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Abstract

College students are disproportionately more food insecure as compared to the general U.S. population with racial and ethnic minority students at greater risk. The purpose of this study is to explore socio-ecological characteristics of food pantry utilization among food insecure Black/African American non-Hispanic and Hispanic college students employing secondary data analyses of a larger cross-sectional study of food insecurity among college students. The current study sample (n = 460) was comprised of 174 self-identified Black/African American non-Hispanic, 26 Black/African American & Hispanic, and 260 Hispanic participants. Food pantry use served as the dependent variable. Multi-level independent variables included Individual, Interpersonal, and Community Level factors. A multivariate logistic regression model analyzed the relationship between food pantry use and independent variables found to be significant in earlier independent sample t-tests and chi-square analyses. Statistical significance was set at P < .05 and a confidence interval (CI) of 95%. “Saving” coping mechanisms (OR = 1.15, 95% CI [1.082-1.231] and discrimination experiences of day-to-day unfair treatment (OR = 1.04, 95% CI [.1.000-1.077]) were predictive of food pantry utilization. This study suggests food pantry use among food insecure racial and ethnic minority college students may be influenced by socio-cultural influences at both interpersonal and community levels. Implications include interventions developed with a health equity framework.

Keywords

food insecurity food pantry college students

“Most participants (83%) reported not using the food pantry while 17% reported using the food pantry.”

Introduction

Food insecurity among U.S. college students is a recognized public health concern.¹ College students are disproportionately more food insecure as compared to the general U.S. population. Weighted estimates across 62 peer-reviewed publications reveal 41% of college students as food insecure² as compared to 13.5% in the general U.S. population.³ Underserved, underrepresented, and multi-ethnic students are at greater risk of experiencing food insecurity.^1,4-9 Critically, Black/African American and Hispanic college students are 1.5 times more likely to experience food insecurity as compared to their White and Asian counterparts.^5,7,10-12

Food insecurity is associated with many physical^4,5,12-22 and mental health issues such as stress, anxiety, depression, and suicidal ideation among college students.^5,7,23-25 Black/African Americans are six times more likely to be observed with serious psychological distress while experiencing food insecurity.²⁶ Moreover, a recent study revealed that among food insecure college students, Black/African American students exhibited lower flourishing scores (i.e., self-perceived success in relationships, self-esteem, purpose, and optimism), and Hispanic/Latino students had significantly higher psychological distress, greater loneliness, and lower resilience as compared with those who were food secure.²⁷ In addition to health issues, food insecurity has been associated with lower academic performance among college students.^16,23,28-30 A recent study revealed that food insecure students were 6 times more likely to have a GPA than 2.5 and 6 times more likely to suspend studies due to finances as compared to food secure students.³¹

Concerns regarding college student food insecurity were first noted during the 2008-2009 Great Rescession.³² Steady increases resulted in Freudenberg et al. (2019) noting college students as the “new face” of food insecurity in the US.³³ Further, COVID-19 resulted in increased awareness about food insecurity among college students.³⁴ Due to the increased prevalence of food insecurity among college students, a rapid growth in college campus food pantries has taken place as evidenced by the increase in College and University Food Bank Alliance membership from 15 schools in 2012 to over 700 schools nationally by 2019.⁷

Although food pantries have the potential to improve health outcomes,³⁵ food-insecure students have been found to not use campus food pantries at high rates, despite reporting a lack of available food.^36-39 For example, in a cross-sectional study of 896 college students, 48.8% were classified as food insecure, yet only 17.4% utilized the campus food pantry.³⁸ Similarly, in a 2022 study among college students, 49.2% of participants were food insecure, with only 40% reporting campus food pantry utilization.³⁷ Racial- and ethnic minority students, specifically those who received Pell grants, accessed food pantry resources at higher rates than their non-Hispanic White counterparts.^40-44 Identified barriers to campus-based food pantry utilization span multiple levels of influence including: a) individual: such as time,^8,37 self-stigma associated with pantry use,^38,39,44-47 lack of pantry awareness,^8,44,45 and beliefs that other students need it more,^37,38,44,45 lack of clarity regarding eligibility^44,47; b) interpersonal: social-stigma^8,36,44; normalcy surrounding lack of food and finances in college^36,39,48; and c) structural: lack of transportation,^8,44,47 limited hours of pantry operation,^37,44,47 location,⁴⁷ food quality and quantity.⁴⁷

