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Journal of the Australian Health Promotion Association
RESEARCH ARTICLE

Sustaining dignity? Food insecurity in homeless young people in urban Australia

Belinda Crawford A B G , Rowena Yamazaki C , Elise Franke D , Sue Amanatidis C , Jioji Ravulo E , Kate Steinbeck F , Jan Ritchie B and Siranda Torvaldsen B
+ Author Affiliations
- Author Affiliations

A NSW Public Health Officer Training Program, NSW Ministry of Health, Locked Bag 961, North Sydney, NSW 2059, Australia.

B School of Public Health and Community Medicine, University of New South Wales, Level 3 Samuels Building, UNSW Australia, NSW 2052, Australia.

C Community Health Service, Sydney Local Health District, Level 9, KGV Building, Missenden Road, Camperdown, NSW 2050, Australia.

D Youth Health Service, South Western Sydney Local Health District, 53–56 Mitchell Street, Carramar, NSW 2163, Australia.

E School of Social Sciences and Psychology, University of Western Sydney, Locked Bag 1797, Penrith, NSW 2751, Australia.

F Discipline of Paediatrics and Child Health, The University of Sydney, NSW 2006, Australia.

G Corresponding author. Email: belinda.crawford@gmail.com

Health Promotion Journal of Australia 25(2) 71-78 https://doi.org/10.1071/HE13090
Submitted: 18 October 2013  Accepted: 14 May 2014   Published: 18 August 2014

Abstract

Issue addressed: Food insecurity is recognised as an increasing problem in disadvantaged and marginalised groups. The aim of this study was to investigate issues associated with food insecurity and nutrition in young people experiencing, or at risk of, homelessness in metropolitan Australia.

Methods: Eight focus group discussions were conducted with 48 young people (aged between 15 and 25 years) in specialist homelessness services in central and south-western Sydney.

Results: Participants described daily experiences of food insecurity, persistent hunger and poverty. Structural barriers to food security and nutrition were identified and included poverty and reduced physical access to fresh foods. Participants also described a desire to save time, for convenience and to be socially connected. Despite the hardships and the chaos of youth homelessness, the groups were defined by their strength of character, resilience and hope for the future.

Conclusion: Homeless young people within central and south-western Sydney report varying degrees of food insecurity, despite being supported by specialist youth homelessness services.

So what?: A collaborative, multistrategic approach with youth participation is required to further enhance the capacity of youth services to improve food security, food access and the availability of nutritious foods for homeless young people. A greater focus on advocacy and policy action is also required to bring food security and nutrition to the forefront of national efforts to improve the health and welfare of disadvantaged groups.

Key words: food access, nutrition, qualitative research, youth.


References

[1]  United Nations. Universal Declaration of Human Rights. Geneva: United Nations; 2009.

[2]  United Nations. International Covenant on Economic, Social and Cultural Rights. Treaty Series. Geneva: United Nations; 1966.

[3]  Department of Families, Community Services and Indigenous Affairs. The road home: a national approach to reducing homelessness. Canberra: Commonwealth of Australia; 2008.

[4]  Chamberlain C, MacKenzie D (1992) Understanding contemporary homelessness: issues of definition and meaning. Aust J Soc Issues 27, 274–97.

[5]  Australian Bureau of Statistics. Counting the homeless. Canberra: Australian Bureau of Statistics; 2006.

[6]  National Youth Commission. Australia’s Homeless Youth: a report of the National Youth Commission Inquiry into Youth Homelessness. Victoria: National Youth Commission; 2008.

[7]  Food and Agriculture Organization of the United Nations (FAO). The state of food insecurity in the world 2012. Economic growth is necessary but not sufficient to accelerate reduction of hunger and malnutrition. Rome: FAO; 2012.

[8]  Booth S (2006) Eating rough: food sources and acquisition practices of homeless young people in Adelaide, South Australia. Public Health Nutr 9, 212–8.
Eating rough: food sources and acquisition practices of homeless young people in Adelaide, South Australia.Crossref | GoogleScholarGoogle Scholar | 16571175PubMed |

[9]  Whitbeck LB, Chen X, Johnson KD (2006) Food insecurity among homeless and runaway adolescents. Public Health Nutr 9, 47–52.
Food insecurity among homeless and runaway adolescents.Crossref | GoogleScholarGoogle Scholar | 16480533PubMed |

[10]  Davies L, Whitcross P. The NASH project: promoting better nutrition using accreditation standards in youth housing services. Sydney: NSW Department of Health; 2007.

[11]  Nolan M, Williams M, Rickard-Bell G, Mohsin M (2006) Food insecurity in three socially disadvantaged localities in Sydney, Australia. Health Promot J Austr 17, 247–54.

