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. 2023 Nov 20;7(12):102036. doi: 10.1016/j.cdnut.2023.102036

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
a

Multivariate logistic regression models adjusted for age, gender, race and ethnicity, educational attainment, and income (relative to federal poverty guideline)

b

Significantly different from food secure group (P<0.0001) from chi-squared tests