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Food insecurity, diet quality, and mental health in culturally diverse adolescents

Laura Lachance (Psychiatry Resident based at Centre for Addiction and Mental Health, University of Toronto, Toronto, Canada)
Michael Sean Martin (based at Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, Canada)
Pamela Kaduri (based at Department of Health Systems and Health Equity Research, Centre for Addiction and Mental Health, University of Toronto, Toronto, Canada)
Paula Godoy-Paiz (Social Aetiology of Mental Illness (SAMI)-CIHR Fellows, based at Department of Health Systems and Health Equity Research, Centre for Addiction and Mental Health, University of Toronto, Toronto, Canada)
Jorge Ginieniewicz (Social Aetiology of Mental Illness (SAMI)-CIHR Fellows, based at Department of Health Systems and Health Equity Research, Centre for Addiction and Mental Health, University of Toronto, Toronto, Canada)
Valerie Tarasuk (Professor, based at Department of Nutritional Sciences, University of Toronto Faculty of Medicine, Toronto, Canada)
Kwame McKenzie (based at Department of Social and Epidemiological Research and Department of Health Systems and Health Equity Research, Centre for Addiction and Mental Health, University of Toronto, Toronto, Canada)

Ethnicity and Inequalities in Health and Social Care

ISSN: 1757-0980

Article publication date: 12 March 2014

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Abstract

Purpose

The purpose of this paper is to increase the understanding of adolescents’ perceptions of food insecurity and diet quality, and the impact that these factors have on mental health.

Design/methodology/approach

This study used a community-based research approach. It gathered qualitative data from 11 in-depth interviews conducted with adolescents aged 13-19. Participants were recruited through various programmes they attended at a community organization in Toronto.

Findings

Overall, results indicate that respondents clearly identified a linkage between food insecurity and mental health. They also identified several effects of poor diet quality on mental health. Respondents understood food insecurity and poor diet quality to exist on a continuum. However, they also identified other reasons for making poor dietary choices such as peer pressure. Mental health effects of food insecurity and poor diet quality included sadness, stress, worry, anger, shame, impaired concentration, and fatigue.

Practical implications

This research will help to inform future research design in the field of social determinants of mental health. As well, the findings will help guide the development of interventions targeted towards this vulnerable age group.

Originality/value

This is the first qualitative study to explore food insecurity and poor diet quality, as existing on a continuum, from the perspective of adolescents. The authors are also the first to explore the impact of these factors on the mental health of adolescents, based on their own understanding. What is more, the authors focused on a culturally diverse population living in an underprivileged neighbourhood in Toronto. The authors chose this population because they are at higher risk of both food insecurity and poor diet quality.

Keywords

Acknowledgements

This study has been funded by CIHR as part of the Social Aetiology of Mental Illness Training programme at CAMH.

Citation

Lachance, L., Sean Martin, M., Kaduri, P., Godoy-Paiz, P., Ginieniewicz, J., Tarasuk, V. and McKenzie, K. (2014), "Food insecurity, diet quality, and mental health in culturally diverse adolescents", Ethnicity and Inequalities in Health and Social Care, Vol. 7 No. 1, pp. 14-22. https://doi.org/10.1108/EIHSC-02-2013-0002

Publisher

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Emerald Group Publishing Limited

Copyright © 2014, Emerald Group Publishing Limited

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