{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T15:06:30Z","timestamp":1792595190965,"version":"4.5.0"},"reference-count":44,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T00:00:00Z","timestamp":1598227200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["2019R1I1A1A01063639, 2019R1D1A3A03103862, and 2019R1A2C1087507"],"award-info":[{"award-number":["2019R1I1A1A01063639, 2019R1D1A3A03103862, and 2019R1A2C1087507"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Although the high rate of food insecurity among people with disabilities and their households has emerged as an important concern in public health and nutrition policy, the available data on these issues are still too limited to fully understand this phenomenon. This study aimed to compare the prevalence of food insecurity between households with and without persons with disabilities and to explore which sociodemographic and disability characteristics are associated with household food insecurity among households with members with disabilities. The data of 2690 households with and without members with disabilities from the 2013 Korea National Health and Nutrition Examination Survey were analyzed. Household food insecurity was more prevalent among households including persons with disabilities than among those without such members. The likelihood of experiencing food insecurity was especially high in households having a female head with a disability (odds ratio (OR) = 1.98); working-age adults with disabilities (OR = 1.70); members with disabilities who were not economically active (OR = 1.53); and members with mental disabilities (OR = 2.81), disabilities involving internal organs (OR = 4.38), or severe (grades 1\u20133) disabilities (OR = 1.73). The findings indicate that the disability status and sociodemographic characteristics of disabled family members are closely associated with household food security status.<\/jats:p>","DOI":"10.3390\/ijerph17176149","type":"journal-article","created":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T10:37:32Z","timestamp":1598265452000},"page":"6149","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Household Food Insecurity: Comparison between Families with and without Members with Disabilities"],"prefix":"10.3390","volume":"17","author":[{"given":"Jong Eun","family":"Park","sequence":"first","affiliation":[{"name":"Department of Medicine, College of Medicine, Chungbuk National University, Cheongju 28644, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"So Young","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Public Health and Preventive Medicine, Chungbuk National University Hospital, Cheongju 28644, Korea"},{"name":"College of Medicine\/Graduate School of Health Science Business Convergence, Chungbuk National University, Cheongju 28644, Korea"},{"name":"Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA 02115, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Se Hee","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Food and Nutrition, Chungbuk National University, Cheongju 28644, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun Ju","family":"Jeoung","sequence":"additional","affiliation":[{"name":"Department of Food and Nutrition, Chungbuk National University, Cheongju 28644, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Hyock","family":"Park","sequence":"additional","affiliation":[{"name":"College of Medicine\/Graduate School of Health Science Business Convergence, Chungbuk National University, Cheongju 28644, Korea"},{"name":"Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA 02115, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,8,24]]},"reference":[{"key":"ref_1","unstructured":"OECD (2017). Building Food Security and Managing Risk in Southeast Asia, OECD Publishing."},{"key":"ref_2","unstructured":"European Commission: DG Agriculture and Rural Development (2015). Global Food Security: Challenges and Options, EU Agricultural Market Briefs."},{"key":"ref_3","unstructured":"Tandon, S., Landes, M., Christensen, C., LeGrand, S., Broussard, N., Farrin, K., and Thome, K. (2017). Progress and Challenges in Global Food Security."},{"key":"ref_4","unstructured":"FAO, IFAD, UNICEF, WFP, and WHO (2019). The State of Food Security and Nutrition in the World 2019: Safeguarding against Economic Slowdowns and Downturns, FAO."},{"key":"ref_5","unstructured":"FAO (2002). The State of Food Insecurity in the World 2001, FAO."