Cross-sectional associations of food insecurity with smoking cigarettes and heavy alcohol use in a population-based sample of adults

Bergmans, Rachel S.; Coughlin, Lara N.; Wilson, Tomorrow D.; Malecki, Kristen

doi:10.1016/j.drugalcdep.2019.107646

Cited by 45 publications

(41 citation statements)

References 36 publications

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“…This is in line with a qualitative study from Greenland where the overall narrative was one of lack of money to buy food while several participants admitted that another reason for their food insecurity was that they prioritised alcohol and tobacco over food [21]. Studies from other parts of the world showed similar associations of food insecurity with alcohol and tobacco [48,49].…”

Section: Discussionsupporting

confidence: 81%

Association of Food Insecurity With Dietary Patterns and Expenditure on Food, Alcohol and Tobacco Amongst Indigenous Inuit in Greenland: Results From a Population Health Survey.

Bjerregaard

Olesen

Larsen

2021

Preprint

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Background Amongst the indigenous Greenlandic Inuit, the experience of food insecurity has been attributed to a lack of money to buy enough food of sufficient quality to sustain a family, although a preference for alcohol and tobacco over food has also been cited. The purpose of the article was to compare dietary patterns and expenditure on food, alcoholic beverages and tobacco between survey participants who reported food insecurity and those who did not.Methods Countrywide cross-sectional health survey among 1886 adult Greenlandic Inuit in 2018. Diet was estimated by a food frequency questionnaire. Food insecurity status was based on the household hunger scale. Analyses were carried out by univariate general linear models adjusted for age, sex and social position. ResultsNine percent of the participants reported food insecurity. Food insecurity was unevenly distributed according to age, sex and social position. Food insecure participants more often chose an unhealthy dietary pattern (43% vs. 32%) and they reported a higher energy intake. The food insecure spent the same amount of money on food as other participants but less on nutritious food and more on non-nutritious food. The cost per kJ of the food of the food insecure was lower than that of the food secure (DKK 8.0 and 9.0 per 1000 kJ, respectively). The food insecure participants also spent considerably more on alcohol and tobacco. Conclusions The results suggest that it is not only unemployment and lack of money that creates food insecurity and unhealthy dietary patterns in Greenland but probably also social inequality, lack of resources for planning, prioritising, living one’s daily life and limited knowledge about food. There seems to be at least two population subgroups in Greenland with poverty and substance use, respectively, as the immediate determinants for food insecurity, but behind these causes is a web of underlying social causes. The results are important for the design of interventions against food insecurity and unhealthy dietary patterns.

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Section: Discussionsupporting

confidence: 81%

Association of Food Insecurity With Dietary Patterns and Expenditure on Food, Alcohol and Tobacco Amongst Indigenous Inuit in Greenland: Results From a Population Health Survey.

Bjerregaard

Olesen

Larsen

2021

Preprint

View full text Add to dashboard Cite

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“…Two prevalent health risk factors among homeless adults include food insecurity, which is the inability to acquire adequate nutritious food due to insufficient money or other means to enable sufficient food access [5,6], and alcohol use problems [7]. Although these constructs have been shown to be associated among domiciled samples [8][9][10][11][12], their association among homeless samples has not been extensively researched.…”

Section: Introductionmentioning

confidence: 99%

“…Numerous cross-sectional studies have shown correlations between substance use and food insecurity (e.g., [35]), with some linking heavy alcohol drinking/alcohol dependence and food insecurity among domiciled samples [8][9][10]. Evidence suggests a bidirectional association between alcohol use and food insecurity.…”

Section: Introductionmentioning

confidence: 99%

“…Evidence suggests a bidirectional association between alcohol use and food insecurity. A majority of studies have identified food insecurity as a driving force for alcohol use problems [11,12]; however, some have cited alcohol drinking/alcohol dependence as a predictor of food insecurity [8][9][10]. No studies, however, were conducted with homeless individuals.…”

