Abstract
Objectives
The aims of this study were to describe how homeless youths access food in the Seattle
area, and to describe the nutritional adequacy and quality of food obtained.
Methods
This cross-sectional study was conducted between February 2018 and May 2019. Data
collection took place at seven organizations in the greater Seattle area at which
homeless youths typically access food. Trained research assistants verbally administered
an ∼50-item survey to homeless youths aged 14 to 24 years on their general demographic
characteristics, current housing situation, ability to access food, and quantity and
quality of foods acquired. Each participant was given $10 at the completion of the
survey.
Results
Participants were 122 homeless youths with an average age of 21.6±1.94 years. During
the previous week, 79.3% obtained meals from drop-in centers and 69.8% from a shelter.
Most (75.2%) had not utilized a food bank during the previous month. The majority
(73.6%) reported having enough food to eat, but not always the kind they wanted, and
75.4% rated the overall nutritional quality of their diet as average or below. Not
having enough food or money for food contributed to skipping meals (50.4%), eating
less than desired (47.1%), being hungry (45.5%), and losing weight (20.5%).
Conclusions
Information from this study can be used to identify barriers that homeless youths
experience in acquiring adequate nutrition; to make suggestions for future research
and program development; and to help social service organizations improve the network
of nutrition services and the quality of food available to this vulnerable population
through policy, community partnership, and public health action.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of the Academy of Nutrition and DieteticsAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Personal control and service connection as paths to improved mental health and exiting homelessness among severely marginalized homeless youth.Child Youth Serv Rev. 2017; 73: 121-127
- Count Us In: Seattle/King County Point-in-time count of persons experiencing homelessness.http://allhomekc.org/wp-content/uploads/2019/05/2019-Report_KingCounty_FINAL.pdfDate: 2019Date accessed: April 12, 2020
- Health and street/homeless youth.J Health Psychol. 2007; 12: 726-736
- Youth homelessness overview.http://www.ncsl.org/research/human-services/homeless-and-runaway-youth.aspxDate accessed: November 22, 2019
- A survey of food problems experienced by toronto street youth.Can J Public Health. 1998; 89: 371-375
- Ethical issues in research with homeless youths.J Adv Nurs. 2008; 62: 365-372
- Count Us In: Seattle/King County point-in-time count of persons experiencing homelessness.http://allhomekc.org/wp-content/uploads/2016/11/2017-King-PIT-Count-Comprehensive-Report-FINAL-DRAFT-5.31.17.pdfDate: 2017Date accessed: May 31, 2020
- Youth and young adults.https://endhomelessness.org/homelessness-in-america/who-experiences-homelessness/youth/Date accessed: November 22, 2019
- How many homeless youth are in America?.https://www.nn4youth.org/learn/how-many-homeless/Date accessed: November 22, 2019
- Seattle/IKing County: 3rd largest homeless population in 2013 HUD report.https://www.theurbanist.org/2014/08/20/2013-homelessness-introduction-to-hud-report-and-cocs/Date accessed: November 22, 2019
- Key federal terms and definitions of homelessness among youth.https://www.usich.gov/resources/uploads/asset_library/Federal-Definitions-of-Youth-Homelessness.pdfDate accessed: December 10, 2019
- Homessness and hunger.J Health Soc Behav. 2008; 49: 3-19
- Unaccompanied homeless youth have extremely poor diet quality and nutritional status.Int J Adolesc Youth. 2019; 24: 319-332
- Food choice and nutrient intake amongst homeless people.J Hum Nutr Diet. 2014; 27: 242-250
- Food intake patterns of homeless youth in Toronto.Can J Public Health. 2009; 100: 36-40
- Is something better than nothing? Food insecurity and eating patterns of young people experiencing homelessness.Aust N Z J Public Health. 2015; 39: 350-354
