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International Journal of Public Health

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01-07-2019 | Original article

Household food insecurity and socio-demographic determinants in young adults: findings from a Portuguese population-based sample

Authors: Isabel Maia, Teresa Monjardino, Raquel Lucas, Elisabete Ramos, Ana Cristina Santos

Published in: International Journal of Public Health | Issue 6/2019

Abstract

Objectives

This study evaluated the prevalence and the socio-demographic determinants of food insecurity among young adults at a time of economic crisis recovery.

Methods

A cross-sectional study including 954 young adults (26 years old) from the EPITeen cohort (Porto, Portugal) was conducted. Food security status was evaluated using the US Household Food Security Survey Module: Six-Item Short Form. Associations between socio-demographic characteristics (sex, education, occupation, household size and structure and household income perception) and food insecurity were estimated using logistic regression.

Results

At a time of economic crisis recovery, 11.0% of young adults experienced food insecurity. A higher odds of belonging to a food insecure household was observed in participants reporting an insufficient household income (OR = 23.3; 95% CI 11.3–47.8), those with less education (OR = 1.7; 95% CI 1.0–2.8), lower white-collar workers (OR = 2.3; 95% CI 1.2–4.2) and those living within a nuclear family including a partner and/or children (OR = 2.0; 95% CI 1.1–3.7).

Conclusions

Our findings support the need for interventions targeting those from lower income, from nuclear families of young adults with a partner and/or descendants, less educated and with non-manual unskilled occupations, to reduce food insecurity, particularly in economic vulnerable settings.

Alvares L, Amaral TF (2014) Food insecurity and associated factors in the Portuguese population. Food Nutr Bull 35:395–402. https://doi.org/10.1177/156482651403500401 CrossRefPubMed

Anderson SA (1990) Core indicators of nutritional state for difficult-to-sample populations. J Nutr 120:1555–1600. https://doi.org/10.1093/jn/120.suppl_11.1555 CrossRef

Baer TE, Scherer EA, Fleegler EW, Hassan A (2015) Food insecurity and the burden of health-related social problems in an urban youth population. J Adolesc Health 57:601–607. https://doi.org/10.1016/j.jadohealth.2015.08.013 CrossRefPubMed

Balistreri KS (2018) Family structure and child food insecurity: evidence from the current population survey. Soc Indic Res 138:1171–1185. https://doi.org/10.1007/s11205-017-1700-7 CrossRefPubMed

Bannink R, Pearce A, Hope S (2016) Family income and young adolescents’ perceived social position: associations with self-esteem and life satisfaction in the UK Millennium Cohort Study. Arch Dis Child 101:917–921. https://doi.org/10.1136/archdischild-2015-309651 CrossRefPubMedPubMedCentral

Benson JE, Elder GH (2011) Young adult identities and their pathways: a developmental and life course model. Dev Psychol 47:1646–1657. https://doi.org/10.1037/a0023833 CrossRefPubMedPubMedCentral

Blumberg SJ, Bialostosky K, Hamilton WL, Briefel RR (1999) The effectiveness of a short form of the household food security scale. Am J Public Health 89:1231–1234CrossRefPubMedPubMedCentral

Carter KN, Lanumata T, Kruse K, Gorton D (2010) What are the determinants of food insecurity in New Zealand and does this differ for males and females? Aust N Z J Public Health 34:602–608. https://doi.org/10.1111/j.1753-6405.2010.00615.x CrossRefPubMed

Carter MA, Dubois L, Tremblay MS, Taljaard M (2012) Local social environmental factors are associated with household food insecurity in a longitudinal study of children. BMC Public Health 12:1038. https://doi.org/10.1186/1471-2458-12-1038 CrossRefPubMedPubMedCentral

Chun IA, Ryu SY, Park J, Ro HK, Han MA (2015) Associations between food insecurity and healthy behaviors among Korean adults. Nutr Res Pract 9:425–432. https://doi.org/10.4162/nrp.2015.9.4.425 CrossRefPubMedPubMedCentral

