Food insecurity and its associations with bulimic-spectrum eating disorders, mood disorders, and anxiety disorders in a nationally representative sample of U.S. adults
Purpose To examine cross-sectional associations between food insecurity and 12-month eating disorders, mood disorders, and anxiety disorders among U.S. adults. Methods This study used data collected between 2001 and 2003 from 2914 participants in the National Comorbidity Survey-Replication, a nation...
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| Veröffentlicht in: | Social Psychiatry and Psychiatric Epidemiology 2022-07, Vol.57 (7), p.1483-1490 |
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| creator | Hazzard, Vivienne M. Barry, Mikayla R. Leung, Cindy W. Sonneville, Kendrin R. Wonderlich, Stephen A. Crosby, Ross D. |
| description | Purpose
To examine cross-sectional associations between food insecurity and 12-month eating disorders, mood disorders, and anxiety disorders among U.S. adults.
Methods
This study used data collected between 2001 and 2003 from 2914 participants in the National Comorbidity Survey-Replication, a nationally representative sample of U.S. adults (mean age = 44.9 years; 53.4% female). Twelve-month food insecurity was assessed with a modified version of the Short Form U.S. Household Food Security Scale. Twelve-month DSM-IV diagnoses of mental disorders were based on the World Health Organization Composite International Diagnostic Interview. Modified Poisson regression models were conducted, adjusting for age, sex, race/ethnicity, education, and income-to-poverty ratio.
Results
Food insecurity was experienced by 11.1% of participants. Food insecurity was associated with greater prevalence of bulimic-spectrum eating disorders (prevalence ratio [PR] = 3.81; 95% confidence interval [CI] 2.26–6.42), mood disorders (PR = 2.53; 95% CI 1.96–3.29), and anxiety disorders (PR = 1.69; 95% CI 1.39–2.07).
Conclusion
Results indicate that food insecurity is associated with a range of internalizing mental disorders, though these findings should be confirmed with contemporary data to reflect DSM-5 diagnostic updates and the economic effects of the COVID-19 pandemic. Findings from this study emphasize the need to expand food insecurity interventions and improve access to mental health services for food-insecure populations. |
| doi_str_mv | 10.1007/s00127-021-02126-5 |
| format | Article |
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To examine cross-sectional associations between food insecurity and 12-month eating disorders, mood disorders, and anxiety disorders among U.S. adults.
Methods
This study used data collected between 2001 and 2003 from 2914 participants in the National Comorbidity Survey-Replication, a nationally representative sample of U.S. adults (mean age = 44.9 years; 53.4% female). Twelve-month food insecurity was assessed with a modified version of the Short Form U.S. Household Food Security Scale. Twelve-month DSM-IV diagnoses of mental disorders were based on the World Health Organization Composite International Diagnostic Interview. Modified Poisson regression models were conducted, adjusting for age, sex, race/ethnicity, education, and income-to-poverty ratio.
Results
Food insecurity was experienced by 11.1% of participants. Food insecurity was associated with greater prevalence of bulimic-spectrum eating disorders (prevalence ratio [PR] = 3.81; 95% confidence interval [CI] 2.26–6.42), mood disorders (PR = 2.53; 95% CI 1.96–3.29), and anxiety disorders (PR = 1.69; 95% CI 1.39–2.07).
