Preventing Chronic Disease | Relationships Between Housing and Food Insecurity, Frequent Mental Distress, and Insufficient Sleep Among Adults in 12 US States, 2009 - CDC
Relationships Between Housing and Food Insecurity, Frequent Mental Distress, and Insufficient Sleep Among Adults in 12 US States, 2009
Yong Liu, MD, MS; Rashid S. Njai, PhD, MPH; Kurt J. Greenlund, PhD; Daniel P. Chapman, PhD, MSc; Janet B. Croft, PhD
Suggested citation for this article:
Liu Y, Njai RS, Greenlund KJ, Chapman DP, Croft JB. Relationships Between Housing and Food Insecurity, Frequent Mental Distress, and Insufficient Sleep Among Adults in 12 US States, 2009. Prev Chronic Dis 2014;11:130334. DOI: http://dx.doi.org/10.5888/pcd11.130334
Housing insecurity and food insecurity may be psychological stressors associated with insufficient sleep. Frequent mental distress may mediate the relationships between these variables. The objective of this study was to examine the relationships between housing insecurity and food insecurity, frequent mental distress, and insufficient sleep.
We analyzed data from the 2009 Behavioral Risk Factor Surveillance System in 12 states. Housing insecurity and food insecurity were defined as being worried or stressed “sometimes,” “usually,” or “always” during the previous 12 months about having enough money to pay rent or mortgage or to buy nutritious meals.
Of 68,111 respondents, 26.4% reported frequent insufficient sleep, 28.5% reported housing insecurity, 19.3% reported food insecurity, and 10.8% reported frequent mental distress. The prevalence of frequent insufficient sleep was significantly greater among those who reported housing insecurity (37.7% vs 21.6%) or food insecurity (41.1% vs 22.9%) than among those who did not. The prevalence of frequent mental distress was also significantly greater among those reporting housing insecurity (20.1% vs 6.8%) and food insecurity (23.5% vs 7.7%) than those who did not. The association between housing insecurity or food insecurity and frequent insufficient sleep remained significant after adjustment for other sociodemographic variables and frequent mental distress.
Sleep health and mental health are embedded in the social context. Research is needed to assess whether interventions that reduce housing insecurity and food insecurity will also improve sleep health and mental health.
Corresponding Author: Yong Liu, MD, MS, Epidemiology and Surveillance Branch, Division of Population Health, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, MS F-78, Atlanta, GA 30341. Telephone: 770-488-5528. E-mail: firstname.lastname@example.org
Author Affiliations: Rashid S. Njai, Kurt J. Greenlund, Daniel P. Chapman, Janet B. Croft, Centers for Disease Control and Prevention, Atlanta, Georgia.
- Commission on Social Determinants of Health (CSDH). Closing the gap in a generation: health equity through action on the social determinants of health. Final report of the Commission on Social Determinants of Health. Geneva (CH): World Health Organization; 2008. http://www.who.int/social_determinants/thecommission/finalreport/en/index.html. Accessed January 3, 2013.
- Secretary’s Advisory Committee on Health Promotion and Disease Prevention Objectives for 2020, Healthy People 2020: Social determinants of health. http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=39. Accessed January 3, 2013.
- Frieden TR. A framework for public health action: the health impact pyramid. Am J Public Health 2010;100(4):590–5. CrossRef PubMed
- Kushel MB, Gupta R, Gee L, Haas JS. Housing instability and food insecurity as barriers to health care among low-income Americans. J Gen Intern Med 2006;21(1):71–7. CrossRef PubMed
- Satcher D. Include a social determinants of health approach to reduce health inequities. Public Health Rep 2010;125(Suppl 4):6–7. PubMed
- Johnson A, Meckstroth A. Ancillary services to support welfare to work. Washington (DC): US Dept. of Health and Human Services; 1998. http://aspe.hhs.gov/hsp/isp/ancillary/front.htm. Accessed January 14, 2013.
- Alexander B, Apgar W, Baker K, Baldwin P, Belsky E, Carliner M, et al. The state of nation’s housing 2012. Cambridge (MA): Joint Center for Housing Studies of Harvard University; 2012. http://www.jchs.harvard.edu. Accessed March 12, 2013.
- Core indicators of nutritional state for difficult-to-sample population. J Nutr 1990;120(Suppl 11):1559–600. PubMed
- Coleman-Jensen A, Nord M, Andrews M, Carlson S. Household food security in the United States in 2010. Economic Research Report No. 125. Washington (DC): US Department of Agriculture, Economic Research Service; 2011.
