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The acorn squash problem: a digestible conceptualisation of barriers to emergency food assistance

Published online by Cambridge University Press:  17 September 2021

John C Jones*
Affiliation:
Center for Environmental Studies, Institute for Inclusion, Inquiry, and Innovation (iCubed), Virginia Commonwealth University, 1000 West Cary Street, Richmond, VA 232841, USA
Joanne Christaldi
Affiliation:
Department of Nutrition, West Chester University, West Chester, PA, USA
Diana Cuy Castellanos
Affiliation:
Department of Health and Sport Science, University of Dayton, Dayton, OH, USA
*
*Corresponding author: Email jonesj39@vcu.edu
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Abstract

Background:

In common narratives of emergency food assistance, donors likely believe their efforts directly manifest as people consuming their donated food. For example, a person donating canned lima beans during a canned food drive may visualise someone eventually eating those lima beans. However, cultural and socio-economic barriers often exist that prevent people from accessing and consuming the donated food. These barriers are often complex and otherwise well-intentioned donors, volunteers and organisations may not initially consider them.

Method:

This commentary article, which draws from existing US emergency food systems literature, uses the imagery of an acorn squash one might find at a US food pantry to conceptualise these barriers in a straightforward way.

Results:

Examining emergency food assistance through the lens of the acorn squash problem can help donors, volunteers and organisations better connect with food-insecure people. The lens of the acorn squash problem also allows for deeper critiques of some practices of emergency food systems.

Type
Commentary
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Nutrition Society

At first glance, emergency food assistance appears as a simple concept. People, suffering from some form of food insecurity, receive food assistance from charitable organisations. This assistance generally takes the form of prepared meals or fresh or packaged foods, intended for consumption at home. The terms used to describe these charitable organisations can vary; examples include soup kitchen or food pantry.

The process by which someone determines what is or is not food is a highly nuanced and dynamic process rooted in that person’s culture and is informed by a combination of ethnic, historical, socio-economic, agronomic and ecological factors, among others(Reference Allen1).These cultural traditions are likely passed from one generation to the next, most likely from mother to child; scholars and practitioners often refer to the ‘cultural appropriateness’ of food for an individual person or group of people(Reference Sampson and Wills2). For example, many people born in the USA and whose parents and grandparents were also born in the USA would likely think that eating roasted insects, which is not an uncommon practice in many culinary traditions from Southeast Asia, among other locations, would be an inappropriate food for themselves(Reference Raheem, Carrascosa and Oluwole3).

The simple narrative of people receiving food assistance from charitable organisations and subsequently consuming the given food quickly falls apart when we look a little deeper. What happens when the foods provided by a pantry or kitchen are radically disconnected from that person’s cultural food traditions (i.e. not culturally appropriate to the individual’s needs)? Beyond cultural appropriateness, what happens if the people do not possess the skills or equipment to prepare the food? If the person is balancing several low-wage jobs and potentially child care, do they have the time to prepare this food?(Reference Mills, White and Brown4)

An important structural barrier underscores this problem; food pantries and soup kitchens in the USA, along with the regional food banks that support them, have a combination of ethical, economic, political and logistical reasons to accept all donated foods. Historically, commodity foods and non-perishable items have been the main form of donations to the US food bank system, many of which are energy-dense and provide little nutritional value (e.g. snack/processed foods and sugar-sweetened beverages)(Reference Feldman and Schwartz5,Reference Ross, Campbell and Webb6) . Agencies may need to balance providing enough food to meet demand, while also seeking to provide both nutritionally dense foods and foods that are desired and culturally appropriate. Some agencies in the USA are beginning to identify ways to increase their fresh food offerings, but this evolution is likely haphazard(Reference Vitiello, Grisso and Whiteside7Reference Hudak, Friedman and Johnson9).

An effective response is necessary in the continued development of emergency food systems that result in food-insecure people consuming culturally appropriate and nutritionally dense foods both in the short and long term. However, people seeking food assistance may experience barriers, depending on their neighbourhood and individual circumstances, to actually consuming that food; this is especially true for healthier, more nutritionally dense food(Reference Fong, Wright and Wimer10,Reference Dave, Thompson and Svendsen-Sanchez11) . Well-intentioned food donors may not consider all the barriers when they select foods to donate. In this commentary, we propose these barriers be conceptualised as the, ‘acorn squash problem’ as a way to simplify these barriers for donors, volunteers and emergency food agency staff. This conceptualisation is rooted in our scholarly and practitioner work in the emergency food system in the USA, as well as a literature search focused on the USA and Canadian food systems and the dietetics discipline. The initial inspiration for this commentary came from a lecture by the lead author on the challenges present in the US emergency food system, follow-up conversations of the idea with other scholars in the area and limited research in the area. We caution that this conceptualisation may be transferable outside of the USA but could become problematic in communities and situations where the nature of emergency food systems is dramatically different from the USA (e.g. conflict zones, refugee settlements, communities with different social welfare policies).

