"A Lot of People Are Struggling Privately. They Don’t Know Where to Go or They’re Not Sure of What to Do”: Frontline Service Provider Perspectives of the Nature of Household Food Insecurity in Scotland

Flora Douglas (Corresponding Author), Fiona MacKenzie, Ourega Ejebu, Stephen Whybrow, Ada L. Garcia, Lynda McKenzie, Anne Ludbrook, Elizabeth Dowler

Research output: Contribution to journalArticle

3 Citations (Scopus)
12 Downloads (Pure)

Abstract

This qualitative study explored frontline service providers’ perceptions of the nature of food insecurity in Scotland in 2015 to inform national policy and the provision of locally-based support for ‘at risk’ groups. A country-wide in-depth interview study was undertaken with informants from 25 health, social care, and third sector organisations. The study investigated informants’ perspectives associated with how food insecurity was manifesting itself locally, and what was happening at the local level in response to the existence of food insecurity. Data analysis revealed three key themes. First, the multiple faces and factors of food insecurity involving not only increased concern for previously recognised ‘at risk of food insecurity’ groups, but also similar concern held about newly food insecure groups including working families, young people and women. Secondly, respondents witnessed stoicism and struggle, but also resistance amongst some food insecure individuals to external offers of help. The final theme identified community participation yet pessimism associated with addressing current and future needs of food insecure groups. These findings have important implications for the design and delivery of health and social policy in Scotland and other countries facing similar challenges.
Original languageEnglish
Article number2738
Number of pages22
JournalInternational Journal of Environmental Research and Public Health
Volume15
Issue number12
DOIs
Publication statusPublished - 4 Dec 2018

Fingerprint

Food Supply
Scotland
Food
Public Policy
Health Policy
Organizations
Interviews
Delivery of Health Care

Keywords

  • household food insecurity
  • food poverty
  • Scotland
  • low income
  • families
  • children
  • women
  • older people
  • qualitative

Cite this

@article{0b49a313ede741bda1c55c93b2933af7,
title = "{"}A Lot of People Are Struggling Privately. They Don’t Know Where to Go or They’re Not Sure of What to Do”: Frontline Service Provider Perspectives of the Nature of Household Food Insecurity in Scotland",
abstract = "This qualitative study explored frontline service providers’ perceptions of the nature of food insecurity in Scotland in 2015 to inform national policy and the provision of locally-based support for ‘at risk’ groups. A country-wide in-depth interview study was undertaken with informants from 25 health, social care, and third sector organisations. The study investigated informants’ perspectives associated with how food insecurity was manifesting itself locally, and what was happening at the local level in response to the existence of food insecurity. Data analysis revealed three key themes. First, the multiple faces and factors of food insecurity involving not only increased concern for previously recognised ‘at risk of food insecurity’ groups, but also similar concern held about newly food insecure groups including working families, young people and women. Secondly, respondents witnessed stoicism and struggle, but also resistance amongst some food insecure individuals to external offers of help. The final theme identified community participation yet pessimism associated with addressing current and future needs of food insecure groups. These findings have important implications for the design and delivery of health and social policy in Scotland and other countries facing similar challenges.",
keywords = "household food insecurity, food poverty, Scotland, low income, families, children, women, older people, qualitative",
author = "Flora Douglas and Fiona MacKenzie and Ourega Ejebu and Stephen Whybrow and Garcia, {Ada L.} and Lynda McKenzie and Anne Ludbrook and Elizabeth Dowler",
note = "Funding: This research was funded by NHS Health Scotland with additional funding support provided for Flora Douglas’ and Stephen Whybrow’s time from the Scottish Government’s RESAS programme. Core support to HERU from the Chief Scientist Office Scottish Government Health and Social Care Directorates and the University of Aberdeen is gratefully acknowledged. Acknowledgments: We would like to acknowledge Bill Gray and Dionne MacKinnon (BG NHS Health Scotland and DMcK, formerly of NHS Health Scotland) for their professional review and support during the project and our study participants for their time and expertise. We are also grateful to the anonymous reviewers of our paper for their time and extremely helpful contributions to this work.",
year = "2018",
month = "12",
day = "4",
doi = "10.3390/ijerph15122738",
language = "English",
volume = "15",
journal = "International Journal of Environmental Research and Public Health",
issn = "1660-4601",
publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",
number = "12",

