Abstract
Background: The relationship between food insecurity and mental and physical components
of health-related quality of life (HRQOL) has been less addressed by healthcare professionals.
Objective: We aimed to investigate the relationship between household food insecurity and mental
and physical components of HRQOL in a large sample of urban people and to determine whether
household food insecurity has a negative effect on mental and physical components of HRQOL.
Methods: This cross-sectional study was conducted across twenty-two districts of Tehran (capital of
Iran) during 2011. The participants were selected through multistage cluster random sampling. Two
questionnaires were used to measure household food insecurity and HRQOL in the study population,
while descriptive and inferential statistics were applied to test the relationships between these two parameters.
Results: The mean age of the study population was 44.5 ± 15.5 years and most were female (64.8%).
The results of this study indicated an independent relationship between household food insecurity
and different subscales of HRQOL (p<0.001). Household food insecurity had a significant negative
relationship with physical (β= -5.93; p<0.001) and mental (β= -6.54; p<0.001) summary scores of
HRQOL. Likewise, average scores on all subscales of HRQOL according to household food security
status were significantly different (p<0.001).
Conclusion: Food insecurity was associated with mental and physical components of HRQOL
among urban participants and can be considered as a part of comprehensive interventions that target
to improve general health.
Keywords:
Food insecurity, health-related quality of life, household, Iran, Tehran, urban.
Graphical Abstract
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