Pressure on food budgets linked to poor mental health for at least 100,000 Danish households
A major study at the University of Copenhagen reports that food quality is affected when people's food budgets are constrained, as per the definition of insecure or very insecure access to food used in international research. People who experience food insecurity also have a lower quality of life and experience poorer psychological well-being.
This is the first extensive representative population survey addressing this topic conducted in Denmark. The study is based on measurement methods used in the United States, where public authorities regularly monitor the prevalence of food insecurity. The study estimates that 8 percent of Danish households—the equivalent of more than 200,000 households—are impacted by food insecurity, i.e., they cannot afford enough food.
However, there is a degree of uncertainty about the exact extent of food insecurity in Denmark. This is because the study is based on a combination of internet responses and telephone interviews, where each survey method yielded different results. Whereas the incidence of food insecurity was 4 percent among telephone respondents, the figure was 10 percent among online respondents.
"We believe that the explanation for the differences is that people are more likely to report difficult circumstances when there isn't a live person at the other end of the line, as is the case with telephone interviews", says Associate Professor Thomas Bøker Lund of the Department of Food and Resource Economics, who worked on the study.
"The precise extent of food insecurity in Denmark should be explored further. But, from our study and data from the UN Food and Agriculture Organization, we can say that at least 4-5 percent of Danish households experience insecure access to food, the equivalent of approximately 100,000 households. Nevertheless, this is striking number in a welfare state like Denmark," says Professor Lotte Holm of the Department of Food and Resource Economics, who conducted the study with former Associate Professor Annemette Ljungdalh Nielsen.
Food insecurity is more prominent among low income and single parent families, where it affects one in four single parent households and between 31 and 48 percent of Danish households that receive social assistance, disability pension or unemployment benefits.
Borrowed food money from family and friends
The study reports that people try to adapt their food consumption in a variety of ways. Among other things, they stretch food supplies and stock up on cheap and filling ingredients, lower the quality of their food purchases, reduce or stop inviting guests, and borrow money for food or become addicted to food acquired from family and friends. The more financially pressed households become, the more radical these adjustments are, and the stronger the correlation with unhealthy diet, low psychological well-being and quality of life.
"The results point to the fact that we cannot assume that everyone in today's Denmark has the ability to secure an adequate and nutritious diet. We cannot determine whether or not this is a new development. We do not know what the situation was like 10 years ago because there are no previous measurements of Danes' access to food," says Lotte Holm.
She adds: "This study demands follow up. Our data were collected in 2015. Since then, the social assistance ceiling has been reintroduced and various social services have been scaled back. Therefore, things may have turned for the worse. On the other hand, more people have become employed in recent years, which may have had a positive effect."
The researchers believe that there is a need to keep track of how many and who will be affected by precarious access to food in Denmark, and what the impact of this will be on human health and well-being.