PDF(Pubmed)
Abstract：
In recent years, many students have faced economic hardship and experienced food insecurity, even as universities strive to create more equitable pathways to college. There is a need for a more holistic perspective that addresses the complexity of food insecurity amongst college students. To this end, we examined the relationship between the social determinants of health, including college food insecurity (CoFI) and childhood food insecurity (ChFI), and their relationship with well-being measures. The study sample was a convenience sample that included 372 students at a public university who responded to an online survey in fall 2021. Students were asked to report their food security status in the previous 30 days. We used the following analytical strategies: chi-square tests to determine differences between food secure (FS) and food insecure (FI) students; binary logistic regression of CoFI on student demographics and ChFI; and ordinal or binary logistic regression for well-being measures. Black students, off-campus students, first-generation students, in-state students, and humanities/behavioral/social/health sciences majors were more likely to report CoFI. FI students were more likely to have experienced ChFI and to have lower scores on all well-being measures. ChFI was associated with four well-being measures and its effects were mediated by CoFI. College student health initiatives would benefit from accounting for SDOH, including ChFI experiences and its subsequent cumulative disadvantages experienced during college.
摘要：
近年来,许多学生面临经济困难和粮食不安全，即使大学努力创造更公平的大学途径。需要更全面的视角来解决大学生粮食不安全的复杂性。为此,我们研究了健康的社会决定因素之间的关系，包括大学粮食不安全(CoFI)和儿童粮食不安全(ChFI)，以及它们与福祉措施的关系。研究样本是一个便利样本，其中包括一所公立大学的372名学生，他们在2021年秋季对一项在线调查做出了回应。要求学生报告他们在过去30天内的粮食安全状况。我们使用了以下分析策略：卡方检验来确定粮食安全（FS）和粮食不安全（FI）学生之间的差异；CoFI对学生人口统计和ChFI的二元逻辑回归；以及幸福度量的序数或二元逻辑回归。黑人学生,校外学生,第一代学生，州内学生，人文/行为/社会/健康科学专业更有可能报告CoFI。FI学生更有可能经历过ChFI，并且在所有福祉指标上得分较低。ChFI与四种幸福感指标相关，其作用由CoFI介导。大学生健康计划将受益于SDOH的核算，包括ChFI经验及其在大学期间经历的累积劣势。