Dalglish SL, Melchior M, Younes N, Surkan PJ (2015) Work characteristics and suicidal ideation in young adults in France. Soc Psychiatry Psychiatr Epidemiol 50:613–620. https://doi.org/10.1007/s00127-014-0969-y CrossRefPubMed

Fiori F, Rinesi F, Spizzichino D, Di Giorgio G (2016) Employment insecurity and mental health during the economic recession: an analysis of the young adult labour force in Italy. Soc Sci Med 153:90–98. https://doi.org/10.1016/j.socscimed.2016.02.010 CrossRefPubMed

Franklin B, Jones A, Love D, Puckett S, Macklin J, White-Means S (2012) Exploring mediators of food insecurity and obesity: a review of recent literature. J Community Health 37:253–264. https://doi.org/10.1007/s10900-011-9420-4 CrossRefPubMedPubMedCentral

Gooding HC, Walls CE, Richmond TK (2012) Food insecurity and increased BMI in young adult women. Obesity 20:1896–1901. https://doi.org/10.1038/oby.2011.233 CrossRefPubMed

Gregório MJ, Graça P, Nogueira PJ (2014) Household food insecurity determinants in Portugal—results from INFOFAMÍLIA National Survey (2011–2013). In: Gregório MJ (ed) Social inequalities in the access to a healthy diet: a study in the Portuguese population. PhD thesis. Faculty of Nutrition and Food Science of the University of Porto, Porto

Gregório MJ, Rodrigues AM, Graça P, de Sousa RD, Dias SS, Branco JC, Canhão H (2018) Food insecurity is associated with low adherence to the Mediterranean diet and adverse health conditions in Portuguese adults. Front Public Health 6:38. https://doi.org/10.3389/fpubh.2018.00038 CrossRefPubMedPubMedCentral

Gundersen C (2013) Food insecurity is an ongoing national concern. Adv Nutr 4:36–41. https://doi.org/10.3945/an.112.003244 CrossRefPubMedPubMedCentral

Hamilton WL, Cook JT, Thompson WW, Buron LF, Frongillo EA Jr, Olson CM, Wehler CA (1997) Household food security in the United States in 1995. Technical report of the food security measurement project. United States Department of Agriculture

Instituto Nacional de Estatística (2011) Classificação Portuguesa das Profissões 2010, Lisboa

Keller TE, Cusick GR, Courtney ME (2007) Approaching the transition to adulthood: distinctive profiles of adolescents aging out of the child welfare system. Soc Serv Rev 81:453–484. https://doi.org/10.1086/519536 CrossRefPubMedPubMedCentral

Krahn HJ, Howard AL, Galambos NL (2012) Exploring or floundering? The meaning of employment and educational fluctuations in emerging adulthood. Youth Soc 47:245–266. https://doi.org/10.1177/0044118X12459061 CrossRef

Leung CW, Epel ES, Ritchie LD, Crawford PB, Laraia BA (2014) Food insecurity is inversely associated with diet quality of lower-income adults. J Acad Nutr Diet 114:1943–53.e2. https://doi.org/10.1016/j.jand.2014.06.353 CrossRefPubMed

Lund TB, Holm L, Tetens I, Smed S, Nielsen AL (2018) Food insecurity in Denmark-socio-demographic determinants and associations with eating- and health-related variables. Eur J Public Health 28:283–288. https://doi.org/10.1093/eurpub/ckx121 CrossRefPubMed

Maneesriwongul W, Dixon JK (2004) Instrument translation process: a methods review. J Adv Nurs 48:175–186. https://doi.org/10.1111/j.1365-2648.2004.03185.x CrossRefPubMed

Markwick A, Ansari Z, Sullivan M, McNeil J (2014) Social determinants and lifestyle risk factors only partially explain the higher prevalence of food insecurity among Aboriginal and Torres Strait Islanders in the Australian state of Victoria: a cross-sectional study. BMC Public Health 14:598. https://doi.org/10.1186/1471-2458-14-598 CrossRefPubMedPubMedCentral

