Food insecurity is a prominent social determinant of health. There is evidence of increasing food insecurity in high-income countries amid inflationary pressures. Yet, we know relatively little about the strategies that people employ to manage food insecurity nor how the severity of food insecurity affects the use of these strategies. Accordingly, this study of a nonprobability convenience online panel sample of 1284 adults in Tasmania assessed food insecurity and the strategies undertaken to manage rising costs of living. Structural equation modelling of 51 financial management actions revealed five strategies: reducing food quantity and quality, reducing housing and transport costs, drawing on assets, savings and credit, reducing insurance costs and reducing discretionary expenditure. Generalised linear regression modelling demonstrated that the use of coping strategies increased significantly with each categorical increase in food insecurity for each strategy except reducing insurance costs, in which increases became significant at moderate food insecurity. Overall, the results suggest that those experiencing food insecurity are also sacrificing in other areas, which is likely to have immediate and longer-term effects on health, social and financial wellbeing. Opportunities to mitigate these consequences, including strengthening of social safety nets, nutrition programmes and structural investment to ensure universal access to food, are discussed.

中文翻译：

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减少的不仅仅是膳食：粮食不安全的日益严重与用于应对通货膨胀的家庭财务策略的数量和类型有关

粮食不安全是健康的一个突出社会决定因素。有证据表明，在通货膨胀压力下，高收入国家的粮食不安全状况日益严重。然而，我们对人们用来管理粮食不安全的策略以及粮食不安全的严重程度如何影响这些策略的使用知之甚少。因此，这项针对塔斯马尼亚州 1284 名成年人的非概率便利在线小组样本的研究评估了粮食不安全以及为管理不断上涨的生活成本而采取的策略。 51项财务管理行动的结构方程模型揭示了五项策略：减少食品数量和质量，降低住房和交通成本，动用资产、储蓄和信贷，降低保险成本和减少可自由支配支出。广义线性回归模型表明，除了降低保险成本外，应对策略的使用随着每种策略的粮食不安全程度的每次类别增加而显着增加，其中保险成本的增加在中度粮食不安全情况下变得显着。总体而言，结果表明，那些经历粮食不安全的人也在其他​​领域做出牺牲，这可能对健康、社会和财务福祉产生直接和长期影响。讨论了减轻这些后果的机会，包括加强社会安全网、营养计划和结构性投资，以确保普遍获得粮食。