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Interpersonal and Community Factors Related to Food Sufficiency and Variety: Analysis of Data from the 2017 Community Health Survey
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Research Article
Interpersonal and Community Factors Related to Food Sufficiency and Variety: Analysis of Data from the 2017 Community Health Survey
Jiyoun Hong, Taisun Hyun
Korean Journal of Community Nutrition 2020;25(5):416-429.
DOI: https://doi.org/10.5720/kjcn.2020.25.5.416
Published online: October 31, 2020
1Doctoral student, Department of Food and Nutrition, Chungbuk National University, Cheongju, Korea
2Professor, Department of Food and Nutrition, Chungbuk National University, Cheongju, Korea
Corresponding author:  Taisun Hyun,
Email: taisun@cbnu.ac.kr
Received: 8 October 2020   • Revised: 28 October 2020   • Accepted: 28 October 2020
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Abstract

Objectives
This study examined the personal, interpersonal and community factors related to food sufficiency and variety among Korean adults using data from the 2017 Community Health Survey. Methods A total of 228,310 adults aged ≥ 19 years were classified into three groups: food sufficiency with variety, food sufficiency without variety and food insufficiency. Personal factors included sociodemographic characteristics, health behavior and health status. Interpersonal factors included social networking and social activities, and community factors included safety, natural environment, living environment, availability of public transportation and health care services. The association of food sufficiency and variety with interpersonal and community factors was assessed using multivariable logistic regression analyses. Results Of the total sample, the food-sufficiency-without-variety group and food insufficiency group accounted for 31.5% and 3.2%, respectively. The sociodemographic factors associated with food insufficiency and non-variety were women, ≥ 65 years of age, with low education level, low household income, unemployed, single, and living in areas of small population sizes. There were significant differences in health behavior and health status, interpersonal and community factors among the three groups. Multivariable logistic regression analyses conducted after adjusting for confounding factors showed that lack of social networking and social activities and lower satisfaction derived from community environments were associated with the risk of food insufficiency and non-variety. Conclusions Our results showed that interpersonal and community factors as well as personal factors were related to food sufficiency and variety. Therefore, public policies to help build social networks and participation in social activities, and improve community environment are needed together with food assistance to overcome the problems of food insufficiency and non-variety.


Korean J Community Nutr. 2020 Oct;25(5):416-429. Korean.
Published online Oct 31, 2020.
https://doi.org/10.5720/kjcn.2020.25.5.416
Copyright © 2020 The Korean Society of Community Nutrition
Original Article

Interpersonal and Community Factors Related to Food Sufficiency and Variety: Analysis of Data from the 2017 Community Health Survey

Jiyoun Hong,1 and Taisun Hyun2
    • 1Doctoral student, Department of Food and Nutrition, Chungbuk National University, Cheongju, Korea.
    • 2Professor, Department of Food and Nutrition, Chungbuk National University, Cheongju, Korea.
  • Corresponding author: Taisun Hyun. Department of Food and Nutrition, Chungbuk National University, Cheongju, Chungbuk, 28644, Korea. Tel: (043) 261-2790, Fax: (043) 267-2742, Email: taisun@cbnu.ac.kr
Received October 08, 2020; Revised October 28, 2020; Accepted October 28, 2020.

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives

This study examined the personal, interpersonal and community factors related to food sufficiency and variety among Korean adults using data from the 2017 Community Health Survey.

Methods

A total of 228,310 adults aged ≥ 19 years were classified into three groups: food sufficiency with variety, food sufficiency without variety and food insufficiency. Personal factors included sociodemographic characteristics, health behavior and health status. Interpersonal factors included social networking and social activities, and community factors included safety, natural environment, living environment, availability of public transportation and health care services. The association of food sufficiency and variety with interpersonal and community factors was assessed using multivariable logistic regression analyses.

Results

Of the total sample, the food-sufficiency-without-variety group and food insufficiency group accounted for 31.5% and 3.2%, respectively. The sociodemographic factors associated with food insufficiency and non-variety were women, ≥ 65 years of age, with low education level, low household income, unemployed, single, and living in areas of small population sizes. There were significant differences in health behavior and health status, interpersonal and community factors among the three groups. Multivariable logistic regression analyses conducted after adjusting for confounding factors showed that lack of social networking and social activities and lower satisfaction derived from community environments were associated with the risk of food insufficiency and non-variety.

Conclusions

Our results showed that interpersonal and community factors as well as personal factors were related to food sufficiency and variety. Therefore, public policies to help build social networks and participation in social activities, and improve community environment are needed together with food assistance to overcome the problems of food insufficiency and non-variety.

Keywords
food sufficiency; variety; interpersonal factors; community factors

Figures

Fig. 1
Distribution of the three groups based on food sufficiency and variety by population size of residence

Tables

Table 1
Sociodemographic characteristics according to food sufficiency and variety

Table 2
Health behaviors and health status according to food sufficiency and variety

Table 3
Interpersonal factors according to food sufficiency and variety

Table 4
Community factors according to food sufficiency and variety

Table 5
Risk for the food sufficiency without variety and food insufficiency according to interpersonal and community factors

Acknowledgments

This study was supported by Korean Centers for Disease Control and Prevention Agency (research promotion project for investigation of causes and solutions of regional healh disparities)(No. ISSN 2733-5488).

