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

Public Health

Eric Frimpong¹  Collins Adu²  Lambongang Munkaila³  Emmanuel Osei Bonsu⁴  Benjamin Noble Adjei⁴  Abdul Wahid Arimiyaw⁵  Stephen Uwumbordo Nachibi⁶  Reforce Okwei⁷  Maxwell Afetor⁸  Prince Peprah⁹ 

[1] Audiology Unit, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana;College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD, Australia;Center for Social Research in Health, UNSW, Sydney, NSW, Australia;Department of Agribusiness and Applied Economics, North Dakota State University, Fargo, ND, United States;Department of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana;Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana;Department of Geography, Environment and Earth Sciences, University of Hull, Hull, United Kingdom;Department of Geography, Miami University, Oxford, OH, United States;Department of Health Information, Ho Polyclinic, Ghana Health Service, Accra, Ghana;Social Policy Research Centre, UNSW, Sydney, NSW, Australia;Centre for Primary Health Care and Equity, UNSW, Sydney, NSW, Australia;

关键词: food insecurity;    sleep disturbance;    adolescents;    global health;    multinomial;   

DOI  :  10.3389/fpubh.2023.1212254

 received in 2023-04-27, accepted in 2023-06-21,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionAdolescents’ sleep disturbances are associated with chronic and dramatic physical, emotional, and mental development and school performance consequences. Although food insecurity could significantly contribute to these effects, few studies have explored the effect of food insecurity on sleep disturbances among adolescents. The study aimed to examine the relationship between adolescents’ food insecurity and sleep disturbance.MethodsData on 189,619 adolescents were drawn from the cross-sectional global adolescent health surveys conducted between 2015 and 2018 in 35 countries and territories. Univariate and multivariable multinomial regression models were fitted to examine the hypothesized associations.ResultsOverall pooled prevalence of moderate [45.2% (95%CI = 43–47)] and severe [5.8% (95%CI = 5–6)] food insecurity levels were reported. About [52.6% (95%CI = 51–54)] moderate and [8.6% (95%CI = 8–9)] severe worry-induced sleep disturbances were found. Considering the fully adjusted multinomial logistic model, moderate food insecurity was significantly associated with moderate (AOR = 1.70 CI = 1.59–1.81; p < 0.0001) and severe (AOR = 1.63 CI = 1.42–1.87; p < 0.0001) sleep disturbances. Also, adolescents reporting severe levels of food insecurity had moderate (AOR = 1.88 CI = 1.68–2.11; p < 0.0001) and severe (AOR = 4.07 CI = 4.74–6.11; p < 0.0001) sleep disturbances. Females and those aged between 15 and 17 years and 18 or more were at higher risk of moderate and severe sleep disturbances in the context of food insecurity.ConclusionReducing food insecurity could be an effective policy strategy for enhancing adolescent sleep quality.

【 授权许可】

Unknown   
Copyright © 2023 Osei Bonsu, Afetor, Munkaila, Okwei, Nachibi, Adjei, Frimpong, Arimiyaw, Adu and Peprah.