Food Insecurity Is Associated With Poorer Mental Health and Sleep Outcomes in Young Adults

Nagata, Jason M.; Palar, Kartika; Gooding, Holly C.; Garber, Andrea K.; Whittle, Henry J.; Bibbins‐Domingo, Kirsten; Weiser, Sheri D.

doi:10.1016/j.jadohealth.2019.08.010

Cited by 146 publications

(148 citation statements)

References 54 publications

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“…The third and final stressor is food insecurity using the standard, 10‐item United States Department of Agriculture Adult Food Security Module (Coleman‐Jensen, Rabbitt, Gregory, & Singh, 2019). Food insecurity has been noted elsewhere as important in determining mental health consequences, generally finding that food insecure persons report elevated depressive and anxiety symptoms (e.g., Martin, Maddocks, Chen, Gilman, & Colman, 2016; Nagata, Palar, Gooding, Garver, & Whittle, 2019). Respondents are asked a range of questions that assess their adequate access to healthy food and the barriers present that may be impacting that access.…”

Section: Methodsmentioning

confidence: 99%

Living in the midst of fear: Depressive symptomatology among US adults during the COVID‐19 pandemic

Fitzpatrick

Harris

Drawve

2020

Depression and Anxiety

140

128

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Background: The current study examines interrelationships between social vulnerability, individual stressors, social and psychological resources, and depressive symptomatology among US adults during the current coronavirus disease 2019 (COVID-19) pandemic. Methods: Using an online survey platform, a poststratified (by age, gender, race, income, and geography), representative sample (n = 10,368 adults) is used in the analysis. Results: On average, sample respondents report Center for Epidemiological Studies Depression (CES-D) Scale symptomatology nearly a point higher than the often used cutoff score for clinical caseness (16+); one-third of respondents had CES-D scores higher than 25. Multiple regression results show elevated levels of depressive symptomatology among the socially vulnerable (women, Hispanic, unmarried, not working). Those persons expressing heightened COVID-19 fear and moderate to high levels of food insecurity report more depressive symptoms than persons with less fear and low or no food insecurity. All three of the resource variables (mastery of fate, strength of ties, and optimism) are significant and in the negative direction. Conclusions: In a snapshot, the data provide an important point prevalence assessment of adult depressive symptoms during the current public health crisis. Results highlight the significance of vulnerability and individual stressors in the wake of the COVID-19 pandemic. In addition, the analysis affirms the importance of access to social and psychological resources to combat heightened fear and anxiety that persons report during the current pandemic.

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Section: Methodsmentioning

confidence: 99%

Living in the midst of fear: Depressive symptomatology among US adults during the COVID‐19 pandemic

Fitzpatrick

Harris

Drawve

2020

Depression and Anxiety

140

128

View full text Add to dashboard Cite

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“…Garthwaite's study also revealed the lack of predictable food supply was commonly reported as an additional challenge for those affected by pre-existing mental health conditions, with the effort and mental energy associated with trying to maintain access to a food supply (26). High income countries that are able to monitor HFI prevalence have found a clear association with food insecurity and poor mental health outcomes (55)(56)(57)(58)(59)(60) including suicidal ideation and substance use problems in young adulthood (55,61). Interventions aimed at reducing food insecurity are considered to be an effective approach to preventing or ameliorating a significant burden of mental health problems in the population (40,61).…”

Section: Discussionmentioning

confidence: 99%

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

Douglas

MacIver

Yuill

2020

Preprint

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Background: As more people are living with one or more chronic health conditions, supporting patients to become activated, self-managers of their conditions has become a key health policy focus both in the UK and internationally. There is also growing evidence in the UK that those with long term health conditions have an increased risk of being food insecure. However, while international evidence outside of the UK indicates that food insecurity adversely affects individual’s health condition management capability, little is known about how those so affected manage their condition(s) in this high-income country context. Methods :A qualitative investigation of lived experience of health condition management was undertaken with food insecure people living in north east Scotland. The study aimed to explore the challenges facing food insecure people in terms of, i. their self-care condition management practices, and ii. disclosing and discussing the experience of managing their condition with a health care professional, and iii. notions of the support they might wish to receive from them. Interview audio recordings were fully transcribed and thematically analysed.Results : Twenty individuals living with a wide range of self-reported health conditions, and being supported by a local poverty alleviation social enterprise took part. Four main themes were identified i.e.: 1. food practices, trade-offs and compromises, that relate to economic constraints and lack of choice; 2. illness experiences and food as they relate to physical and mental ill-health; 3. (in)visibility of participants’ economic vulnerability within health care consultations; and 4. perceptions and expectations of the health care system.Conclusions :This study, the first of its kind in the UK, indicated that participants’ health condition management aspirations were undermined by the experience of food insecurity, and that their health care consultations in were, on the whole, devoid of discussions of those challenges. As such, the study indicated practical and ethical implications for health care policy, practice and research associated with the risk of intervention-generated health inequalities that were suggested by this study. Better understanding is needed about the impact of household food insecurity on existing ill health, wellbeing and health care use across the UK.

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“…Garthwaite's study also revealed the lack of predictable food supply was commonly reported as an additional challenge for those affected by pre-existing mental health conditions, with the effort and mental energy associated with trying to maintain access to a food supply [32]. High income countries that are able to monitor HFI prevalence have found a clear association with food insecurity and poor mental health outcomes [63][64][65][66][67][68] including suicidal ideation and substance use problems in young adulthood [63,69].…”

Section: Discussionmentioning

confidence: 99%

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

Douglas

MacIver

Yuill

2020

Preprint

View full text Add to dashboard Cite

Background: As more people are living with one or more chronic health conditions, supporting patients to become activated, self-managers of their conditions has become a key health policy focus both in the UK and internationally. There is also growing evidence in the UK that those with long term health conditions have an increased risk of being food insecure. While international evidence indicates that food insecurity adversely affects individual’s health condition management capability, little is known about how those so affected manage their condition(s) in this context. An investigation of lived experience of health condition management was undertaken with food insecure people living in north east Scotland. The study aimed to explore the challenges facing food insecure people in terms of, i. their self-care condition management practices, and ii. disclosing and discussing the experience of managing their condition with a health care professional, and iii. notions of the support they might wish to receive from them. Methods : Twenty in-depth interviews were conducted with individuals attending a food bank and food pantry in north east Scotland. Interview audio recordings were fully transcribed and thematically analysed.Results : Individuals reporting multiple physical and mental health conditions, took part in the study. Four main themes were identified i.e.: 1. food practices, trade-offs and compromises, that relate to economic constraints and lack of choice; 2. illness experiences and food as they relate to physical and mental ill-health; 3. (in)visibility of participants’ economic vulnerability within health care consultations; and 4. perceptions and expectations of the health care system.Conclusions : This study, the first of its kind in the UK, indicated that participants’ health condition management aspirations were undermined by the experience of food insecurity, and that their health care consultations in were, on the whole, devoid of discussions of those challenges. As such, the study indicated practical and ethical implications for health care policy, practice and research associated with the risk of intervention-generated health inequalities that were suggested by this study. Better understanding is needed about the impact of household food insecurity on existing ill health, wellbeing and health care use across the UK.

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Food Insecurity Is Associated With Poorer Mental Health and Sleep Outcomes in Young Adults

Cited by 146 publications

References 54 publications

Living in the midst of fear: Depressive symptomatology among US adults during the COVID‐19 pandemic

Living in the midst of fear: Depressive symptomatology among US adults during the COVID‐19 pandemic

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

A qualitative investigation of lived experiences of long-term health condition management with people who are food insecure

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