References

    1. United States Department of Agriculture Economic Research Service. Food security in the US: Measurement [Internet]. United States Department of Agriculture; 2020 [cited 2020 Oct 8].
      Available from: https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/measurement/.
    1. Gundersen C, Ziliak JP. Food insecurity and health outcomes. Health Aff 2015;34(11):1830–1839.
    1. Murthy VH. Food insecurity: A public health issue. Public Health Rep 2016;131(5):655–657.
    1. Ministry of Health and Welfare. The 4th Health Plan (2016–2020) [Internet]. Ministry of Health and Welfare; 2015 [cited 2020 Sep 14].
      Available from: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=0319&CONT_SEQ=330479.
    1. Ministry of Health and Welfare, Korea Disease Control and Prevention Agency. Korea Health Statistics 2017: Korea National Health and Nutrition Examination Survey (KNHANES VII-2). Sejong: Ministry of Health and Welfare; 2018.
    1. Kim K, Kim MK, Shin YJ, Lee SS. Factors related to household food insecurity in the Republic of Korea. Public Health Nutr 2011;14(6):1080–1087.
    1. Kim HJ, Oh K. Household food insecurity and dietary intake in Korea: results from the 2012 Korea National Health and Nutrition Examination Survey. Public Health Nutr 2015;18(18):3317–3325.
    1. Park J, Kang G, Tak Y, Chang S, Lee K, Kim H. The influence of community characteristics on food insecurity Korean adults. Health Policy Manag 2016;26(3):226–232.
    1. Chun IA, Ryu SY, Park J, Ro HK, Han MA. Associations between food insecurity and healthy behaviors among Korean adults. Nutr Res Pract 2015;9(4):425–432.
    1. Kim JE, Tsoh JY. Cigarette smoking among socioeconomically disadvantaged young adults in association with food insecurity and other factors. Prev Chronic Dis 2016;13(E08):1–10.
    1. Lee SE, Song YJ, Kim Y, Choe J, Paik HY. Household food insufficiency is associated with dietary intake in Korean adults. Public Health Nutr 2016;19(6):1112–1121.
    1. Laraia BA. Food insecurity and chronic disease. Adv Nutr 2013;4(2):203–212.
    1. Gucciardi E, Vahabi M, Norris N, Del Monte JP, Farnum C. The intersection between food insecurity and diabetes: a review. Curr Nutr Rep 2014;3(4):324–332.
    1. Ford ES. Food security and cardiovascular disease risk among adults in the United States: findings from the National Health and Nutrition Examination Survey, 2003-2008. Prev Chronic Dis 2013;10:E202
    1. Mendy VL, Vargas R, Cannon-Smith G, Payton M, Enkhmaa B, Zhang L. Food insecurity and cardiovascular disease risk factors among Mississippi adults. Int J Environ Res Public Health 2018;15(9):2016
    1. Arenas DJ, Thomas A, Wang J, DeLisser HM. A systematic review and meta-analysis of depression, anxiety, and sleep disorders in US adults with food insecurity. J Gen Intern Med 2019;34(12):2874–2882.
    1. Yang YJ. Socio-demographic characteristics, nutrient intakes and mental health status of older Korean adults depending on household food security: based on the 2008–2010 Korea National Health and Nutrition Examination Survey. Korean J Community Nutr 2015;20(1):30–40.
    1. Martin KS, Rogers BL, Cook JT, Joseph HM. Social capital is associated with decreased risk of hunger. Soc Sci Med 2004;58(12):2645–2654.
    1. Chung WT, Gallo WT, Giunta N, Canavan ME, Parikh NS, Fahs MC. Linking neighborhood characteristics to food insecurity in older adults: the role of perceived safety, social cohesion, and walkability. J Urban Health 2012;89(3):407–418.
    1. Schroeder K, Smaldone A. Food insecurity: a concept analysis. Nurs Forum 2015;50(4):274–284.
    1. Peng W, Dernini S, Berry EM. Coping with food insecurity using the sociotype ecological framework. Front Nutr 2018;5:107
    1. McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q 1988;15(4):351–377.
    1. Story M, Neumark-Sztainer D, French S. Individual and environmental influences on adolescent eating behaviors. J Am Diet Assoc 2002;102(3 Suppl):S40–S51.
    1. Shim JS, Oh K, Nam CM. Association of household food security with dietary intake: based on the Third (2005) Korea National Health and Nutrition Examination Survey (KNHANES III). Korean J Nutr 2008;41(2):174–183.
    1. Park GA, Kim SH, Kim SJ, Yang YJ. Health and nutritional status of Korean adults according to age and household food security: Using the data from 2010~2012 Korea National Health and Nutrition Examination Survey. J Nutr Health 2017;50(6):603–614.
    1. Bae A, Yoon JH, Yun SY, Asano K. Dietary and health characteristics of the young-old and the old-old by food security status: analysis of data from the 6th (2013~2015) Korea National Health and Nutrition Examination Survey. J Nutr Health 2019;52(1):104–117.
