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26-02-2022 | COVID-19 | Sports Nutrition (L Cialdella Kam, Section Editor)

Prevalence of Food Insecurity in the General College Population and Student-Athletes: a Review of the Literature

Authors: Elizabeth L. Abbey, Melissa Brown, Christine Karpinski

Published in: Current Nutrition Reports | Issue 2/2022

Abstract

Purpose of Review

The purpose of this review is to examine the prevalence of food insecurity (FI) among the general college student population with a focus on student-athletes and the impact of the COVID-19 pandemic on FI in these groups.

Recent Findings

FI is estimated to be more prevalent in college students than in the general population, although ranges vary widely. Less is known about FI among college student-athletes. Data on changes in FI prevalence pre-pandemic and during is mixed.

Summary

Colleges and universities should invest in interventions to address FI on their campuses, and further research on FI among student-athletes and the impact of the COVID-19 pandemic on FI is needed.

US Department of Agriculture Economic Research Service. Definition of Food Security. 2021. https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/definitions-of-food-security.aspx. Accessed 10 Nov 2021.

US Department of Agriculture Economic Research Service. Key Statistics and Graphics. 2021. https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-u-s/key-statistics-graphics/. Accessed 10 Nov 2021.

Niles MT, Bertmann F, Belarmino EH, Wentworth T, Biehl E, Neff R. The early food insecurity impacts of COVID-19. Nutrients. 2020;12(7):2096.CrossRefPubMedCentral

Nikolaus CJ, An R, Ellison B, Nickols-Richardson SM. Food insecurity among college students in the United States: a scoping review. Adv Nutr. 2020;11(2):327–48.CrossRefPubMed

Goldrick-Rab S, Richardson B, Baker-Smith C. Hungry to win: a first look at food and housing insecurity among student-athletes. 2020. https://hope4college.com/hungry-to-win-a-first-look-at-food-and-housing-insecurity-among-student-athletes/. Accessed 10 Nov 2021.

Adamovic E, Newton P, House V. Food insecurity on a college campus: prevalence determinants and solutions. J Am Coll Health. 2020.

Ames AJ, Barnett TM. Psychometric validation of the 10-item USDA food security scale for use with college students. J Appl Meas. 2019;20(3):228–42.PubMed

Barry MR, Sonneville KR, Leung CW. Students with food insecurity are more likely to screen positive for an eating disorder at a large public university in the Midwest. J Acad Nutr Diet. 2021;121(6):1115–24.CrossRefPubMed

Becerra MB, Becerra BJ. Psychological distress among college students: role of food insecurity and other social determinants of mental health. Int J Environ Res Public Health. 2020;17(11):4118.CrossRefPubMedCentral

10.

•• Brown M, Abbey E, McKenzie M, Karpinski C. Prevalence of food insecurity in NCAA Division III collegiate athletes. J Am Coll Health. In Press; Manuscript ID JACH-2020–08–0516.R1. Brown et al. are the first to assess the prevalence of FI in the NCAA Division III student-athlete population. This is a sample population from 19 different sports at universities across the USA and queried participants about FS in the context of athletics.

11.

Bruening M, Brennhofer S, van Woerden I, Todd M, Laska M. Factors related to the high rates of food insecurity among diverse, urban college freshmen. J Acad Nutr Diet. 2016;116(9):1450–7.CrossRefPubMedPubMedCentral

12.

Bruening M, van Woerden I, Todd M, Laska MN. Hungry to learn: the prevalence and effects of food insecurity on health behaviors and outcomes over time among a diverse sample of university freshmen. Int J Behav Nutr Phys Act. 2018;15(1):9.CrossRefPubMedPubMedCentral

13.

Christensen KA, Forbush KT, Richson BN, Thomeczek ML, Perko VL, Bjorlie K, et al. Food insecurity associated with elevated eating disorder symptoms, impairment, and eating disorder diagnoses in an American University student sample before and during the beginning of the COVID-19 pandemic. Int J Eat Disord. 2021;54(7):1213–23.CrossRefPubMed

14.

Cockerham M, Camel S, James L, Neill D. Food insecurity in baccalaureate nursing students: a cross-sectional survey. J Prof Nurs. 2021;37(2):249–54.CrossRefPubMed

15.