},{"key":"ref_6","unstructured":"Clay, E. (2003). Food security: Concepts and Measurement. Paper for FAO Expert Consultation on Trade and Food Security: Conceptualizing the Linkages, FAO."},{"key":"ref_7","unstructured":"Coleman-Jensen, A., Rabbitt, M.P., Gregory, C.A., and Singh, A. (2019). Household Food Security in the United States in 2018."},{"key":"ref_8","unstructured":"Bartfeld, J., Dunifon, R., Nord, M., and Carlson, S. (2006). What Factors Account for State-to-State Differences in Food Security?."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1017\/S1368980010003733","article-title":"Factors related to household food insecurity in the Republic of Korea","volume":"14","author":"Kim","year":"2011","journal-title":"Public Health Nutr."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1007\/BF03405537","article-title":"Household Food Insecurity in Ontario","volume":"100","author":"Tarasuk","year":"2009","journal-title":"Can. J. Public Health"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"S198","DOI":"10.2105\/AJPH.2014.302182","article-title":"Persons with disabilities as an unrecognized health disparity population","volume":"105","author":"Krahn","year":"2015","journal-title":"Am. J. Public Health"},{"key":"ref_12","unstructured":"WHO, and World Bank (2011). World Report on Disability 2011, WHO."},{"key":"ref_13","unstructured":"UN (2018). Report on the World Social Situation 2018: Chapter V Persons with Disabilities: Breaking Down Barriers, UN."},{"key":"ref_14","unstructured":"Meisenheimer, M. (2015). SNAP Matters for People with Disabilities, Food Research and Action Center."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.healthplace.2019.03.011","article-title":"Disability and food access and insecurity: A scoping review of the literature","volume":"57","author":"Schwartz","year":"2019","journal-title":"Health Place"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"112636","DOI":"10.1016\/j.socscimed.2019.112636","article-title":"Mobility impairments and geographic variation in vulnerability to household food insecurity","volume":"243","author":"Schwartz","year":"2019","journal-title":"Soc. Sci. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"112865","DOI":"10.1016\/j.physbeh.2020.112865","article-title":"U.S. food insecurity and population trends with a focus on adults with disabilities","volume":"220","year":"2020","journal-title":"Physiol. Behav."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1177\/1044207317710701","article-title":"Food Insecurity across the adult life span for persons with disabilities","volume":"28","author":"Brucker","year":"2017","journal-title":"J. Disabil. Policy Stud."},{"key":"ref_19","unstructured":"Tinson, A., Ayrton, C., Barker, K., Born, T.B., Aldridge, H., and Kenway, P. (2016). Monitoring Poverty and Social Exclusion 2016 (MPSE), Joseph Rowntree Foundation."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/j.dhjo.2018.09.006","article-title":"Food insecurity and disability in the United States","volume":"12","author":"Heflin","year":"2019","journal-title":"Disabil. Health J."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Coleman-Jensen, A., and Nord, M. (2013). Food Insecurity among Households with Working-Age Adults with Disabilities.","DOI":"10.2139\/ssrn.2202869"},{"key":"ref_22","unstructured":"Heflin, C., Altman, C., and Rodriguez, L. (2019). Having a Disability Increases the Likelihood of Food Insecurity Despite Federal Programs to Prevent this Hardship, Syracuse University Lerner Center for Public Health Promotion, Research Brief No. 10."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1830","DOI":"10.1377\/hlthaff.2015.0645","article-title":"Food Insecurity and Health Outcomes","volume":"34","author":"Gundersen","year":"2015","journal-title":"Health Aff."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1177\/1359105315609087","article-title":"Physical and mental health outcomes associated with prior food insecurity among young adults","volume":"22","author":"Darling","year":"2017","journal-title":"J. Health Psychol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1738","DOI":"10.1093\/jn\/131.6.1738","article-title":"Food insecurity is positively related to overweight in women","volume":"131","author":"Townsend","year":"2001","journal-title":"J. Nutr."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1016\/j.dhjo.2016.12.006","article-title":"The association of food insecurity with health outcomes for adults with disabilities","volume":"10","author":"Brucker","year":"2017","journal-title":"Disabil. Health J."