Conclusion
Results indicate that food insecurity is associated with a range of internalizing mental disorders, though these findings should be confirmed with contemporary data to reflect DSM-5 diagnostic updates and the economic effects of the COVID-19 pandemic. Findings from this study emphasize the need to expand food insecurity interventions and improve access to mental health services for food-insecure populations.</description><identifier>ISSN: 0933-7954</identifier><identifier>EISSN: 1433-9285</identifier><identifier>DOI: 10.1007/s00127-021-02126-5</identifier><identifier>PMID: 34175963</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Adults ; Analysis ; Anxiety ; Anxiety disorders ; Anxiety Disorders - psychology ; Bulimia - epidemiology ; Comorbidity ; Confidence intervals ; COVID-19 ; Cross-Sectional Studies ; Diagnostic systems ; Eating disorders ; Economic impact ; Emotional disorders ; Epidemiology ; Feeding and Eating Disorders - epidemiology ; Female ; Food ; Food Insecurity ; Food security ; Food Supply ; Health care reform ; Health services ; Humans ; Male ; Medicine ; Medicine & Public Health ; Mental disorders ; Mental health ; Middle Aged ; Mood disorders ; Mood Disorders - epidemiology ; Original Paper ; Pandemics ; Psychiatric services ; Psychiatry ; Regression models ; Statistical analysis ; Surveys ; Type 2 diabetes</subject><ispartof>Social Psychiatry and Psychiatric Epidemiology, 2022-07, Vol.57 (7), p.1483-1490</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><rights>2021. Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>COPYRIGHT 2022 Springer</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c541t-6f2b594fc0bdc1341b3d22210166a593fb4852f75727a3565a78f53ca0d741983</citedby><cites>FETCH-LOGICAL-c541t-6f2b594fc0bdc1341b3d22210166a593fb4852f75727a3565a78f53ca0d741983</cites><orcidid>0000-0001-9131-1629 ; 0000-0001-6718-3487 ; 0000-0003-3933-1766 ; 0000-0003-3707-4823 ; 0000-0002-0359-3919</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00127-021-02126-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00127-021-02126-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34175963$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hazzard, Vivienne M.</creatorcontrib><creatorcontrib>Barry, Mikayla R.</creatorcontrib><creatorcontrib>Leung, Cindy W.</creatorcontrib><creatorcontrib>Sonneville, Kendrin R.</creatorcontrib><creatorcontrib>Wonderlich, Stephen A.</creatorcontrib><creatorcontrib>Crosby, Ross D.</creatorcontrib><title>Food insecurity and its associations with bulimic-spectrum eating disorders, mood disorders, and anxiety disorders in a nationally representative sample of U.S. adults</title><title>Social Psychiatry and Psychiatric Epidemiology</title><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><description>Purpose
To examine cross-sectional associations between food insecurity and 12-month eating disorders, mood disorders, and anxiety disorders among U.S. adults.
Methods
This study used data collected between 2001 and 2003 from 2914 participants in the National Comorbidity Survey-Replication, a nationally representative sample of U.S. adults (mean age = 44.9 years; 53.4% female). Twelve-month food insecurity was assessed with a modified version of the Short Form U.S. Household Food Security Scale. Twelve-month DSM-IV diagnoses of mental disorders were based on the World Health Organization Composite International Diagnostic Interview. Modified Poisson regression models were conducted, adjusting for age, sex, race/ethnicity, education, and income-to-poverty ratio.
Results
Food insecurity was experienced by 11.1% of participants. Food insecurity was associated with greater prevalence of bulimic-spectrum eating disorders (prevalence ratio [PR] = 3.81; 95% confidence interval [CI] 2.26–6.42), mood disorders (PR = 2.53; 95% CI 1.96–3.29), and anxiety disorders (PR = 1.69; 95% CI 1.39–2.07).
Conclusion
Results indicate that food insecurity is associated with a range of internalizing mental disorders, though these findings should be confirmed with contemporary data to reflect DSM-5 diagnostic updates and the economic effects of the COVID-19 pandemic. Findings from this study emphasize the need to expand food insecurity interventions and improve access to mental health services for food-insecure populations.