Food Insecurity, Oral Health, and Nutritional Status among University Students in Faisalabad, Pakistan
Food Insecurity and Oral Health in Pakistani Students
DOI:
https://doi.org/10.66529/agripat.2026.2.2.66Keywords:
food insecurity, oral health, dietary behaviors, health outcomes, health problems, students’ nutritional status, affordable dental healthcareAbstract
Food insecurity and oral health problems are critical yet often separately addressed determinants of nutritional status among university students in low- and middle-income settings. This study investigates their combined effects on dietary behavior, health outcomes, and academic performance among 237 students in Faisalabad using a cross-sectional mixed methods design with strong internal reliability (Cronbach’s α = 0.823). The findings indicate moderate levels of food insecurity (M = 2.43) alongside a notable oral health impact on nutrition (M = 2.66), suggesting a dual constraint on both food access and food utilization. Statistical analysis reveals significant associations between nutritional status and residential status (χ² = 16.72, p < 0.05), fatigue (χ² = 26.85, p < 0.01), concentration difficulties (χ² = 15.91, p < 0.05), academic performance (χ² = 17.69, p < 0.05), and access to on-campus food (χ² = 28.91, p < 0.01), while household income shows no significant effect (χ² = 9.43, NS). These results highlight that structural and institutional factors may outweigh purely economic ones in shaping student nutrition.
Importantly, oral health issues limit the consumption of nutrient-dense, fibrous foods, while food insecurity reduces overall dietary intake. Together, they form a synergistic “double burden” that compromises both physical health and academic outcomes. The study underscores the need for integrated university-level interventions, including subsidized meal programs, improved campus food environments, and accessible on-campus dental care services to address these intersecting challenges effectively.
References
Ahmed, A., Ahmed, S., & Khan, M. (2020). How oral health conditions influence food preferences among young adults in urban Pakistan. Pakistani Journal of Health Research, 12(4), 211-219.
Ahmed, S., Aslam, R., & Ali, H. (2022). Nutritional knowledge and its influence on dietary behaviors among university students in LMICs. Journal of Nutrition Education, 25(3), 57-68.
Ali, S., & Shah, S. F. (2024). Linkages between food access challenges and student well-being in LMICs. Journal of Public Health Research, 15(2), 145-155.
Alamgir, R., & Khan, A. (2020). Dietary diversity and micronutrient deficiencies among university students in Pakistan. South Asian Journal of Nutrition, 8(1), 34-49.
Alaimo, K., Olson, C. M., & Frongillo, E. A. (2001). Food insufficiency and American school-aged children's cognitive, academic, and psychosocial development. Pediatrics, 108(1), 44-53. DOI: https://doi.org/10.1542/peds.108.1.44
Aziz, H., Hussain, A., & Shah, M. (2024). The influence of oral health conditions on dietary adequacy in university students. Pakistan Journal of Oral Research, 15(2), 89-97.
Barkley, C., Smith, L., & Matthews, R. (2015). Stress and dietary behaviors among university undergraduates. Journal of Health Psychology, 20(6), 733-740.
Benzian, H., Petersen, P. E., & Kwan, S. (2011). Oral health and nutrition across the life course. Global Health Oral Nutrition Review, 12(7), 89-106.
Brown, P., Green, A., & Lee, D. (2019). How untreated oral health problems influence dietary habits among university students. Journal of Dental Research, 75(3), 215-229.
Bruening, M., & Smith, C. (2017). Patterns of episodic food insecurity in university students. Journal of Nutrition Education and Behavior, 49(9), 755-761.
Chen, H., Zhang, L., & Xu, H. (2024). The role of oral health literacy in dietary practices among university students. Community Dentistry and Oral Epidemiology, 52(1), 34-42.
Defeyter, M. A., & Smith, A. J. (2020). The effects of hunger and malnutrition on young adults' cognitive performance. Public Health Nutrition, 44(10), 2316-2324.
DeVellis, R. F. (2016). Scale development: Theory and applications. Sage Publications.
Farooq, H., & Batool, S. (2018). Nutritional gaps among young adults in Pakistan's urban centers. Urban Nutrition Studies, 6(3), 112-125.
Farzana, S., Raza, A., & Zulfiqar, A. (2021). Oral health and dietary behaviors of university students in Faisalabad. Pakistani Dental Review, 19(4), 319-338.
Food and Agriculture Organization. (2021). Dimensions of food insecurity. FAO Food Systems Report.
Global Hunger Index. (2022). Global challenges of nutrition and food security.
Griffin, S., Tiwari, R., & Shah, H. (2017). Connections between regular dental visits and dietary quality. International Dental Journal, 63(2), 69-83.
Grantham-McGregor, S. (2005). Can the provision of breakfast benefit school performance? Food and nutrition bulletin, 26(2_suppl2), S144-S158. DOI: https://doi.org/10.1177/15648265050262S204
Hassan, I., & Malik, Z. (2023). Food security systems in urban in urban universities of Pakistan. Journal of Policy Analysis, 23(5), 144-165.
