Abstract
Homeless persons have multiple risk factors for malnutrition and have a greater prevalence of chronic diseases. Soup kitchens, where free meals are available to people in need, are the most common source of food for homeless persons and play a crucial role in meeting their nutritional needs. Homeless persons have special nutrient needs. Due to a high prevalence of excessive alcohol intake, smoking, and high body weight from high caloric alcohol intake they are at risk for protein, vitamin, and mineral deficiencies. The nutritional content of soup kitchen meals does not meet their special nutrient needs. This food tends to be high in fat and sodium and lacking in essential micronutrients, instead exacerbating their chronic diseases. Dietary intake assessments of homeless persons indicate a low intake of fruits, vegetables, and dairy products and consumption of high amounts of fats, saturated fats, and sodium and low amounts of fiber.
These problems cannot be resolved by ad hoc charitable organizations; a systemic policy response to the nutritional status of the homeless is essential to address these issues. Increased allocation of funds for soup kitchens, mandatory nutrition standards, coordination among soup kitchens, educated staff, removal of barriers to enrolling in entitlement programs, and assisting the homeless with applying for benefits are all necessary steps to meet the nutrient needs of homeless persons.
Abbreviations
- BMI:
-
Body mass index
- NHANES:
-
National Health and Nutrition Examination Survey
- RDI:
-
Recommended Daily Intake
- SNAP:
-
Supplemental Nutrition Assistance Program
- TEFAP:
-
The Emergency Food Assistance Program
- USDA:
-
United States Department of Agriculture
References
Anderson SA (1990) Core indicators of nutritional state for difficult-to-sample populations. J Nutr 120:1557–1600
Baik HW, Russell RM (1999) Vitamin B12 deficiency in the elderly. Annu Rev Nutr 19:357–377
Bedogni G et al (2007) Incidence and natural course of fatty liver in the general population: the Dionysos study. Hepatology 46:1387–1391
Bloom KC et al (2004) Barriers to prenatal care for homeless pregnant women. J Obstet Gynecol Neonatal Nurs 33:428–435
Bujanda L (2000) The effects of alcohol consumption upon the gastrointestinal tract. Am J Gastroenterol 95:3374–3382
Burt M et al (1999) Homelessness: programs and the people they serve: findings from the National Survey of homeless assistance providers and clients. Technical report. The Urban Institute, Washington, DC
Caton CL et al (2000) Risk factors for homelessness among indigent urban adults with no history of psychotic illness: a case-control study. Am J Public Health 90:258–263
Chant C et al (2014) Critical illness in homeless persons is poorly studied: a systematic review of the literature. Intensive Care Med 40:123–125
Cheung AM, Hwang SW (2004) Risk of death among homeless women: a cohort study and review of the literature. CMAJ 170:1243–1247
Coppenrath W (2001) In nutritional status among homeless populations: an introduction. Nutr Bytes 7:1–7
Crane M et al (2005) The causes of homelessness in later life: findings from a 3-nation study. J Gerontol B Psychol Sci Soc Sci 60:S152–S159
Dachner N et al (2009) An ethnographic study of meal programs for homeless and under-housed individuals in Toronto. J Health Care Poor Underserved 20:846–853
Darmon N et al (2001) Dietary inadequacies observed in homeless men visiting an emergency night shelter in Paris. Public Health Nutr 4:155–161
Davis LR et al (2008) Dietary intake of homeless women residing at a transitional living center. J Health Care Poor Underserved 19:952–962
Figueiredo RL, Hwang SW, Quiñonez C (2013) Dental health of homeless adults in Toronto. Can J Public Health Dent 73:74–78
Fitzgibbon ML et al (1996) Involving parents in cancer risk reduction: a program for Hispanic American families. Health Psychol 15:413–422
Fowles ER et al (2011) Predictors of dietary quality in low-income pregnant women: a path analysis. Nurs Res 60:286–294
Freedman MR, Bartoli C (2013) Food intake patterns and plate waste among community meal center guests show room for improvement. J Hunger Environ Nutr 8:506–515
Gelberg L et al (2008) Homeless women: who is really at risk for unintended pregnancy. Matern Child Health J 12:52–60
Gelberg L et al (2012) Prevalence, distribution, and correlates of hepatitis C virus infection among homeless adults in Los Angeles. Public Health Rep 127:407–421
Goering P et al (2002) Characteristics of persons who are homeless for the first time. Psychiatr Serv 53:1472–1474
Gozdzik A et al (2015) Cardiovascular risk factors and 30-year cardiovascular risk in homeless adults with mental illness. BMC Public Health 15:165
Hampton T (2007) Food insecurity harms health, well-being of millions in the United States. JAMA 298:1851–1853
Hwang SW (2001) Homelessness and health. CMAJ 164:229–233
Johnson LJ, McCool AC (2003) Dietary intake and nutritional status of older adult homeless women: a pilot study. J Nutr Elder 23:1–21
Kinder H (2004) Implementing nutrition guidelines that will benefit homeless people. Nurs Times 100:32–34
Koh KA et al (2012) The hunger-obesity paradox: obesity in the homeless. J Urban Health 89:952–964
Langnäse K, Müller MJ (2001) Nutrition and health in adult urban homeless populations in Germany. Public Health Nutr 4:805–811
Leblanc JC et al (2002) Simulation of the exposure to deoxynivalenol of French consumers of organic and conventional foodstuffs. Regul Toxicol Pharmacol 36:149–154
Levorato S et al (2017) Heath status of homeless persons: a pilot study in the Padua municipal dorm. Ann Ig 29:54–62