</description><subject>Adult</subject><subject>Adults</subject><subject>Analysis</subject><subject>Anxiety</subject><subject>Anxiety disorders</subject><subject>Anxiety Disorders - psychology</subject><subject>Bulimia - epidemiology</subject><subject>Comorbidity</subject><subject>Confidence intervals</subject><subject>COVID-19</subject><subject>Cross-Sectional Studies</subject><subject>Diagnostic systems</subject><subject>Eating disorders</subject><subject>Economic impact</subject><subject>Emotional disorders</subject><subject>Epidemiology</subject><subject>Feeding and Eating Disorders - epidemiology</subject><subject>Female</subject><subject>Food</subject><subject>Food Insecurity</subject><subject>Food security</subject><subject>Food Supply</subject><subject>Health care reform</subject><subject>Health services</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Mood disorders</subject><subject>Mood Disorders - epidemiology</subject><subject>Original Paper</subject><subject>Pandemics</subject><subject>Psychiatric services</subject><subject>Psychiatry</subject><subject>Regression models</subject><subject>Statistical analysis</subject><subject>Surveys</subject><subject>Type 2 diabetes</subject><issn>0933-7954</issn><issn>1433-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9ks9u1DAQxiMEokvhBTggS1w4kMV_4ji-IFUVBaRKHKBny3GcravEXjxJYZ-I12TSLdsWIWRFjme--dljf0XxktE1o1S9A0oZVyXlbPl4XcpHxYpVQpSaN_JxsaIa_5WW1VHxDOCKUiq0Ek-LI1ExJXUtVsWvs5Q6EiJ4N-cw7YiNuJyAWIDkgp1CikB-hOmStPMQxuBK2Ho35XkkHrNxQ7oAKXc-w1syLrB76wVm48_gEXwI427EkniDtsOwI9lvswcfJwxdewJ23A6epJ5crL-uie3mYYLnxZPeDuBf3M7HxcXZh2-nn8rzLx8_n56cl05WbCrrnrdSV72jbecYttmKjnPOKKtrK7Xo26qRvFdScWWFrKVVTS-Fs7RTFdONOC7e77nbuR195_BU2Q5mm8No884kG8zDTAyXZpOuTcOF1Foj4M0tIKfvs4fJjAGcHwYbfZrBcFmhDp9PoPT1X9KrNGe8E1TVDZeq4UzfqTZ28CbEPuG-boGaE0UbpQVvlnOv_6HC0Xl8sxR9HzD-oIDvC1xOANn3hx4ZNYu9zN5eBq1lbuxlJBa9un87h5I_fkKB2AsAU3Hj811L_8H-BgVN3Oo</recordid><startdate>20220701</startdate><enddate>20220701</enddate><creator>Hazzard, Vivienne M.</creator><creator>Barry, Mikayla R.</creator><creator>Leung, Cindy W.</creator><creator>Sonneville, Kendrin R.</creator><creator>Wonderlich, Stephen A.</creator><creator>Crosby, Ross D.</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9131-1629</orcidid><orcidid>https://orcid.org/0000-0001-6718-3487</orcidid><orcidid>https://orcid.org/0000-0003-3933-1766</orcidid><orcidid>https://orcid.org/0000-0003-3707-4823</orcidid><orcidid>https://orcid.org/0000-0002-0359-3919</orcidid></search><sort><creationdate>20220701</creationdate><title>Food insecurity and its associations with bulimic-spectrum eating disorders, mood disorders, and anxiety disorders in a nationally representative sample of U.S. adults</title><author>Hazzard, Vivienne M. ; Barry, Mikayla R. ; Leung, Cindy W. ; Sonneville, Kendrin R. ; Wonderlich, Stephen A. ; Crosby, Ross D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c541t-6f2b594fc0bdc1341b3d22210166a593fb4852f75727a3565a78f53ca0d741983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Analysis</topic><topic>Anxiety</topic><topic>Anxiety disorders</topic><topic>Anxiety Disorders - psychology</topic><topic>Bulimia - epidemiology</topic><topic>Comorbidity</topic><topic>Confidence intervals</topic><topic>COVID-19</topic><topic>Cross-Sectional Studies</topic><topic>Diagnostic systems</topic><topic>Eating disorders</topic><topic>Economic impact</topic><topic>Emotional disorders</topic><topic>Epidemiology</topic><topic>Feeding and Eating Disorders - epidemiology</topic><topic>Female</topic><topic>Food</topic><topic>Food Insecurity</topic><topic>Food security</topic><topic>Food Supply</topic><topic>Health care reform</topic><topic>Health services</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Mood disorders</topic><topic>Mood Disorders - epidemiology</topic><topic>Original Paper</topic><topic>Pandemics</topic><topic>Psychiatric services</topic><topic>Psychiatry</topic><topic>Regression models</topic><topic>Statistical analysis</topic><topic>Surveys</topic><topic>Type 2 diabetes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hazzard, Vivienne M.</creatorcontrib><creatorcontrib>Barry, Mikayla R.</creatorcontrib><creatorcontrib>Leung, Cindy W.</creatorcontrib><creatorcontrib>Sonneville, Kendrin R.</creatorcontrib><creatorcontrib>Wonderlich, Stephen A.</creatorcontrib><creatorcontrib>Crosby, Ross D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hazzard, Vivienne M.</au><au>Barry, Mikayla R.</au><au>Leung, Cindy W.</au><au>Sonneville, Kendrin R.</au><au>Wonderlich, Stephen A.</au><au>Crosby, Ross D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Food insecurity and its associations with bulimic-spectrum eating disorders, mood disorders, and anxiety disorders in a nationally representative sample of U.S. adults</atitle><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle><stitle>Soc Psychiatry Psychiatr Epidemiol</stitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><date>2022-07-01</date><risdate>2022</risdate><volume>57</volume><issue>7</issue><spage>1483</spage><epage>1490</epage><pages>1483-1490</pages><issn>0933-7954</issn><eissn>1433-9285</eissn><abstract>Purpose
To examine cross-sectional associations between food insecurity and 12-month eating disorders, mood disorders, and anxiety disorders among U.S. adults.