A major limitation in increasing our understanding of food insecurity and food pantry use is the lack of research regarding multi-level determinants of food insecurity, with gaps in the literature especially among racial and ethnic minority college students.⁹ Although various strategies such as food pantries have been implemented across U.S. colleges, addressing food insecurity requires a comprehensive approach that can examine and address the multiple determinants, especially among racial and ethnic minority college students.^16,49 More specifically, based on a scoping review of food insecurity among college students, Goldman and colleagues note the need for a greater understanding of how campus climate perceptions influence food pantry use.⁹ To that end, the purpose of this study was to examine characteristics of campus food pantry utilization among Black/African American and Hispanic college students employing a multidimensional socio-ecological framework depicting multiple levels and domains of influence.

Methods

Study Design

The current study employed a secondary analysis utilizing an existing dataset as part of a larger cross-sectional study exploring food insecurity among racial and ethnic minority undergraduate college students attending a large, urban research institution (n = 588).⁵⁰ The study was reviewed and approved by the [blinded for peer review] university’s Institutional Review Board (IRB # 004835). Participant recruitment and eligibility as part of the larger study are detailed in a previous report.⁵⁰

Data Source and Selection

The current study sample (n = 460) was comprised of 174 self-identified Black/African American non-Hispanic, 26 Black/African American & Hispanic, and 260 Hispanic participants. As part of the larger study, the FI screener was as follows: Individuals responding positively to a one item FI screener (In the last 30 days, did you ever cut the size of your meals or skip meals because there wasn’t enough money for food?)⁵⁰ were invited to participate in the study. Participants were included in the analysis if they met the following criteria: a) self-reported as non-Hispanic Black/African American; b) self-reported as Hispanic; and c) screened with low or very low food security. As the current study focused on examining characteristics of campus food pantry utilization, students who screened as food secure, were not part of the study sample as they would not be eligible to use the campus food pantry.

Conceptual Framework

The National Institute on Minority Health and Health Disparities (NIMHD) Research Framework⁵¹ served as the conceptual framework for the current study.⁵² The NIMHD research framework is informed by the socio-ecological model and serves as a guide for encouraging research that addresses the complex multi-faceted nature of minority health comprised of domains of influence (i.e., biological, behavioral, environmental, socio-cultural environment) categorized along multiple levels of influence (i.e., individual, interpersonal, community).⁵² This framework was selected as the conceptual framework for this study for the purposes of identifying the complex multi-level determinants of health disparities, particularly among minoritized populations. The NIMHD Framework can also serve as a useful tool to identify determinants and factors for minoritized populations that experience persistent health disparities.

Measures

Aligning with the NIMHD research framework, constructs assessed by level of influence and domain are depicted in Table 1.

Table 1.

Multi-Level Determinants of FI Based on NIHMD Framework.

		Levels of Influence
		Individual	Interpersonal	Community
Domains of influence	Health	Food insecurity psychological distress loneliness
	Behavioral	Food insecurity coping cooking skillsEmployment		Cultural familiarity cultural validation humanized educational experienceHolistic support
	Physical/Built environment	HousingMeal planFinancial support	Living Situation
	Socio/CulturalEnvironment	Sociodemographic	Social support	Experience of discrimination

Individual Level of Influence: Health Domain

Food Insecurity

The USDA Food Security Survey Short Form is a validated⁵³ 6-item questionnaire (five items for self-administration) used to measure the level of food security.^54,55 For self-administration purposes, two of the six items are combined to create a single item with a 2-point value for an affirmative response, resulting in scoring based on 6 affirmative points. A sum score was generated ranging from 0-6 with higher scores reflecting higher levels of food insecurity. Scores were categorized as 0-1= high/marginal food security; 2-4= low food security; 5-6 = very low food security. This measure has demonstrated validity in food insecurity among college students⁴ and good reliability (Cronbach α = .87).⁵³ In the current study, Cronbach’s alpha for the USDA Food Security Survey Short Form items was α = .60.

