scholarly journals College Student Sleep Quality and Mental and Physical Health are Associated with Food Insecurity in a Multi-Campus Study

2021 ◽  
pp. 1-23
Author(s):  
Rebecca L. Hagedorn ◽  
Melissa D. Olfert ◽  
Lillian MacNell ◽  
Bailey Houghtaling ◽  
Lanae B. Hood ◽  
...  

Abstract Objective: To assess the relationship between food insecurity, sleep quality, and days with mental and physical health issues among college students. Design: An online survey was administered. Food insecurity was assessed using the 10-item Adult Food Security Survey Module. Sleep was measured using the 19-item Pittsburgh Sleep Quality Index (PSQI). Mental health and physical health were measured using three items from the Healthy Days Core Module. Multivariate logistic regression was conducted to assess the relationship between food insecurity, sleep quality, and days with poor mental and physical health. Setting: Twenty-two higher education institutions. Participants: College students (n=17,686) enrolled at one of 22 participating universities. Results: Compared to food secure students, those classified as food insecure (43.4%) had higher PSQI scores indicating poorer sleep quality (p<.0001) and reported more days with poor mental (p<.0001) and physical (p<.0001) health as well as days when mental and physical health prevented them from completing daily activities (p<.0001). Food insecure students had higher adjusted odds of having poor sleep quality (adjusted odds ratio [AOR]:1.13, 95% confidence interval [CI]: 1.12-1.14), days with poor physical health (AOR: 1.01, 95% CI: 1.01-1.02), days with poor mental health (AOR: 1.03, 95% CI: 1.02-1.03), and days when poor mental or physical health prevented them from completing daily activities (AOR: 1.03, 95% CI: 1.02-1.04). Conclusions: College students report high food insecurity which is associated with poor mental and physical health and sleep quality. Multi-level policy changes and campus wellness programs are needed to prevent food insecurity and improve student health-related outcomes.

Author(s):  
Lisa Blundell ◽  
Maria Mathews

Abstract Objectives: The prevalence of student food insecurity at Memorial University of Newfoundland (MUN) is relatively high (58.0%) compared to the national population (12.7%). We explored the relationship between food security status, perceived health, and student experience among MUN students. Methods: Through an online survey of returning MUN students at the St. John’s campus, we assessed food security using Statistics Canada’s Canadian Household Food Security Survey Module (HFSSM), and self-reported physical health, mental health, and stress. We used logistic regression to compare health and stress ratings between students of different food security levels. We thematically coded open-ended responses to describe students’ experiences related to food insecurity. Results: Among the 967 study eligible students, 39.9% were considered food insecure, 28.2% were moderately food insecure, and 11.7% were severely food insecure. After controlling for significant predictors, students who were moderately or severely food insecure were 1.72 [95% CI:(1.20,2.48)] and 2.81 [95% CI:(1.79,4.42)] times as likely to rate their physical health as ‘fair’ or ‘poor’ than food secure students, and 1.66 [95% CI:( 1.22,2.27)] and 4.23 [95% CI: (2.71-6.60] times as likely to rate their mental health as ‘fair’ or ‘poor’ than food secure students, respectively. Conclusion: Food security level experienced by MUN students was closely related to their perceived physical and mental health. As food security level worsened among participants, their self-reported physical and mental health also worsened. Health professionals working with university student populations should screen for food security and consider its relationship to students’ health.


