Examining Reciprocal Effects of Cigarette Smoking, Food Insecurity, and Psychological Distress in the U.S.

Kim-Mozeleski, Jin E.; Poudel, Krishna C.; Tsoh, Janice Y.

doi:10.1080/02791072.2020.1845419

Cited by 12 publications

(15 citation statements)

References 32 publications

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“…Even with the adjustments, the associations suggested greater odds of substance use across the board. Our findings support prior studies that have shown food insecurity is related to substance use 8,18,34 but also add to the literature by showing the association among young adults in colleges across the United States using a wide range of substances during the SARS-CoV-2 pandemic.…”

Section: Summary Of Findingssupporting

confidence: 89%

Food Insecurity and Substance Use Among Young Adult College Students in the United States

Smıth

Jacob

et al. 2022

J Addict Med

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BackgroundFood insecurity is prevalent among college students in the United States and has been associated with substance use. We sought to provide updated prevalence estimates and associations between food insecurity and a broad range of substances during the SARS-CoV-2 pandemic.MethodsUsing cross-sectional data from the Health Minds Study (N = 94,722; September 2020–June 2021), we used multivariable logistic regression to examine associations between food insecurity and several substances, adjusting for age, gender, race/ethnicity, hours worked, and residence. We then added a block of adjustments consisting of mental health factors (depression, anxiety, loneliness, financial stress).ResultsFood insecurity was associated with significantly greater odds of having used most individual substances, including greater odds of binge drinking (adjusted odds ratio [aOR], 1.21; 95% confidence interval [CI], 1.13–1.30), cigarette use (aOR, 1.91; 95% CI, 1.73–2.10), vaping (aOR, 1.74; 95% CI, 1.62–1.87), and a range of illicit or prescription drugs (using any illicit/prescription drug; aOR, 1.43; 95% CI, 1.32–1.55) These associations attenuated and many lost significance after adjusting for mental health factors.ConclusionsThis study found evidence to suggest that food insecurity is related to substance use in a large sample of young adult college students in the United States, calling for targeted interventions.

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Section: Summary Of Findingssupporting

confidence: 89%

Food Insecurity and Substance Use Among Young Adult College Students in the United States

Smıth

Jacob

et al. 2022

J Addict Med

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“…Substance users may need to receive health education that quitting tobacco use and quitting or reducing alcohol use not only has health but also financial benefits and can improve food security, and on a population level food availability and substance use control should be promoted 70 . Furthermore, some research has shown a bidirectional association between food insecurity and tobacco use 25 , 71 , and similarly some cross-sectional studies showed an association between food insecurity and problem drinking 72 and other studies found an association between problem drinking and food insecurity in men 27 , potentially suggesting a bidirectional association between food insecurity and problem drinking.…”

Section: Discussionmentioning

confidence: 92%

“…Furthermore, most measures were limited due to self-report and the cross-sectional study design hinders us from drawing causative conclusions. Moreover, there is the possibility of reverse causation, considering that various studies 25 , 62 , 63 , 71 showed that poor health outcomes may cause food insecurity and food insecurity may cause poor health outcomes. Our cross-sectional data do not allow us to draw causal or directional conclusions, given that we were unable to totally remove the effect of reverse causality.…”

Section: Discussionmentioning

confidence: 99%

Food insecurity and health outcomes among community-dwelling middle-aged and older adults in India