Psychological Distress

The Kessler Psychological Distress Scale (Kessler6) 6-item version of the original 10-item scale used to measure non-specific psychological distress.⁵⁶ Responses range from “none of the time” to “all of the time” for the following questions “During the past 30 days, about how often did you feel: a) nervous; b) hopeless; c) restless or fidgety; d) so depressed that nothing could cheer you up; e) that everything was an effort; f) worthless.” A sum score was generated ranging from 0-24 with higher scores reflecting higher levels of psychological distress. This scale has demonstrated very good internal consistency (Cronbach α = .89).⁵⁶ In the current study, Cronbach’s alpha for the Kessler6 items was .83.

Loneliness

The 3-item UCLA Loneliness Scale was used to measure loneliness on a 3-point Likert scale (1 = hardly ever to 3 = often).⁵⁷ A sum score was generated ranging from 3-9 with higher scores reflecting higher levels of loneliness. This scale has shown an acceptable internal reliability (Cronbach α = .72).⁵⁷ In the current study, Cronbach’s alpha for the 3 UCLA Loneliness Scale items was .81.

Individual Level of Influence: Behavioral Domain

Food Pantry Use

Food pantry use was assessed by asking participants how often they obtained food from the food pantry within the last 30 days. The three categorical response options were “never,” “sometimes,” and “often.” A dichotomous variable was created to distinguish between food pantry users and non-users. Participants who answered “sometimes” and “often” were categorized as food pantry users. Participants who answered “never” were categorized as non-users.

Food Insecurity Coping Strategies

The 29-item Coping Strategies Scale is based on strategies used by students experiencing food insecurity.^38,58,59 Items comprised three subconstructs including: saving (19 items), food intake/access (6 items), and selling (4 items) utilizing a three-point scale with response options of “often,” “sometimes,” and “never.”

The savings subconstruct was comprised of the following items: taking fewer classes, using less utilities, sharing rent with others, planning menus before buying food, cutting out food coupons, saving money on medications, stretching food to last longer, sharing groceries/meals with roommates, saving food for emergencies, participating in paid research to buy food, borrowing money from family/friends, attending functions where there was free food, participating in a food assistance program (SNAP), eating meals at places where you pay what you can, joining a group (e.g., church) where free meals are provided, visiting family on weekends to bring food back to school, holding one or more part- or full-time jobs, and using a credit card to buy food.

Items representing the intake subconstruct included the following: how often respondents ate more than needed when food was plentiful, ate less healthy meals to eat more food, took food home from on-campus dining hall, obtained food from dumpster or trash, purchased cheap and processed food, and bartered services/items to buy food.

Items representing the selling subconstruct included the following: selling textbooks, personal possessions, blood/plasma, and sperm/eggs to buy food. Sum scores were calculated for each subconstruct with higher scores reflecting greater utilization of coping strategies. In the current study, Cronbach’s alphas for the 19 savings items, the six food intake/access items, and the four selling items were .70, .60, and 64.

Cooking Skills

A single-item that uses a 4-point Likert scale was used to measure perceived cooking skills. Students were asked “How would you rate your cooking skills?” Response options included “excellent,” “good,” “fair,” and “poor.”⁵⁹

Individual Level of Influence: Socio-Cultural Domain

Sociodemographic

Variables included self-reported age, race, ethnicity, sex (assigned at birth), undergraduate level (freshman, sophomore, junior, senior), enrollment status (full-time vs part-time), housing, employment status (working <20 hours/week, working >20 hours/week, not working), sources of financial support (loans, grants/scholarships, working, and/or parents/family), having a Pell Grant), and meal plan status.

Interpersonal Level of Influence: Socio-cultural environmental domain

Experience of Discrimination

The Everyday Discrimination Scale⁶⁰ assessed self-reported experiences of interpersonal discrimination that are chronic or episodic in everyday life. The scale comprises 10 items (e.g., being treated with less courtesy, receiving less respect, people acting as if they are afraid of you, and being called names) using a 4-point scale (never, 1 time, 2 or 3 times, 4 or more times). A total sum score was calculated with higher scores indicating greater experiences of day-to-day discrimination. This scale has shown an acceptable internal reliability (Cronbach α = .84).^60,61 In the current study, Cronbach’s alpha for 10 items of the Everyday Discrimination Scale was .79.

