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BMC Public Health. 2019 May 29;19(1):660. doi: 10.1186/s12889-019-6943-6.

Prevalence and correlates of food insecurity among U.S. college students: a multi-institutional study.

Author information

1
Food Science and Human Nutrition Department, University of Florida, PO Box 110370, Gainesville, FL, 32611-0370, USA.
2
Department of Family, Youth & Community Sciences, University of Florida, PO Box 110310, Gainesville, FL, 32611-0370, USA.
3
Department of Nutrition, University of Tennessee, 229 Jessie Harris Bldg., Knoxville, RN, 37996, USA.
4
Department of Business Analytics and Statistics, University of Tennessee, 916 Volunteer Blvd, UT SMC 247, Knoxville, TN, 37996, USA.
5
Nutrition and Food Sciences, University of Rhode Island, 125 Fogarty Hall, Kingston, RI, 02881, USA.
6
Animal and Nutritional Sciences, West Virginia University, 1194 Evansdale Drive, G28 Ag. Sc. Bldg., Morgantown, WV, 26506, USA.
7
Agriculture, Nutrition, and Food Systems, University of New Hampshire, 115 Kendall Hall, 129 Main Street, Durham, NH, 03814, USA.
8
Food Science and Human Nutrition Department, University of Florida, PO Box 110370, Gainesville, FL, 32611-0370, USA. anne.mathews@ufl.edu.

Abstract

BACKGROUND:

College students may be vulnerable to food insecurity due to limited financial resources, decreased buying power of federal aid, and rising costs of tuition, housing, and food. This study assessed the prevalence of food insecurity and its sociodemographic, health, academic, and food pantry correlates among first-year college students in the United States.

METHODS:

A cross-sectional study was conducted among first-year students (n = 855) across eight U.S. universities. Food security status was assessed using the U.S. Department of Agriculture Adult Food Security Survey Module. Cohen's Perceived Stress Scale, Pittsburgh Sleep Quality Index, and Eating Attitudes Test-26 were used to assess perceived stress, sleep quality, and disordered eating behaviors, respectively. Participants self-reported their grade point average (GPA) and completed questions related to meal plan enrollment and utilization of on-campus food pantries.

RESULTS:

Of participating students, 19% were food-insecure, and an additional 25.3% were at risk of food insecurity. Students who identified as a racial minority, lived off-campus, received a Pell grant, reported a parental education of high school or less, and did not participate in a meal plan were more likely to be food-insecure. Multivariate logistic regression models adjusted for sociodemographic characteristics and meal plan enrollment indicated that food-insecure students had significantly higher odds of poor sleep quality (OR = 2.32, 95% CI: 1.43-3.76), high stress (OR = 4.65, 95% CI: 2.66-8.11), disordered eating behaviors (OR = 2.49, 95% CI: 1.20-4.90), and a GPA < 3.0 (OR = 1.91, 95% CI: 1.19-3.07) compared to food-secure students. Finally, while half of the students (56.4%) with an on-campus pantry were aware of its existence, only 22.2% of food-insecure students endorsed utilizing the pantry for food acquisition.

CONCLUSIONS:

Food insecurity among first-year college students is highly prevalent and has implications for academic performance and health outcomes. Higher education institutions should screen for food insecurity and implement policy and programmatic initiatives to promote a healthier college experience. Campus food pantries may be useful as short-term relief; however, its limited use by students suggest the need for additional solutions with a rights-based approach to food insecurity.

TRIAL REGISTRATION:

Retrospectively registered on ClinicalTrials.gov , NCT02941497.

KEYWORDS:

BMI; College students; Disordered eating; Food insecurity; Food pantry; GPA; Sleep; Stress

PMID:
31142305
PMCID:
PMC6542079
DOI:
10.1186/s12889-019-6943-6
[Indexed for MEDLINE]
Free PMC Article

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