Author(s):  
Monideepa B. Becerra ◽  
Benjamin J. Becerra

Food insecurity is a major social determinant of health and an assessment of how it may impact college students’ mental health is imperative, as well as differential associations by self-identified gender. A cross-sectional survey was used among college students of a mid-size minority-serving institution with a final sample size of 302 participants aged 18 years or above. Descriptive, bivariate, and multivariable regressions were conducted, by gender, to assess the role of food insecurity (United States Department of Agriculture (USDA) six-item questionnaire), on mental health outcomes (Kessler-6 scale and self-perception). All the statistical analyses were conducted in SPSS version 24 (IBM, Corp.; Armonk, NY, USA) with an alpha less than 0.05 used to denote significance. Among those with food insecurity, the odds of reporting psychological distress (odds ratio (OR) = 3.645, p < 0.05) and an average to very poor self-perceived mental health status (OR = 2.687, p <0.05) were higher compared to their food-secure counterparts, with the results consistent in a gender-specific analysis as well. Compared to men, however, women had higher odds of psychological distress (OR = 2.280, p < 0.05), as well as reporting average to very poor self-perceived mental health statuses (OR = 2.700, p < 0.05). Among women, any alcohol use in the past 12 months (OR = 2.505, p < 0.05) and a low self-perceived physical health status (OR = 3.601, p < 0.05) were associated with an average to very poor self-perceived mental health status. Among men, a low perceived physical health status was associated with higher odds of psychological distress (OR = 3.477, p < 0.05). The results of our study highlight that food insecurity should be considered a social determinant of mental health wellbeing. In addition, gender-specific trends in mental health highlight the need for targeted interventions for prevention and treatment.


2018 ◽  
Vol 5 (1) ◽  
pp. 1475878 ◽  
Author(s):  
Matthew J. Zawadzki ◽  
Adriel Boals ◽  
Nick Mathews ◽  
Keke Schuler ◽  
Shana Southard-Dobbs ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-14 ◽  
Author(s):  
M. Margaret Weigel ◽  
Rodrigo X. Armijos ◽  
Marcia Racines ◽  
William Cevallos ◽  
Nancy P. Castro

Chronic physical and mental health conditions account for a rising proportion of morbidity, mortality, and disability in the Americas region. Household food insecurity (HFI) has been linked to chronic disease in US and Canadian women but it is uncertain if the same is true for low- and middle-income Latin American countries in epidemiologic transition. We conducted a survey to investigate the association of HFI with the physical and mental health of 794 women with children living in low-income Quito, Ecuador, neighborhoods. Data were collected on HFI and health indicators including self-reported health (SF-1), mental health (MHI-5), blood pressure, and self-reported mental and physical health complaints. Fasting blood glucose and lipids were measured in a subsample. The multivariate analyses revealed that HFI was associated with poorer self-rated health, low MHI-5 scores, and mental health complaints including stress, depression, and ethnospecific illnesses. It was also associated with chest tightness/discomfort/pain, dental disease, and gastrointestinal illness but not other conditions. The findings suggest that improving food security in low-income households may help reduce the burden of mental distress in women with children. The hypothesized link with diabetes and hypertension may become more apparent as Ecuador moves further along in the epidemiologic transition.


2021 ◽  
Vol 25 (3) ◽  
pp. 158-163
Author(s):  
Yusuf Soylu

Background and Study Aim. A global pandemic affected by COVID-19 resulted in restrictions to daily routines, including recreation activities, social skills, and academic and health quality of college students. This study aimed to evaluate the psychophysiological effect of coronavirus quarantine on physical activity and its’ relationship between sleep quality, mood states and musculoskeletal pain in college students. Material and Methods. A total of 392 (male = 150; female = 242; age = 22.9±5.5) college students completed an online survey. The International Physical Activity Questionnaire-Short Form (IPAQ-SF), the Brunel Mood Scale, the Pittsburgh Sleep Quality Index (PSQI) and the Visual Analogue Scale for musculoskeletal pain (MSP) were used in this study. Results. Total physical activity significantly correlation with PSQI (p < 0.05, r = -.103), fatigue (p < 0.01, r = -.344), depression (p < 0.01, r = -.258), angry (p < 0.01, r = -.210), vigour (p < 0.01, r = -.344), neck and shoulder, upper and lower back (p < 0.01, r = -.225), neck and shoulder correlation (p < 0.01, r = -.230), upper and lower back (p < 0.01, r = -.209). Furthermore, a positive correlation was shown between PSQI and negative moods and a negative correlation with positive mood. Conclusions. During quarantine, decreased physical activity was associated with higher negative mood states and poor sleep quality and more MSP. The COVID-19 quarantine has considerably affected mental health-related crisis consists of desperation, self-consciousness and deficiency of physical capabilities in young adults, especially in college students.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Annie Ro ◽  
Victoria E. Rodriguez ◽  
Laura E. Enriquez