Social Networks and Social Support

The 12-item Lubben Social Network Scale was used to measure students’ social networks and support.^62,63 The questionnaire includes two subscales employing a 5-point scale to assess social networks/support among friends and family members with a total score calculated as the sum of all items.⁶³ Participants were asked how many and how often they interact with friends and family. A sum score ranging from 0-20 was generated for each subscale with higher scores reflecting greater social engagement/support. These scales have demonstrated acceptable internal reliability (Cronbach α = .84-.89 for family & Cronbach α = .80-.82 for friends).⁶³ In the current study, Cronbach’s alphas for the family subscale items and the friends subscale items were .77 and .80 respectively.

Community Level of Influence: Socio-Cultural Environmental Domain

Campus Climate

The Culturally Engaging Campus Environments (CECE) scale⁶⁴ was employed to assess campus climate. In contrast to typical campus climate surveys that identify problems with discrimination that are used to inform diversity efforts, the CECE assesses climate by focusing on positive actionable elements that allow diverse populations to thrive.⁶⁵ To that end, the CECE assesses student experiences regarding elements of inclusive and equitable environments that are relevant to diverse backgrounds.⁶⁵ This scale consists of two subconstructs of cultural relevance (cultural familiarity and cultural validation) and two subconstructs of cultural responsiveness (humanized educational environment and holistic support) demonstrating acceptable internal reliability (cultural familiarity Cronbach α = .81; cultural validation Cronbach α = .91; humanized educational experience Cronbach α = .87; and holistic support Cronbach α = .94.^64,66 All items were rated on a 5-point Likert scale (1= strongly disagree to 5 = strongly agree).⁶⁴ In the current study, Cronbach’s alphas for the cultural familiarity, cultural validation, humanized educational experience, and holistic support items were .86, .87, .90, and .70 respectively.

Cultural familiarity is comprised of 3 items that measure students’ opportunities to connect with various agents on campus (e.g., faculty administrators, staff, and peers) who are like them in terms of background and experiences. Responses from this scale are summed. The total score ranges from 5 to 25 with higher scores indicating a campus environment with greater cultural familiarity.

Cultural validation, or campus culture that validates the cultural backgrounds, knowledge, and identities of diverse students were measured with 3 items. Possible scores range from 3 to 15 with higher scores indicating a campus environment with greater cultural validation.

Humanized Educational Environment, or the availability of opportunities for students to develop meaningful relations with members of faculty and staff who care about and are committed to their success was assessed with 3 items. Responses to items were summed with possible scores ranging from 3 to 15. Higher scores indicate a campus environment with greater humanized educational experiences.

Holistic support is comprised of 4 items that measure student’s access to at least one faculty or staff member in which the student is confident that they will provide them with the information they need, offer the help they seek, or connect them with the information or support that they require regardless of the problem with which the student faces. Responses are summed with a total possible score ranging from 4 to 20, with higher scores reflecting a campus environment with greater holistic support.

Data Analysis

Survey data were exported from REDCap (Research Electronic Data Capture web-based application)⁶⁷ and uploaded into IBM SPSS Statistics Version 29.0.1 where all statistical analyses were conducted. Descriptive statistics were computed for all demographic variables by food pantry use. Independent sample t-tests and chi-squared tests were used to identify any differences between food-insecure food pantry users and non-users across multi-level variables.

A multivariate logistic regression model was constructed to analyze the relationship between food pantry use and individual, interpersonal, and community level predictor variables found to be significant in earlier independent sample t-tests and chi-square analyses. Cox & Snell R² and Nagelkerke R² values were utilized to explain the variation in food pantry use within the multivariate logistic regression. Statistical significance was set at P < .05 and a confidence interval (CI) of 95%.

Results

Participant Characteristics

Among the 460 participants, approximately 37% were screened as low food security while 63% were screened as very low food security. Most participants (83%) reported not using the food pantry while 17% reported using the food pantry. Approximately 38% of participants identified as Black/African American, 6% as Black/African American & Hispanic, and 57% as Hispanic. No statistically significant differences were revealed by race/ethnicity related to level of food insecurity (P = .515) nor food pantry use (P = .210). Further, most participants self-reported as female, enrolled full-time, upper level, living off campus, employed, receiving financial support, with no university meal plan (Table 2). Approximately 54% reported receiving a Federal Pell Grant as part of their financial aid package.

Table 2.

Participant Demographics by Food Pantry Use (n = 460).