Section: Introductionmentioning

confidence: 99%

“…Heavy alcohol use is linked with financial stress and unemployment, which are related to the risk of being food insecure [8][9][10][11][12]36]. Higher total alcohol consumption, binge drinking, and alcohol use disorders are also associated with unemployment [37,38].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Association of Problematic Alcohol Use and Food Insecurity among Homeless Men and Women

Reitzel

Chinamuthevi

Daundasekara

et al. 2020

IJERPH

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Food insecurity results from unreliable access to affordable and nutritious food. Homeless adults are particularly vulnerable to both food insecurity and problematic alcohol use. The current study examined the link between problematic alcohol use and food insecurity among homeless adults. Participants (N = 528; 62.7% men; Mage = 43.6 ± 12.2) were recruited from homeless-serving agencies in Oklahoma City. Problematic alcohol use was measured using the Alcohol Quantity and Frequency Questionnaire and the Patient Health Questionnaire. The latter used DSM-IV diagnostic criteria to assess probable alcohol use dependence/abuse. Heavy drinking was considered >7 drinks (women) and >14 drinks (men) per week. Food insecurity was measured with the USDA Food Security Scale-Short Form. The link between alcohol problems and food insecurity was examined with logistic regression analyses controlling for sex, age, education, income, and months homeless. Overall, 28.4% of the sample had probable alcohol dependence, 25% were heavy drinkers, and 78.4% were food insecure. Probable alcohol dependence and heavy drinking were correlated at 0.53 (p < 0.001). Results indicated that heavy drinking (OR = 2.12, CI.95 = 1.21, 3.73) and probable alcohol dependence/abuse (OR = 2.72, CI.95 = 1.55, 4.77) were each associated with increased odds of food insecurity. Food insecurity and problematic alcohol use are major issues among homeless populations; this study suggests they are associated. Future research is needed to shed light on potential causal mechanisms and on whether alcohol may take precedence over eating or food purchases.

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Social Determinants of Health Impact Complications Following Free‐Flap Reconstruction for Head and Neck Cancer

Goldberg,

Jain,

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveHead and neck cancers (HNCs) have increased in prevalence and often require free‐flap reconstruction (FFR) after tumor ablation. Postoperative complications following FFR can be high, occurring in as many as 48% and 71% of cases. HNC patients also have many disparities in Social Determinants of Health (SDOH), but the potential impact of SDOH disparities on postoperative complications following FFR has not been formally assessed.Study DesignRetrospective cohort review.SettingAcademic Tertiary Care Institution in Northeast United States.MethodsPatients that underwent head and neck FFR between January 2018 and December 2021 were analyzed to determine associations between quartiles of the national Area Deprivation Index (ADI), a proxy for SDOH disparity, and various medical and surgical postoperative complications. Associations were assessed using χ2 analysis.ResultsTwo hundred four patients were included in the study, and 61 patients had 97 complications. Significant associations between higher national ADI quartile and incidence of several postoperative complications were identified, including any surgical complication (P = .0419), wound dehiscence (P = .0494), myocardial infarction (MI) (P = .0215), and sepsis (P = .0464).ConclusionThere are significant associations between SDOH disparities and postoperative surgical complications, wound dehiscence, MI, and sepsis following head and neck FFR. Addressing SDOH disparities in HNC is pivotal to enhance postoperative outcomes and promote holistic patient care.

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Cross-sectional associations of food insecurity with smoking cigarettes and heavy alcohol use in a population-based sample of adults

Cited by 45 publications

References 36 publications

Association of Food Insecurity With Dietary Patterns and Expenditure on Food, Alcohol and Tobacco Amongst Indigenous Inuit in Greenland: Results From a Population Health Survey.

Association of Food Insecurity With Dietary Patterns and Expenditure on Food, Alcohol and Tobacco Amongst Indigenous Inuit in Greenland: Results From a Population Health Survey.

Association of Problematic Alcohol Use and Food Insecurity among Homeless Men and Women

Social Determinants of Health Impact Complications Following Free‐Flap Reconstruction for Head and Neck Cancer

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