了解基本需求不安全感的累积负担：与大学生健康和学业成绩的关联。
Understanding the Cumulative Burden of Basic Needs Insecurities: Associations With Health and Academic Achievement Among College Students.
作者信息
Leung Cindy W, Farooqui Sara, Wolfson Julia A, Cohen Alicia J
机构信息
Department of Nutritional Sciences, 1259University of Michigan School of Public Health, Ann Arbor, MI, USA.
Department of Biology, College of Literature, Science, and the Arts, 1259University of Michigan, Ann Arbor, MI, USA.
出版信息
Am J Health Promot. 2021 Feb;35(2):275-278. doi: 10.1177/0890117120946210. Epub 2020 Aug 12.
PURPOSE
Food insecurity is a concern on college campuses and is correlated with other basic needs insecurities. We examined the cumulative burden of food, financial, and housing insecurities on college students' health and academic performance.
DESIGN
Cross-sectional survey.
SETTING
Large, public Midwestern university.
SAMPLE
A total of 793 college students completed an online survey in 2018 (43% response rate).
MEASURES
Food, financial, and housing insecurity were measured using validated instruments. Primary outcomes were general health status, anxiety and depression, and grade point average (GPA).
ANALYSIS
Weighted linear and logistic regression analyses were used to examine associations between cumulative basic needs insecurities and primary outcomes.
RESULTS
Approximately 11% of students experienced all 3 insecurities. Compared to fully secure students, students with all 3 insecurities were more likely to have anxiety and depression (odds ratio [OR] = 4.65, 95% CI: 4.31-5.01), fair/poor health (OR = 4.06, 95% CI: 3.73-4.42), and lower GPA (β = -0.19, 95% CI: -0.30 to -0.09), adjusting for sociodemographic characteristics.
CONCLUSION
Interventions that address multiple basic needs insecurities are needed to promote college students' well-being and foster academic success.
目的
粮食不安全是大学校园关注的问题，且与其他基本需求不安全状况相关。我们研究了粮食、经济和住房不安全对大学生健康和学业成绩的累积负担。
设计
横断面调查。
地点
中西部一所大型公立大学。
样本
2018年共有793名大学生完成了一项在线调查（回复率为43%）。
测量方法
使用经过验证的工具测量粮食、经济和住房不安全状况。主要结局指标为总体健康状况、焦虑和抑郁以及平均绩点（GPA）。
分析
采用加权线性和逻辑回归分析来研究累积基本需求不安全状况与主要结局之间的关联。
结果
约11%的学生经历了所有三种不安全状况。与完全安全的学生相比，经历所有三种不安全状况的学生更有可能出现焦虑和抑郁（优势比[OR]=4.65，95%置信区间：4.31 - 5.01）、健康状况一般/较差（OR = 4.06，95%置信区间：3.73 - 4.42）以及GPA较低（β = -0.19，95%置信区间：-0.30至-0.09），对社会人口学特征进行了调整。
结论
需要采取干预措施来解决多种基本需求不安全状况，以促进大学生的幸福感并推动学业成功。
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