	Non-User (n = 383)	User (n = 77)	Total
Age	20.80 ± 3.53	20.89 ± 2.70	20.86 ± 3.54
	n (%)	n (%)	n (%)
Race/Ethnicity
Black/African American	142 (81.6)	32 (18.4)	174 (37.8)
Black/African American & Hispanic	19 (73.1)	7 (26.9)	26 (5.7)
Hispanic	222 (84.4)	38 (14.6)	260 (56.5)
Sex (assigned at birth)
Female	274 (71.5)	58 (75.3)	332 (72.2)
Male	109 (28.5)	18 (23.4)	127 (27.5)
Intersex	0(0)	1(1.3)	1 (0.2)
Student status
Full-time	343 (89.8)	71 (93.4)	414 (90.4)
Part-time	39 (10.2)	5 (6.6)	44 (9.6)
Undergraduate level
Freshman	57 (14.9)	12 (15.6)	69 (15.0)
Sophomore	81 (21.1)	13 (16.9)	94 (20.4)
Junior	120 (31.3)	26 (33.8)	146 (31.7)
Senior	125 (33.6)	26 (33.8)	152 (33.0)
Housing
Campus/university	99 (25.8)	18 (23.4)	117 (25.4)
Parent/guardian	103 (26.9)	22 (28.6)	126 (27.3)
Off-campus	178 (46.5)	35 (45.5)	213 (46.2)
Couch surfing	3 (0.8)	2 (2.6)	5 (1.1)
Employment status
Yes, ≤20 hours/week	149 (38.9)	27 (35.5)	177 (38.5)
Yes, >20 hours/week	87 (22.7)	19 (25.0)	106 (23.0)
No	147 (38.4)	30 (39.5)	177 (38.5)
Financial support
Parents/family	231 (60.3)	48 (62.3)	279 (60.5)
Loans	116 (30.3)	16 (20.8)	133 (28.9)
Grants/scholarships	256 (66.8)	53 (68.8)	309 (67.0)
Working	235 (61.4)	48 (62.3)	283 (61.4)
Federal Pell Grant Recipient
Yes	199 (52.0)	48 (62.3)	247 (53.6)
University meal plan
Yes	102 (26.8)	18 (23.7)	120 (26.2)
Food insecurity
Low	148 (38.6)	20 (26.0)	168 (36.4)
Very low	235 (61.4)	57 (74.0)	293 (63.6)

^aParticipants could select all that applied for financial support.

Differences in Multi-level Determinants by Pantry Use vs Non-use

Table 3 presents findings on the multi-level domains and levels of influence by food pantry usage. At the Individual Level, statistically significant differences emerged by the level of food security (P = .035) between users vs non-users whereas a larger percentage of food pantry users exhibited very low food security as compared to non-users (74% and 61.4% respectively). Additionally, food pantry users demonstrated higher mean scores for both the saving (M = 33.65, SD = 5.52, P < .001) and selling (M = .72, SD = 1.03, P = .047) coping mechanisms as compared to non-users.

Table 3.

Multi-Level Characteristics Among Food Pantry Non-users (n = 383) vs Users (n = 77).

	Food PantryNon-User		Food pantry user			P
	f	%	f	%		P
Food insecurity
Level of food insecurity
Low	148	38.6	20	26.0		.035*
Very low	235	61.4	57	74.0
Mental health
	M	SD	M	SD	t	P
Psychological distress	9.89	4.53	10.87	5.00	−1.84	.067
Loneliness	5.90	1.77	5.88	1.83	.072	.943
Individual level: Behavioral domain
Perceived cooking skills	f	%	f	%		P
Excellent	72	18.8	17	22.1		.639
Good	175	45.7	38	49.4
Fair	111	29.0	19	24.7
Poor	25	6.5	3	3.9
	M	SD	M	SD	t	p
Food insecurity coping: Saving	30.12	4.97	33.65	5.52	−5.56	<.001*
Food insecurity coping: Intake	4.04	2.01	4.47	2.31	−1.73	.085
Food insecurity coping: Selling	.47	.89	.72	1.03	−2.37	.047*
Interpersonal level: Behavioral domain
Social support friends	10.27	3.62	10.14	4.09	.28	.778
Social support family	10.24	3.88	9.18	3.52	2.21	.028*
Interpersonal level: Socio-cultural domain
Discrimination: Day-to-day unfair treatment	10.59	7.59	13.13	7.76	−2.66	<.008*
Community level: Socio-cultural domain
Cultural familiarity	16.45	4.67	16.87	4.84	−.71	.476
Cultural validation	10.17	2.89	10.47	2.55	−.84	.403
Humanized educational experience	11.05	2.84	10.31	2.76	2.09	.038*
Holistic support	12.89	3.55	12.81	3.59	.19	.854

*Tests are significant at P < .05.

