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Association of food insecurity and depression in Korean adults
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 Title & Authors
Association of food insecurity and depression in Korean adults
Lee, Kowoon; Yoo, Hye-Sook;
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Food insecurity is associated with poor health outcomes. In particular, previous studies marked the adverse outcomes on mental health. This study examined the association of food insecurity and mental health in Korean adults using the data from the 2013 Korean National Health and Nutrition Examination Survey (KNHANES). The study population was 5,685 adults in Korea. Food insecurity was examined using 18-items. A diagnosis of depression was considered to be depression. Depressive symptoms were defined as more than 2 weeks of depression feelings. Multivariate logistic regression models examined the associations between food insecurity and depression and depressive symptom. The overall prevalence of depression was 3.8% in the participants. Food insecurity was associated significantly with depression and depressive symptom in the unadjusted and age and sex adjusted model. Food insecurity was associated with depression, depressive symptoms in the multivariate logistic regression model (OR:3.49, OR:3.70). Marginal food insecurity was not associated with depression in the multivariate logistic regression model. The results showed that food insecurity is associated with depression and depressive symptoms in adults. Multi-disciplinary interventions are needed including nutrition, health, health policy, and a healthy environment for the food insecurity group to achieve a better health outcome, especially mental health.
Depression;Depressive Symptom;Food insecurity;KNHANES;Obesity;Physical activity;
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저소득층이 경험하는 식품미보장과 자살생각의 관계에서 우울과 건강만족도의 매개효과,이래혁;이재경;

보건교육건강증진학회지, 2017. vol.34. 2, pp.29-40 crossref(new window)
K. R. Kim, S. A. Hong, M. K. Kim, "Nutrition status and food insufficiency of korean population through the life-course by education level based on 2005 national health and nutrition survey", Journal of Nutrition and Health, Vol.41, No.7, PP.667-681, 2008.

Food and Agriculture Organization of the United Nations. The state of food insecurity in the wold 2001. Rome, Italy: Food and Agriculture Organization in the United Nations, 2002.

K. L Radimer, "Measurement of household food security in the USA and other industrialized countries", Public health nutrition, Vol.5, No.6, PP.859-864, 2002. crossref(new window)

S. A. Anderson, "Core indicators of nutritional state for difficult-to-sample population", Journal of Nutrition, Vol.120, PP.1559-1599, 1990.

K. R. Kim, M. K. Kim, Y. J. Shin, " The concept and measurement of food security", J Prev Med Public Health, Vol.41, No.6, PP. 387-396, 2008. crossref(new window)

World declaration and plan of action for nutrition International Conference on Nutrition (ICN) Authors: Food and Agricultural Organization of the United Nations (FAO), World Health Organization (WHO) International Conference on Nutrition (IC N), Rome, December 1992.

M. Nord, N. Kabbani, L. Tiehen, M. Andrews, G. Bickel, S. Carlson, Household food security in the United States, 2000, Food and Rural Economic Division Economic Research Service, U.S. Department of Agriculture, Food Assistance and Nutrition Research Report, 2002.

D. Herman, P, Afulani, A. Coleman-Jonsen, G. G. Harison, "Food insecurity and cost-related medication under use among non elderly adult in a nationally representative sample", American journal of public health, Vol.105, No.10, PP.48-59, 2015. DOI: crossref(new window)

V. Tarasuk, A. Mitchell, N. Dachner, Household Food Insecurity in Canada, 2012. Research to identify policy options to reduce food insecurity (PROOF). Toronto, ON, 2014. Available From: insecurity 2011_final.pdf (accessed Nov., 9, 2014).

Koeram Statistical Information Service. st.jsp?vwcd=MT_ZTITLE&parmTabId=M_01_01#SubCont. (assessed Dec., 18, 2007)

Korea Health Statistics 2010, Korea National Health and Nutrition Examination Survey

Ministry of Health and Welfare, Center of Disease Control and Prevention, 2010. National Health Statistics, National Health and nutrition Examination Survey, Available From: (assessed Mar., 19, 2010)

Y. J. Yang, "Socio-demographic Characteristics, nutrient intakes and mental health status of older korean adults depending on household food security: Based on he 200-2010 korea national examination survey", Korean journal of Community Nutrition, Vol.20, No.1, PP.30-40, 2015. crossref(new window)

K. J. Brunst, R. O. Wright, K. Digioia, M. B. Enlow, H. Fernandez, R. J. Wright, S. Kannan, "Racial/ethnic and socio-demographic factors associated with micronutrient intakes and inadequacies among pregnant women in an urban US population", Public health nutrition, Vol.17, No.9, PP.1960-1970, 2013. DOI: crossref(new window)

W. R. Dean, J. R. Sharkey, "Food insecurity, social capital and perceived personal disparity in a predominantly rural region of Texas: An individual - level analysis", Social Science & Medicine, Vol.72, No.9, PP.1454-1462, 2011. crossref(new window)

Z. M. Shariff, N. Sulaiman, R. A. Jalil, W. C. Yen, Y. H. Yaw, M. N. Taib, M. Kandiah, K. G. Lin, "Food insecurity and the metabolic syndrome among women from low income communities in Malaysia", Asia Pacific Journal of Clinical Nutrition, Vol.23, No.1, PP.138-147, 2014. DOI: crossref(new window)

M. M. Patton-Lopez, D. F. Lopez-Cevallos, D. I. Cancel-Tirado, L. Vazquez, "Prevalence and correlates of food insecurity among students attending a midsize rural university in Oregon", Journal of Nutrition Education and Behavior, Vol.46, No.3, PP.209-214, 2014. DOI: crossref(new window)

A. Gholami, T. R. Sani, M. Askari, Z. M. Jahromi, A. Dehgan, "A food insecurity status and associated factors among rural households in north east of Iran", International Journal of Preventive Medicine, Vol.4, No.9, PP.1018-1024, 2013.

