Associations between food insecurity and healthy behaviors among Korean adults
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
BACKGROUND/OBJECTIVES: Food insecurity has been suggested as being negatively associated with healthy behaviors and health status. This study was performed to identify the associations between food insecurity and healthy behaviors among Korean adults. SUBJECTS/METHODS: The data used were the 2011 Community Health Survey, cross-sectional representative samples of 253 communities in Korea. Food insecurity was defined as when participants reported that their family sometimes or often did not get enough food to eat in the past year. Healthy behaviors were considered as non-smoking, non-high risk drinking, participation in physical activities, eating a regular breakfast, and maintaining a normal weight. Multiple logistic regression and multinomial logistic regression analyses were used to identify the association between food insecurity and healthy behaviors. RESULTS: The prevalence of food insecurity was 4.4% (men 3.9%, women 4.9%). Men with food insecurity had lower odds ratios (ORs) for non-smoking, 0.75 (95% CI: 0.68-0.82), participation in physical activities, 0.82 (95% CI: 0.76-0.90), and eating a regular breakfast, 0.66 (95% CI: 0.59-0.74), whereas they had a higher OR for maintaining a normal weight, 1.19 (95% CI: 1.09-1.30), than men with food security. Women with food insecurity had lower ORs for non-smoking, 0.77 (95% CI: 0.66-0.89), and eating a regular breakfast, 0.79 (95% CI: 0.72-0.88). For men, ORs for obesity were 0.78 (95% CI: 0.70-0.87) for overweight and 0.56 (95% CI: 0.39-0.82) for mild obesity. For women, the OR for moderate obesity was 2.04 (95% CI: 1.14-3.63) as compared with normal weight. CONCLUSIONS: Food insecurity has a different impact on healthy behaviors. Provision of coping strategies for food insecurity might be critical to improve healthy behaviors among the population.
Abstract
BACKGROUND/OBJECTIVES: Food insecurity has been suggested as being negatively associated with healthy behaviors and health status. This study was performed to identify the associations between food insecurity and healthy behaviors among Korean adults. SUBJECTS/METHODS: The data used were the 2011 Community Health Survey, cross-sectional representative samples of 253 communities in Korea. Food insecurity was defined as when participants reported that their family sometimes or often did not get enough food to eat in the past year. Healthy behaviors were considered as non-smoking, non-high risk drinking, participation in physical activities, eating a regular breakfast, and maintaining a normal weight. Multiple logistic regression and multinomial logistic regression analyses were used to identify the association between food insecurity and healthy behaviors. RESULTS: The prevalence of food insecurity was 4.4% (men 3.9%, women 4.9%). Men with food insecurity had lower odds ratios (ORs) for non-smoking, 0.75 (95% CI: 0.68-0.82), participation in physical activities, 0.82 (95% CI: 0.76-0.90), and eating a regular breakfast, 0.66 (95% CI: 0.59-0.74), whereas they had a higher OR for maintaining a normal weight, 1.19 (95% CI: 1.09-1.30), than men with food security. Women with food insecurity had lower ORs for non-smoking, 0.77 (95% CI: 0.66-0.89), and eating a regular breakfast, 0.79 (95% CI: 0.72-0.88). For men, ORs for obesity were 0.78 (95% CI: 0.70-0.87) for overweight and 0.56 (95% CI: 0.39-0.82) for mild obesity. For women, the OR for moderate obesity was 2.04 (95% CI: 1.14-3.63) as compared with normal weight. CONCLUSIONS: Food insecurity has a different impact on healthy behaviors. Provision of coping strategies for food insecurity might be critical to improve healthy behaviors among the population.