Within the Interpersonal Level, food pantry users exhibited statistically significantly higher mean scores for experiences of day-to-day unfair treatment (M = 13.13, SD = 7.76, P = .008) as compared to non-users (M = 10.59, SD = 7.59). Additionally, food pantry users demonstrated lower mean scores for social support from family (M = 9.18, SD = 3.52, P = .028) as compared with non-users (M = 10.24, SD = 3.88).

At the Community Level, statistically significant differences emerged regarding humanized educational experiences between food pantry users and non-users (P = .038) whereas food pantry users exhibited lower mean scores (M = 10.31, SD = 2.76) as compared to food pantry non-users (M = 11.05, SD = 2.84).

Multi-level Determinants on Food Pantry Use

Direct logistic regression was performed to assess the impact of multi-level factors on the likelihood that participants would report they had used the food pantry. The full model containing all predictors was statistically significant, χ2(16, N = 461) =47.271, P < .001, indicating that the model was able to distinguish between food pantry users vs non-users. The model explained 11.0% (Cox & Snell R²) and 18% (Nagelkerke R²) of the variance in food pantry use and correctly classified 84.1% of cases. As depicted in Table 4, only two independent variables made a unique statistically significant contribution to the model: savings coping mechanism and discrimination day-to-day unfair treatment. The strongest predictor of food pantry users was the saving coping mechanism, reporting an odds ratio of 1.15 (95% CI [1.082-1.231]). When holding all other predictor variables constant, the second predictor of food pantry use was discrimination day-to-day unfair treatment, finding an odds ratio of 1.04 (95% CI [.1.000-1.077]).

Table 4.

Summary Statistics From Logistic Regression of Food Pantry Use (n = 460).

Explanatory Variable	OR	95% CI		P
Explanatory Variable	OR	LL	UL	P
Individual level: Health domain
Food security
Low	Reference
Very low	1.369	.73	2.58	.330
Psychological distress	1.028	.96	1.19	.403
Loneliness	.987	.82	1.20	.887
Individual level: Behavioral domain
Cooking skills
Excellent	Reference
Good	1.173	.57	2.43	.667
Fair	1.319	.57	3.05	.516
Poor	.796	.19	3.38	.757
Food insecurity coping (saving)	1.154	1.08	1.23	<.001*
Food insecurity coping (intake)	.895	.77	1.31	.161
Food insecurity coping (selling)	1.122	.86	1.47	.400
Interpersonal level: Socio-cultural domain
Discrimination: Day-to-day unfair treatment	1.038	1.00	1.08	.049*
Interpersonal level: Behavioral domain
Social support (family)	.942	.87	1.02	.134
Social support (friends)	.983	.90	1.07	.697
Community level: Socio-cultural environment domain
Cultural familiarity	1.064	.98	1.15	.134
Cultural validation	1.056	.92	1.21	.435
Humanized educational experience	.938	.84	1.05	.251
Holistic support	1.040	.95	1.14	.384

*Tests are significant at P < .05; OR = adjusted odds ratio; CI = confidence interval; LL = lower limit; UL = upper limit.

Discussion

The current study offers novel insights into the multi-level determinants of food pantry use among food insecure racial and ethnic minority college students, a population disproportionately affected by food insecurity.^5,7,10-12 By applying the NIMHD Research Framework,⁵² this study advances the understanding of how individual, interpersonal, and community level factors influence campus-based food pantry utilization among racial and ethnic minority college students. Although prior research has focused broadly on barriers to food pantry use, to our knowledge, this is the first known study to examine campus-based food pantry utilization among racial and ethnic minority college students using a multi-level ecological framework. Collectively, results both support previous research and present key novel findings.

