Association of food insecurity and sleep difficulty among 189,619 school-going adolescents: a study from the global in-school students survey
Bonsu, Emmanuel Osei, Afetor, Maxwell, Munkaila, Lambongang, Okwei, Reforce, Nachibi, Stephen Uwumbordo, Adjei, Benjamin Noble, Frimpong, Eric, Arimiyaw, Abdul Wahid, Adu, Collins, and Peprah, Prince (2023) 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, 11. 1212254.
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Abstract
Introduction: Adolescents’ 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.
Methods: Data 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.
Results: Overall 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.
Conclusion: Reducing food insecurity could be an effective policy strategy for enhancing adolescent sleep quality.
| Item ID: | 80405 |
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| Item Type: | Article (Research - C1) |
| ISSN: | 2296-2565 |
| Keywords: | adolescents, food insecurity, global health, multinomial, sleep disturbance |
| Copyright Information: | © 2023 Osei Bonsu, Afetor, Munkaila, Okwei, Nachibi, Adjei, Frimpong, Arimiyaw, Adu and Peprah. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
| Date Deposited: | 14 Feb 2024 04:20 |
| FoR Codes: | 42 HEALTH SCIENCES > 4206 Public health > 420606 Social determinants of health @ 100% |
| SEO Codes: | 20 HEALTH > 2004 Public health (excl. specific population health) > 200401 Behaviour and health @ 100% |
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