

Publication Date

3-1-2024

Journal

Current developments in nutrition

Volume

8

Issue

3

DOI

10.1016/j.cdnut.2024.102106

Keywords

SNAP; equity; food security; social infrastructures; social networks; urban

Abstract

BACKGROUND: Food security and nutrition equity, 2 social determinants of health, are impacted by the coronavirus disease 2019 (COVID-19) pandemic and the racialization of urban communities. Few studies to date have examined how the use of social infrastructures in the United States during COVID-19 affected the ability to achieve food security and nutrition equity. OBJECTIVES: To describe how the use of social infrastructures impacts food security and nutrition equity in a majority Black and urban community in the United States. METHODS: Semistructured in-depth interviews were conducted with 40 low-income, urban, and predominately Black people living in Buffalo, New York in May-July 2022.A thematic analysis using a phronetic iterative approach informed by the Social Ecological Model, Walsh's Family Resilience Framework, and a framework focused on the advancement of nutrition equity. RESULTS: We identified 9 themes mapped across 3 interrelated domains that impact nutrition equity, including ) meeting food needs with dignity, ) supply and demand for fresh and healthy foods, and ) community empowerment and food sovereignty. We found that people used coping strategies, such as food budgeting and cooking skills, paired with different social infrastructures to meet food needs. People commonly used the Supplemental Nutrition Assistance Program and food pantries to meet food needs over receiving support from family members or friends outside of the household. Poverty, challenges accessing and affording healthy food, and the inability to reciprocate support to others undermined the advancement of nutrition equity despite social infrastructures being available for use. Historical and ongoing acts of disempowerment and disinvestment also hindered the advancement of nutrition equity. CONCLUSIONS: Sustained, community-led investment is needed to address structural inequities preventing the advancement of nutrition equity. Social infrastructures should be expanded to inclusively support low-income populations, so wealth generation is possible to address the root cause of food insecurity.

APA Citation

Headrick, Gabby; Abdul, Kiera; Guru, Shireen; DeHonney, Allison; Moran, Alyssa J.; Surkan, Pamela J.; Raja, Samina; and Mui, Yeeli, ""We Want to Eat and be Healthy just like Everybody Else:" How Social Infrastructures Affect Nutrition Equity in a Racialized Urban Community in the United States" (2024). GW Authored Works. Paper 4276.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/4276

Department

Exercise and Nutrition Sciences