The imagery of the acorn squash problem

Without a developed understanding of these complex and interrelated barriers, many otherwise well-intentioned people and organisations working in emergency food systems may not be working effectively to serve vulnerable populations or at worst may engage in a form of cultural imperialism. Enter acorn squash as a vehicle to explain these cultural and economic barriers in emergency food assistance in an accessible manner. Acorn squash, Cucurbita pepo var. turbinata, is a nutritionally dense vegetable that is easily grown across most of North and Central America, and it is a common feature in most grocery stores in the USA. It has a long shelf life and its per unit retail cost is commonly quite low; the authors have often seen it priced about $1·00 per unit.

Although it is a common vegetable, acorn squash requires more preparation than familiar staples like broccoli, which can be eaten raw. Common cooking techniques for acorn squash require cutting it into pieces and then roasting, generally for more than 1 h. Undercooked squash can be quite fibrous and tough to chew, making it difficult to eat. Even after cooking, only the pulp is edible and generally requires spices or sugars to make it more palatable. Once prepared, however, acorn squash is a cost-effective, nutrient-dense food that is high in dietary fibre and potassium.

These culinary challenges likely lead to stacks of acorn squash on both grocery store and food pantry shelves alike. When viewed through the lens of the challenges listed above, the idea of the ‘acorn squash problem’ comes into focus and a hypothetical example emerges. A well-intentioned farmer delivers a crate full of acorn squash to a local food pantry, but most pantry goers pass over the squash in favour of other foods. The pantry operator may pack some squash in pre-packaged emergency food kits, but eventually much of the acorn squash may end up in the trash.

The use of the acorn squash to describe this problem, as opposed to another type of food, is likely, at least a partial reflection of the White, largely middle-class American culinary background of the authors. Each of us has seen acorn squash at grocery stores and farmers’ markets all of our lives, but it is not something we actively think of when we plan meals. Someone from other culinary traditions may find it useful to substitute another more appropriate food for their ‘problem’. What follows is a summary of the cultural and socio-economic barriers conceptualised within the acorn squash problem.

Cultural and socio-economic barriers to emergency food assistance

Based on an analysis of existing US emergency food systems literature, we propose the following eight barriers that confront individuals seeking emergency food assistance during the food selection process at a food pantry, or when they unpack a food aid box at home. The first three barriers are cultural in nature, while the remaining five are rooted in socio-economic challenges often faced by people with limited financial resources.

  1. This is food?

Consumers utilising a food pantry must recognise an item on display as food. The recognition is deeply embedded in a person’s culinary heritage; and any otherwise edible foods outside of a person’s culinary heritage are likely to be rejected(Reference Aronson12Reference Tan, Fischer and Tinchan14). Similarly, strong negative association to one type of food, such as a view that insects are vectors for disease, may lead a person to reject that object as food(Reference Moffat, Mohammed and Newbold13). Within the context of acorn squash, some Americans may view it solely as a decorative item used during the fall season, and not as food.

  1. 2. Is this a food I want to eat?

Everyone has food preferences and some have dietary restrictions for health, religion or other reasons. Many people are selecting foods on behalf of family members and therefore prioritise foods they know everyone in the household will eat. These preferences and priorities can lead people to select desirable foods and reject undesirable foods in pantry settings, and trashing or giving away undesirable foods from aid boxes(Reference Bryan, Ginsburg and Rubinstein15,Reference Mukoya, McKay and Dunn16) . For example, acorn squash may be seen as a starchy vegetable that is uncommon or an individual may question whether their children would be apt to consuming it and in turn pass it by or discard it.

  1. 3. How do I prepare this into food?

Someone provided with only raw or uncooked foods (e.g. fruits, vegetables, shelf stable carbohydrates) may lack the culinary skills to those raw components into food. This is especially true when the raw foods are not edible in their raw forms, such as with the acorn squash. This lack of culinary skills may lead pantry goers to not select foods they may otherwise want to eat(Reference Clarke and Evans17).

