The Effects of Types of Residence and Nutrition Knowledge on Food Insecurity Status Among Syrian Refugees Residing in the State of Florida

OBJECTIVES: As a recently arrived vulnerable population, food insecurity might be associated with types of residence and nutrition knowledge among Syrian refugees residing in the State of Florida. We assessed the relationship between food insecurity status, types of residence and nutrition knowledge among Syrian refugees in Florida. METHODS: In one-on-one sessions, the assessments of nutrition knowledge and food insecurity were completed in 80 households (n = 80, 43 in rural area, 37 in urban area). The outcome measures included demographics, types of residence, food insecurity status, the levels of food insecurity, and nutrition knowledge. RESULTS: Of the 80 households, 20% were food secure while 80% of households experienced food insecurity at different levels. Fisher's exact test showed significant differences between the levels of food insecurity in rural and urban areas, P = 0.02. The mean nutrition knowledge score (42.0 ± 13.6) indicated that Syrian refugees had fair nutrition knowledge. Fisher's exact test showed marginal differences between the levels of food insecurity in households with different nutrition knowledge, P = 0.08. The results of our multivariate logistic regression model showed that types of residence had an inverse significant effect on food security, which remained significant after controlling for nutrition knowledge. Syrian refugees in rural areas had 78.4 greater odds of being food insecure compared with urban areas, odds ratio = 0.216, 95% CI: 0.06–0.777, P = 0.02. CONCLUSIONS: Food insecurity was experienced by 80% of our participants. It was estimated that Syrian refugees had fair nutrition knowledge. Geographical location, types of residence, is a determinant for food insecurity status; Syrian refugees residing in rural areas are more likely to be food insecure compared with urban areas. Greater nutrition knowledge might increase the likelihood of food security among Syrian refugee households. Increasing sample size may be recommended to support our findings. FUNDING SOURCES: Personal funding.