ArticleNutrients2021
Trajectory of Food Insecurity and Its Association with Longitudinal Mental Health and Sleep Outcomes in Adolescents from Economically Disadvantaged Families.
Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Food Insecurity and Mental Health: A Moderated Mediation Analysis.Canadian review of sociology = Revue canadienne de sociologie · 2025Article
- Beyond the Plate: the Role of Food Insecurity Trajectories in Shaping Child Emotional and Conduct Problems.Research on child and adolescent psychopathology · 2025Article
- Association between socioeconomic position of the household head, food insecurity and psychological health: an application of propensity score matching.BMC public health · 2024Article
- Article
- Food Insecurity and Sleep-Related Problems in Adolescents: Findings from the EHDLA Study.Nutrients · 2024Article
- Relationships between Food Insecurity, Self-Efficacy, and Changes in Body Mass Index among the Youth in Taiwan: Analysis from a Longitudinal Cohort Survey.Children (Basel, Switzerland) · 2024Article
- Associations of Renal Function Trajectories and Long-Term Cardiovascular Risks Among a Population Without Chronic Kidney Disease.Journal of the American Heart Association · 2023Article
- COVID-19 Recession: Young Adult Food Insecurity, Racial Disparities, and Correlates.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Article
- Food Insecurity Trajectories in the US During the First Year of the COVID-19 Pandemic.Preventing chronic disease · 2023Article
- Association of food insecurity and sleep difficulty among 189,619 school-going adolescents: a study from the global in-school students survey.Frontiers in public health · 2023Article
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8 authors.
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Abstract
backgroundAdolescence is a critical transition period in the course of human development. Although food insecurity (FI) has been shown to be associated with adverse mental health and sleep outcomes in US adolescents, there is a paucity of research examining the relationships between FI, mental health, and sleep outcomes in Taiwanese adolescents. Furthermore, it is unknown how the change of FI over time (i.e., the trajectory of FI) is related to health outcomes.
methodsThe data come from the Taiwan Database of Children and Youth in Poverty, which is a national longitudinal project measuring FI in five survey waves (2009-2017). We employed group-based trajectory modeling to classify various FI trends over the five waves using STATA. Furthermore, a generalized estimating equation analysis was conducted with FI trajectories as the independent variable to see how FI trajectory is related to mental health and sleep outcomes.
resultsIn total, 1921 participants aged 12-18 years in the first wave were deemed valid for the analysis. We classified the participants into four FI trajectory groups: persistently low FI (24.8%), persistently moderate FI (64.7%), declining from high to low FI (4.1%), and food-secure groups (6.4%). As compared to food-secure adolescents, the persistently moderate FI group was more likely to have mental problems (β = 0.30, [95% confidence interval 0.21-0.38]), while the other FI groups were only marginally associated with mental health problems. Moreover, adolescents in the persistently low FI group (β = 0.13, [0.02-0.23]) and persistently moderate FI group (β = 0.39, [0.29-0.48]) were found to have more sleep problems than those in the food-secure group.
conclusionsOur study describes the FI profile of adolescents from economically disadvantaged families and the difficulties they might encounter. With this information, healthcare providers can aid adolescents in the early stages of mental health problems and provide guidance when appropriate.
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