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http://dx.doi.org/10.4332/KJHPA.2022.32.2.216

Association of Mental Health and Health-Related Quality of Life with Household Food Insecurity Status among a Representative Korean Population  

Kim, Yu-Jin (Department of Medicine, Chungbuk National University College of Medicine)
Park, Jong Eun (Institute of Health & Science Convergence, Chungbuk National University)
Kim, So Young (Chungbuk National University College of Medicine)
Park, Jong-Hyock (Institute of Health & Science Convergence, Chungbuk National University)
Publication Information
Health Policy and Management / v.32, no.2, 2022 , pp. 216-227 More about this Journal
Abstract
Background: Food insecurity may contribute to mental health indicators such as stress, anxiety, or depression. We investigated whether food insecurity was associated with mental health indicators and health-related quality of life (HRQoL) in a representative sample of the Korean population. Methods: This study enrolled 12,987 adults without a history of medically serious disease from the 2012, 2013, and 2015 Korea National Health and Nutrition Examination Survey. Household food security status was categorized as "food security," "mild food insecurity," and "moderate/severe food insecurity." The association between mental health and HRQoL was evaluated using a multivariate logistic regression model with food security as the reference group. Results: The adjusted odds ratio of adverse mental health or low HRQoL increased significantly in mild or moderate/severe food insecurity compared to food security. In the moderate/severe food insecurity group, it was 1.98% (95% confidence interval [CI], 1.31-2.99) higher for perceived stress, 3.58% (95% CI, 2.44-5.26) higher for depression symptoms, 4.16% (95% CI, 2.68-6.45) higher for suicidal ideation, and 2.81% (95% CI, 1.91-4.15) higher for quality of life. Conclusion: Food insecurity was strongly associated with negative mental health status and poor HRQoL. There is a need for a dietary support program that provides psychosocial support to those experiencing food insecurity.
Keywords
Household Food Security Survey Module; Food insecurity; Mental health; Quality of life; Korea;
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1 Davison KM, Marshall-Fabien GL, Tecson A. Association of moderate and severe food insecurity with suicidal ideation in adults: national survey data from three Canadian provinces. Soc Psychiatry Psychiatr Epidemiol 2015;50(6):963-972. DOI: https://doi.org/10.1007 /s00127-015-1018-1.   DOI
2 Kim K, Hong SA, Kwon SO, Choi BY, Kim GY, Oh SY. Validation of food security measures for the Korean National Health and Nutrition Examination Survey. Korean J Community Nutr 2011; 16(6):771-781. DOI: https://doi.org/10.5720/kjcn.2011.16.6.771.   DOI
3 Cheung K, Oemar M, Oppe M, Rabin R. EQ-5D user guide: basic information on how to use EQ-5D version 2.0. Rotterdam: EuroQoL Group; 2009.
4 Kim KN, Jee YJ. Food safety, depression and quality of life in elderly Koreans. Asia Pac J Multimed Serv Converg Art Humanit Sociol 2017;7(7):575-582. DOI: https://doi.org/10.35873/ajmahs.2017.7.7.054.   DOI
5 Kim K, Kim MK. Development and validation of food security measure. Korean J Nutr 2009;42(4):374-385. DOI: https://doi.org/10.4163/kjn.2009.42.4.374.   DOI
6 Choi ES, Lyu J, Kim HY. Association between oral health status and health related quality of life (EuroQoL-5 Dimension). J Dent Hyg Sci 2015;15(4):480-487. DOI: https://doi.org/10.17135/jdhs.2015.15.4.480.   DOI
7 Burris M, Kihlstrom L, Arce KS, Prendergast K, Dobbins J, McGrath E, et al. Food insecurity, loneliness, and social support among older adults. J Hunger Environ Nutr 2021;16(1):29-44. DOI: https://doi.org/10.1080/19320248.2019.1595253.   DOI
8 Chung HK, Kim OY, Kwak SY, Cho Y, Lee KW, Shin MJ. Household food insecurity is associated with adverse mental health indicators and lower quality of life among Koreans: results from the Korea National Health and Nutrition Examination Survey 2012- 2013. Nutrients 2016;8(12):819. DOI: https://doi.org/10.3390/nu8120819.   DOI
9 Li Y, Lv MR, Wei YJ, Sun L, Zhang JX, Zhang HG, et al. Dietary patterns and depression risk: a meta-analysis. Psychiatry Res 2017;253: 373-382. DOI: https://doi.org/10.1016/j.psychres.2017.04.020.   DOI
10 Davison KM, Kaplan BJ. Food insecurity in adults with mood disorders: prevalence estimates and associations with nutritional and psychological health. Ann Gen Psychiatry 2015;14:21. DOI: https://doi.org/10.1186/s12991-015-0059-x.   DOI
11 Garg A, Toy S, Tripodis Y, Cook J, Cordella N. Influence of maternal depression on household food insecurity for low-income families. Acad Pediatr 2015;15(3):305-310. DOI: https://doi.org/10.1016/j.acap.2014.10.002.   DOI
12 Park SH, Park BJ, Jung DH, Kwon YJ. Association between household food insecurity and asthma in Korean adults. Int J Environ Res Public Health 2019;16(12):2115. DOI: https://doi.org/10.3390/ijerph16122115.   DOI
13 Food and Agriculture Organization of the United Nations. The state of food insecurity in the world 2001. Rome: Food and Agriculture Organization of the United Nations; 2001.
