Students with Food Insecurity Are More Likely to Screen Positive for an Eating Disorder at a Large, Public University in the Midwest.
Students with Food Insecurity Are More Likely to Screen Positive for an Eating Disorder at a Large, Public University in the Midwest.
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DOI：
10.1016/j.jand.2021.01.025
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发表时间：
2021-06
影响因子：
4.8
通讯作者：
Leung, Cindy W.
中科院分区：
文献类型：
--
作者：
Barry, Mikayla R.;Sonneville, Kendrin R.;Leung, Cindy W.
大学生的粮食不安全和饮食失调患病率高得不成比例。食物不安全与压力、不规则的饮食模式、体重变化、抑郁和身体不满意有关，使其成为饮食失调发作的可能风险因素。然而，食物不安全与大学生饮食失调之间的关系还没有得到很好的理解。本研究探讨了食物不安全和筛选积极的饮食失调的学生参加一个大型，公立中西部大学之间的关系。横断面数据是使用2018年3月至6月进行的在线调查收集的。参与者是从2,000名学生中随机抽取的，从以下群体中进行了过度抽样：种族/少数民族，第一代学生和低收入家庭的学生。在抽样调查的学生中，有851名学生（43%）作出了答复。最终的分析样本包括804名学生，排除了那些缺失数据的学生。使用经验证的5项患病、对照、一石、脂肪、食物（SCOFF）问卷来筛查是否存在进食障碍。Poisson回归用于根据食品安全水平（即，高、边缘、低或非常低）对阳性SCOFF筛查（≥ 2个肯定应答）的患病率进行建模。模型根据性别、年龄、种族/民族、学位类型、经济援助和第一代学生身份进行了调整。与食物安全程度较高的学生相比，食物安全程度较低的学生的阳性SCOFF筛查率较高（患病率[PR]，1.83，95% CI 1.26 - 2.65; P = 0.001），低粮食安全（PR 1.72，95% CI 1.16 - 2.54; P = 0.007），食物安全性极低（PR 2.83，95% CI 2.01 - 3.97; P < .0001）。任何级别的食物不安全的学生都更有可能通过SCOFF问卷筛查出饮食失调。需要进行前瞻性研究，以确定食品不安全是否是大学生饮食失调的危险因素。
College students experience a disproportionately high prevalence of both food insecurity and eating disorders. Food insecurity is associated with stress, irregular eating patterns, weight change, depression, and body dissatisfaction, making it a possible risk factor for the onset of eating disorders. However, the association between food insecurity and eating disorders among college students is not well understood. This study explored the relation between food insecurity and screening positive for an eating disorder among students attending a large, public Midwestern university. Cross-sectional data were collected using an online survey administered from March through June 2018. Participants were recruited from a random sample of 2,000 students, with oversampling from the following groups: racial/ethnic minorities, first-generation students, and students from lower-income households. Of those sampled, 851 students (43%) responded. The final analytic sample comprised 804 students after excluding those with missing data. The validated 5-item Sick, Control, One stone, Fat, Food (SCOFF) questionnaire was used to screen for the presence of an eating disorder. Poisson regression was used to model prevalence ratios for positive SCOFF screens (≥ 2 affirmative responses) by levels of food security (ie, high, marginal, low, or very low). Models were adjusted for sex, age, race/ethnicity, degree type, financial aid, and first-generation student status. Compared to students with high food security, a higher prevalence of positive SCOFF screens was found among students with marginal food security (prevalence ratio [PR], 1.83, 95% CI 1.26 to 2.65; P = 0.001), low food security (PR 1.72, 95% CI 1.16 to 2.54; P = 0.007), and very low food security (PR 2.83, 95% CI 2.01 to 3.97; P < .0001). Students with food insecurity at any level were more likely to screen positive for an eating disorder via the SCOFF questionnaire. Prospective studies are needed to determine whether food insecurity is a risk factor for the onset of eating disorders among college students.
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