    1. Randall E, Nichaman MZ, Contant CF Jr. Diet diversity and nutrient intake. J Am Diet Assoc 1985;85(7):830–836.
    1. Vecchia CL, Munoz SE, Braga C, Fernandes E, Decarli A. Diet diversity and gastric cancer. Int J Cancer 1997;72(2):255–257.
    1. Fernandez E, Negri E, La Vecchia C, Franceschi S. Diet diversity and colorectal cancer. Prev Med 2000;31(1):11–14.
    1. Garavello W, Giordano L, Bosetti C, Talamini R, Negri E, Tavani A. Diet diversity and the risk of oral and pharyngeal cancer. Eur J Nutr 2008;47(5):280–284.
    1. Kant AK, Schatzkin A, Harris TB, Zeigler RG, Block G. Dietary diversity and subsequent mortality in the first national health and nutritional examination survey epidemiologic follow-up study. Am J Clin Nutr 1993;57(3):434–440.
    1. Ministry of Health and Welfare. Government enacted National Common Dietary Guidelines for healthy dietary life [Internet]. Ministry of Health and Welfare; 2016 [cited 2020 Sep 14].
      Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=330959.
    1. Korea Disease Control and Prevention Agency. Community Health Survey [Internet]. Korea Disease Control and Prevention Agency; 2019 [cited 2020 Sep 12].
      Available from: https://chs.cdc.go.kr/chs/.
    1. World Health Organization, Western Pacific Region. The Asia-Pacific perspective: redefining obesity and its treatment. Sydney: Health Communications Australia Pty Limited; 2000.
    1. Lee JH. The regional health inequity, and individual and neighborhood level health determinants. Health Soc Welf Rev 2016;36(2):345–384.
    1. Choi SK, Kim SA, Lee J. Exploring impacts of food insecurity on health and strategies to manage adverse health outcomes among food insecure populations [Internet]. Korea Institute for Health and Social Affairs; 2019 [cited 2020 Sep 15].
      Available from: https://www.kihasa.re.kr/web/publication/research/view.do?pageIndex=6&keyField=&key=&menuId=44&tid=71&bid=12&division=001&ano=2506.
    1. Ministry of Health and Welfare, Korea Disease Control and Prevention Agency. Korea Health Statistics 2012: Korea National Health and Nutrition Examination Survey (KNHANES VII-2). Sejong: Ministry of Health and Welfare; 2013.
    1. Lee H, Kim WJ. Factors associated with food insecurity among one-person households. Health Soc Welf Rev 2015;35(3):453–484.
    1. Gundersen C, Engelhard EE, Crumbaugh AS, Seligman HK. Brief assessment of food insecurity accurately identifies high-risk US adults. Public Health Nutr 2017;20(8):1367–1371.
    1. Vaudin A, Simon J, Sahyoun N. Developing the expanded food security screener and pilot testing it for prioritization of applicants to the home-delivered meal program. Top Clin Nutr 2020;35(1):19–27.
    1. Dean WR, Sharkey JR. Food insecurity, social capital and perceived personal disparity in a predominantly rural region of Texas: an individual-level analysis. Soc Sci Med 2011;72(9):1454–1462.
    1. Pan L, Sherry B, Njai R, Blanck HM. Food insecurity is associated with obesity among US adults in 12 states. J Acad Nutr Diet 2012;112(9):1403–1409.
    1. Son IH, Han YH, Hyun T. Changes in weight, waist circumference, prevalence of obesity, and dietary factors associated with weight gain over 8 years in Korean adults: Longitudinal data from the Korean Genome and Epidemiology Study. J Nutr Health 2017;50(4):336–349.
    1. Kim W, Yang SR. A study on food security of vulnerable households. Korean J Agric Manag Policy 2017;44(3):236–256.
    1. De Marco M, Thorburn S, Kue J. “In a country as affluent as America, people should be eating”: Experiences with and perceptions of food insecurity among rural and urban Oregonians. Qual Health Res 2009;19(7):1010–1024.
    1. Hwang J, Kim B, Kim K. A qualitative study on attitude, acceptability, and adaptation for home-delivered meal services in the Korean elderly from the perspective of life context. Korean J Community Nutr 2014;19(5):459–467.
    1. Lee Y, Yang N, Shin M, Lee K, Yoo CH, Kim K. The effects of a personalized nutrition intervention program on food security, health and nutritional status of low-income older adults in Seoul city. J Nutr Health 2020;53(4):416–430.
    1. Food and Agriculture Organization. An introduction to the basic concepts of food security [Internet]. Food and Agriculture Organization; 2018 [cited 2020 Oct 19].
      Available from: http://www.fao.org/3/a-al936e.pdf.

Figure & Data

References

    Citations

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