Abstract Background The COVID-19 pandemic may have disproportionately affected the mental and physical health of undocumented students and students with undocumented parents. Methods We analyzed primary data from 2111 California college students collected March–June 2020. We estimated the odds of mental or physical health being affected “a great deal” by COVID by immigration group and then examined whether this was moderated by campus belonging or resource use. Results Students with undocumented parents were least likely to report COVID-related mental and physical health effects. Undocumented students and students whose parents have lawful immigration status did not differ in their COVID-related physical and mental health. For all students, more campus resource use and higher campus belonging were associated with negative mental and physical health effects. Discussion Negative COVID-related mental and physical health was widespread. Separation from campus-based resources was detrimental during the early stages of the pandemic.


2021 ◽  
Vol 9 ◽  
Author(s):  
Anna Eleftheriou ◽  
Aikaterini Rokou ◽  
Aikaterini Arvaniti ◽  
Evangelia Nena ◽  
Paschalis Steiropoulos

Background-Aim: Medical students have been greatly affected by the COVID-19 pandemic due to their educational program, which comprises theoretical knowledge and also clinical duties, making them vulnerable to viral exposures and possibly affecting their everyday life. The aim of this study was to explore changes in sleep and mental health parameters among medical students in Greece during the second year of the pandemic.Methods: This cross-sectional study comprised students of all medical schools in Greece (n = 7), using an anonymous online survey. Participants completed the following questionnaires: Pittsburgh Sleep Quality Index (PSQI), Athens Insomnia Scale (AIS), Fatigue Severity Scale (FSS), General Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9). Statistical analysis was conducted with the use of SPSS v.26 (IBM SPSS, Armonk NY, USA).Results: Out of the 562 received responses, 559 met the inclusion criteria. The largest proportion of the respondents came from 4th-year (27.8%) and the majority of the sample were females (69.8%). Only 5.9% of the participants reported having been infected by SARS-COV-2. Most of the respondents experienced insomnia (65.9%, mean AIS score: 7.59 ± 4.24), poor sleep quality (52.4%, mean PSQI score: 6.6 ± 3.25) and increased fatigue (48.5%, mean 35.82 ± 11.74). Moderate to severe symptoms of anxiety (mean 9.04 ± 5.66) and depression (mean 9.36 ± 6.15) were noted. Suicidal ideation was found in 16.7% of the sample, while use of sleeping pills in the previous month was reported by 8.8% (n = 47). Further analysis revealed independent associations between sleep and mental health parameters. Higher AIS score was associated with greater FSS score; higher PSQI scores with higher GAD-7 and PHQ-9 scores. Additionally, female students were found to be significantly more affected than males by the COVID-19 pandemic, displaying higher levels of insomnia, sleep disturbances, anxiety and depression. In addition, those with a history of COVID-19 infection or in close proximity with a positive case reported significantly more significant post-traumatic symptoms in IES-COVID-19 questionnaire.Conclusions: In the aftermath of the COVID-19 pandemic, prevalence of sleep and mental health disorders among Greek medical students is significant, highlighting the need for better surveillance of students' wellbeing and subsequent counseling, with special focus on female students and other affected groups.


