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Soup Kitchens: Homeless Adults and Gaps in Meeting their Nutritional Needs

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Handbook of Famine, Starvation, and Nutrient Deprivation
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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.

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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

    Google Scholar 

  • Baik HW, Russell RM (1999) Vitamin B12 deficiency in the elderly. Annu Rev Nutr 19:357–377

    Article  CAS  PubMed  Google Scholar 

  • Bedogni G et al (2007) Incidence and natural course of fatty liver in the general population: the Dionysos study. Hepatology 46:1387–1391

    Article  PubMed  Google Scholar 

  • Bloom KC et al (2004) Barriers to prenatal care for homeless pregnant women. J Obstet Gynecol Neonatal Nurs 33:428–435

    Article  PubMed  Google Scholar 

  • Bujanda L (2000) The effects of alcohol consumption upon the gastrointestinal tract. Am J Gastroenterol 95:3374–3382

    Article  CAS  PubMed  Google Scholar 

  • 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

    Google Scholar 

  • 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

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Cheung AM, Hwang SW (2004) Risk of death among homeless women: a cohort study and review of the literature. CMAJ 170:1243–1247

    Article  PubMed  PubMed Central  Google Scholar 

  • Coppenrath W (2001) In nutritional status among homeless populations: an introduction. Nutr Bytes 7:1–7

    Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Darmon N et al (2001) Dietary inadequacies observed in homeless men visiting an emergency night shelter in Paris. Public Health Nutr 4:155–161

    CAS  PubMed  Google Scholar 

  • Davis LR et al (2008) Dietary intake of homeless women residing at a transitional living center. J Health Care Poor Underserved 19:952–962

    Article  PubMed  Google Scholar 

  • Figueiredo RL, Hwang SW, Quiñonez C (2013) Dental health of homeless adults in Toronto. Can J Public Health Dent 73:74–78

    Article  PubMed  Google Scholar 

  • Fitzgibbon ML et al (1996) Involving parents in cancer risk reduction: a program for Hispanic American families. Health Psychol 15:413–422

    Article  CAS  PubMed  Google Scholar 

  • Fowles ER et al (2011) Predictors of dietary quality in low-income pregnant women: a path analysis. Nurs Res 60:286–294

    Article  PubMed  PubMed Central  Google Scholar 

  • 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

    Article  Google Scholar 

  • Gelberg L et al (2008) Homeless women: who is really at risk for unintended pregnancy. Matern Child Health J 12:52–60

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  PubMed Central  Google Scholar 

  • Goering P et al (2002) Characteristics of persons who are homeless for the first time. Psychiatr Serv 53:1472–1474

    Article  PubMed  Google Scholar 

  • Gozdzik A et al (2015) Cardiovascular risk factors and 30-year cardiovascular risk in homeless adults with mental illness. BMC Public Health 15:165

    Article  PubMed  PubMed Central  Google Scholar 

  • Hampton T (2007) Food insecurity harms health, well-being of millions in the United States. JAMA 298:1851–1853

    Article  CAS  PubMed  Google Scholar 

  • Hwang SW (2001) Homelessness and health. CMAJ 164:229–233

    CAS  PubMed  PubMed Central  Google Scholar 

  • Johnson LJ, McCool AC (2003) Dietary intake and nutritional status of older adult homeless women: a pilot study. J Nutr Elder 23:1–21

    Article  PubMed  Google Scholar 

  • Kinder H (2004) Implementing nutrition guidelines that will benefit homeless people. Nurs Times 100:32–34

    Google Scholar 

  • Koh KA et al (2012) The hunger-obesity paradox: obesity in the homeless. J Urban Health 89:952–964

    Article  PubMed  PubMed Central  Google Scholar 

  • Langnäse K, Müller MJ (2001) Nutrition and health in adult urban homeless populations in Germany. Public Health Nutr 4:805–811

    Article  PubMed  Google Scholar 

  • 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

    Article  CAS  PubMed  Google Scholar 

  • Levorato S et al (2017) Heath status of homeless persons: a pilot study in the Padua municipal dorm. Ann Ig 29:54–62

    CAS  PubMed  Google Scholar 

  • 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

    Article  CAS  PubMed  Google Scholar 

  • Magura S et al (2002) Substance misuse and related infectious disease in a soup kitchen population. Subst Use Misuse 35:551–583

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  CAS  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  PubMed Central  Google Scholar 

  • McQuistion HL et al (2014) Risk factors associated with recurrent homelessness after a first homeless episode. Community Ment Health J 50:505–513

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Pettes T et al (2016) An examination of charitable meal programs in five Canadian cities. J Health Care Poor Underserved 27:1303–1315

    Article  PubMed  Google Scholar 

  • Popma-Metsaars E (2014) The nutrient intake of homeless women of Grand Rapids, Michigan. Master’s thesis, Grand Valley State University

    Google Scholar 

  • Ross LJ et al (2014) Prevalence of malnutrition and nutritional risk factors in patients undergoing alcohol and drug treatment. Nutrition 28:738–743

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • Seligman HK, Laraia BA, Kushel MB (2010) Food insecurity is associated with chronic disease among low-income NHANES participants. J Nutr 140:304–310

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Shelton NJ, Knott CS (2014) Association between alcohol calorie intake and overweight and obesity in English adults. Am J Public Health 104:629–631

    Article  PubMed  PubMed Central  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Sprake EF, Russell JM, Barker ME (2014) Food choice and nutrient intake amongst homeless people. J Hum Nutr Diet 27:242–250

    Article  CAS  PubMed  Google Scholar 

  • Stein JA, Lu MC, Gelberg L (2000) Severity of homelessness and adverse birth outcomes. Health Psychol 19:524–534

    Article  CAS  PubMed  Google Scholar 

  • Tarasuk V et al (2015) Association between household food insecurity and health care costs. CMAJ 187:E429–E436

    Article  PubMed  PubMed Central  Google Scholar 

  • 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

    Article  PubMed  PubMed Central  Google Scholar 

  • Turnbull J, Muckle W, Masters C (2007) Homelessness and health. CMAJ 177:1065–1066

    Article  PubMed  PubMed Central  Google Scholar 

  • 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

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Vozoris NT, Tarasuk VS (2013) Household food insufficiency is associated with poorer health. J Nutr 133:120–126

    Google Scholar 

  • Williams CN, Sidorov JJ (1971) Steatorrhea in patients with liver disease. Can Med Assoc J 105:1143–1146

    CAS  PubMed  PubMed Central  Google Scholar 

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Correspondence to Lisa G. Sisson .

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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

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  • DOI: https://doi.org/10.1007/978-3-319-40007-5_20-1

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