A High Prevalence of Food Insecurity Among University Students in Appalachia Reflects a Need for Educational Interventions and Policy Advocacy

J Nutr Educ Behav. 2018 Jun;50(6):564-572. doi: 10.1016/j.jneb.2017.10.011. Epub 2017 Dec 12.

Abstract

Objectives: To measure prevalence and correlates of food insecurity among college students in Appalachia, compare food-insecure and food-secure students on correlates, and identify predictor variables.

Design: Cross-sectional, online questionnaire.

Setting: University in Appalachia.

Participants: Nonprobability, random sample of 1,093 students (317 male [30.1%]; 723 females [68.4%]).

Main outcome measures: Food insecurity, coping strategies, money expenditure, academic progress, and demographics.

Analysis: Correlational, chi-square, and regression.

Results: A total of 239 students experienced low food security (21.9%) whereas 266 had experienced very low food security (24.3%) in the past 12 months. Predictor variables were higher money expenditure and coping strategy scale scores, lower grade point averages, male gender, receiving financial aid, fair or poor self-rated health status, and never cooking for self or others. These variables accounted for 48.1% of variance in food security scores. Most frequently used coping strategies included purchasing cheap, processed food (n = 282; 57.4%), stretching food (n = 199; 40.5%), and eating less healthy meals to eat more (n = 174; 35.4%).

Conclusions and implications: Food-insecure students need interventions that teach budgeting skills and how to purchase and prepare healthy foods, as well as policies that increase access to food resource assistance.

Keywords: Appalachia; college students; coping strategies; food insecurity.

Publication types

  • Comparative Study

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Appalachian Region
  • Cooking
  • Cross-Sectional Studies
  • Female
  • Food / statistics & numerical data*
  • Food Preferences / psychology*
  • Food Supply / statistics & numerical data
  • Health Policy
  • Health Status
  • Humans
  • Male
  • North Carolina
  • Prevalence
  • Students / psychology*
  • Students / statistics & numerical data*
  • Surveys and Questionnaires
  • Universities
  • Young Adult