참고문헌 (38)
- 김기랑, "식품 보장 측정의 개발과 타당도 연구", Journal of Nutrition and Health, 42(4), pp.374~385 (2009), 한국영양학회
- 김기랑, "국민건강영양조사 식품안정성 측정 도구 개발", Journal of Nutrition and Health, 44(6), pp.551~561 (2011), 한국영양학회
- 권성옥, "저소득층 노인에서 식품불안정과 사회경제적 지표, 건강상태,영양소 섭취와의 관련성", Journal of Nutrition and Health, 40(8), pp.762~768 (2007), 한국영양학회
- Anderson SA, "Core indicators of nutritional state for difficult-tosample populations", J Nutr, 120, pp.1559~1599 (1990)
- 김기랑, "한국 식품 미보장 현황 및 특성", 보건사회연구, 29(2), pp.268~292 (2009), 한국보건사회연구원
- 양경미, "경산시 노인의 영양섭취상태 및 건강관련인자에 관한 연구", 한국식품영양과학회지, 34(7), pp.1018~1027 (2005), 한국식품영양과학회
- "Household food security in the United States, 2009" (2010)[URL]
- 임경숙, "50세 이상 중년 및 노인의 건강행위 요인에 따른 영양위험 연구", 대한지역사회영양학회지, 12(5), pp.592~605 (2007), 대한지역사회영양학회
- Iglesias-Rios L, "Food insecurity, cigarette smoking, and acculturation among Latinos:data from NHANES 1999-2008", J Immigrant Minority Health (2013)[DOI]
- Sarlio-Lahteenkorva S, "Food insecurity is associated with past and present economic disadvantage and body mass index", J Nutr, 131, pp.2880~2884 (2001)
- Mohammadi F, "Is Household food insecurity associated with overweight", obesity in women?, 2013, pp.42, 380~390
- Adams EJ, "Food insecurity is associated with increased risk of obesity in California women", J Nutr, 133, pp.1070~1074 (2003)
- Kim KR, "Participation in food assistance programs modifies the relation of food insecurity with weight and depression in elders", J of Nutr, 137, pp.1005~1010 (2007)
- Townsend MS, "Food insecurity is positively related to overweight in women", J Nutr, 131, pp.1738~1745 (2001)
- Korea Center for Disease Control and Prevention, "Community health survey operational guide" (2011), Korea Center for Disease Control and Prevention
- 심지선, "식품안정성과 식사섭취의 관련성 - 국민건강영양조사 제3기 (2005년) -", Journal of Nutrition and Health, 41(2), pp.174~183 (2008), 한국영양학회
- Alaimo K, "Food insufficiency exists in the United States: results from the third National Health and Nutrition Examination Survey (NHANES Ⅲ)", Am J Public Health, 88, pp.419~426 (1998)
- Redefining obesity and its treatment, "The Asia-Pacific perspective", Health Communications Australia, ~ (2000)
- Matheson J, "Women respondents report higher household food insecurity than do men in similar Canadian households", Public Health Nutrition (2013)[DOI]
- Souza Bittencourt L, "Factors associated with food insecurity in households of public school students of salvador city, Bahia, Brazil", J Health Popul Nutr, 31, pp.471~479 (2013)
- Korean Health Statistics 2010: Korean National Health and Nutrition Examination Survey (KNHANES V-1), "Ministry for Health, Welfare and Family Affairs, Korean Centers for Disease Control and Prevention", ~ (2010)
- McPhillips JB, "Dietary differences in smokers and nonsmokers from two southeastern New England communities", J Am Diet Assoc, 94, pp.287~292 (1994)
- Dewing S, "Food insecurity and its association with co-occurring postnatal depression, hazardous drinking, and suicidality among women in peri-urban South Africa", J Affect Disord, 150, pp.460~465 (2013)
- 김지수, "한국 성인 남성의 신체활동과 건강관련 요인 비교", Journal of korean biological nursing science, 14(3), pp.166~173 (2012), 기초간호학회[DOI]
- 이정원, "직업 남성의 잦은 외식과 아침결식이 체질량지수 및 영양소 섭취에 미치는 영향 - 2001년 국민건강영양조사자료 분석", 대한지역사회영양학회지, 14(6), pp.789~797 (2009), 대한지역사회영양학회
- Keino S, "Household food insecurity access: a predictor of overweight and underweight and underweight among Kenyan women", Agriculture & Food Security, 3 (2014)[DOI]
- Jyoti DF, "Food insecurity affects school children's academic performance, weight gain, and social skills", J Nutr, 135, pp.2831~2839 (2005)
- Oh SY, "Food insecurity is associated with dietary intake and body size of Korean children from low-income families in urban areas", Eur J Clin Nutr, 57, pp.1598~1604 (2003)
- Son SM, "Diet and Body Shaping", pp.8~22 (2009), Kyomun publishing Co.
- Dietz WH, "Does hunger cause obesity?", Pediatrics, 95, pp.766~767 (1995)
- 이승민, "한국인의 전곡류 섭취와 인구사회적 요인 및 일부 식행동 특성 간의 연관성: 2007-2008 국민건강영양조사 자료를 이용하여", 대한지역사회영양학회지, 16(3), pp.353~363 (2011), 대한지역사회영양학회
- Epstein LH, "Price and maternal obesity influence purchasing of low- and high-energydense foods", Am J Clin Nutr, 86, pp.914~922 (2007)
- Townsend MS, "Less-energy-dense diets of low-income-women in California are associated with higher energy-adjusted diet costs", Am J Clin Nutr, 89, pp.1220~1226 (2009)
- Frongillo EA, "Understanding obesity and program participation in the context of poverty and food insecurity", J Nutr, 133, pp.2225~2231 (2003)
- Laitinen J, "Stress-related eating and drinking behavior and body mass index and predictors of this behavior", Prev Med, 34, pp.29~39 (2002)
- 윤진숙, "우리나라 저소득층 비만여성의 식사의 질과 식사섭취패턴 특성 분석 -2005 국민건강영양조사를 중심으로-", 대한지역사회영양학회지, 16(6), pp.706~715 (2011), 대한지역사회영양학회
- "Health at a Glance 2011" (2011)[URL]
- Alaimo K, "Importance of cognitive testing for survey items: an example from food security questionnaires", Journal of Nutrition Education, 31, pp.269~275 (1999)