Supporting previous studies reporting modest utilization of food pantries,^36-39 the current study revealed only 17% of food insecure racial and ethnic students as food-pantry users. Further a greater percentage of students experiencing very low food security in the current study reported using the pantry (20%) as compared with those experiencing low food security (12%) suggesting normative beliefs surrounding food that exist among college students. For example, previous studies have revealed barriers to food pantry access including perceived normalcy surrounding lack of food and finances in college^36,39,48 and beliefs that other students may be in more need of resources.^{37,38,45,48,68} Lastly, although only approaching statistical significance, the current study is in line with previous studies suggesting an association between receiving a Federal Pell Grant and food pantry use.^40-44 For example, Twill et al. (2016) found that 57% of campus food pantry users reported receiving the Federal Pell Grant⁴⁰ and our study found that 62.3% of food insecure Black/African American non-Hispanic and Hispanic college students who used the food pantry reported receiving a Federal Pell Grant.

Most noteworthy, results reveal three key novel findings pertaining to multi-level factors influencing campus-based food pantry use. First, at the individual level, the most significant predictor of food pantry use was the adoption of “saving” coping strategies such as reducing utility use, skipping meals, or taking fewer classes—behaviors that reflect the severity of food insecurity and the lengths to which students go to manage it.⁵⁹ This finding adds nuance to the current literature by showing that behavioral adaptations to food insecurity are not just consequences, but may also serve as predictors of resource utilization. Further research is warranted to assess the predictive nature of behavioral adaptations to food insecurity and campus-based food pantry use.

Second, at the interpersonal level, the current study uniquely identified day-to-day discrimination as a statistically significant predictor of food pantry uses. This finding supports a growing body of literature linking interpersonal racism and other forms of discrimination and food insecurity in the U.S.^69-74 More specifically, Larson et al. (2021) found experiencing interpersonal racism in the past month was associated with food insecurity among emerging adults.⁷⁴ The combination of day-to-day discrimination and low family support may create an obstructive social environment; thus, increasing the need for access to food. Further, this finding links interpersonal racism to basic needs behavior, highlighting how social marginalization may exacerbate college students’ vulnerability and increase reliance on institutional support systems.

Third, at the community level, the current study aimed to gain a better understanding of the influence of campus climate and food pantry use. Results reveal statistically significantly lower scores on humanized educational experiences (i.e., experiences where diverse students perceive that faculty and staff are committed to their success⁶⁵) among food pantry users; thus, suggesting students who use campus-based food pantries may feel less supported or connected to faculty and/or staff, consequently compounding their sense of marginalization and lessen engagement with other campus resources.⁶⁶ This is consistent with previous research that found students who experience food insecurity are more likely to experience less on-campus social support.^29,75,76 This insight challenges assumptions that students who access resources are more engaged and may point to gaps in relational support and opportunities for developing culturally responsive campus environments. Additional research exploring campus climate pertaining to racial and ethnic minority college student experiences regarding inclusive and equitable environments and food insecurity is warranted.

Nonetheless, interpretation of findings should be considered in the context of a few study limitations. First, the study sample was comprised of undergraduate-level students at a single university which may affect generalizability to graduate-level and college students attending institutions in other geographical regions. Second, reliance on self-reported experiences (e.g., discrimination) over a long duration (e.g., in the past 12 months) can potentially introduce recall bias and affect the validity of the results. More specifically, current research has suggested the use of “since being in college” as opposed to “in the last 12 months.”⁹ Third, the sample was homogenous in food insecurity status thus students who are not food insecure were not represented in this sample. Lastly, the variables representing both levels and domains of influence per NIMHD Research Framework were limited due to the nature of the study being a secondary data analysis of a larger study on food insecurity among racial and ethnic college students. For example, variables representing the health domain were only assessed at the individual level.

Practical Recommendations for Increasing Food Pantry Use Among Food Insecure Racial and Ethnic College Students

Despite limitations, the current study provides additional insight into food insecurity and food pantry use among racial and ethnic minority college students. Collectively, the current study suggests food pantry use among food insecure racial and ethnic minority college students may be influenced beyond individual and structural barriers and include socio-cultural influences at both the interpersonal and community level. While the NIMHD Research Framework was instrumental for assessing multi-level determinants of food pantry use, it is not designed to provide actionable guidance for intervention development as it does not offer a roadmap for addressing structural and relational inequities that perpetuate food insecurity among racial and ethnic college students. Accordingly, translation of current findings for improving health equity regarding food insecurity among college students may be served by applying a justice-based health equity framework such as the Health Equity Framwork.⁴⁷ Centering health equity at a population level, the Health Equity Framework provides a justice-based model for guiding solutions encouraging multi-level, equity driven interventions that target factors (i.e., psychological pathways, individual, relationships and networks, systems of power) that affect access to resources and opportunities.^47,77 To that end, based on findings from the current study, the following practical multi-level recommendations are presented to increase campus-based food pantry use among food insecure racial and ethnic minority college students.

