title: Household Food Insecurity and Sleep Patterns Among Mexican Adults: Results from ENSANUT-2012.
abstract: To examine the independent association of household food insecurity with sleep duration and quality in a nationally representative survey of adults in Mexico. The Latin American and Caribbean Food Security Scale was used to categorize households as secure, mild (43.7 %), moderate (19.0 %), or severe (11.8 %). We assessed the association between household food insecurity and self-reported sleep duration and quality among 11,356 adults using weighted multinomial and binomial logistic regression. After adjusting for potential confounders, a significant association was found between severe household food insecurity and getting less than the recommended 7-8 h of sleep [adjusted odds ratio (AOR) =1.83, 95 % confidence interval (CI) =1.37-2.43]. Compared with food-secure households, odds of poor sleep quality increased with level of severity (AOR = 1.27, 95 % CI 1.04-1.56 for mild; AOR = 1.71, 95 % CI 1.36-2.14 for moderate; and AOR = 1.89, 95 % CI 1.45-2.45 for severe household food insecurity). Household food insecurity is associated with inadequate sleep duration and poor sleep quality among Mexican adults. This study underscores the adverse effects of household food insecurity on the well-being of vulnerable populations.
authors.affiliation: Yale School of Public Health, New Haven, CT, USA. monicajordan@gmail.com.
authors.forename: Monica L
authors.initials: ML
authors.lastname: Jordan
authors.affiliation: Yale School of Public Health, New Haven, CT, USA.
authors.forename: Rafael
authors.initials: R
authors.lastname: Perez-Escamilla
authors.affiliation: Yale School of Public Health, New Haven, CT, USA.
authors.forename: Mayur M
authors.initials: MM
authors.lastname: Desai
authors.affiliation: National Institute of Public Health, Center for Population Health Research, Cuernavaca Morelos, Mexico.
authors.forename: Teresa
authors.initials: T
authors.lastname: Shamah-Levy
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D005260:Female; D005523:Food Supply / Q000706:statistics & numerical data*; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D016017:Odds Ratio; D011203:Poverty / Q000706:statistics & numerical data*; D012737:Sex Factors; D012893:Sleep Wake Disorders / Q000453:epidemiology*; D012959:Socioeconomic Factors; D013997:Time Factors; D055815:Young Adult
keywords: Food security; Mexico; Nutrition surveys; Sleep duration; Sleep quality