},{"key":"ref_27","unstructured":"Coleman-Jensen, A., and Nord, M. (2013). Disability is an Important Risk Factor for Food Insecurity."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1093\/ije\/dyt228","article-title":"Data resource profile: The Korea National Health and Nutrition Examination Survey (KNHANES)","volume":"43","author":"Kweon","year":"2014","journal-title":"Int. J. Epidemiol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"S58","DOI":"10.1097\/PHM.0000000000000024","article-title":"The World Report on Disability and recent developments in South Korea","volume":"93","author":"Kim","year":"2014","journal-title":"Am. J. Phys. Med. Rehabil."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"551","DOI":"10.4163\/kjn.2011.44.6.551","article-title":"Development of Food Security Measures for Korean National Health and Nutrition Examination Survey","volume":"44","author":"Kim","year":"2011","journal-title":"Korean J. Nutr."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"771","DOI":"10.5720\/kjcn.2011.16.6.771","article-title":"Validation of Food Security Measures for the Korean National Health and Nutrition Examination Survey","volume":"16","author":"Kim","year":"2011","journal-title":"Korean J. Community Nutr."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.ssresearch.2009.07.002","article-title":"Food insecurity and disability: Do economic resources matter?","volume":"39","author":"Huang","year":"2010","journal-title":"Soc. Sci. Res."},{"key":"ref_33","unstructured":"Borowko, W. (2008). Food Insecurity among Working-Age Canadians with Disabilities. [Master\u2019s Thesis, Simon Fraser University]."},{"key":"ref_34","unstructured":"Cho, S., Ishdorj, A., and Gregory, C. (2016, January 6\u20139). Food Insecurity and Types of Disability. Proceedings of the Southern Agricultural Economics Association, 2016 Annual Meeting, San Antonio, TX, USA."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"268","DOI":"10.15709\/hswr.2009.29.2.268","article-title":"Household Food Insecurity and Its Characteristics in Korea","volume":"29","author":"Kim","year":"2009","journal-title":"Health Soc. Welf. Rev."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"972","DOI":"10.1111\/j.1741-3737.2002.00972.x","article-title":"Work choices of mothers in families with children with disabilities","volume":"64","author":"Porterfield","year":"2002","journal-title":"J. Marriage Fam."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1111\/j.1540-6237.2007.00513.x","article-title":"Material hardship, poverty, and disability among working-age adults","volume":"88","author":"She","year":"2007","journal-title":"Soc. Sci. Quart."},{"key":"ref_38","unstructured":"UN (2018). Building Disability-Inclusive Societies in Asia and the Pacific: Assessing Progress of the Incheon Strategy, UN."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1177\/0014402916651847","article-title":"Food Insecurity in US Households That Include Children with Disabilities","volume":"83","author":"Sonik","year":"2016","journal-title":"Except. Child."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1111\/j.1552-3934.2010.02052.x","article-title":"Food Insecurity and Out-of-Pocket Medical Expenditures: Competing Basic Needs?","volume":"39","author":"Nielsen","year":"2010","journal-title":"Fam. Consum. Sci. Res. J."},{"key":"ref_41","first-page":"129","article-title":"The Employment of People with Mental Illness","volume":"4","author":"Waghorn","year":"2005","journal-title":"AeJAMH"},{"key":"ref_42","unstructured":"OECD, and EU (2016). The Labour Market Impacts of Ill-Health. Health at a Glance: Europe 2016: State of Health in the EU Cycle, OECD Publishing."},{"key":"ref_43","unstructured":"CDC (2020, June 10). Health and Economic Costs of Chronic Diseases, Available online: https:\/\/www.cdc.gov\/chronicdisease\/about\/costs\/index.htm#ref1."},{"key":"ref_44","unstructured":"Griffiths, M., and Naing, A. (2016). Disability in Myanmar-Findings from Contemporary Research, Myanmar Social Policy and Poverty Research Group."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/17\/6149\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:05:56Z","timestamp":1760177156000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/17\/6149"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,24]]},"references-count":44,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2020,9]]}},"alternative-id":["ijerph17176149"],"URL":"https:\/\/doi.org\/10.3390\/ijerph17176149","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,24]]}}}