- Nutritional assessment of free meal programs in San Francisco.Prev Chronic Dis. 2013; 10
- An assessment of homeless families' diet and nutrition.Community Pract. 2014; 87: 24-27
- Dietary intakes and vitamin status of a sample of homeless people in Paris.Eur J Clin Nutr. 2002; 56: 313-320
- Homelessness, unsheltered status, and risk factors for mortality: Findings from the 100,000 Homes Campaign.Public Health Rep. 2016; 131: 765-772
- Food insufficiency and health services utilization in a national sample of homeless adults.J Gen Intern Med. 2011; 26: 627-634
- Homeless youth in Toronto are nutritionally vulnerable.J Nutr. 2005; 135: 1926-1933
- The Belmont Report: Ethical principles and guidelines for the protection of human subjects research.https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/read-the-belmont-report/index.htmlDate accessed: August 8, 2019
- The mature minor rule: Teens and patient confidentiality.https://www.kingcounty.gov/depts/health/locations/mature-minor-rule.aspxDate accessed: November 22, 2019
- Homeless “squeegee kids”: Food insecurity and daily survival.Soc Sci Med. 2002; 54: 1039-1049
- IBM SPSS Statistics for Windows [computer program]. Version 25.0. IBM Corp, Armonk, NY2017
- LGBTIQ+ homelessness: A review of the literature.Int J Environ Res Public Health. 2019; 16
- Jamie's Ministry of Food: Quasi-experimental evaluation of immediate and sustained impacts of a cooking skills program in Australia.PLoS One. 2014; 9e114673
- Community interventions to improve cooking skills and their effects on confidence and eating behaviour.Curr Nutr Rep. 2016; 5: 315-322
- Exploring the lives of vulnerable young people in relation to their food choices and practices.World J Educ. 2017; 7
- Cook It Up! A commucooking program for at-risk youth: Overview of a food literacy intervention.BMC Res Notes. 2011; 4: 1-7
- 'Hello, you're not supposed to be here': Homeless emerging adults' experiences negotiating food access.Public Health Nutr. 2018; 21: 1943-1951
- Social Foundations of Thought and Action.Prentice Hall, Englewood, Cliffs, NJ1986
- My own best friend: Homeless youths' hesitance to seek help and strategies for coping independently after distressing and traumatic experiences.Soc Work Public Health. 2018; 33: 149-162
- Trading sex: Voluntary or coerced? The experiences of homeless youth.J Sex Res. 2006; 43: 208-216
- Urban water insecurity: A case study of homelessness in Phoenix, Arizona.Environmental Justice. 2017; 10: 72-80
- Human rights violations among economically disadvantaged women with mental illness: An Indian perspective.Indian J Psychiatr. 2015; 57: 174-180
- Chop, Cook, Thrive! Improving Cooking Confidence and Cooking/Eating Related Behaviors of Young Adults Transitioning from Living in a State of Homelessness to Living in Permanent Supportive Housing.Bastyr University, Kenmore, WA2018
- Hierarchy of food needs.J Nutr Educ Behav. 2007; 39: S187-S188
- FareStart. Youth & young adult barista program.https://www.farestart.org/youth-young-adult-barista-program-0Date accessed: August 8, 2019
- ServSafe food handler.https://www.servsafe.com/ServSafe-Food-HandlerDate accessed: August 8, 2019
- About Seattle: Race & ethnicity quick statistics. Office of Planning & Community Development.https://www.seattle.gov/opcd/population-and-demographics/about-seattle#raceethnicityDate accessed: November 22, 2019
Biography
J. Kloubec is a professor, Nutrition and Exercise Science Department, Bastyr University, Kenmore, WA.
Biography
C. Harris is a senior lecturer, Nutritional Sciences Program, University of Washington, Seattle.
Article info
Publication history
Published online: July 21, 2020
Accepted:
May 14,
2020
Received:
February 4,
2020
Footnotes
Supplementary materials: Tables 3 and 6 are available at www.jandonline.org
STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors.
FUNDING/SUPPORT This study was funded by a Bastyr University Faculty Student Research Grant (award no. H01A11).
Identification
Copyright
© 2021 by the Academy of Nutrition and Dietetics.