}

TY - JOUR

T1 - "A Lot of People Are Struggling Privately. They Don’t Know Where to Go or They’re Not Sure of What to Do”

T2 - Frontline Service Provider Perspectives of the Nature of Household Food Insecurity in Scotland

AU - Douglas, Flora

AU - MacKenzie, Fiona

AU - Ejebu, Ourega

AU - Whybrow, Stephen

AU - Garcia, Ada L.

AU - McKenzie, Lynda

AU - Ludbrook, Anne

AU - Dowler, Elizabeth

N1 - Funding: This research was funded by NHS Health Scotland with additional funding support provided for Flora Douglas’ and Stephen Whybrow’s time from the Scottish Government’s RESAS programme. Core support to HERU from the Chief Scientist Office Scottish Government Health and Social Care Directorates and the University of Aberdeen is gratefully acknowledged. Acknowledgments: We would like to acknowledge Bill Gray and Dionne MacKinnon (BG NHS Health Scotland and DMcK, formerly of NHS Health Scotland) for their professional review and support during the project and our study participants for their time and expertise. We are also grateful to the anonymous reviewers of our paper for their time and extremely helpful contributions to this work.

PY - 2018/12/4

Y1 - 2018/12/4

N2 - This qualitative study explored frontline service providers’ perceptions of the nature of food insecurity in Scotland in 2015 to inform national policy and the provision of locally-based support for ‘at risk’ groups. A country-wide in-depth interview study was undertaken with informants from 25 health, social care, and third sector organisations. The study investigated informants’ perspectives associated with how food insecurity was manifesting itself locally, and what was happening at the local level in response to the existence of food insecurity. Data analysis revealed three key themes. First, the multiple faces and factors of food insecurity involving not only increased concern for previously recognised ‘at risk of food insecurity’ groups, but also similar concern held about newly food insecure groups including working families, young people and women. Secondly, respondents witnessed stoicism and struggle, but also resistance amongst some food insecure individuals to external offers of help. The final theme identified community participation yet pessimism associated with addressing current and future needs of food insecure groups. These findings have important implications for the design and delivery of health and social policy in Scotland and other countries facing similar challenges.

AB - This qualitative study explored frontline service providers’ perceptions of the nature of food insecurity in Scotland in 2015 to inform national policy and the provision of locally-based support for ‘at risk’ groups. A country-wide in-depth interview study was undertaken with informants from 25 health, social care, and third sector organisations. The study investigated informants’ perspectives associated with how food insecurity was manifesting itself locally, and what was happening at the local level in response to the existence of food insecurity. Data analysis revealed three key themes. First, the multiple faces and factors of food insecurity involving not only increased concern for previously recognised ‘at risk of food insecurity’ groups, but also similar concern held about newly food insecure groups including working families, young people and women. Secondly, respondents witnessed stoicism and struggle, but also resistance amongst some food insecure individuals to external offers of help. The final theme identified community participation yet pessimism associated with addressing current and future needs of food insecure groups. These findings have important implications for the design and delivery of health and social policy in Scotland and other countries facing similar challenges.

KW - household food insecurity

KW - food poverty

KW - Scotland

KW - low income

KW - families

KW - children

KW - women

KW - older people

KW - qualitative

U2 - 10.3390/ijerph15122738

DO - 10.3390/ijerph15122738

M3 - Article

VL - 15

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

SN - 1660-4601

IS - 12

M1 - 2738

ER -