Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, United States.
Department of Applied Health Science, School of Public Health, Indiana University-Bloomington, Bloomington, IN, United States.
J Nutr. 2024 Oct;154(10):3125-3132. doi: 10.1016/j.tjnut.2024.06.009. Epub 2024 Jul 1.
College students have a high prevalence of food insecurity, and descriptive reports suggest even higher rates at minority-serving institutions than those at predominantly White institutions. These institutional inequities in food insecurity among college students based on minority designation may have shifted owing to the COVID-19 pandemic.
We aimed to compare the prevalence of food insecurity between students at minority serving and predominantly White institutions during 3 phases: prepandemic [Fall 2019-Spring 2020 (February 2020)], earlier pandemic (Fall 2020-Spring 2021), and later pandemic (Fall 2021-Spring 2022).
Our study included repeated cross-sectional samples from the American College Health Association-National College Health Assessment III (N = 287,221 students, 354 institutions). We performed multivariable Poisson regression with cluster-robust SEs to estimate associations between institutional minority designation and food insecurity, with 1 model for each pandemic phase.
Students attending minority serving compared with predominantly White institutions had a higher prevalence of food insecurity overall (42% compared with 37%) and within each pandemic phase. After adjusting for sociodemographic and institutional characteristics, students at minority serving institutions had 23% higher food insecurity prevalence during the prepandemic phase than students at predominantly White institutions (95% confidence interval: 1.14, 1.32). Associations were null for earlier and later pandemic phases.
Lower institutional inequities in food insecurity after the onset of the pandemic may reflect more students returning home as well as an increase in social safety net programs. Regardless of cause, the high prevalence of food insecurity among students, especially at minority serving institutions, underscores the importance of addressing food insecurity at postsecondary campuses.
大学生的食物不安全问题较为普遍,描述性报告表明,少数族裔服务机构的学生比以白人为主的机构的学生比例更高。由于 COVID-19 大流行,大学生中基于少数族裔身份的食物不安全状况的机构不平等可能已经发生转变。
我们旨在比较少数族裔服务机构和以白人为主的机构学生在以下三个阶段的食物不安全发生率:大流行前(2019 年秋季至 2020 年春季[2020 年 2 月])、大流行早期(2020 年秋季至 2021 年春季)和大流行后期(2021 年秋季至 2022 年春季)。
我们的研究纳入了美国大学生健康协会-全国大学生健康评估第三版(N = 287221 名学生,354 所院校)的重复横断面样本。我们使用多变量泊松回归模型,结合聚类稳健标准误,以估计机构中的少数族裔指定与食物不安全之间的关联,每个大流行阶段都有一个模型。
与以白人为主的机构相比,就读于少数族裔服务机构的学生整体上(42%比 37%)和每个大流行阶段都存在更高的食物不安全发生率。在调整了社会人口统计学和机构特征后,少数族裔服务机构的学生在大流行前阶段的食物不安全发生率比以白人为主的机构高 23%(95%置信区间:1.14,1.32)。在早期和后期大流行阶段,这种关联则不成立。
大流行后食物不安全的机构不平等程度降低,可能反映出更多的学生返回家中,以及社会安全网项目的增加。无论原因如何,学生中食物不安全的高发生率,尤其是在少数族裔服务机构中,突显了在高等院校解决食物不安全问题的重要性。