Psychological and Economic Factors in Relation to Poor Dietary Habits among Malaysian B40 Youths

Nurul Miza Mohd Rashid, Nur Najlaa Fayyadhah Norhasmi

Abstract


One of the main concerns related to health for Malaysians is the widespread poor dietary habits. The underlying reasons could be attributed to economic and psychological factors. Based on past literature, it is found that low income, loneliness and distress could potentially collectively contribute to poor dietary choices. The present research aims to examine the potential associations between economic and psychological factors with poor dietary habits among B40 youths in Malaysia. The research successfully recruited 397 B40 Malaysian youths aged between 21 and 39 years to complete a cross-sectional survey. The results from mediation analysis confirmed our initial prediction, which is that higher income could lower chances of the consumption of unhealthy foods (B = −0.05, p = .03), but psychological insecurities, such as distress (B = 0.01, p = .02) and loneliness (B = 0.01, p = .03), would cause an opposing outcome. The findings of this research further contribute to the current understanding and common conception that the limitations of healthy diets among low-income groups may result from economic constraints and psychological limitations. However, the effect sizes are almost negligible, and the mediation analysis revealed that there are no significant interaction effects between income with psychological distress (B = −0.00, p = .54) and loneliness (B = −0.00, p = .0.98). It is recommended that future research explore the connection between income and psychological factors that precede poor dietary habits, utilising different measures and recruiting a larger sample to confirm the present research's findings.

References

Ab Malik, N. M. A. N., Shahimi, S., Ismail, M. A., & Shafiai, M. H. M. (2020). Faktor penyebab penyisihan sosial dalam kalangan masyarakat berdasarkan sorotan karya bersistematik dan keperluan analisis lanjut daripada perspektif Islam. Islamiyyat: International Journal of Islamic Studies, 42(1), 31-38. http://ejournal.ukm.my/islamiyyat/issue/view/1281

Abd Hanan, F., Sadri, N. B., & Yusup, N. Q. B. (2021). Customers' perception of Malaysian street food quality. International Journal of Academic Research in Business and Social Sciences11(13), 73-87. http://dx.doi.org/10.6007/IJARBSS/v11-i13/8503  

Ahmad, M., & Khan, A. (2019). Loneliness as predictor of depression among unemployed. Education, Sustainability & Society, 12–15. https://doi.org/10.26480/ess.01.2019.12.15

Alim, A., Andi A. & Adam, A. (2021). Transformation of consumption behavior of the poor in the case of malnutrition: Health sociology study with participatory approach in Makassar City, Indonesia. Open Access Macedonian Journal of Medical Sciences, 9 (E), 598-607. https://doi.org/10.3889/oamjms.2021.6417

Amatori, S., Donati Zeppa, S., Preti, A., Gervasi, M., Gobbi, E., Ferrini, F., Rocchi, M. B. L., Baldari, C., Perroni, F., Piccoli, G., Stocchi, V., Sestili, P., & Sisti, D. (2020). Dietary habits and psychological states during Covid-19 home isolation in Italian college students: The role of physical exercise. Nutrients, 12(12), 3660. https://doi.org/10.3390/nu12123660

Arifen, Z. N. Z., Shahar, S., Trieu, K., Majid, H. A., & Haron, H. (2025). What are the commonly available street foods in Malaysia? Journal of Agriculture and Food Research19, 101724. https://doi.org/10.1016/j.jafr.2025.101724

Arifen, Z. N. Z., Shahar, S., Trieu, K., Majid, H. A., Noh, M. F. M., & Haron, H. (2024). Individual and total sugar contents of street foods in Malaysia–Should we be concerned? Food Chemistry450, 139288. https://doi.org/10.1016/j.foodchem.2024.139288

Arifen, Z. N., Shahril, M. R., Shahar, S., Mohamad, H., Mohd Yazid, S. F. Z., Michael, V., Taketo, T., Trieu, K., Harith, S., Ibrahim, N. H., Abdul Razak, S., Mat Jusoh, H., Hun Pin, C., Lee, J.-S., Mohamed Ismail, R., Lai Kuan, L., & Haron, H. (2023). Fatty Acid Composition of Selected Street Foods Commonly Available in Malaysia. Foods12(6), 1234. https://doi.org/10.3390/foods12061234

