Combined effects of disease management and food insecurity on physical and mental health in Korean adults
Bibliographic Data
| ID | 15097608 |
|---|---|
| Authors | Hyun Ja Kim (0000-0002-0965-9704, Gangneung–Wonju National University), Kirang Kim (0000-0003-3054-8758, Dankook University, corresponding author) |
| Year | 2020 |
| Volume | 23 |
| Issue | 1 |
| Pages | 112-122 |
| Publication date | 2020-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980019003094 |
| PMID | 31744589 |
| OpenAlex | W2990416159 |
| Language | EN |
| References cited | 35 |
Objective: The present study aimed to examine the combined effects of disease management and food insecurity on physical and mental health in a representative Korean population. Design: A cross-sectional study. Setting: Data from the Korea National Health and Nutrition Examination Survey (KNHANES) 2012–2015. Participants: Adults aged ≥30 years ( n 17 934) who participated in the KNHANES. Results: Among health-care factors, unmet health-care needs and mental health counselling were different by food insecurity status, with a higher prevalence in adults with food insecurity. The prevalence of underweight was higher in men with food insecurity (5·9 %), whereas the prevalence of obesity was higher in women with food insecurity (37·4 %), than that in men and women with food security. Food insecurity was associated with a high risk of all mental health outcomes. For the combined effects of disease management and food insecurity, unmet health-care needs was related to increased risk of obesity for food-insecure men ( P interaction = 0·029) and lack of participation in nutrition education or counselling was related to increased risk of obesity for food-insecure women ( P interaction = 0·010). In addition, higher unmet health-care needs in adults with food insecurity was related to higher risk of mental health outcomes. Conclusions: Unmet health-care needs may exacerbate obesity for food-insecure men and mental health problems for both food-insecure men and women. In addition, lack of participation in nutrition education or counselling may exacerbate the obesity for food-insecure women
Disease · Environmental health · Food insecurity · Food security · Geography · Health care · Mental health · National Health and Nutrition Examination Survey · Obesity · Overweight · Population · Psychiatry · Underweight · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Homelessness and Social Issues · Medicine · Gerontology
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| Highly cited | No |
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