- Jyoti DF, Frongillo EA, Jones SJ. Food insecurity affects school children’s academics performance, weight gain, and social skills. J Nutr 2005;135(12):2831–9. PubMed
- Gucciardi E, Vogt JA, Demelo M, Stewart DE. Exploration of the relationship between household food insecurity and diabetes in Canada. Diabetes Care 2009;32(12):2218–24. CrossRef PubMed
- Alaimo K, Olson CM, Frongillo EA. Food insufficiency and American school-aged children’s cognitive academic and psychological development. Pediatrics 2001;108(1):44–53. PubMed
- Siefert K, Heflin CM, Corcoran ME, Williams DR. Food insufficiency and the physical and mental health of low-income women. Women Health 2001;32(1–2):159–77. CrossRef PubMed
- Sateia MJ. Updates of sleep and psychiatric disorders. Chest 2009;135(5):1370–9. CrossRef PubMed
- Vishnu A, Shankar A, Kalidindi S. Examination of the association between insufficient sleep and cardiovascular disease and diabetes by race/ethnicity. Int J Endocrinol 2011;2011:789358. CrossRef PubMed
- Sabanayagam C, Shankar A. The association between active smoking, smokeless tobacco, second-hand smoke exposure and insufficient sleep. Sleep Med 2011;12(1):7–11. CrossRef PubMed
- Shankar A, Syamala S, Kalidindi S. Insufficient rest or sleep and its relation to cardiovascular disease, diabetes and obesity in a national, multiethnic sample. PLoS ONE 2010;5(11):e14189. CrossRef PubMed
- Strine TW, Chapman DP. Association of frequent sleep insufficiency with health-related quality of life and health behaviors. Sleep Med 2005;6(1):23–7. CrossRef PubMed
- Wheaton AG, Perry GS, Chapman DP, McKnight-Eily LR, Presley-Cantrell LR, Croft JB. Relationship between body mass index and perceived insufficient sleep among US adults: an analysis of 2008 BRFSS data. BMC Public Health 2011;11:295–302. CrossRef PubMed
- Liu Y, Croft JB, Wheaton AG, Perry GS, Chapman DP, Strine TW, et al. Association between perceived insufficient sleep, frequent mental distress, obesity and chronic disease among US adults, 2009 Behavioral Risk Factor Surveillance System. BMC Public Health 2013;13:84. CrossRef PubMed
- Grandner MA, Ruiter Petrov ME, Jackson N, Rattanaumpawan P, Patel NP. Sleep symptoms, race/ethnicity, and socioeconomic position. J Clin Sleep Med 2013;9(9):897–905. PubMed
- Whinnery J, Jackson N, Rattanaumpawan P, Grandner MA. Sleep symptoms, race/ethnicity, and socioeconomic position. Sleep 2013. http://www.journalsleep.org/AcceptedPapers/SP-225-13.pdf. Accessed November 14, 2013.
- Patel NP, Grandner MA, Xie D, Branas CC, Gooberatne N. “Sleep disparity” in the population: poor sleep quality is strongly associated with poverty and ethnicity. BMC Public Health 2010;10:475–85. CrossRef PubMed
- Centers for Disease Control and Prevention. Perceived insufficient rest or sleep among adults — United States, 2008. MMWR Morb Mortal Wkly Rep 2009;58(42):1175–9. PubMed
- Centers for Disease Control and Prevention. Perceived insufficient rest or sleep — four states, 2006. MMWR Morb Mortal Wkly Rep 2008;57(8):200–3. PubMed
- Andresen EM, Catlin TK, Wyrwich KW, Jackson-Thompson J. Retest reliability of surveillance questions on health related quality of life. J Epidemiol Community Health 2003;57(5):339–43. CrossRef PubMed
- Centers for Disease Control and Prevention. Behavior Risk Factor Surveillance System 2009 summary data quality report (version no. 1, revised February 18, 2011). ftp://ftp.cdc.gov/pub/Data/Brfss/2009_Summary_Data_Quality_Report.pdf. Accessed January 14, 2013.
- Strine TW, Balluz L, Chapman DP, Moriarty DG, Owens M, Mokdad AH. Risk behaviors and healthcare coverage among adults by frequent mental distress status, 2001. Am J Prev Med 2004;26(3):213–6. CrossRef PubMed
- Rothman KJ, Greenland S, Lash TL. Measures of effect and measures of association. In: Modern epidemiology. Philadelphia (PA): Lippincott Williams & Wilkins; 2008.
- Van de Mheen HD, Stronks K, Mackenbach JP. A life course perspective on socio-economic inequalities in health: the influence of childhood socio-economic conditions as selection process. Sociol Health Illn 1998;20(5):754–77. CrossRef
- Baron RM, Kenny DA. The moderator-mediator distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986;51(6):1173–82. CrossRef PubMed
- Research Triangle Institute. SUDAAN, release 10.0. Research Triangle Park (NC): 2008.
- Cutts DB, Meyers AF, Black MM, Casey PH, Chilton M, Cook JT, et al. US housing insecurity and the health of very young children. Am J Public Health 2011;101(8):1508–14. CrossRef PubMed
- Wolfersteig WL, Lewis H, Musgrave T, Johnson T, Wolven T, Marsiglia FF. Arizona health survey: food, housing insecurity and health. Phoenix (AZ): Arizona State University, Southwest Interdisciplinary Research Center; 2011.
- Polivy J. Psychological consequences of food restriction. J Am Diet Assoc 1996;96(6):589–92. CrossRef PubMed
- Singh GK, Kenney MK. Rising prevalence and neighborhood, social, and behavioral determinants of sleep problems in US children and adolescents, 2003–2012. Sleep Disord 2013;2013:394320. CrossRef PubMed
- Krieger J, Higgins DL. Housing and health: time again for public health action. Am J Public Health 2002;92(5):758–68. CrossRef PubMed
- Ekstedt M, Akerstedt T, Soderstrom M. Microarousals during sleep are associated with increased levels of lipids, cortisol, and blood pressure. Psychosom Med 2004;66(6):925–31. CrossRef PubMed
- Born J, Hansen K, Marshall L, Molle M, Fehm HL. Timing the end of nocturnal sleep. Nature 1999;397(6714):29–30. CrossRef PubMed
- Friess E, Windermann K, Steiger A, Holsboer F. The hypothalamic-pituitary-adrenocortical system and sleep in man. Adv Neuroimmunol 1995;5(2):111–25. CrossRef PubMed
- Harvey AG, Tang NK, Browning L. Cognitive approaches to insomnia. Clin Psychol Rev 2005;25(5):593–611. CrossRef PubMed
- Troxel WM, Buysse DJ, Matthews KA, Kravitz HM, Bromberge JT, Sowers M, et al. Marital/cohabitation status and history in relation to sleep in midlife women. Sleep 2010;33(7):973–81. PubMed
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