Trajectory of food insecurity and its association with longitudinal mental health and sleep outcomes in adolescents from economically disadvantaged families

Ting Hsuan Lee, Jen Hao Kuo, Chia Yi Liu, Yi Fang Yu, Carol Strong, Chung Ying Lin, Chih Ting Lee, Meng Che Tsai

研究成果: Article同行評審

摘要

Background: Adolescence is a critical transition period in the course of human development. Although food insecurity (FI) has been shown to be associated with adverse mental health and sleep outcomes in US adolescents, there is a paucity of research examining the relationships between FI, mental health, and sleep outcomes in Taiwanese adolescents. Furthermore, it is unknown how the change of FI over time (i.e., the trajectory of FI) is related to health outcomes. Methods: The data come from the Taiwan Database of Children and Youth in Poverty, which is a national longitudinal project measuring FI in five survey waves (2009–2017). We employed group-based trajectory modeling to classify various FI trends over the five waves using STATA. Furthermore, a generalized estimating equation analysis was conducted with FI trajectories as the independent variable to see how FI trajectory is related to mental health and sleep outcomes. Results: In total, 1921 participants aged 12–18 years in the first wave were deemed valid for the analysis. We classified the participants into four FI trajectory groups: persistently low FI (24.8%), persistently moderate FI (64.7%), declining from high to low FI (4.1%), and food-secure groups (6.4%). As compared to food-secure adolescents, the persistently moderate FI group was more likely to have mental problems (β = 0.30, [95% confidence interval 0.21–0.38]), while the other FI groups were only marginally associated with mental health problems. Moreover, adolescents in the persistently low FI group (β = 0.13, [0.02–0.23]) and persistently moderate FI group (β = 0.39, [0.29–0.48]) were found to have more sleep problems than those in the food-secure group. Conclusions: Our study describes the FI profile of adolescents from economically disadvantaged families and the difficulties they might encounter. With this information, healthcare providers can aid adolescents in the early stages of mental health problems and provide guidance when appropriate.

原文English
文章編號1696
期刊Nutrients
13
發行號5
DOIs
出版狀態Published - 2021 五月

All Science Journal Classification (ASJC) codes

  • 食品科學
  • 營養與營養學

指紋

深入研究「Trajectory of food insecurity and its association with longitudinal mental health and sleep outcomes in adolescents from economically disadvantaged families」主題。共同形成了獨特的指紋。

引用此