  1. 4. Do I have the tools to prepare this into food?

Food preparation requires a variety of tools, and often more complex dishes with more ingredients might require a greater number of tools. Common examples include pots and pans, an oven, and a cutting board. More exotic examples might include specialised knives, meat tenderizers and pressure cookers. Affluent people may possess many of these tools, but economically challenged families may lack such items(Reference Oakley, Nikolaus and Ellison18). Not possessing the necessary tools could make preparing an acorn squash challenging and undesirable.

  1. 5. Can I store this safely until I want to prepare or eat it?

The ability to safely store both raw produce and prepared foods is common for many US households. Refrigerators are relatively cheap and power outages are rare events for most Americans to the point that their use fades into the background of life. However, safe storage through constant refrigeration can be a significant barrier to low-income families, and the frequency of power outages may be more common outside the USA(Reference Selepe, Mtyingizane and Masuku19,20) .

  1. 6. Do I have the time to prepare this into food?

Time for cooking is often a luxury for the low-income individuals and families. When combined with the time requirements of child care, many food-insecure people have little time in the day to engage in meal preparation, especially those required to prepare healthier dishes(Reference Beatty, Nanney and Tuttle21Reference Engler-Stringer, Stringer and Haines23). This logic also applies during mental meal preparation when people visit pantries or sort through food aid boxes(Reference Mancino and Newman24,Reference Rose25) . The roasting time for acorn squash is generally 1 h, and undercooking will generate an inedible, but otherwise safe, product.

  1. 7. Do I have time to consume this food?

Like the previous barrier, people may need to eat their meals quickly, so they can move to the next task. Easily consumed meals, such as the high-sugar/-fat/-salt meals commonly sold by so-called fast-food restaurants, aligns well with these time challenges. Engaging in lengthy meal preparation and consumption of healthier options may not be feasible(Reference Beatty, Nanney and Tuttle21,Reference Nettle and Bateson26) . Fully cooked acorn squash has a consistency similar to mashed potatoes, which generally requires a spoon to consume. This form does not lend itself to quick consumption.

8. Can I transport the food I obtained?

How people transport the food they buy can also be a barrier(Reference Strome, Johns and Scicchitano27). If a person does not have access to a car, using the bus system, walking or riding a bike can limit the amount and types of food an individual is able to choose. Some might consider an acorn squash heavier and bulkier than other vegetables, which may cause people to overlook it.

Implications based on the acorn squash problem

The acorn squash problem suggests at least two disconnections related to people benefiting from emergency food systems. First, the acorn squash problem mitigates the well-intentioned efforts of volunteers, donors and organisation staff to combat food insecurity, especially considering healthier foods. Donated healthier foods may go to waste in favour of more culturally or economically viable options that are higher in some combination of sugar, fat or salt. Both academics and some leading emergency food agencies have called attention to this disconnect through healthy food initiatives that may provide nutrition education and healthy eating opportunities(Reference Bush-Kaufman, Barale and Walsh28). These initiatives offer healthy food options (e.g. fruits, vegetables, wholegrains and lean protein) and change the eating environment through cooking demonstrations, healthy meal kits, produce display areas, etc. However, due to a lack of empirical studies, the effectiveness in curving the issue through the aforementioned interventions cannot be determined.

Secondly, emergency food agencies, in alliance with corporate agriculture and food manufacturers, provide a dual purpose of addressing food surplus and food insecurity. However, those agencies often fall short in addressing the underlying poverty that causes food insecurity(Reference Fisher29). Lohnes argues that the current system allows the donor, whether public or private, to rid surplus food for economic benefit through tax incentives and reap a moral benefit by ‘helping the poor’ but fails to provide a vehicle towards food security, or as stated by the author ‘access by all people at all times to enough food for an active, healthy life’(Reference Lohnes30Reference McIntyre, Patterson and Anderson33). Other critics argue that the opportunity for tax write-offs lead to sustained inequalities and fails to consider the client’s autonomy, cultural food preferences and food preparation abilities perpetuating food injustice(Reference Tarasuk and Eakin34,Reference An, Wang and Liu35) . When viewed through the lens of the acorn squash problem, these tax-deductible donations may venture away from altruism and towards manipulation of the tax code for private gain.