Cuy Castellanos D, Holcomb J. Food insecurity financial priority and nutrition literacy of university students at a mid-size private university. J Am Coll Health. 2020;68(1):16–20.CrossRefPubMed

16.

Davitt ED, Heer MM, Winham DM, Knoblauch ST, Shelley MC. Effects of COVID-19 on university student food security. Nutrients. 2021;13(6):1932.CrossRefPubMedPubMedCentral

17.

Duke NN, Campbell SD, Sauls DL, Stout R, Story MT, Austin T, et al. Prevalence of food insecurity among students attending four historically Black colleges and universities. J Am Coll Health. 2021.

18.

• El Zein A, Colby SE, Zhou W, Shelnutt KP, Greene GW, Horacek TM, et al. Food insecurity is associated with increased risk of obesity in US college students. Curr Dev Nutr. 2020;4(8):nzaa120. This study had a relatively large sample of students from 8 universities in the USA; a majority of subjects were non-Hispanic white. An online survey included a validated measure of FI as well as in-person anthropometric measures to determine associations between FI and body composition.

19.

El Zein A, Mathews AE, House L, Shelnutt KP. Why are hungry college students not seeking help? Predictors of and barriers to using an on-campus food pantry. Nutrients. 2018;10(9):1163.CrossRefPubMedCentral

20.

• El Zein A, Shelnutt KP, Colby S, Vilaro MJ, Zhou W, Greene G, et al. Prevalence and correlates of food insecurity among U.S. college students: a multi-institutional study. BMC Public Health. 2019;19(1):660. This study had a relatively large sample of students from 8 universities in the USA, specifically targeting first-year college students. A comprehensive online survey included a validated measure of FI as well as other measures to determine associations between FI and sleep quality, perceived stress, disordered eating behaviors, and food assistance awareness.

21.

• Hagedorn RL, McArthur LH, Hood LB, Berner M, Anderson Steeves ET, Connell CL, et al. Expenditure, coping, and academic behaviors among food-insecure college students at 10 higher education institutes in the Appalachian and southeastern regions. Curr Dev Nutr. 2019;3(6):nzz058. This study had a large sample of students from 10 public universities in the USA. A comprehensive online survey included a validated measure of FI as well as other measures to determine associations between FI and finances, academics, coping strategies, and health characteristics.

22.

• Hagedorn RL, Olfert MD, MacNell L, Houghtaling B, Hood LB, Savoie Roskos MR, et al. College student sleep quality and mental and physical health are associated with food insecurity in a multi-campus study. Public Health Nutr. 2021;24(13):4305–12. This study had the largest sample of subjects of any reviewed article with participants from 22 universities in the USA. It also had the most extensive online survey of any reviewed research that included a validated measure of FI as well as assessments of sleep quality, mental health, and physical health to determine associations between these metrics and FI.

23.

Keogh B, Kushalnagar P, Engelman A. Peer support and food security in deaf college students. J Am Coll Health. 2020;68(1):1–5.CrossRefPubMed

24.

Knol LL, Robb CA, McKinley EM, Wood M. Very low food security status is related to lower cooking self-efficacy and less frequent food preparation behaviors among college students. J Nutr Educ Behav. 2019;51(3):357–63.CrossRefPubMed

25.

Laska MN, Lenk K, Lust K, McGuire CM, Porta CM, Stebleton M. Sociodemographic and health disparities among students screening positive for food insecurity: findings from a large college health surveillance system. Prev Med Rep. 2021;21:101297.

26.

Leung CW, Farooqui S, Wolfson JA, Cohen AJ. Understanding the cumulative burden of basic needs insecurities: associations with health and academic achievement among college students. Am J Health Promot. 2021;35(2):275–8.CrossRefPubMed

27.

Leung CW, Wolfson JA, Lahne J, Barry MR, Kasper N, Cohen AJ. Associations between food security status and diet-related outcomes among students at a arge, public Midwestern university. J Acad Nutr Diet. 2019;119(10):1623–31.CrossRefPubMedPubMedCentral

28.