Methods
This study used data collected between 2001 and 2003 from 2914 participants in the National Comorbidity Survey-Replication, a nationally representative sample of U.S. adults (mean age = 44.9 years; 53.4% female). Twelve-month food insecurity was assessed with a modified version of the Short Form U.S. Household Food Security Scale. Twelve-month DSM-IV diagnoses of mental disorders were based on the World Health Organization Composite International Diagnostic Interview. Modified Poisson regression models were conducted, adjusting for age, sex, race/ethnicity, education, and income-to-poverty ratio.
Results
Food insecurity was experienced by 11.1% of participants. Food insecurity was associated with greater prevalence of bulimic-spectrum eating disorders (prevalence ratio [PR] = 3.81; 95% confidence interval [CI] 2.26–6.42), mood disorders (PR = 2.53; 95% CI 1.96–3.29), and anxiety disorders (PR = 1.69; 95% CI 1.39–2.07).
Conclusion
Results indicate that food insecurity is associated with a range of internalizing mental disorders, though these findings should be confirmed with contemporary data to reflect DSM-5 diagnostic updates and the economic effects of the COVID-19 pandemic. Findings from this study emphasize the need to expand food insecurity interventions and improve access to mental health services for food-insecure populations.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>34175963</pmid><doi>10.1007/s00127-021-02126-5</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-9131-1629</orcidid><orcidid>https://orcid.org/0000-0001-6718-3487</orcidid><orcidid>https://orcid.org/0000-0003-3933-1766</orcidid><orcidid>https://orcid.org/0000-0003-3707-4823</orcidid><orcidid>https://orcid.org/0000-0002-0359-3919</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Social Psychiatry and Psychiatric Epidemiology, 2022-07, Vol.57 (7), p.1483-1490 |
| issn | 0933-7954 1433-9285 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Adults Analysis Anxiety Anxiety disorders Anxiety Disorders - psychology Bulimia - epidemiology Comorbidity Confidence intervals COVID-19 Cross-Sectional Studies Diagnostic systems Eating disorders Economic impact Emotional disorders Epidemiology Feeding and Eating Disorders - epidemiology Female Food Food Insecurity Food security Food Supply Health care reform Health services Humans Male Medicine Medicine & Public Health Mental disorders Mental health Middle Aged Mood disorders Mood Disorders - epidemiology Original Paper Pandemics Psychiatric services Psychiatry Regression models Statistical analysis Surveys Type 2 diabetes |
| title | Food insecurity and its associations with bulimic-spectrum eating disorders, mood disorders, and anxiety disorders in a nationally representative sample of U.S. adults |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-26T00%3A14%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Food%20insecurity%20and%20its%20associations%20with%20bulimic-spectrum%20eating%20disorders,%20mood%20disorders,%20and%20anxiety%20disorders%20in%20a%20nationally%20representative%20sample%20of%20U.S.%20adults&rft.jtitle=Social%20Psychiatry%20and%20Psychiatric%20Epidemiology&rft.au=Hazzard,%20Vivienne%20M.&rft.date=2022-07-01&rft.volume=57&rft.issue=7&rft.spage=1483&rft.epage=1490&rft.pages=1483-1490&rft.issn=0933-7954&rft.eissn=1433-9285&rft_id=info:doi/10.1007/s00127-021-02126-5&rft_dat=%3Cgale_pubme%3EA708793288%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2682578219&rft_id=info:pmid/34175963&rft_galeid=A708793288&rfr_iscdi=true |