TABLE 2.
Associations between food insecurity and endorsement of individual food addiction symptoms
| Symptom | Endorsement by overall sample (n = 1,780) |
Endorsement by food secure adults (n = 868) |
Endorsement by food insecure adults (n = 912) |
Multivariate-adjusted associations with food insecuritya |
||||
|---|---|---|---|---|---|---|---|---|
| n | % | n | % | n | % | OR | 95% CI | |
| Substance consumed in larger amount and for longer period than intended | 111 | 6.2 | 33 | 3.8 | 78 | 8.6b | 1.87 | 1.21, 2.89 |
| Persistent desire or repeated unsuccessful attempts to quit | 178 | 10.0 | 54 | 6.2 | 124 | 13.6b | 2.08 | 1.46, 2.96 |
| Much time/activity to obtain, use recover | 133 | 7.5 | 40 | 4.6 | 93 | 10.2b | 1.84 | 1.24, 2.74 |
| Important social, occupational, or recreational activities given up or reduced | 88 | 4.9 | 19 | 2.2 | 69 | 7.6b | 2.78 | 1.64, 4.74 |
| Use continues despite knowledge of adverse consequences | 169 | 9.5 | 38 | 4.4 | 131 | 14.4b | 2.87 | 1.95, 4.23 |
| Tolerance (marked increase in amount, decrease in effect) | 146 | 8.2 | 41 | 4.7 | 105 | 11.5b | 2.16 | 1.46, 3.19 |
| Characteristic withdrawal symptoms | 168 | 9.4 | 45 | 5.2 | 123 | 13.5b | 2.47 | 1.71, 3.57 |
| Continued use despite social or interpersonal problems | 214 | 12.0 | 52 | 6.0 | 162 | 17.8b | 2.62 | 1.86, 3.69 |
| Failure to fulfill major role obligations | 227 | 12.8 | 46 | 5.3 | 181 | 19.9b | 3.44 | 2.42, 4.89 |
| Use in physically hazard situations | 176 | 9.9 | 35 | 4.0 | 141 | 15.5b | 3.40 | 2.29, 5.06 |
| Craving or strong desire to use | 192 | 10.8 | 44 | 5.1 | 148 | 16.2b | 3.06 | 2.13, 4.41 |
| Use causes clinically significant impairment or distress | 166 | 9.3 | 34 | 3.9 | 132 | 14.5b | 3.14 | 2.10, 4.69 |
Multivariate logistic regression models adjusted for age, gender, race and ethnicity, educational attainment, and income (relative to federal poverty guideline)
Significantly different from food secure group (P<0.0001) from chi-squared tests