Pengpid

Peltzer

2023

Sci Rep

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The study assessed associations between food insecurity and mental, physical, and behavioural health outcomes in India. The study analysed national cross-sectional population-based data (N = 72,262; ≥ 45 years) from in India in 2017–2018. The overall prevalence of food insecurity was 9.7%. Food insecurity was significantly positively associated with poor mental health [low life satisfaction (AOR: 2.75, 95% CI 2.35–3.23), low self-reported health (AOR: 1.61, 95% CI 1.11–1.42), insomnia symptoms (AOR: 1.64, 95% CI 1.45–1.85), depressive symptoms (AOR: 2.21, 95% CI 1.97–2.48), major depressive disorder (AOR: 2.37, 95% CI 2.03–2.77), Alzheimer’s/dementia (AOR: 1.75, 95% CI 1.13–2.69), and poorer cognitive functioning (AOR: 0.68, 95% CI 0.49–0.93)], poor physical health [bone or joint disease (AOR: 1.18, 95% CI 1.04–1.34), angina (AOR: 1.80, 95% CI 1.58–2.06), underweight (AOR: 1.28, 95% CI 1.16–1.40), chronic lung disease (AOR: 1.22, 95% CI 1.03–1.45), and functional disability (AOR: 1.68, 95% CI 1.47–1.92)], and health risk behaviour [tobacco use (AOR: 1.13, 95% CI 1.01–1.25), heavy episodic drinking (AOR: 1.45, 95% CI 1.10–1.91) and physical inactivity (AOR: 1.42, 95% CI 1.21–1.67)]. Furthermore, food insecurity was negatively associated with overweight/obesity (AOR: 0.80, 95% CI 0.73–0.88). Food insecurity was associated with seven poor mental health indicators, five poor physical health conditions, and three health risk behaviours. Programmes and policies that improve food availability may help improve mental and physical health among middle-aged and older adults in India.

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“…These life stories emphasize that smoking and nicotine dependence must be addressed alongside food insecurity and stress since they are dynamically interacting conditions. As shown in Figure 1 , social conditions, life course histories, and health status converge into a cluster, and these factors exacerbate one another in a cyclical fashion, with prior quantitative work suggesting that smoking exacerbates food insecurity, which exacerbates mental distress, which exacerbates smoking [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Investigation of the Experiences of Tobacco Use among U.S. Adults with Food Insecurity

Kim-Mozeleski

Shaw

Yen

et al. 2022

IJERPH

Self Cite

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Background: Low-income U.S. adults experiencing food insecurity have a disproportionately high prevalence of cigarette smoking, and quantitative studies suggest that food insecurity is a barrier to quitting. To guide effective tobacco control strategies, this study aimed to understand the experiences, perceptions, and context of tobacco use and cessation among low-income populations experiencing food insecurity. Methods: We conducted in-depth, semi-structured interviews with 23 adults who were currently smoking cigarettes and were experiencing food insecurity, mostly living in rural settings. Participants were recruited through food-pantry-based needs assessment surveys and study flyers in community-based organizations. The interview guide explored participants’ histories of smoking, the role and function of tobacco in their lives, their interest in and barriers to quitting, as well as lived experiences of food insecurity. We used reflexive thematic analysis to analyze transcribed interviews. Results: Within a broader context of structural challenges related to poverty and financial strain that shaped current smoking behavior and experiences with food insecurity, we identified the following five themes: smoking to ignore hunger or eat less; staying addicted to smoking in the midst of instability; smoking being prioritized in the midst of financial strain; life stressors and the difficulty of quitting smoking and staying quit; and childhood adversity at the intersection of food insecurity and tobacco use. Conclusion: The context of tobacco use among adults with food insecurity was highly complex. To effectively address tobacco-related disparities among those who are socially and economically disadvantaged, tobacco control efforts should consider relevant lived experiences and structural constraints intersecting smoking and food insecurity. Findings are applied to a conceptualization of clustering of conditions contributing to nicotine dependence, food insecurity, and stress.

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Examining Reciprocal Effects of Cigarette Smoking, Food Insecurity, and Psychological Distress in the U.S.

Cited by 12 publications

References 32 publications

Food Insecurity and Substance Use Among Young Adult College Students in the United States

Food Insecurity and Substance Use Among Young Adult College Students in the United States

Food insecurity and health outcomes among community-dwelling middle-aged and older adults in India

A Qualitative Investigation of the Experiences of Tobacco Use among U.S. Adults with Food Insecurity

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