Login Register Cart 0
Generic placeholder image

Current Nutrition & Food Science

Editor-in-Chief

ISSN (Print): 1573-4013
ISSN (Online): 2212-3881

Back
Journal Home About Journal Editorial Board Journal Insight Current Issue Volumes/Issues
Subscribe
Research Article

Household Food Insecurity and Health-related Quality of Life in an Urban Adult Population in Iran

Author(s): Ali Gholami, Leila M. Jahromi, Mehran Shams-Beyranvand, Maryam Khazaee-Pool, Shohreh Naderimagham, Ali A.H. Mehrizi, Bahareh Amirkalali and Mohsen Asadi-lari*

Volume 16, Issue 3, 2020

Page: [381 - 390] Pages: 10

DOI: 10.2174/1573401315666191114142121

Price: $65

Abstract

Background: The relationship between food insecurity and mental and physical components of health-related quality of life (HRQOL) has been less addressed by healthcare professionals.

Objective: We aimed to investigate the relationship between household food insecurity and mental and physical components of HRQOL in a large sample of urban people and to determine whether household food insecurity has a negative effect on mental and physical components of HRQOL.

Methods: This cross-sectional study was conducted across twenty-two districts of Tehran (capital of Iran) during 2011. The participants were selected through multistage cluster random sampling. Two questionnaires were used to measure household food insecurity and HRQOL in the study population, while descriptive and inferential statistics were applied to test the relationships between these two parameters.

Results: The mean age of the study population was 44.5 ± 15.5 years and most were female (64.8%). The results of this study indicated an independent relationship between household food insecurity and different subscales of HRQOL (p<0.001). Household food insecurity had a significant negative relationship with physical (β= -5.93; p<0.001) and mental (β= -6.54; p<0.001) summary scores of HRQOL. Likewise, average scores on all subscales of HRQOL according to household food security status were significantly different (p<0.001).

Conclusion: Food insecurity was associated with mental and physical components of HRQOL among urban participants and can be considered as a part of comprehensive interventions that target to improve general health.

Keywords: Food insecurity, health-related quality of life, household, Iran, Tehran, urban.

