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Food Insecurity Is Associated with Low Adherence to the Mediterranean Diet and Adverse Health Conditions in Portuguese Adults

2018-02-21Journal article Open access
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dc.contributor.authorGregório, Maria João
dc.contributor.authorRodrigues, Ana M.
dc.contributor.authorGraça, Pedro
dc.contributor.authorSousa, Rute Dinis de
dc.contributor.authorDias, Sara
dc.contributor.authorBranco, Jaime C.
dc.contributor.authorCanhão, Helena
dc.date.accessioned2025-06-30T14:02:48Z
dc.date.available2025-06-30T14:02:48Z
dc.date.issued2018-02-21
dc.description.abstractBackground: Food insecurity is a limited or uncertain access to the adequate food and is a significant public health problem. We aimed to assess determinants of food insecurity and the corresponding health impact in Portugal, a southern European country that faced a severe economic crisis. Methods: Data were derived from the Epidemiology of Chronic Diseases Cohort Study (EpiDoC), a population-based cohort of 10,661 individuals that were representative of the Portuguese adult population and followed since 2011. A cross-sectional analysis of the third wave of evaluation (EpiDoC 3) was performed between 2015 and 2016. Food insecurity was assessed with the household food insecurity psychometric scale. Socioeconomic, demographic, lifestyle, adherence to Mediterranean diet (MD), self-reported non-communicable disease, health-related quality of life (HRQoL) (EQ-5D-3L), physical function (HAQ score), and health resource consumption information was also collected. Results: The estimated proportion of food insecurity was 19.3% among a total of 5,653 participants. Food insecure households had low adherence to the MD (OR = 0.44; 95% IC 0.31-0.62). In addition, diabetes (OR = 1.69; 95% IC 1.20-2.40), rheumatic disease (OR = 1.67; 95% IC 1.07-2.60), and depression symptoms (OR = 1.50; 95% IC 1.09-2.06) were independently associated with food insecurity. On average, food insecure households had a lower HRQoL (OR = 0.18; 95% IC 0.11-0.31) and a higher disability (OR = 2.59; 95% IC 2.04-3.29). A significantly higher proportion of food insecure households reported being hospitalized (OR = 1.57; 95% IC 1.18-2.07) and had more public hospital medical appointments (OR = 1.48; 95% IC 1.12-1.94) in the previous 12 months. Conclusion: We found that food insecurity is highly prevalent in Portugal. Food insecurity was associated with low adherence to the MD, non-communicable chronic diseases, lower quality of life, and higher health resource consumption. Therefore, this study provides valuable insight into the relationship between food security and the diet and health of the population during an economic crisis.eng
dc.description.sponsorshipThe present project was granted by the Public Health Initiatives Programme (PT06) and financed by the EEA Grants Financial Mechanism 2009–2014.
dc.identifier.citationGregório MJ, Rodrigues AM, Graça P, de Sousa RD, Dias SS, Branco JC, Canhão H. Food Insecurity Is Associated with Low Adherence to the Mediterranean Diet and Adverse Health Conditions in Portuguese Adults. Front Public Health. 2018 Feb 21;6:38. doi: 10.3389/fpubh.2018.00038. PMID: 29515992; PMCID: PMC5826370.
dc.identifier.doi10.3389/fpubh.2018.00038
dc.identifier.issn2296-2565
dc.identifier.urihttp://hdl.handle.net/10400.8/13467
dc.language.isoeng
dc.peerreviewedyes
dc.publisherFrontiers Media SA
dc.relation.hasversionhttps://pubmed.ncbi.nlm.nih.gov/29515992/
dc.relation.ispartofFrontiers in Public Health
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectMediterranean diet
dc.subjecteconomic crisis
dc.subjectfood insecurity
dc.subjecthealth resources consumption
dc.subjecthealth-related quality of life
dc.subjectnon-communicable diseases
dc.titleFood Insecurity Is Associated with Low Adherence to the Mediterranean Diet and Adverse Health Conditions in Portuguese Adultseng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleFront Public Health
oaire.citation.volume6
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameDias
person.givenNameSara
person.identifier.ciencia-idAA1F-9375-B5E6
person.identifier.orcid0000-0001-6782-7481
person.identifier.ridI-9965-2018
person.identifier.scopus-author-id33367487300
relation.isAuthorOfPublicationa49e0bc6-cfea-4033-aebf-a1ef9e4c5e7b
relation.isAuthorOfPublication.latestForDiscoverya49e0bc6-cfea-4033-aebf-a1ef9e4c5e7b

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