V. Tarasuk, A. Mitchell, L. Mclaren, L. Mclntyre L, "Chronic physical and mental health conditions among adults may increase vulnerability to household food insecurity", Journal of Nutrition, Vol.143, No.11, PP.1785-1793, 2013. DOI: jn.113.178483 crossref(new window)

S. I. Kirkpatrick, V. Tarasuk, "Food insecurity is associated with nutrient inadequacies among Canadian adults and adolescents", Journal of nutrition, Vol.138, No.3, PP.604-612, 2008. crossref(new window)

C. A. Okechukwu, A. M. EI Ayadi, S. L. Tamers, E. L. Sabbath, L. Berkman, "Household food insufficiency, financial strain, work-family spillover, and depressive symptoms in the working class: The work, family, and health network study", American journal of public health, Vol.102, No.1, PP.126-133, 2012. DOI: crossref(new window)

H. K. Seligman, B. A. Laraia, M. B. Kushel, "Food insecurity is associated with chronic disease among low-income NHANES participants", Journal of nutrition, Vol.140, No.2, PP.304-310, 2010. DOI: crossref(new window)

M. S. Townsend, J. Peerson, B. Love, C. Achterberg, S. P. Murphy, "Food insecurity is positively related to overweight in women", Journal of nutrition, Vol.131, No.6, PP.1738-1745, 2001. crossref(new window)

Q. G. To, E. A. Frongillo, D. Gallegos, J. B. Moore, "Household food insecurity is associated with less physical activity among children and adults in the U.S. population", Journal of Nutrition, Vol.44, No.11, PP.1797-1802, 2014. DOI: crossref(new window)

R. C. Whitaker, S. M. Phillips, S. M. Orzol, "Food insecurity and the risks of depression and anxiety in mothers and behavior problems in their preschool-aged children", Pediatrics, Vol.18, No.3, PP.859-868, 2006.

K. Kim, E. A. Frongillo, "Participation in food assistance programs modifies the relation of food insecurity with weight and depression in elders", Journal of Nutrition, Vol.137, No.4, PP.1005-1010, 2007 crossref(new window)

A. C. Tsai, D. R. Bangsberg, E. A. Frongillo, P. W. Hunt, C. Muzoora, J. N. Martin, S. D. Weiser, "Food insecurity, depression and the modifying role of social support among people living with HIV/AIDS in rural Uganda", Social Science & Medicine, Vol.74, No.12, PP.2012-2019, 2012. DOI: crossref(new window)

C. W. Leung, E. S. Epel, W. C. Willett, E. B. Rimm, B. A. Laraia, "Household food insecurity is positively associated with depression among low-income supplemental nutrition assistance program participants and income-eligible non participants", Journal of nutrition, Vol.145, No.3, PP.622-627, 2015. DOI: crossref(new window)

K. R. Kim, M. K. Kim, Y. J. Shin, "Household food insecurity and its characteristics in korea", Health and Social Studies, Vol.29, No.2, PP.268-292, 2009. DOI: crossref(new window)

J. S. Choe, S. M. Ji, Y. H. Park, "The association of household food insecurity with socioeconomics status, food behaviors, health status and nutrient intake in the elderly in rural areas", The Korean Society of Community Living Science, Vol.20, No.1, PP.19-32, 2009.

Korea Health Statistics 2012: Korea National Health and Nutrition Examination Survey(KNHANES IV-3).

K. Kim, S. A. Hong, S. O. Kwon, B. Y. Choi, G. Y. Kim, S. Y. Oh, "Development and validation of food security measure", Korean Journal of community nutrition, Vol.16, No.6, PP.771-781, 2011. crossref(new window)

G. Bickel, M. Nord, C. Price, W. Hamilton, J. Cook, Guide to measuring household food security. Alexandria (VA): Food and Nutrition Service, US Department of Agriculture; 2000.

D. H. Chae, J. H. Yun, S. M. Lee, "Relations of whole grain consumption with predisposing reinforcing, and enabling factors among korean adults", Journal of the korean dietetic association, Vol.20, No.2, PP.133-148, 2014. crossref(new window)

Ministry of Health and Welfare, Children's meals establishing standard operating guidelines, 2005. Available From: (assessed Jan., 28, 2005)

Ministry of Health and Welfare, Maternal and infant nutrition supplement business, 2008. Available From: PAR_MENU_ID=03&MENU_ID=0320. (assessed Jan., 16, 2008)