Joutsi Roosa, Walsh Hanna M, Lehto Elviira, Saari Tiina, Rahkonen Ossi, Nevalainen Jaakko, Erkkola Maijaliisa, Meinilä Jelena
Department of Food and Nutrition, University of Helsinki, Helsinki, Finland.
Work Research Centre, Faculty of Social Sciences, Tampere University, Tampere, Finland.
Public Health Nutr. 2024 Nov 22;27(1):e250. doi: 10.1017/S1368980024002386.
To investigate the association between food insecurity (FI) and diet quality in private sector service workers.
Data were collected via electronic questionnaires (2019) and the national register data (2018-2019). FI was measured using the Household Food Insecurity Access Scale (HFIAS) and diet quality using an FFQ and a modified Healthy Food Intake Index (mHFII). The associations between HFIAS and mHFII were studied using ANOVA and ordinal regression analysis.
Cross-sectional survey and register data for all municipalities in Finland in 2018-2019.
Individuals ( 6435) belonging to the Finnish Service Union United. The members are predominantly women and work mainly in retail trade, tourism, restaurant and leisure services, property maintenance and security services.
Overall diet quality, measured by mHFII, was significantly lower in those experiencing severe FI than in those who were food secure (8·0 . 9·1). Additionally, those with severe FI were less likely to have higher (more optimal) scores in sugar-sweetened beverages (OR: 0·67), fibre-rich grains (OR: 0·79), vegetables (OR: 0·54), fruits and berries (OR: 0·61), vegetable oil (OR: 0·80), fish (OR: 0·65), milk (OR: 0·89) and nuts and seeds (OR: 0·66) than food-secure participants. Severe FI was associated with higher odds for less frequent consumption of red and processed meat (OR: 1·15, a higher score represents less frequent consumption).
Severe FI was linked to both lower overall diet quality and suboptimal consumption of several food groups. Individuals experiencing severe FI may be predisposed to accumulating dietary risk factors for chronic diseases.
调查私营部门服务行业工作者的粮食不安全状况（FI）与饮食质量之间的关联。
通过电子问卷（2019年）和国家登记数据（2018 - 2019年）收集数据。使用家庭粮食不安全获取量表（HFIAS）衡量粮食不安全状况，使用食物频率问卷（FFQ）和改良的健康食物摄入指数（mHFII）衡量饮食质量。使用方差分析和有序回归分析研究HFIAS与mHFII之间的关联。
2018 - 2019年芬兰所有城市的横断面调查和登记数据。
芬兰服务业工会联合会的个人（6435名）。成员主要为女性，主要从事零售贸易、旅游业、餐饮和休闲服务、物业维护和安保服务工作。
通过mHFII衡量，经历严重粮食不安全状况的人群总体饮食质量显著低于粮食安全人群（8.0对9.1）。此外，与粮食安全参与者相比，严重粮食不安全状况的人群在含糖饮料（比值比：0.67）、富含纤维的谷物（比值比：0.79）、蔬菜（比值比：0.54）、水果和浆果（比值比：0.61）、植物油（比值比：0.80）、鱼类（比值比：0.65）、牛奶（比值比：0.89）以及坚果和种子（比值比：0.66）方面获得较高（更优）分数的可能性较小。严重粮食不安全状况与较少食用红肉和加工肉类的较高几率相关（比值比：1.15，分数越高表示食用频率越低）。
严重粮食不安全状况与总体饮食质量较低以及几个食物组的摄入不理想均有关联。经历严重粮食不安全状况的个体可能易积累慢性疾病的饮食风险因素。