[12]  Gallegos D, Ellies P, Wright J (2008) Still there’s no food! Food insecurity in a refugee population in Perth, Western Australia. Nutr Diet 65, 78–83.
Still there’s no food! Food insecurity in a refugee population in Perth, Western Australia.Crossref | GoogleScholarGoogle Scholar |

[13]  VicHealth. Food for All 2005–10: program evaluation report. Victoria: Victorian Health Promotion Foundation; 2011.

[14]  Smith A. Improving healthy eating and food security in disadvantaged families – what do we know? Adelaide: Eat Well SA; 2002.

[15]  World Health Organization. Nutrition in adolescence: issues and challenges for the health sector: issues in adolescent health and development (WHO discussion papers on adolescence). Geneva: WHO; 2005.

[16]  Antoniades M, Tarasuk V (1998) A survey of food problems experienced by Toronto street youth. Can J Public Health 89, 371–5.

[17]  Dachner N, Tarasuk V (2002) Homeless ‘squeegee kids’: food insecurity and daily survival. Soc Sci Med 54, 1039–49.
Homeless ‘squeegee kids’: food insecurity and daily survival.Crossref | GoogleScholarGoogle Scholar | 11999501PubMed |

[18]  Greenblatt M, Robertson MJ (1993) Life-styles, adaptive strategies, and sexual behaviors of homeless adolescents. Hosp Community Psychiatry 44, 1177–80.

[19]  Tarasuk V, Dachner N, Poland B, Gaetz S (2009) Food deprivation is integral to the ‘hand to mouth’ existence of homeless youths in Toronto. Public Health Nutr 12, 1437–42.
Food deprivation is integral to the ‘hand to mouth’ existence of homeless youths in Toronto.Crossref | GoogleScholarGoogle Scholar | 19144218PubMed |

[20]  Broad B, Saunders L (1998) Involving young people leaving care as peer researchers in a health research project: a learning experience. Res Policy Plan 16, 81–91.

[21]  West A. You’re on your own: young people’s research on leaving care. London: Save the Children; 1995.

[22]  Grbich C. Qualitative research in health. Sydney: Allen & Unwin Ltd; 1999.

[23]  Grbich C. New approaches in social research. London: Sage Publications Ltd; 2004.

[24]  Morgan D (1996) Focus groups. Annu Rev Sociol 22, 129–52.
Focus groups.Crossref | GoogleScholarGoogle Scholar |

[25]  Yfoundations. Accommodation Support Services. Sydney: Yfoundations; 2014. Available from: https://yfoundations.org.au/index.x.php?option=com_content&view=article&id=129&Itemid=96 [Verified 28 March 2014]

[26]  Innes-Hughes C, Bowers K, King L, Chapman K, Eden B. Food security: the what, who, why and where to of food security in NSW. Sydney: Physical Activity and Nutrition Obesity Research Group (PANORG), Heart Foundation NSW and Cancer Council NSW; 2010.

[27]  Giskes K, Turrell G, Patterson C, Newman B (2002) Socio-economic differences in fruit and vegetable consumption among Australian adolescents and adults. Public Health Nutr 5, 663–9.
Socio-economic differences in fruit and vegetable consumption among Australian adolescents and adults.Crossref | GoogleScholarGoogle Scholar | 12372160PubMed |

[28]  Turrell G, Bentley R, Thomas L, Jolley D, Subramanian S, Kavanagh AM (2009) A multilevel study of area socio-economic status and food purchasing behaviour. Public Health Nutr 12, 2074–83.
A multilevel study of area socio-economic status and food purchasing behaviour.Crossref | GoogleScholarGoogle Scholar | 19243671PubMed |

[29]  Saunders P. Using budget standards to assess the well-being of families. SPRC Discussion Paper No. 93. Sydney: University of New South Wales; 1998.

[30]  Stewart I. Research into the cost, availability and preferences for fresh food compared with convenience food items in remote area Aboriginal communities. Canberra: Australian Medical Association and the Australian Pharmaceutical Manufacturers Association Roy Morgan Research Centre Pty Ltd; 1997.

[31]  Drewnowski A, Darmon N (2005) The economics of obesity: dietary energy density and energy cost. Am J Clin Nutr 82, 265S–275S.

[32]  Rychetnik L, Webb K, Story L, Katz T. Food security options paper. A planning framework and menu of option for policy and practice interventions. Sydney: NSW Centre for Public Health Nutrition; 2003.

[33]  Innes-Hughes C, Boylan S, Lobb E, King L. Measuring rural food environments within Murrumbidgee Health Network, NSW. Sydney: PANORG; 2011.

[34]  Torzillo PJ, Pholeros P, Rainow S, Barker G, Sowerbutts T, Short T, et al (2008) The state of health hardware in Aboriginal communities in rural and remote Australia. Aust N Z J Public Health 32, 7–11.
The state of health hardware in Aboriginal communities in rural and remote Australia.Crossref | GoogleScholarGoogle Scholar | 18290906PubMed |