Food Insecurity Associated with Screening Positive for a Possible Eating Disorder Among Students Attending a Large, Public University in the Midwest (P04-035-19)

Abstract

Abstract Objectives Food insecurity is a critical concern for college students. Food insecurity is associated with stress, irregular eating patterns, weight change, and depression, making it a plausible risk factor for disordered eating in college students, who are already at high risk of eating disorders. We explored the relation between food insecurity and screening positive for a possible eating disorder among students attending a large, public Midwestern university. Methods Data were collected cross-sectionally via an online survey during the Winter 2018 semester. The analytic sample totaled 762 after excluding students with missing data for exposure or outcome. The 10-item U.S. Adult Food Security Survey Module was used to measure food security status, which was classified into four categories: food security, marginal food security, low food security, and very low food security. Participants were screened for the presence of a possible eating disorder using the 5-item SCOFF questionnaire, with a positive screen defined as ≥2 affirmative answers. We used Poisson regression to model the prevalence of SCOFF positive screens and item-level affirmative responses by food security categories, adjusting for age, sex, race/ethnicity, family income, and first-generation status. Results A higher prevalence of positive SCOFF screens was observed among students with marginal food security (PR 1.76, 95% CI 1.67, 1.86), low food security (PR 1.62, 95% CI 1.53, 1.72), and very low food security (PR 2.79, 95% CI 2.65, 2.94), after adjusting for demographic characteristics. Food insecurity was also positively related to prevalence of affirmative responses for four SCOFF items. Conclusions This study shows that college students with food insecurity are more likely to screen positive for a possible eating disorder compared to food secure students. More research is needed to understand the complicated relationship between these two food-related constructs among college students. Funding Sources This study was supported by a grant from Poverty Solutions at the University of Michigan. One co-author was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development.