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Relationship Between Food Insecurity and Mental Distress in Firefighters
Sara Hashemi1, Pamela Gonzalez Sanchez1, Jillian Joyce1
1Department of Nutritional Sciences, Oklahoma State University, Stillwater, OK.
Journal of Nutrition Education and Behavior
|June 10, 2026
Summary
Food insecurity affects one in four firefighters, correlating with poor mental health and diet quality. Interventions are needed to support firefighter well-being.
Area of Science:
- Occupational Health
- Nutritional Science
- Psychology
Background:
- Firefighters face unique occupational stressors impacting health.
- Food insecurity is a growing concern within public service professions.
- Mental distress and diet quality are critical indicators of well-being.
Purpose of the Study:
- To investigate the relationships between food insecurity, mental distress, diet quality, and coping mechanisms in active US firefighters.
- To identify potential occupational factors contributing to these health outcomes.
Main Methods:
- A cross-sectional survey was administered to 88 active US firefighters in June 2024.
- Validated measures assessed food insecurity, mental distress (anxiety, depression, PTSD), diet quality, and coping strategies.
- Correlational and chi-square analyses were employed to examine associations.
Main Results:
- 22.7% of firefighters reported food insecurity.
- Significant prevalence of mental distress: 27.2% anxiety, 43.2% PTSD.
- Food insecurity was linked to higher anxiety (r=0.27), avoidant coping (r=0.28), and poorer diet quality (r=-0.31).
Conclusions:
- Findings highlight a significant association between food insecurity and adverse mental and nutritional health in firefighters.
- Tailored interventions addressing occupational drivers of food insecurity are crucial.
- Supporting firefighter well-being requires a holistic approach to psychological and nutritional health.
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