Hagedorn Rebecca L, Olfert Melissa D, MacNell Lillian, Houghtaling Bailey, Hood Lanae B, Savoie Roskos Mateja R, Goetz Jeannine R, Kern-Lyons Valerie, Knol Linda L, Mann Georgianna R, Esquivel Monica K, Hege Adam, Walsh Jennifer, Pearson Keith, Berner Maureen, Soldavini Jessica, Anderson-Steeves Elizabeth T, Spence Marsha, Paul Christopher, Waity Julia F, Wall-Bassett Elizabeth D, Hingle Melanie D, Kelly E Brooke, Lillis J Porter, Coleman Patty, Fontenot Mary Catherine
Davis College of Agriculture, Natural Resources, & Design, West Virginia University, 1194 Evansdale Drive, Agricultural Sciences Building, Room G025, Morgantown, WV26506, USA.
Department of Public Health, Campbell University, Buies Creek, NC, USA.
Public Health Nutr. 2021 Sep;24(13):4305-4312. doi: 10.1017/S1368980021001191. Epub 2021 Mar 22.
To assess the relationship between food insecurity, sleep quality, and days with mental and physical health issues among college students.
An online survey was administered. Food insecurity was assessed using the ten-item Adult Food Security Survey Module. Sleep was measured using the nineteen-item Pittsburgh Sleep Quality Index (PSQI). Mental health and physical health were measured using three items from the Healthy Days Core Module. Multivariate logistic regression was conducted to assess the relationship between food insecurity, sleep quality, and days with poor mental and physical health.
Twenty-two higher education institutions.
College students (n 17 686) enrolled at one of twenty-two participating universities.
Compared with food-secure students, those classified as food insecure (43·4 %) had higher PSQI scores indicating poorer sleep quality (P < 0·0001) and reported more days with poor mental (P < 0·0001) and physical (P < 0·0001) health as well as days when mental and physical health prevented them from completing daily activities (P < 0·0001). Food-insecure students had higher adjusted odds of having poor sleep quality (adjusted OR (AOR): 1·13; 95 % CI 1·12, 1·14), days with poor physical health (AOR: 1·01; 95 % CI 1·01, 1·02), days with poor mental health (AOR: 1·03; 95 % CI 1·02, 1·03) and days when poor mental or physical health prevented them from completing daily activities (AOR: 1·03; 95 % CI 1·02, 1·04).
College students report high food insecurity which is associated with poor mental and physical health, and sleep quality. Multi-level policy changes and campus wellness programmes are needed to prevent food insecurity and improve student health-related outcomes.
评估大学生粮食不安全状况、睡眠质量与身心健康问题天数之间的关系。
开展一项在线调查。使用十项成人粮食安全调查模块评估粮食不安全状况。使用十九项匹兹堡睡眠质量指数（PSQI）测量睡眠情况。使用健康日核心模块中的三个项目测量心理健康和身体健康状况。进行多因素逻辑回归分析，以评估粮食不安全状况、睡眠质量与身心健康不佳天数之间的关系。
22所高等教育机构。
在22所参与大学之一就读的大学生（n = 17686）。
与粮食安全的学生相比，被归类为粮食不安全的学生（43.4%）PSQI得分更高，表明睡眠质量较差（P < 0.0001），且报告有更多心理健康不佳（P < 0.0001）和身体健康不佳（P < 0.0001）的天数，以及因身心健康问题而无法完成日常活动的天数（P < 0.0001）。粮食不安全的学生睡眠质量差、身体健康不佳天数、心理健康不佳天数以及因身心健康问题而无法完成日常活动天数的调整后比值比更高（调整后比值比（AOR）：1.13；95%置信区间1.12，1.14）、（AOR：1.01；95%置信区间1.01，1.02）、（AOR：1.03；95%置信区间1.02，1.03）和（AOR：1.03；95%置信区间1.02，1.04）。
大学生报告的粮食不安全程度较高，这与身心健康不佳及睡眠质量差有关。需要进行多层次的政策变革和校园健康计划，以预防粮食不安全并改善与学生健康相关的结果。