Marshall TA, Zheng R, Anderson CL, Handoo N, Qian F. Is food insecurity a barrier to dental student success? J Dent Educ. 2021.

29.

• Martinez SM, Grandner MA, Nazmi A, Canedo ER, Ritchie LD. Pathways from food insecurity to health outcomes among California university students. Nutrients. 2019;11(6):1419. Martinez et al. reported on the prevalence of FI in a large sample of students (predominantly non-white) from 10 University of California campuses. They also exampled the relationship between FI and health-related habits/outcomes (e.g., sleep, physical activity, fruit and vegetable intake, and BMI).

30.

McArthur LH, Ball L, Danek AC, Holbert D. A high prevalence of food insecurity among university students in Appalachia reflects a need for educational interventions and policy advocacy. J Nutr Educ Behav. 2018;50(6):564–72.CrossRefPubMed

31.

McArthur LH, Fasczewski KS, Wartinger E, Miller J. Freshmen at a university in Appalachia experience a higher rate of campus than family food insecurity. J Community Health. 2018;43(5):969–76.CrossRefPubMed

32.

Mei J, Fulay AP, Wolfson JA, Leung CW. Food insecurity and dietary intake among college students with unlimited meal plans at a large Midwestern university. J Acad Nutr Diet. 2021.

33.

Mialki K, House LA, Mathews AE, Shelnutt KP. COVID-19 and college students: food security status before and after the onset of a pandemic. Nutrients. 2021;13(2):628.CrossRefPubMedPubMedCentral

34.

Mirabitur E, Peterson KE, Rathz C, Matlen S, Kasper N. Predictors of college-student food security and fruit and vegetable intake differ by housing type. J Am Coll Health. 2016;64(7):555–64.CrossRefPubMed

35.

Morris LM, Smith S, Davis J, Null DB. The prevalence of food security and insecurity among Illinois university students. J Nutr Educ Behav. 2016;48(6):376–82.CrossRefPubMed

36.

Owens MR, Brito-Silva F, Kirkland T, Moore CE, Davis KE, Patterson MA, et al. Prevalence and social determinants of food insecurity among college students during the COVID-19 pandemic. Nutrients. 2020;12(9):2515.CrossRefPubMedCentral

37.

Payne-Sturges DC, Tjaden A, Caldeira KM, Vincent KB, Arria AM. Student hunger on campus: food insecurity among college students and implications for academic institutions. Am J Health Promot. 2018;32(2):349–54.CrossRefPubMed

38.

•• Poll KL, Holben DH, Valliant M, Joung HD. Food insecurity is associated with disordered eating behaviors in NCAA division 1 male collegiate athletes. J Am Coll Health. 2020;68(2):105–9. This is the first published research on the topic of FI prevalence in any collegiate population in the USA. The researchers used a validated survey and compared FI from high school to college.

39.

Raskind IG, Haardörfer R, Berg CJ. Food insecurity, psychosocial health and academic performance among college and university students in Georgia USA. Public Health Nutr. 2019;22(3):476–85.CrossRefPubMedPubMedCentral

40.

Reeder N, Tapanee P, Persell A, Tolar-Peterson T. Food insecurity, depression, and race: correlations observed among college students at a university in the Southeastern United States. Int J Environ Res Public Health. 2020;17(21):8268.CrossRefPubMedCentral

41.

Sackey JD, Pike K, Rothpletz-Puglia P, Brody R, Touger-Decker R. Food insecurity among health sciences graduate students at a large northeastern university. J Nutr Educ Behav. 2021;53(5):428–33.CrossRefPubMed

42.

Smith EA, Story CR, Hobbs KC, Bos T, Thareja G. Food insecurity, carotenoid values and coping strategies of students on a mid-sized college campus. Am J Health Stud. 2020;35(3):209–18. https://doi.org/10.47779/ajhs.2020.240.CrossRef

43.

Soldavini J, Berner M. The importance of precision: differences in characteristics associated with levels of food security among college students. Public Health Nutr. 2020;23(9):1473–83.CrossRefPubMed

44.