Hassan, R., & Iqbal, J. (2021). State of food insecurity among university populations in Pakistan. Social Nutrition Studies Journal, 15(3), 221-235.
Hussain, F., & Amjad, S. (2022). Oral hygiene practices and nutritional outcomes among university students in Faisalabad. South Asian Healthcare Review, 12(2), 89-104.
Hussain, F., & Raza, S. (2020). Psychological impacts of food insecurity in Faisalabad. Journal of Student Wellness Studies, 8(1), 78-95.
Ijaz, A., & Qureshi, S. (2019). Oral hygiene practices and dietary behaviors among Pakistani adolescents. Youth Health Research Journal, 11(4), 244-260.
Jessiman-Perreault, G., & McIntyre, L. (2017). The relationship between food insecurity and academic performance in Canada. Journal of Public Nutrition Policy, 18(6), 345-362.
Javed, K., & Khan, M. (2016). Gaps in dental health awareness among Pakistani adolescents. Oral Health Policy Research, 9(3), 198-210.
Johnson, L., & Brown, E. (2023). Stress and dietary behavior patterns in university students across 12 countries. Global Health Journal, 21(5), 412-429.
Jones, P., & Miller, C. (2022). Effects of oral health status on diet quality among students. Oral and Nutritional Studies, 17(2), 133-148.
Kausar, R., & Shah, J. (2023). Oral health and dietary diversity among students in South Asia. Nutrition Review Journal, 28(1), 67-81.
Khan, A., & Akbar, A. (2022). Food insecurity and mental health outcomes in Pakistani students. Journal of Health Sociology, 14(3), 120-136.
Kumar, V., & Sharma, A. (2017). Oral health awareness among young adults in South Asia. Journal of Oral Behavior Studies, 13(4), 77-99.
Laska, M. N., VanKim, N. A., Erickson, D. J., Lust, K., Eisenberg, M. E., & Rosser, B. S. (2015). Disparities in weight and weight behaviors by sexual orientation in college students. American journal of public health, 105(1), 111-121. DOI: https://doi.org/10.2105/AJPH.2014.302094
Moynihan, P. J., & Petersen, P. E. (2004). Diet, nutrition, and the prevention of dental diseases. Public Health Nutrition, 7(1A), 201-226. DOI: https://doi.org/10.1079/PHN2003589
Nguyen, T., & Tran, L. (2018). Prevalence of food insecurity among urban students. Urban Health Policy Review, 11(2), 149-165.
Petersen, P. E., & Kwan, S. (2016). Nutritional deficiencies and periodontal health challenges in LMICs. Global Periodontology Journal, 10(4), 103-118.
Pinto, R., & Sharma, A. (2018). Untreated oral health issues and student dietary behavior. Oral Health and Diet, 20(2), 189-201.
Rahman, T., & Iqbal, M. (2023). Quality of diets and financial challenges among urban students in Pakistan. Journal of Urban Health Studies, 10(3), 321-340.
Rasheed, M., & Shaikh, F. (2024). Patterns of malnutrition among university students in urban Pakistan. South Asian Journal of Nutrition, 10(3), 198-207.
Shaheen, S., & Hussain, S. (2019). Dietary patterns of urban Pakistani university students. Nutritional Behavior Journal, 16(1), 123-142.
Sheiham, A. (2006). Oral health, general health, and quality of life. Bulletin of the World Health Organization, 84(9), 694-695.
Singh, R., & Lal, V. (2021). Stress as a mediator of dietary behaviors in students. Journal of Mental Health and Nutrition, 19(2), 156-170.
Smith, P., & Roberts, T. (2023). Food insecurity undermining academic outcomes in the US. Journal of Educational Nutrition, 22(4), 305-320.
Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach's alpha. International Journal of Medical Education, 2, 53-55. DOI: https://doi.org/10.5116/ijme.4dfb.8dfd
Thompson, F. E., & Subar, A. F. (2013). Assessing dietary intakes in nutrition studies. Annual Review of Public Health, 34, 27-53.
Thomson, W. M. (2015). Nutrition and oral health patterns among undergraduate students. Advances in Oral Nutrition, 5(6), 134-143.
Walker, C., & Mather, T. (2018). Exploring the intersection of food insecurity and mental health. Journal of Nutritional Psychology, 13(5), 287-309.
Walsh, A., & Adams, T. (2016). Micronutrient deficiencies and academic performance. International Journal of Nutrition, 35(4), 214-221.
Watkins, R., & Harris, M. (2019). Mental health disparities linked to food insecurity among university students. Mental Health and Nutrition Research Journal, 20(1), 345-362.
White, R., & Gomez, L. (2024). Post-pandemic recovery of food security programs for college students. Journal of Higher Education Policy, 18(4), 410-421.
World Health Organization. (2022). Nutrition and academic performance in young adults. WHO Global Nutrition Bulletin.
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The data was collected by the author using a Google Form from university students and is available from the author upon reasonable request.
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