14 Choi SK, Kim SA, Lee J. Exploring impacts of food insecurity on health and strategies to manage adverse health outcomes among food insecure populations [Internet]. Sejong: Korea Institute for Health and Social Affairs; 2019 [cited 2020 Sep 15]. Available from: https://www.kihasa.re.kr/publish/report/view?type=research&seq=27963.
15 Yun SH, Lee JH, Oh KW. Dietary and nutritional status of Koreans. Cheongju: Korea Disease Control and Prevention Agency; 2021.
16 Food and Agriculture Organization of the United Nations; International Fund for Agricultural Development; United Nations Children's Fund; World Food Programme; World Health Organization. The state of food security and nutrition in the world 2021: transforming food systems for food security, improved nutrition and affordable healthy diets for all. Rome: Food and Agriculture Organization of the United Nations; 2021.
17 Pollard CM, Booth S. Food insecurity and hunger in rich countries: it is time for action against inequality. Int J Environ Res Public Health 2019;16(10):1804. DOI: https://doi.org/10.3390/ijerph16101804.   DOI
18 Choi SK, Fram MS, Frongillo EA. Very low food security in US households is predicted by complex patterns of health, economics, and service participation. J Nutr 2017;147(10):1992-2000. DOI: https://doi.org/10.3945/jn.117.253179.   DOI
19 Kim JE, Tsoh JY. Cigarette smoking among socioeconomically disadvantaged young adults in association with food insecurity and other factors. Prev Chronic Dis 2016;13:E08. DOI: https://doi.org/10.5888/pcd13.150458.   DOI
20 Leung CW, Epel ES, Willett WC, Rimm EB, Laraia BA. Household food insecurity is positively associated with depression among low-income supplemental nutrition assistance program participants and income-eligible nonparticipants. J Nutr 2015;145(3): 622-627. DOI: https://doi.org/10.3945/jn.114.199414.   DOI
21 Ziliak JP, Gundersen C. The health consequences of senior hunger in the United States: evidence from the 1999-2016 NHANES. Chicago (IL): Feeding America; 2021.
22 Coffino JA, Spoor SP, Drach RD, Hormes JM. Food insecurity among graduate students: prevalence and association with depression, anxiety and stress. Public Health Nutr 2021;24(7):1889-1894. DOI: https://doi.org/10.1017/S1368980020002001.   DOI
23 Berkowitz SA, Seligman HK, Meigs JB, Basu S. Food insecurity, healthcare utilization, and high cost: a longitudinal cohort study. Am J Manag Care 2018;24:399-404.
24 Nagata JM, Palar K, Gooding HC, Garber AK, Bibbins-Domingo K, Weiser SD. Food insecurity and chronic disease in US young adults: findings from the National Longitudinal Study of Adolescent to Adult Health. J Gen Intern Med 2019;34(12):2756-2762. DOI: https://doi.org/10.1007/s11606-019-05317-8.   DOI
25 Gany F, Leng J, Ramirez J, Phillips S, Aragones A, Roberts N, et al. Health-related quality of life of food-insecure ethnic minority patients with cancer. J Oncol Pract 2015;11(5):396-402. DOI: https://doi.org/10.1200/JOP.2015.003962.   DOI
26 Hanmer J, DeWalt DA, Berkowitz SA. Association between food insecurity and health-related quality of life: a nationally representative survey. J Gen Intern Med 2021;36(6):1638-1647. DOI: https://doi.org/10.1007/s11606-020-06492-9.   DOI
27 Jones AD. Food insecurity and mental health status: a global analysis of 149 countries. Am J Prev Med 2017;53(2):264-273. DOI: https://doi.org/10.1016/j.amepre.2017.04.008.   DOI
28 Nanama S, Frongillo EA. Altered social cohesion and adverse psychological experiences with chronic food insecurity in the non-market economy and complex households of Burkina Faso. Soc Sci Med 2012;74(3):444-451. DOI: https://doi.org/10.1016/j.socscimed.2011.11.009.   DOI
29 Kim HJ, Oh K. Household food insecurity and dietary intake in Korea: results from the 2012 Korea National Health and Nutrition Examination Survey. Public Health Nutr 2015;18(18):3317-3325. DOI: https://doi.org/10.1017/S1368980015000725.   DOI
30 Golovaty I, Tien PC, Price JC, Sheira L, Seligman H, Weiser SD. Food insecurity may be an independent risk factor associated with nonalcoholic fatty liver disease among low-income adults in the United States. J Nutr 2020;150:91-98. DOI: https://doi.org/10.1093/jn/nxz212.   DOI
31 Gundersen C, Ziliak JP. Food insecurity and health outcomes. Health Aff (Millwood) 2015;34(11):1830-1839. DOI: https://doi.org/10.1377/hlthaff.2015.0645.   DOI
32 Lee S, Lee KW, Oh JE, Cho MS. Nutritional and health consequences are associated with food insecurity among Korean elderly: based on the fifth (2010) Korea National Health and Nutrition Examination Survey (KNHANES V-1). J Nutr Health 2015;48(6):519-529. DOI: https://doi.org/10.4163/jnh.2015.48.6.519.   DOI