Post-earthquake food insecurity and Mediterranean diet adherence after residential relocation in Türkiye — A cross-sectional study of internally displaced adults across provinces Inseguridad alimentaria posterremoto y adherencia a la dieta mediterránea tras la reubicación residencial en Turquía: estudio transversal y evaluación interprovincial en adultos desplazados internamente
Nutricion Hospitalaria, cilt.43, sa.3, ss.632-642, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 43 Sayı: 3
- Basım Tarihi: 2026
- Doi Numarası: 10.20960/nh.06565
- Dergi Adı: Nutricion Hospitalaria
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Fuente Academica Plus, CINAHL, EMBASE, MEDLINE, Directory of Open Access Journals, DIALNET, Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO)
- Sayfa Sayıları: ss.632-642
- Anahtar Kelimeler: Earthquake, Food security, Mediterranean diet, Social factor, Türkiye
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction: the 6 February 2023 Türkiye-Syria earthquakes triggered large-scale internal displacement, with many adults relocating to non-affected provinces and facing disruption, psychological distress and threats to food security and diet quality. Objectives: to examine how residential relocation, one of the main social consequences of the earthquakes, shaped the relationship between food insecurity, post-earthquake trauma, and nutrition-related behaviors among internally displaced adults in Türkiye. Methods: in this cross-sectional study, 275 adults who relocated from the earthquake-affected region to other provinces were interviewed face to face between September 2024 and February 2025. Data included relocation characteristics and scores on the Food Insecurity Experience Scale, Mediterranean Diet Adherence Screener (MEDAS), Post-Earthquake Trauma Level Determination Scale, and Eating Behavior Disorder Scale. Robust multiple regression identified predictors of disordered eating, and structural equation modelling examined pathways linking post-earthquake trauma, food insecurity, Mediterranean diet adherence, disordered eating and BMI. Results: participants were 53.1 % women; 26.2 % reported weight gain and 17.5 % weight loss after relocation. Median MEDAS score indicated modest adherence, and 50.5 % were classified as having moderate-or-severe food insecurity, including 35.6 % with severe food insecurity. Post-earthquake trauma scores were high. Structural models showed that higher trauma severity was associated with greater food insecurity, and greater food insecurity was associated with lower Mediterranean diet adherence. In women, higher disordered eating scores were positively related to BMI. Conclusions: the co-occurrence of food insecurity, trauma, and modest Mediterranean diet adherence underscores the need for trauma-informed nutrition monitoring and support within disaster preparedness and recovery policies for displaced populations.