In conclusion, people face at least eight barriers to actually consuming food, especially healthy food, made available through emergency food organisations like food pantries. Otherwise, well-intentioned volunteers, donors and organisation staff may not consider all of these barriers in their work to mitigate food insecurity. Conceptualising these barriers as the acorn squash problem may be an effective way to highlight structural challenges to emergency food system efficacy. Further research into the validity of this conceptualisation may further strengthen its value.

Acknowledgements

Acknowledgements: The authors would like to thank Rachel Piero for her assistance with preparing the manuscript for submission. Financial support: The Institute for Inclusion, Inquiry and Innovation (iCubed) at Virginia Commonwealth University supports J.C.J. research. Conflict of interest: There are no conflicts of interest. Authorship: J.C.J. had the original idea for the ‘acorn squash problem’ and drafted the manuscript. J.C. and D.C.C. provided additional conceptualisation of the ‘acorn squash problem’ and participated in the writing and editing of the manuscript. Ethics of human subject participation: Not applicable.

References

Allen, P (2004) Together at the Table: Sustainability and Sustenance in the American Agrifood System. University Park: Penn State University Press; available at https://doi.org/10.5325/j.ctv14gp3mm (accessed August 2021).CrossRefGoogle Scholar
Sampson, D & Wills, C (2013) Culturally Appropriate Food: Researching Cultural Aspects of Food Sovereignty. Food sovereignty: a critical dialogue, international conference Yale University, paper (vol. 20). https://www.tni.org/files/download/20_sampsonwills_2013.pdf (accessed August 2021).Google Scholar
Raheem, D, Carrascosa, C, Oluwole, OB et al. (2019) Traditional consumption of and rearing edible insects in Africa, Asia and Europe. Crit Rev Food Sci Nutr 59, 21692188.CrossRefGoogle ScholarPubMed
Mills, S, White, M, Brown, H et al. (2017) Health and social determinants and outcomes of home cooking: a systematic review of observational studies. Appetite 111, 116134.CrossRefGoogle ScholarPubMed
Feldman, M & Schwartz, MB (2018) A Tipping Point Leveraging Opportunities to Improve the Nutritional Quality of Food Bank Inventory. Los Angeles, CA, USA: MAZON.Google Scholar
Ross, M, Campbell, EC & Webb, KL (2013) Recent trends in the nutritional quality of food banks’ food and beverage inventory: case studies of six California food banks. J Hunger Environ Nutr 8, 294309.CrossRefGoogle Scholar
Vitiello, D, Grisso, JA, Whiteside, KL et al. (2015) From commodity surplus to food justice: food banks and local agriculture in the United States. Agric Hum Values 32, 419430.CrossRefGoogle Scholar
Chapnick, M, Barnidge, E, Sawicki, M et al. (2019) Healthy options in food pantries – a qualitative analysis of factors affecting the provision of healthy food items in St. Louis, Missouri. J Hunger Environ Nutr 14, 262280.CrossRefGoogle Scholar
Hudak, KM, Friedman, E, Johnson, J et al. (2020) Food bank donations in the United States: a landscape review of federal policies. Nutrients 12, 37-64.CrossRefGoogle ScholarPubMed
Fong, K, Wright, R & Wimer, C (2016) The cost of free assistance: why low-income individuals do not access food pantries. J Sociol Soc Welf 43, 7193.Google Scholar
Dave, JM, Thompson, DI, Svendsen-Sanchez, A et al. (2017) Perspectives on barriers to eating healthy among food pantry clients. Health Equity 1, 2834.CrossRefGoogle ScholarPubMed
Aronson, RA (2014) Eating in crisis: culturally appropriate food and the local food movement in the lives of domestic violence survivors. Anthropology Honor Thesis, University of Vermont.Google Scholar
Moffat, T, Mohammed, C & Newbold, KB (2017) Cultural dimensions of food insecurity among immigrants and refugees. Hum Organ 76, 15.CrossRefGoogle Scholar
Tan, HSG, Fischer, AR, Tinchan, P et al. (2015) Insects as food: exploring cultural exposure and individual experience as determinants of acceptance. Food Qual Prefer 42, 7889.CrossRefGoogle Scholar
