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首页> 外文期刊>Journal of the Academy of Nutrition and Dietetics >Students with Food Insecurity Are More Likely to Screen Positive for an Eating Disorder at a Large, Public University in the Midwest
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Students with Food Insecurity Are More Likely to Screen Positive for an Eating Disorder at a Large, Public University in the Midwest

机译：粮食不安全的学生更有可能在中西部的一个大型公立大学的饮食失调筛查阳性

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Background College students experience a disproportionately high prevalence of both food insecurity and eating disorders. Food insecurity is associated with stress, irregular eating patterns, weight change, depression, and body dissatisfaction, making it a possible risk factor for the onset of eating disorders. However, the association between food insecurity and eating disorders among college students is not well understood. Objective This study explored the relation between food insecurity and screening positive for an eating disorder among students attending a large, public Midwestern university. Design Cross-sectional data were collected using an online survey administered from March through June 2018. Participants/setting Participants were recruited from a random sample of 2,000 students, with oversampling from the following groups: racial/ethnic minorities, first-generation students, and students from lower-income households. Of those sampled, 851 students (43%) responded. The final analytic sample comprised 804 students after excluding those with missing data. Main outcome measure The validated 5-item Sick, Control, One stone, Fat, Food (SCOFF) questionnaire was used to screen for the presence of an eating disorder. Statistical analyses performed Poisson regression was used to model prevalence ratios for positive SCOFF screens ( 2 affirmative responses) by levels of food security (ie, high, marginal, low, or very low). Models were adjusted for sex, age, race/ethnicity, degree type, financial aid, and first-generation student status. Results Compared to students with high food security, a higher prevalence of positive SCOFF screens was found among students with marginal food security (prevalence ratio [PR], 1.83, 95% CI 1.26 to 2.65; P = 0.001), low food security (PR 1.72, 95% CI 1.16 to 2.54; P = 0.007), and very low food security (PR 2.83, 95% CI 2.01 to 3.97; P < .0001). Conclusions Students with food insecurity at any level were more likely to screen positive for an eating disorder via the SCOFF questionnaire. Prospective studies are needed to determine whether food insecurity is a risk factor for the onset of eating disorders among college students. J Acad Nutr Diet. 2021;121(6):1115-1124.
机译：背景大学生经历了食物不安全和饮食失调的高患病率。食物不安全感与压力、不规律的饮食习惯、体重变化、抑郁和身体不满有关，因此可能是饮食失调的风险因素。然而，在大学生中，食物不安全和饮食失调之间的关系还没有得到很好的理解。目的本研究探讨在中西部一所大型公立大学就读的学生中，食物不安全与饮食障碍筛查阳性之间的关系。设计横断面数据通过2018年3月至6月进行的在线调查收集。参与者/背景参与者从2000名学生的随机抽样中招募，过度抽样来自以下群体：种族/少数民族、第一代学生和低收入家庭的学生。在被抽样调查的学生中，有851名（43%）做出了回应。最后的分析样本包括804名学生，排除了数据缺失的学生。主要结果测量使用经验证的5项患病、对照、一石、脂肪、食物（SCOFF）问卷筛查是否存在进食障碍。使用泊松回归进行的统计分析，按食品安全水平（即，高、边际、低或极低）对正面嘲笑筛查（2个正面回答）的患病率进行建模。模型根据性别、年龄、种族/民族、学位类型、经济资助和第一代学生身份进行了调整。结果与食物安全性高的学生相比，食物安全性差的学生（患病率[PR]，1.83，95%可信区间1.26至2.65；P=0.001）、食物安全性低的学生（PR 1.72，95%可信区间1.16至2.54；P=0.007）和食物安全性极低的学生（PR 2.83，95%可信区间2.01至3.97；P<0.0001）的嘲笑筛查阳性率较高。结论任何程度的食物不安全学生都更有可能通过SCOFF问卷对饮食障碍进行筛查。需要进行前瞻性研究，以确定食物不安全是否是大学生饮食失调发病的风险因素。J Acad营养饮食。2021；121(6):1115-1124.

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