Lomonaco R et al (2012) Effect of adipose tissue insulin resistance on metabolic parameters and liver histology in obese patients with nonalcoholic fatty liver. Hepatology 55:1389–1397
Magura S et al (2002) Substance misuse and related infectious disease in a soup kitchen population. Subst Use Misuse 35:551–583
Mahadevan M, Fischer C (2010) Factors influencing the nutritional health and food choices of African American HIV-positive marginally housed and homeless female substance abusers. Appl Dev Sci 14:72–88
Malmauret L et al (2002) Dietary intakes and vitamin status of a sample of homeless people in Paris. Eur J Clin Nutr 56:313–320
Martins DC et al (2015) Assessment of food intake, obesity, and health risk among the homeless in Rhode Island. Public Health Nurs 32:453–461
McAdam JM et al (2009) Latent tuberculosis and active tuberculosis disease rates among the homeless, New York, New York, USA, 1992–2006. Emerg Infect Dis 15:1109–1111
McQuistion HL et al (2014) Risk factors associated with recurrent homelessness after a first homeless episode. Community Ment Health J 50:505–513
National Coalition for the Homeless (2009) Who is the Homeless? http://nationalhomeless.org/. Accessed 16 Jan 2017
New York City Health, New York City Food Standards (2014.) https://www1.nyc.gov/assets/doh/downloads/pdf/cardio/cardio-meals-snacks-standards.pdf. Accessed 16 Jan 2017
Nwakeze PC et al (2003) Homelessness, substance misuse, and access to public entitlements in a soup kitchen population. Subst Use Misuse 38:645–668
O’Brien D et al. (2004) The charitable food assistance system: the sector’s role in eliminating hunger in America. The UPS Foundation and the Congressional Hunger Center 2004 Hunger Forum discussion paper
Ohls JC et al. (2002) The Emergency Food Assistance System – findings from the provider survey, vol II. Final report. FANRR-16-2. Economic Research Service of the United States Department of Agriculture
Pelham-Burn SE et al (2014) Improving the nutritional quality of charitable meals for homeless and vulnerable adults. A case study of food provision by a food aid organisation in the UK. Appetite 82:131–137
Pettes T et al (2016) An examination of charitable meal programs in five Canadian cities. J Health Care Poor Underserved 27:1303–1315
Popma-Metsaars E (2014) The nutrient intake of homeless women of Grand Rapids, Michigan. Master’s thesis, Grand Valley State University
Ross LJ et al (2014) Prevalence of malnutrition and nutritional risk factors in patients undergoing alcohol and drug treatment. Nutrition 28:738–743
Sahyoun NR, Lin CL, Krall E (2013) Nutritional status of the older adult is associated with dentition status. J Am Diet Assoc 103:61–66
Seligman HK, Laraia BA, Kushel MB (2010) Food insecurity is associated with chronic disease among low-income NHANES participants. J Nutr 140:304–310
Shelter (2014) Legal definition of homelessness in Shelter. http://england.shelter.org.uk/get_advice/homelessness/homelessness_-_an_introduction?_ga=1.241469637.616573957.1484584301. Accessed 16 Jan 2017
Shelton KH et al (2009) Risk factors for homelessness: evidence from a population-based study. Psychiatr Serv 60:465–472
Shelton NJ, Knott CS (2014) Association between alcohol calorie intake and overweight and obesity in English adults. Am J Public Health 104:629–631
Shimada T et al (2013) A model to drive research-based policy change: improving the nutritional quality of emergency food. J Hunger Environ Nutr 8:281–293
Silliman K, Wood SL (2011) Evidence of nutritional inadequacy of meals served to homeless populations in rural northern California. Ecol Food Nutr 40:285–297
Sisson L, Lown DA (2011) Do soup kitchen meals contribute to suboptimal nutrient intake and obesity in the homeless population? J Hunger Environ Nutr 6:312–332
Slater GH et al (2004) Serum fat-soluble vitamin deficiency and abnormal calcium metabolism after malabsorptive bariatric surgery. J Gastrointest Surg 8:48–55. discussion 54
Sprake EF, Russell JM, Barker ME (2014) Food choice and nutrient intake amongst homeless people. J Hum Nutr Diet 27:242–250
Stein JA, Lu MC, Gelberg L (2000) Severity of homelessness and adverse birth outcomes. Health Psychol 19:524–534
Tarasuk V et al (2015) Association between household food insecurity and health care costs. CMAJ 187:E429–E436
Thorley H et al (2015) Interventions for preventing or treating malnutrition in problem drinkers who are homeless or vulnerably housed: protocol for a systematic review. Syst Rev 4:131
Turnbull J, Muckle W, Masters C (2007) Homelessness and health. CMAJ 177:1065–1066
Tussing-Humphreys L et al (2012) Rethinking iron regulation and assessment in iron deficiency, anemia of chronic disease, and obesity: introducing hepcidin. J Acad Nutr Diet 112:391–400
Vozoris NT, Tarasuk VS (2013) Household food insufficiency is associated with poorer health. J Nutr 133:120–126
Williams CN, Sidorov JJ (1971) Steatorrhea in patients with liver disease. Can Med Assoc J 105:1143–1146
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this entry
Cite this entry
Sisson, L.G., Lown, D.A. (2017). Soup Kitchens: Homeless Adults and Gaps in Meeting their Nutritional Needs. In: Preedy, V., Patel, V. (eds) Handbook of Famine, Starvation, and Nutrient Deprivation. Springer, Cham. https://doi.org/10.1007/978-3-319-40007-5_20-1
Download citation
DOI: https://doi.org/10.1007/978-3-319-40007-5_20-1
Received:
Accepted:
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-40007-5
Online ISBN: 978-3-319-40007-5
eBook Packages: Springer Reference MedicineReference Module Medicine