View : 391 Download: 0
Food insecurity and insomnia-related symptoms among adults from low- and middle-income countries
- Title
- Food insecurity and insomnia-related symptoms among adults from low- and middle-income countries
- Authors
- Jacob L.; Smith L.; Kostev K.; Oh H.; Gyasi R.M.; López Sánchez G.F.; Song T.-J.; Tully M.A.; Haro J.M.; Yon D.K.; Shin J.I.; Koyanagi A.
- Ewha Authors
- 송태진
- SCOPUS Author ID
- 송태진
- Issue Date
- 2023
- Journal Title
- Journal of Sleep Research
- ISSN
- 9621-1105
- Citation
- Journal of Sleep Research vol. 32, no. 4
- Keywords
- epidemiology; food insecurity; insomnia-related symptoms; low- and middle-income countries; sleep problems
- Publisher
- John Wiley and Sons Inc
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- Little is known about the relationship between food insecurity and sleep problems in low- and middle-income countries, while the mediators of this association are largely unknown. Therefore, we investigated the association between food insecurity and insomnia-related symptoms in six low- and middle-income countries (i.e., China, Ghana, India, Mexico, Russia, South Africa), and the potential mediators of this relationship. Cross-sectional, nationally representative data from the Study on Global AGEing and Adult Health (2007–2010) were analysed. Past 12-month food insecurity was assessed with two questions on the frequency of eating less, and on hunger owing to a lack of food. Insomnia-related symptoms referred to severe or extreme sleep problems in the past 30 days. Multivariable logistic regression and mediation analysis were conducted. Data on 42,489 adults aged ≥18 years were analysed (mean [standard deviation] age 43.8 [14.4] years; 50.1% females). The prevalence of any food insecurity and insomnia-related symptoms was 11.9% and 4.4%, respectively. After adjustment, compared with no food insecurity, moderate (odds ratio = 1.53, 95% confidence interval = 1.11–2.10) and severe food insecurity (odds ratio = 2.35, 95% confidence interval = 1.56–3.55) were significantly associated with insomnia-related symptoms. Anxiety, perceived stress, and depression mediated 27.7%, 13.5%, and 12.5% of the relationship between any food insecurity and insomnia-related symptoms, respectively (total percentage = 43.3%). Food insecurity was positively associated with insomnia-related symptoms in adults from six low- and middle-income countries. Anxiety, perceived stress, and depression explained a substantial proportion of this relationship. Addressing food insecurity itself or the identified potential mediators among people with food insecurity may lead to a reduction in sleep problems among adults in low- and middle-income countries, pending confirmation with longitudinal studies. © 2023 European Sleep Research Society.
- DOI
- 10.1111/jsr.13852
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
- Files in This Item:
There are no files associated with this item.
- Export
- RIS (EndNote)
- XLS (Excel)
- XML