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Understanding the association between household food insecurity and diet quality

The role of psychological distress, food choice motives and meal patterning

Bibliographic Data

ID11364384
AuthorsRebecca Evans (0009-0005-3230-6746, University of Liverpool, corresponding author), Paul Christiansen (0000-0001-7534-0948, University of Liverpool), Margaret Bateson (0000-0002-0861-0191, Newcastle University), Melissa Bateson, D Nettle (0000-0001-9089-2599, Centre National de la Recherche Scientifique), Gregory S Keenan (0000-0002-3940-7401, Liverpool John Moores University), Charlotte A Hardman (0000-0002-0744-6019, University of Liverpool)
Year2025
Volume212
Pages108007
Publication date2025-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAppetite (JOURNAL)
Journal identifiersISSN: 0195-6663 • E-ISSN: 1095-8304
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.appet.2025.108007
PMID40228607
OpenAlexW4409383584
LanguageEN
Citations received3
References cited43

Household food insecurity - a lack of reliable access to food that is safe, nutritious, and sufficient for normal growth - is associated with physical and mental ill-health. In the UK and many countries worldwide, food insecurity has been exacerbated by the cost-of-living crisis and is a major public health concern. To identify potential points of intervention, it is important to understand how food insecurity is associated with individual-level factors, including behaviours and motivations towards food. This study therefore examined the associations between household food insecurity (HHFI), psychological distress, motives underlying food choices and meal patterning behaviours in a sample of UK adults (N = 594, mean age = 40.6 years, 96 % female). Key variables were quantified using questionnaires and structural equation modelling was used to determine the associations between them. HHFI was directly associated with higher food choice motives based on price, but not directly with other food choice motives. HHFI was indirectly associated with poorer diet quality via price motives. There were also significant serial indirect associations between HHFI and diet quality via distress and food choice motives. Specifically, HHFI was associated with greater distress, which in turn was associated with higher convenience motives and lower health motives, which were then both associated with poorer diet quality. Exploratory analyses indicated that HHFI was directly associated with lower meal frequency, and this in turn was associated with poorer diet quality. Findings demonstrate how experiences of general psychological distress, certain food choice motives, and meal frequency may play a role in the relationship between food insecurity and diet quality

Agriculture · Biology · Distress · Environmental health · Food choice · Food insecurity · Food security · Meal · Mental health · Psychiatry · Psychological distress · Psychotherapist · Clinical Psychology · Food Security and Health in Diverse Populations · Medicine · Nutrition, Health and Food Behavior · Psychology · Social Psychology · Urban Agriculture and Sustainability · Food Science

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Unique citing works3
Citations per year3
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3

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