« Previous Next »
Graphical Abstract

[1]
Gill TM, Feinstein AR. A critical appraisal of the quality of quality-of-life measurements. JAMA 1994; 272(8): 619-26.
[http://dx.doi.org/10.1001/jama.1994.03520080061045] [PMID: 7726894]
[2]
Meltzer H. Development of a common instrument for mental health. In: Nosikov A, Gudex C, Eds. EUROHIS: Developing common instruments for health surveys IOS Press: Europe. 2003; Vol. 57: pp. 35-60.
[3]
World Health Organization. WHOQOL-BREF: introduction, administration, scoring and generic version of the assessment: field trial version 1996 1996.
[4]
Group W. The development of the World Health Organization quality of life assessment instrument (the WHOQOL) Quality of life assessment: Int Perspect 1994; 41-57.
[5]
Fayers PM, Machin D. Quality of life: the assessment, analysis and interpretation of patient-reported outcomes. John Wiley & Sons: Hoboken, New Jersey, United States 2013.
[6]
King CR. Overview of quality of life and controversial issues. In: King CR, Hinds P, Eds. Quality of Life from Nursing and Patient Perspective. Johns and Bartlett: Boston, MA 2003; pp. 29-44.
[7]
Barbe C, Jolly D, Morrone I, et al. Factors associated with quality of life in patients with Alzheimer’s disease. BMC Geriatr 2018; 18(1): 159.
[http://dx.doi.org/10.1186/s12877-018-0855-7] [PMID: 29986669]
[8]
Pizzo E, Pezzoli A, Stockbrugger R, Bracci E, Vagnoni E, Gullini S. Screenee perception and health-related quality of life in colorectal cancer screening: a review. Value Health 2011; 14(1): 152-9.
[http://dx.doi.org/10.1016/j.jval.2010.10.018] [PMID: 21211497]
[9]
Gholami A, Araghi MT, Shamsabadi F, et al. Application of the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF) to patients with cataract. Epidemiol Health 2016; 38e2016005.
[10]
Daher AM, Ibrahim HS, Daher TM, Anbori AK. Health related quality of life among Iraqi immigrants settled in Malaysia. BMC Public Health 2011; 11(1): 407.
[http://dx.doi.org/10.1186/1471-2458-11-407] [PMID: 21624118]
[11]
Abdollahpour I, Salimi Y. Quality of life and effective factors on it among governmental staff in boukan city. J Urmia Univ Med Sci 2011; 22(1): 40-7.
[12]
Gholami A, Farsi M, Hashemi Z, Lotfabadi P. Quality of life in nurses working in Neyshabur hospitals. Thrita 2013; 2(1): 94-100.
[13]
Gholami A, Azini M, Borji A, Shirazi F, Sharafi Z, Zarei E. Quality of life in patients with type 2 diabetes: application of WHOQOL-BREF scale. Shiraz E Med J 2013; 14(3): 162-71.
[14]
Gholami A, Borji J, Bahavar A, Zarei E. A survey on quality of life in women referred to health centers of Neyshabur-2012. J Sabzevar Univ Med Sci 2015; 22(5): 732-9.
[15]
Tajvar M, Arab M, Montazeri A. Determinants of health-related quality of life in elderly in Tehran, Iran. BMC Public Health 2008; 8(1): 323.
[http://dx.doi.org/10.1186/1471-2458-8-323] [PMID: 18808675]
[16]
Aghamolaei T, Tavafian SS, Zare S. Determinants of health related quality of life on people living in bandar abbas, iran. Iran J Public Health 2011; 40(3): 128-35.
[PMID: 23113095]
[17]
Studdert LJ, Frongillo EA Jr, Valois P. Household food insecurity was prevalent in Java during Indonesia’s economic crisis. J Nutr 2001; 131(10): 2685-91.
[http://dx.doi.org/10.1093/jn/131.10.2685] [PMID: 11584091]
[18]
Nord M. Food security in rural households: rates of food insecurity and hunger unchanged in rural households. Rural America 2002; 16(4): 42-7.
[19]
Mohammadi F, Omidvar N, Houshiar Rad A, Mehrabi Y, Abdollahi M. Association of food security and body weight status of adult members of Iranian households. Iran J Nutr Sci Food Technol 2008; 3(2): 41-53.
[20]
Gholami A, Sani TR, Askari M, Jahromi ZM, Dehghan A. Food insecurity status and associated factors among rural households in North-East of Iran. Int J Prev Med 2013; 4(9): 1018-24.
[PMID: 24130942]
[21]
Mohammadzadeh A, Dorosty A, Eshraghian M. Household food security status and associated factors among high-school students in Esfahan, Iran. Public Health Nutr 2010; 13(10): 1609-13.
[http://dx.doi.org/10.1017/S1368980010000467] [PMID: 20359375]
[22]
Dastgiri S, Sharafkhani R, Gharaaghaji R, Ghavamzadeh S. Prevalence, influencing factors and control of food insecurity: a model in the northwest of Iran. Asia Pac J Clin Nutr 2011; 20(4): 613-7.
[PMID: 22094847]
[23]
Gholami A, Foroozanfar Z. Household food security status in the Northeast of Iran: a cross-sectional study. Med J Islam Repub Iran 2015; 29: 227.
[PMID: 26478885]
[24]
Asadi-Lari M, Vaez-Mahdavi MR, Faghihzadeh S, et al. Response-oriented measuring inequalities in Tehran: second round of UrbanHealth Equity Assessment and Response Tool (Urban HEART-2), concepts and framework. Med J Islam Repub Iran 2013; 27(4): 236-48.
[PMID: 24926187]
[25]
