title: Household Food Insecurity Is Associated with Adverse Mental Health Indicators and Lower Quality of Life among Koreans: Results from the Korea National Health and Nutrition Examination Survey 2012-2013.
abstract: Food insecurity is an ongoing public health issue and contributes to mental health status. We investigated whether food insecurity is associated with inadequate nutrient intake and whether it affects mental health indicators (perceived stress/experience of depressive symptom/suicidal ideation) and quality of life (QOL) among Koreans (n= 5862, 20-64 years) using data from the Korea National Health and Nutritional Examination Survey (2012-2013). Household food security status was categorized as "food-secure household", "food-insecure household without hunger", and "food-insecure household with hunger". Data on food insecurity, sociodemographic factors, nutrient intake, mental health indicators, and QOL were used. A logistic regression model was conducted to determine odds ratios (ORs) for psychological health. A greater proportion of food-insecure participants were nutritionally deficient compared with expectations of the 2015 Korean Dietary Reference Intakes. These deficiencies were generally higher in both "food-insecure household" groups. Both "food-insecure household" groups, particularly the "food-insecure household with hunger" group showed significantly adverse mental health status (ORs: 1.52-3.83) and lower QOL (ORs: 1.49-3.92) than did the "food-secure household" group before and after adjusting for sex, age, education, household income, smoking/alcohol consumption, physical activity, marital status, and receiving food assistance. In conclusion, food insecurity may be significantly associated with adverse mental health indicators and decreased QOL in young/middle-aged Koreans.
authors.affiliation: Severance Institute for Vascular and Metabolic Research, Yonsei University College of Medicine, Seoul 03722, Korea. chk@yuhs.ac.
authors.forename: Hye-Kyung
authors.initials: HK
authors.lastname: Chung
authors.affiliation: Department of Food Science and Nutrition, Dong-A University, Busan 49315, Korea. oykim@dau.ac.kr.
authors.forename: Oh Yoen
authors.initials: OY
authors.lastname: Kim
authors.affiliation: Department of Public Health Sciences, BK21PLUS Program in Embodiment, Health-Society Interaction, Graduate School, Korea University, Seoul 02841, Korea. kwaksy92@daum.net.
authors.forename: So Young
authors.initials: SY
authors.lastname: Kwak
authors.affiliation: Department of Public Health Sciences, BK21PLUS Program in Embodiment, Health-Society Interaction, Graduate School, Korea University, Seoul 02841, Korea. pennae@korea.ac.kr.
authors.forename: Yoonsu
authors.initials: Y
authors.lastname: Cho
authors.affiliation: Department of Public Health Sciences, BK21PLUS Program in Embodiment, Health-Society Interaction, Graduate School, Korea University, Seoul 02841, Korea. chirstkw@naver.com.
authors.forename: Kyong Won
authors.initials: KW
authors.lastname: Lee
authors.affiliation: Department of Public Health Sciences, BK21PLUS Program in Embodiment, Health-Society Interaction, Graduate School, Korea University, Seoul 02841, Korea. mjshin@korea.ac.kr.
authors.forename: Min-Jeong
authors.initials: MJ
authors.lastname: Shin
mesh_terms: D000328:Adult; D044466:Asian People / Q000523:psychology*; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology; D005260:Female; D005523:Food Supply; D006304:Health Status; D006801:Humans; D006815:Hunger / Q000208:ethnology; D007407:Interviews as Topic; D016014:Linear Models; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology*; D008603:Mental Health; D008875:Middle Aged; D009748:Nutrition Disorders / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology*; D009749:Nutrition Surveys; D009752:Nutritional Status; D016017:Odds Ratio; D011788:Quality of Life; D064167:Recommended Dietary Allowances; D056910:Republic of Korea / Q000453:epidemiology; D012307:Risk Factors; D013315:Stress, Psychological / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology; D059020:Suicidal Ideation; D055815:Young Adult
keywords: Korean; food supply; mental health indicators; public health; quality of life