Bryan, AD, Ginsburg, ZA, Rubinstein, EB et al. (2019) Foods and drinks available from urban food pantries: nutritional quality by item type, sourcing, and distribution method. J Community Health 44, 339364.CrossRefGoogle ScholarPubMed
Mukoya, MN, McKay, FH & Dunn, M (2017) Can giving clients a choice in food selection help to meet their nutritional needs? Investigating a novel food bank approach for asylum seekers. J Int Migr Integr 18, 981991.CrossRefGoogle Scholar
Clarke, P & Evans, SH (2016) How do cooks actually cook vegetables? A field experiment with low-income households. Health Promot Pract 17, 8087.CrossRefGoogle ScholarPubMed
Oakley, AR, Nikolaus, CJ, Ellison, B et al. (2019) Food insecurity and food preparation equipment in US households: exploratory results from a cross-sectional questionnaire. J Hum Nutr Diet 32, 143151.CrossRefGoogle ScholarPubMed
Selepe, BM, Mtyingizane, SS & Masuku, MM (2015) Factors contributing to household food insecurity in Mhlontlo area, Eastern Cape, South Africa. J Hosp Manag Tour 4, 2223-814X.Google Scholar
US Energy Information Administration (2001) The Effect of Income on Appliances in U.S. Households. https://www.eia.gov/consumption/residential/data/2001/appliances/appliances.php (accessed March 2021).Google Scholar
Beatty, TK, Nanney, MS & Tuttle, C (2014) Time to eat? The relationship between food security and food-related time use. Public Health Nutr 17, 6672.CrossRefGoogle ScholarPubMed
Mclaughlin, C, Tarasuk, V & Kreiger, N (2003) An examination of at-home food preparation activity among low-income, food-insecure women. J Am Diet Assoc 103, 15061512.CrossRefGoogle ScholarPubMed
Engler-Stringer, R, Stringer, B & Haines, T (2011) Complexity of food preparation and food security status: in low-income young women. Can J Diet Pract Res 72, 133136.CrossRefGoogle Scholar
Mancino, L & Newman, C (2007) Who Has Time to Cook? How Family Resources Influence Food Preparation. https://www.ers.usda.gov/webdocs/publications/45797/11722_err40_1_.pdf?v=0 (accessed August 2021).Google Scholar
Rose, D (2007) Food stamps, the thrifty food plan, and meal preparation: the importance of the time dimension for US nutrition policy. J Nutr Educ Behav 39, 226232.CrossRefGoogle ScholarPubMed
Nettle, D & Bateson, M (2019) Food-insecure women eat a less diverse diet in a more temporally variable way: evidence from the US National Health and Nutrition Examination Survey, 2013–2014. J Obes 2019, 7174058.CrossRefGoogle Scholar
Strome, S, Johns, T, Scicchitano, MJ et al. (2016) Elements of access: the effects of food outlet proximity, transportation, and realized access on fresh fruit and vegetable consumption in food deserts. Int Q Community Health Educ 37, 6170.CrossRefGoogle ScholarPubMed
Bush-Kaufman, A, Barale, K, Walsh, M et al. (2019) In-depth qualitative interviews to explore healthy environment strategies in food pantries in the western United States. J Acad Nutr Diet 119, 16321643.CrossRefGoogle ScholarPubMed
Fisher, A (2017) Big Hunger: The Unholy Alliance between Corporate America and Anti-Hunger Groups. Cambridge, MA: MIT Press.CrossRefGoogle Scholar
Lohnes, JD (2020) Regulating surplus: charity and the legal geographies of food waste enclosure. Agric Hum Values 38, 351363. https://doi.org/10.1007/s10460-020-10150-5.CrossRefGoogle Scholar
U. S. Department of Agriculture Economic Research Service (2021) Food Security in the U.S. https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/ (accessed March 2021).Google Scholar
Kinach, L, Parizeau, K & Fraser, ED (2020) Do food donation tax credits for farmers address food loss/waste and food insecurity? A case study from Ontario. Agric Hum Values 37, 383396. https://doi.org/10.1007/s10460-019-09995-2.CrossRefGoogle ScholarPubMed
McIntyre, L, Patterson, PB, Anderson, LC et al. (2017) A great or heinous idea? Why food waste diversion renders policy discussants apoplectic. Crit Public Health 27, 566576.CrossRefGoogle Scholar
Tarasuk, V & Eakin, JM (2005) Food assistance through “surplus” food: insights from an ethnographic study of food bank work. Agric Hum Values 22, 177186.CrossRefGoogle Scholar
An, R, Wang, J, Liu, J et al. (2019) A systematic review of food pantry-based interventions in the USA. Public Health Nutr 22, 17041716.CrossRefGoogle ScholarPubMed