2018 ◽  
Author(s):  
Ray Norbury

Poor quality sleep is related to mental health and there is increasing interest in student wellbeing and mental health. The aim of the current study was to evaluate sleep quality, daytime dozing, anxiety proneness, chronotype and preferred start time in a sample of university students. A total of 546 university students (age range, 18-55) from two university located in South East England were included and completed an online survey. Participants’ self-reported age, gender, year and field of study. Sleep quality, anxiety, daytime dozing, coffee/caffeine/tobacco use (coded as binary variables), preferred start time and chronotype were also recorded. Data were analysed using independent samples t¬-tests, chi-square, simple mediation-analyses and Analysis of Variance. Across the entire sample 46% percent of participants rated their sleep as fairly bad or very bad. Poor quality sleep was associated with significantly higher levels of anxiety which was not mediated by chronotype. Poor quality sleep is more prevalent in the first year of university and our sample endorsed a start time for university activities approximately 2 hours later than currently timetabled. The current findings demonstrate that a large proportion of students are chronically sleep deprived, obtaining, on average, less than 7 hours sleep per night on week days and this was more marked in first year students. In addition, we show that poor sleep is associated with increased anxiety. Based on the current evidence the authors suggest a review of current university timetabling and examination scheduling merits immediate consideration by policy makers and educators.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A89-A90
Author(s):  
Winnie Li ◽  
Lichuan Ye

Abstract Introduction To address the growing sleep deficiency epidemic in college students, more research is needed on recent factors that might affect sleep, such as the digital media use in this young adult population. Furthermore, sleep and the use of digital media can be heavily influenced by the COVID-19 pandemic. The purpose of this study is to examine the use of digital media during the pandemic, and its relationship with sleep disturbance, social isolation, physical and mental health in college students. Methods An online survey was sent out to college students enrolled in an urban university. Validated questionnaires including PROMIS (Sleep Disturbance, Global Mental Health, Global Physical Health, Social Isolation), Nighttime Media Usage, and Internet Addition Test were included in the survey. In addition, focus groups were conducted with a subsample of survey respondents to elicit a comprehensive understanding of how digital media use in daily life influences sleep during the COVID-19 pandemic. Data collection was conducted during June to December 2020. Results A total of 358 students completed the online survey. Sleep disturbance was significantly related to greater digital media use for recreational purposes two hours before bedtime (62.6±28.1 minutes, r=0.110, p=0.046), and a higher frequency of playing games (r=0.148, p=0.007) and using social media after going to bed (r=0.142, p=0.10). Sleep disturbance was significantly associated with social isolation (r=0.251, p&lt;0.001), poor global physical health (r=-0.186, p&lt;0.001) and mental health (r=-0.376, p&lt;0.001), and lower GPA (r=-0.167, p=0.004). Additionally, seven focus groups were conducted in a total of 32 students, suggesting that the increase in free time from the COVID-19 pandemic led to greater digital media use, compromising sleep duration and quality. With the increase of screen time also came feeling of guilt and anxiety which often led to greater awareness and self-control around media use. Conclusion Nighttime digital media use during the challenging pandemic time has a significant impact on poor sleep, which may lead to decreased academic performance, greater social isolation, and poor physical and mental health in college students. Effective interventions targeting digital media use are needed to improve sleep in this population. Support (if any):


Author(s):  
İsmail YELPAZE

Prior research indicates that anxiety and emotion regulation are related to sleep quality. This study extends the body of research by investigating how people in different gender groups are affected by the coronavirus disease 2019 (Covid-19) anxiety and emotion regulation in terms of sleep quality. The present study examined gender as a potential moderating variable on the associations of Covid-19 anxiety and emotion regulation with sleep quality. University students were recruited via e-mail to participate in a brief online survey. Data were collected using the Pittsburgh Sleep Quality Index, Fear of COVID-19, and Emotion Management Skills Scale. The current study used SPSS PROCESS, an SPSS macro developed by Hayes. Results indicated that Covid-19 anxiety was related to poor sleep quality and emotion regulation was related to good sleep quality. Gender was a significant moderator for the relationship between Covid-19 anxiety and sleep quality, but not emotion regulation and sleep quality. The female gender presented a positive association between Covid-19 anxiety and poor sleep quality in comparison to the male gender. The relationship between emotion regulation and good sleep quality was found to be significant and positive for both genders. In the pandemic, Covid-19 anxiety should be reduced and people should have skills to manage their emotions. Otherwise, they will experience serious sleep problems.


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