Dastgiri S, Tutunchi H, Ostadrahimi A, Mahboob S. Sensitivity and specificity of a short questionnaire for food insecurity surveillance in Iran. Food Nutr Bull 2007; 28(1): 55-8.
[http://dx.doi.org/10.1177/156482650702800106] [PMID: 17718012]
[26]
Nord M. Household Food Security in the US (2006). Diane Publishing: Darby, PA, USA 2008.
[27]
Montazeri A, Vahdaninia M, Mousavi SJ, Asadi-Lari M, Omidvari S, Tavousi M. The 12-item medical outcomes study short form health survey version 2.0 (SF-12v2): a population-based validation study from Tehran, Iran. Health Qual Life Outcomes 2011; 9(1): 12.
[http://dx.doi.org/10.1186/1477-7525-9-12] [PMID: 21385359]
[28]
Ware J, Kosinski M, Keller S. How to score the SF-12 physical and mental health summary scales. The Health Institute, New England Medical Center: Boston, MA 1998.
[29]
Moriarty DG, Zack MM, Kobau R. The Centers for Disease Control and Prevention’s Healthy Days Measures - population tracking of perceived physical and mental health over time. Health Qual Life Outcomes 2003; 1(1): 37.
[http://dx.doi.org/10.1186/1477-7525-1-37] [PMID: 14498988]
[30]
Huet C, Rosol R, Egeland GM. The prevalence of food insecurity is high and the diet quality poor in Inuit communities. J Nutr 2012; 142(3): 541-7.
[http://dx.doi.org/10.3945/jn.111.149278] [PMID: 22323760]
[31]
Sharkey JR, Johnson CM, Dean WR. Relationship of household food insecurity to health-related quality of life in a large sample of rural and urban women. Women Health 2011; 51(5): 442-60.
[http://dx.doi.org/10.1080/03630242.2011.584367] [PMID: 21797678]
[32]
Siefert K, Heflin CM, Corcoran ME, Williams DR. Food insufficiency and the physical and mental health of low-income women. Women Health 2001; 32(1-2): 159-77.
[http://dx.doi.org/10.1300/J013v32n01_08] [PMID: 11459368]
[33]
Vozoris NT, Tarasuk VS. Household food insufficiency is associated with poorer health. J Nutr 2003; 133(1): 120-6.
[http://dx.doi.org/10.1093/jn/133.1.120] [PMID: 12514278]
[34]
Stuff JE, Casey PH, Szeto KL, et al. Household food insecurity is associated with adult health status. J Nutr 2004; 134(9): 2330-5.
[http://dx.doi.org/10.1093/jn/134.9.2330] [PMID: 15333724]
[35]
Mathews L, Morris MN, Schneider J, Goto K. The relationship between food security and poor health among female WIC participants. J Hunger Environ Nutr 2010; 5(1): 85-99.
[http://dx.doi.org/10.1080/19320240903582679]
[36]
Cole SM, Tembo G. The effect of food insecurity on mental health: panel evidence from rural Zambia. Soc Sci Med 2011; 73(7): 1071-9.
[http://dx.doi.org/10.1016/j.socscimed.2011.07.012] [PMID: 21852028]
[37]
Heflin CM, Siefert K, Williams DR. Food insufficiency and women’s mental health: findings from a 3-year panel of welfare recipients. Soc Sci Med 2005; 61(9): 1971-82.
[http://dx.doi.org/10.1016/j.socscimed.2005.04.014] [PMID: 15927331]
[38]
Maes KC, Hadley C, Tesfaye F, Shifferaw S. Food insecurity and mental health: surprising trends among community health volunteers in Addis Ababa, Ethiopia during the 2008 food crisis. Soc Sci Med 2010; 70(9): 1450-7.
[http://dx.doi.org/10.1016/j.socscimed.2010.01.018] [PMID: 20189698]
[39]
Pheley AM, Holben DH, Graham AS, Simpson C. Food security and perceptions of health status: a preliminary study in rural Appalachia. J Rural Health 2002; 18(3): 447-54.
[http://dx.doi.org/10.1111/j.1748-0361.2002.tb00909.x] [PMID: 12186319]
[40]
Siefert K, Heflin CM, Corcoran ME, Williams DR. Food insufficiency and physical and mental health in a longitudinal survey of welfare recipients. J Health Soc Behav 2004.
[http://dx.doi.org/10.1177/002214650404500204] [PMID: 15305758]
[41]
Tarasuk VS. Household food insecurity with hunger is associated with women’s food intakes, health and household circumstances. J Nutr 2001; 131(10): 2670-6.
[http://dx.doi.org/10.1093/jn/131.10.2670] [PMID: 11584089]
[42]
Willows N, Veugelers P, Raine K, Kuhle S. Associations between household food insecurity and health outcomes in the Aboriginal population (excluding reserves). Health Rep 2011; 22(2): 15-20.
[PMID: 21848128]
[43]
Zack MM, Moriarty DG, Stroup DF, Ford ES, Mokdad AH. Worsening trends in adult health-related quality of life and self-rated health-United States, 1993-2001. Public Health Rep 2004; 119(5): 493-505.
[http://dx.doi.org/10.1016/j.phr.2004.07.007] [PMID: 15313113]
[44]
Casey PH, Szeto KL, Robbins JM, et al. Child health-related quality of life and household food security. Arch Pediatr Adolesc Med 2005; 159(1): 51-6.
[http://dx.doi.org/10.1001/archpedi.159.1.51] [PMID: 15630058]
[45]
Krieger N, Zierler S. What explains the public’s health?--A call for epidemiologic theory. Epidemiology 1996; 7(1): 107-9.
[http://dx.doi.org/10.1097/00001648-199601000-00020] [PMID: 8664390]

Rights & Permissions Print Cite
Article Metrics
13
2
© 2024 Bentham Science Publishers | Privacy Policy