Martin-Fernandez J, Grillo F, Parizot I, Caillavet F, Chauvin P (2013) Prevalence and socioeconomic and geographical inequalities of household food insecurity in the Paris region, France, 2010. BMC Public Health 13:486. https://doi.org/10.1186/1471-2458-13-486 CrossRefPubMedPubMedCentral

Nur Atiqah A, Norazmir MN, Khairil Anuar MI, Mohd Fahmi M, Norazlanshah H (2015) Food security status: it’s association with inflammatory marker and lipid profile among young adult. Int Food Res J 22:1855–1863

Pan L, Sherry B, Njai R, Blanck HM (2012) Food insecurity is associated with obesity among US adults in 12 states. J Acad Nutr Diet 112:1403–1409. https://doi.org/10.1016/j.jand.2012.06.011 CrossRefPubMedPubMedCentral

Patton-Lopez MM, Lopez-Cevallos DF, Cancel-Tirado DI, Vazquez L (2014) Prevalence and correlates of food insecurity among students attending a midsize rural university in Oregon. J Nutr Educ Behav 46:209–214. https://doi.org/10.1016/j.jneb.2013.10.007 CrossRefPubMed

Pérez-Escamilla R, Villalpando S, Shamah-Levy T, Méndez-Gómez Humarán I (2014) Household food insecurity, diabetes and hypertension among Mexican adults: results from Ensanut 2012. Salud Publica Mex 56:s62–s70CrossRefPubMed

PORDATA (2018) Taxa de desemprego: total e por sexo (%). https://www.pordata.pt/Portugal/Taxa+de+desemprego+total+e+por+sexo+(percentagem)-550. Accessed 11 Oct 2018

Pryor L, Lioret S, van der Waerden J, Fombonne E, Falissard B, Melchior M (2016) Food insecurity and mental health problems among a community sample of young adults. Soc Psychiatry Psychiatr Epidemiol 51:1073–1081. https://doi.org/10.1007/s00127-016-1249-9 CrossRefPubMed

Ramos E, Barros H (2007) Family and school determinants of overweight in 13-year-old Portuguese adolescents. Acta Paediatr 96:281–286. https://doi.org/10.1111/j.1651-2227.2007.00107.x CrossRefPubMed

Seligman HK, Bindman AB, Vittinghoff E, Kanaya AM, Kushel MB (2007) Food insecurity is associated with diabetes mellitus: results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999–2002. J Gen Intern Med 22:1018–1023. https://doi.org/10.1007/s11606-007-0192-6 CrossRefPubMedPubMedCentral

Stroud C, Walker LR, Davis M, Irwin CE Jr (2015) Investing in the health and well-being of young adults. J Adolesc Health 56:127–129. https://doi.org/10.1016/j.jadohealth.2014.11.012 CrossRefPubMed

Terwee CB, Bot SDM, de Boer MR, van der Windt DAWM, Knol DL, Dekker J, Bouter LM, de Vet HCW (2007) Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 60:34–42. https://doi.org/10.1016/j.jclinepi.2006.03.012 CrossRefPubMed

United States Department of Agriculture (2012) US Household food security survey module: six-item short form. US Department of Agriculture, Economic Research Service. https://www.ers.usda.gov/media/8282/short2012.pdf

Xiao JJ, Chatterjee S, Kim J (2014) Factors associated with financial independence of young adults. Int J Consum Stud 38:394–403. https://doi.org/10.1111/ijcs.12106 CrossRef

Title: Household food insecurity and socio-demographic determinants in young adults: findings from a Portuguese population-based sample
Authors: Isabel Maia
Teresa Monjardino
Raquel Lucas
Elisabete Ramos
Ana Cristina Santos
Publication date: 01-07-2019
Publisher: Springer International Publishing
Published in: International Journal of Public Health / Issue 6/2019
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-019-01243-y

ACC 2024 Congress

Springer Medicine

Household food insecurity and socio-demographic determinants in young adults: findings from a Portuguese population-based sample

Abstract

Objectives

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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