Food insecurity in adults with severe mental illness living in Northern England: A co-produced cross-sectional study.

Journal: Nutrition & dietetics: the journal of the Dietitians Association of Australia

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Affiliated Institutions:  School of Health and Life Sciences, Teesside University, Middlesbrough, UK. Fuse, The Centre for Translational Research in Public Health, Newcastle University, Newcastle upon Tyne, UK. Department of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, New South Wales, Australia. Tees, Esk and Wear Valleys NHS Foundation Trust, Middlesbrough, UK. Rotherham, Doncaster and South Humber NHS Foundation Trust, Doncaster, UK. Centre for Mental Health, London, UK. Equally Well UK, Centre for Mental Health, London, UK.

Abstract summary 

This study aimed to explore food insecurity prevalence and experiences of adults with severe mental illness living in Northern England.This mixed-methods cross-sectional study took place between March and October 2022. Participants were adults with self-reported severe mental illness living in Northern England. The survey included demographic, health, and financial questions. Food insecurity was measured using the US Department of Agriculture Adult Food Security measure. Quantitative data were analysed using descriptive statistics and binary logistic regression; and qualitative data using content analysis.In total, 135 participants completed the survey, with a mean age of 44.7 years (SD: 14.1, range: 18-75 years). Participants were predominantly male (53.3%), white (88%) and from Yorkshire (50.4%). The food insecurity prevalence was 50.4% (n = 68). There was statistical significance in food insecurity status by region (p = 0.001); impacts of severe mental illness on activities of daily living (p = 0.02); and the Covid pandemic on food access (p < 0.001). The North West had the highest prevalence of food insecurity (73.3%); followed by the Humber and North East regions (66.7%); and Yorkshire (33.8%). In multivariable binary logistic regression, severe mental illness' impact on daily living was the only predictive variable for food insecurity (odds ratio = 4.618, 95% confidence interval: 1.071-19.924, p = 0.04).The prevalence of food insecurity in this study is higher than is reported in similar studies (41%). Mental health practitioners should routinely assess and monitor food insecurity in people living with severe mental illness. Further research should focus on food insecurity interventions in this population.

Authors & Co-authors:  Smith Eskandari McGeechan Teasdale Lake Ker Williamson Augustine Sauvage Lynch Moore Scott Ekers Whittaker Robinson Giles

Study Outcome 

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Statistics
Citations :  Blake MK. More than just food: food insecurity and resilient place making through community self-organising. Sustainability. 2019;11(10):2942.
Authors :  16
Identifiers
Doi : 10.1111/1747-0080.12868
SSN : 1747-0080
Study Population
Male
Mesh Terms
Other Terms
food insecurity;food poverty;mental health;psychosis;severe mental illness
Study Design
Study Approach
Quantitative,Qualitative,Mixed-Methods
Country of Study
Publication Country
Australia