At the individual level, the current study found “saving” coping strategies serving as the main predictor of campus-based food pantry resource utilization. As such, structured solutions to support coping strategies may include the following strategies that may be facilitated as part of the campus-based food pantry services: a) workshops on meal planning to empower students with practical skills to reduce reliance on coping mechanisms like skipping meals and selling possessions; b) financial literacy programs that include budgeting for food and accessing aid; and c) provision of small, rapid-response grants to students facing acute food insecurity to prevent reliance on harmful coping strategies like skipping meals or selling personal items.

At the interpersonal level, greater day-to-day discrimination, lower family support and fewer humanized educational experiences were associated with food pantry use. Thus campus-based strategies that reduce social marginalization through strengthen culturally responsive campus environments are warranted. Enhancing inclusive campus climates to address food insecurity among racial and ethnic minority students may include the following practical applications: a) cultural ally training for faculty, staff, and student leaders to increase perceptions of cultural responsiveness and fill gaps in relational support; b) culturally responsive food insecurity peer support groups that create supportive and inclusive environments where food insecure students can connect, share experiences, and build mutual support; and c) partnering with student organizations to train students from diverse backgrounds to serve as peer navigators that can assist with access to food resources, reduce stigma, and build community.

At the institutional level, addressing systems of power via reforming institutional policies and practices to reduce barriers are warranted. Practical applications may include the following: a) normalizing food pantry use through inclusive messaging in course syllabi, new student orientation, and campus-wide campaigns that frame food access as right; b) integrating campus-based pantry access into student services (e.g., financial aid, advising, housing); c) incorporating campus-based food pantry into wellness programs (e.g., health promotion, counseling, health services) to frame it as part of holistic student health; and d) establishing a campus-wide task force to ensure equitable funding and staffing of food pantries, meal voucher programs, and culturally relevant food initiatives.

Despite its public health significance, negligible work exists on the evaluation of programs and policies addressing food insecurity on college campuses.^28,78-80 Further, more research is needed regarding campus-based interventions that address multi-level determinants of food insecurity. Implications for further research include the use of equity-focused multi-level frameworks to develop and evaluate system-thinking programs with the aim of decreasing the prevalence of food insecurity among college students.

Footnotes

Author Contributions

Conception and design (RD, MS, KC, AD, DH), analysis and interpretation of data (RD, JJ,JP, RJ). Drafting of the manuscript (RD, JJ, J) and critical revision of the manuscript (all authors).

Declaration of Conflicting Interests

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Funding

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The current study was funded by the College of Public Health at the University of South Florida.

Ethical Statement

ORCID iD

Rita DeBate

Data Availability Statement

The data that supports the findings may be available from the corresponding author, RD, upon reasonable request. *

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Socio-Ecological Determinants of Food Pantry Use Among Food Insecure Racial and Ethnic Diverse College Students

Abstract

Keywords

Introduction

Methods

Study Design

Data Source and Selection

Conceptual Framework

Measures

Individual Level of Influence: Health Domain

Food Insecurity

Psychological Distress

Loneliness

Individual Level of Influence: Behavioral Domain

Food Pantry Use

Food Insecurity Coping Strategies

Cooking Skills

Individual Level of Influence: Socio-Cultural Domain

Sociodemographic

Interpersonal Level of Influence: Socio-cultural environmental domain

Experience of Discrimination

Social Networks and Social Support

Community Level of Influence: Socio-Cultural Environmental Domain

Campus Climate

Data Analysis

Results

Participant Characteristics

Differences in Multi-level Determinants by Pantry Use vs Non-use

Multi-level Determinants on Food Pantry Use

Discussion

Practical Recommendations for Increasing Food Pantry Use Among Food Insecure Racial and Ethnic College Students

Footnotes

Author Contributions

Declaration of Conflicting Interests

Funding

Ethical Statement

ORCID iD

Data Availability Statement

References