Food Insecurity Is Associated with Diet Quality in Pregnancy: A Cross-Sectional Study

Author:

Whiteoak Bree123ORCID,Dawson Samantha L.4ORCID,Callaway Leonie56,de Jersey Susan78ORCID,Eley Victoria69ORCID,Evans Joanna10,Kothari Alka611ORCID,Navarro Severine236ORCID,Gallegos Danielle12ORCID

Affiliation:

1. School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology (QUT), 149 Victoria Park Road, Kelvin Grove, QLD 4059, Australia

2. Centre for Childhood Nutrition Research, Faculty of Health, Queensland University of Technology (QUT), 62 Graham Street, South Brisbane, QLD 4101, Australia

3. QIMR Berghofer Medical Research Institute, 300 Herston Rd., Herston, QLD 4006, Australia

4. Food & Mood Centre, IMPACT—The Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Barwon Health, Deakin University, Geelong, VIC 3220, Australia

5. Women’s and Newborns Services, Royal Brisbane and Women’s Hospital, Herston, QLD 4006, Australia

6. Faculty of Medicine, The University of Queensland, 288 Herston Rd., Herston, QLD 4006, Australia

7. Department of Dietetics and Foodservices, Royal Brisbane and Women’s Hospital, Herston, QLD 4006, Australia

8. Centre for Health Services Research, Faculty of Medicine, The University of Queensland, 288 Herston Rd., Herston, QLD 4006, Australia

9. Department of Anaesthesia and Perioperative Medicine, Royal Brisbane and Women’s Hospital, Herston, QLD 4006, Australia

10. Maternity Services, Caboolture Hospital, McKean Street, Caboolture, QLD 4510, Australia

11. Redcliffe Hospital, Anzac Avenue, Redcliffe, QLD 4020, Australia

Abstract

Household food insecurity (HFI) and poorer prenatal diet quality are both associated with adverse perinatal outcomes. However, research assessing the relationship between HFI and diet quality in pregnancy is limited. A cross-sectional online survey was conducted to examine the relationship between HFI and diet quality among 1540 pregnant women in Australia. Multiple linear regression models were used to examine the associations between HFI severity (marginal, low, and very low food security compared to high food security) and diet quality and variety, adjusting for age, education, equivalised household income, and relationship status. Logistic regression models were used to assess the associations between HFI and the odds of meeting fruit and vegetable recommendations, adjusting for education. Marginal, low, and very low food security were associated with poorer prenatal diet quality (adj β = −1.9, −3.6, and −5.3, respectively; p < 0.05), and very low food security was associated with a lower dietary variety (adj β = −0.5, p < 0.001). An association was also observed between HFI and lower odds of meeting fruit (adjusted odds ratio [AOR]: 0.61, 95% CI: 0.49–0.76, p < 0.001) and vegetable (AOR: 0.40, 95% CI: 0.19–0.84, p = 0.016) recommendations. Future research should seek to understand what policy and service system changes are required to reduce diet-related disparities in pregnancy.

Funder

Centre for Childhood Nutrition Research

QUT Postgraduate Research Award Scholarship

top-up scholarship funding from the QUT Faculty of Health and the Children’s Hospital Foundation through a philanthropic donation from Woolworths

Children’s Hospital Foundation through a philanthropic donation from Woolworths

Metro North Health for contributions

Metro North Health Clinician Research Fellowship

Publisher

MDPI AG

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3