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Associations Between Food Insecurity And Psychological Wellbeing, Body Image, Disordered Eating And Dietary Habits: Evidence From Spanish Adolescents

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Abstract

Food insecurity is defined as the lack of accessibility and affordability of safe and healthy foods at regular intervals. The first objective of this study was to examine whether food insecurity in Spanish adolescents is associated with poor psychological wellbeing. Secondly, to investigate whether it is associated with body dissatisfaction, disordered eating and poor dietary habits. A cross-sectional study was conducted in a secondary school in Catalonia, Spain with adolescent boys and girls (n = 426), aged 12–16 years. The ‘Spanish Child Food Security Survey Module’, (CFSSM-S), socioeconomic status (SES) indicators and other validated questionnaires in Spanish were employed to assess psychological wellbeing, body image, disordered eating and dietary habits. 18.3% of participants were food insecure and 81.7% were food secure. Multiple Analysis of Covariance (MANCOVA) was employed to investigate the association between food insecurity and these variables. Socioeconomic status, family affluence, weight status, age, gender and parental origin were added as adjustment variables. The overall results indicated poor psychological wellbeing, greater body dissatisfaction and higher drive for thinness in food insecure participants. This is one of the first studies in Spain to examine the negative outcomes of food insecurity on adolescent health. Tackling these issues in adolescence could prevent major psychological and physiological problems in adulthood.

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Acknowledgements

We would like to thank the Health and Community Services of the City Council of Terrassa and the Catalan Public Health Agency for facilitating access to the data sample. We are also grateful for the participation and support of the staff and students of the secondary school, IES Torre del Palau.

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This research received no specific grant from any funding agency, commercial or not-for-profit sectors.

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Authors and Affiliations

  1. Departament de Psicologia Clínica i de la Salut, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain

    Nithya Shankar-Krishnan & David Sánchez-Carracedo

  2. Eating and Weight-Related Problems Unit, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain

    Nithya Shankar-Krishnan, Albert Fornieles Deu & David Sánchez-Carracedo

  3. Professor Serra Húnter, Departament de Psicobiologia i de Metodologia de les Ciències de la Salut, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain

    Albert Fornieles Deu

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Contributions

D.S.C., A.F.D. and N.S.K. contributed to the study design and data collection procedure. A.F.D. carried out the statistical analyses. N.S.K. wrote the paper supervised by D.S.C. and A.F.D. The drafts were reviewed by D.S.C. and A.F.D. All authors consented to the final manuscript.

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Correspondence to Nithya Shankar-Krishnan.

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– N.S.K., A.F.D. and D.S.C. declare no conflicts of interests.

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This study was conducted according to the guidelines laid down in the Declaration of Helsinki and all procedures involving human subjects/patients were approved by the ethics committee of Universitat Autònoma de Barcelona. Written informed consent was obtained from both participants and parents of participants.

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Shankar-Krishnan, N., Fornieles Deu, A. & Sánchez-Carracedo, D. Associations Between Food Insecurity And Psychological Wellbeing, Body Image, Disordered Eating And Dietary Habits: Evidence From Spanish Adolescents. Child Ind Res 14, 163–183 (2021). https://doi.org/10.1007/s12187-020-09751-7

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