Soldavini J, Andrew H, Berner M. Characteristics associated with changes in food security status among college students during the COVID-19 pandemic. Transl Behav Med. 2021;11(2):295–304.CrossRefPubMed

45.

Soldavini J, Berner M, Da Silva J. Rates of and characteristics associated with food insecurity differ among undergraduate and graduate students at a large public university in the Southeast United States. Prev Med Rep. 2019;14:100836.

46.

Spaid R, Gillett-Karam R. Food for thought: food insecurity in women attending community colleges. Forum Public Policy. 2018.

47.

Umeda M, Ullevig SL, Chung E, Kim Y, Escobedo TJ, Zeitz CJ. Depression mediates the relationship between food insecurity and pain interference in college students. Int J Environ Res Public Health. 2020;18(1):78.CrossRefPubMedCentral

48.

van Woerden I, Hruschka D, Vega-Lόpez S, Schaefer DR, Adams M, Bruening M. Food insecure college students and objective measurements of their unused meal plans. Nutrients. 2019;11(4):904.CrossRefPubMedCentral

49.

Wattick RA, Hagedorn RL, Olfert MD. Relationship between diet and mental health in a young adult Appalachian college population. Nutrients. 2018;10(8):957.CrossRefPubMedCentral

50.

Weaver RR, Vaughn NA, Hendricks SP, McPherson-Myers PE, Jia Q, Willis SL, et al. University student food insecurity and academic performance. J Am Coll Health. 2020;68(7):727–33.CrossRefPubMed

51.

Willis DE. Feeding inequality: food insecurity social status and college student health. Sociol Health Illn. 2021;43(1):220–37.CrossRefPubMed

52.

Wooten R, Spence M, Colby S, Anderson SE. Assessing food insecurity prevalence and associated factors among college students enrolled in a university in the Southeast USA. Public Health Nutr. 2018;22(3):383–90.CrossRefPubMed

53.

US Department of Agriculture Economic Research Service. Food Security in the US: Survey Tools. 2021. https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/survey-tools/. Accessed 10 Nov 2021.

54.

Institute for Women’s Policy Research. Parents in College by the Numbers. 2019. https://iwpr.org/iwpr-issues/student-parent-success-initiative/parents-in-college-by-the-numbers/ERS. Accessed 10 Nov 2021.

55.

National Student Clearinghouse Research Center. Overview: Spring 2021 Enrollment Estimates. 2021. https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/key-statistics-graphics.aspx. Accessed 10 Nov 2021.

56.

Soria K, Horgos B, Chirikov I, Jones-White D. 2020. First-generation students’ experiences during the COVID-19 pandemic. https://docs.google.com/document/d/1bvQcPTRIjczu_dHWCyw25AP2_VUcD9uGJ9qL30VnrFY/edit#heading=h.nwaknanyns7x. Accessed 10 Nov 2021.

57.

Burrows TL, Whatnall MC, Patterson AJ, Hutchesson MJ. Associations between dietary intake and academic achievement in college students: a systematic review. Healthcare. 2017;5(4):60.CrossRefPubMedCentral

58.

Taylor MK, Sullivan DK, Ellerbeck EF, Gajewski BJ, Gibbs HD. Nutrition literacy predicts adherence to healthy/unhealthy diet patterns in adults with a nutrition-related chronic condition. Public Health Nutr. 2019;22(12):2157–69. https://doi.org/10.1017/S1368980019001289.CrossRefPubMedPubMedCentral

59.

Anziano J. Food insecurity among college athletes at a public university in New England. New Haven: Southern Connecticut State University; 2020.

60.

Misener P. Food insecurity and college athletes: a study on food Insecurity/Hunger among division III athletes. Binghamton: State University of New York; 2020.

Title: Prevalence of Food Insecurity in the General College Population and Student-Athletes: a Review of the Literature
Authors: Elizabeth L. Abbey
Melissa Brown
Christine Karpinski
Publication date: 26-02-2022
Publisher: Springer US
Keyword: COVID-19
Published in: Current Nutrition Reports / Issue 2/2022
Electronic ISSN: 2161-3311
DOI: https://doi.org/10.1007/s13668-022-00394-4

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Abstract

Purpose of Review

Recent Findings

Summary

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