Arnett, J. J., Žukauskiene, R., & Sugimura, K. (2014). The new life stage of emerging adulthood at ages 18–29 years: Implications for mental health. Lancet Psychiatry, 1(7), 569–576. https://doi.org/ 10.1016/S2215-0366(14)00080-7

Asraf, R. M., Hanah, A., & Supian, N. (2022). Health beliefs and willingness to engage in T2D preventive behaviours among Malay youth: a qualitative inquiry. IIUM Journal of Educational Studies10(2), 124-149. https://doi.org/10.31436/ijes.v10i2.454

Azizan, N. A., Thangiah, N., Su, T. T., & Majid, H. A. (2018). Does a low-income urban population practise healthy dietary habits?. International health10(2), 108-115. https://doi.org/10.1093/inthealth/ihy001

Badland, H., & Pearce, J. (2019). Liveable for whom? Prospects of urban liveability to address health inequities. Social Science & Medicine,  232, 94-105.  https://doi.org/10.1016/j.socscimed.2019.05.001

Bemanian, M., Mæland, S., Blomhoff, R., Rabben, A. K., Arnesen, E. K., Skogen, J. C., & Fadnes, L. T.. (2020). Emotional eating in relation to worries and psychological distress amid the COVID-19 pandemic: A population-based in Norway. International Journal of Environmental Research and Public Health, 18(1), 130. https://doi.org/10.3390%2Fijerph18010130

Caso, D., Guidetti, M., Capasso, M., & Cavazza, N. (2022). Finally, the chance to eat healthily: Longitudinal study about food consumption during and after the first COVID-19 lockdown in Italy. Food Quality and Preference95, 104275. https://doi.org/10.1016/j.foodqual.2021.104275

Chee Cheong, K., Yoon Ling, C., Kuang Hock, L., Mohd Ghazali, S., Chien Huey, T., Che Ibrahim, M. K., ... & Yusoff, A. F. (2019). Association between availability of neighborhood fast food outlets and overweight among 5–18 year-old children in peninsular Malaysia: a cross-sectional study. International journal of environmental research and public health16(4), 593. https://www.mdpi.com/1660-4601/16/4/593#

Christensen, K. A., Forbush, K. T., Richson, B. N., Thomeczek, M. L., Perko, V. L., Bjorlie, K., ... & Mildrum Chana, S. (2021). Food insecurity associated with elevated eating disorder symptoms, impairment, and eating disorder diagnoses in an American University student sample before and during the beginning of the COVID‐19 pandemic. International Journal of Eating Disorders54(7), 1213-1223. https://doi.org/10.1002/eat.23517

Daniel, C. (2020). Is healthy eating too expensive? : How low-income parents evaluate the cost of food. Social Science & Medicine248, 112823. https://doi.org/10.1016/j.socscimed.2020.112823

Department of Statistics Malaysia (2020, July). Household Income and Basic Amenities Survey Report 2019. https://www.dosm.gov.my/v1/uploads/files/1_Articles_By_Themes/Prices/HIES/HIS-Report/HIS-Malaysia-.pd

Dewan Negeri Selangor. (2019, July 29). Mesyuarat Kedua Penggal Kedua Dewan Negeri Selangor Tahun 2019. Electronic Question & Answer Dewan Negeri Selangor [E-QUANS], Shah Alam, Selangor. http://dewan.selangor.gov.my/question/had-umur-belia-2/

Di Benedetto, M. (2015). A Biopsychosocial Model of Health Status: An Integrated Approach to Physical and Mental Health. [Doctoral dissertation, RMIT University: Melbourne, Australia]. http://dx.doi.org/10.13140/RG.2.1.2441.6802

Doan, S. N., Xie, B., Zhou, Y., Lei, X., & Reynolds, K. D. (2022). Loneliness and cravings for sugar-sweetened beverages among adolescents. Pediatric Obesity, 17(e12834), 1 – 8. https://onlinelibrary.wiley.com/doi/abs/10.1111/ijpo.12834

Drisdelle, C., Kestens, Y., Hamelin, A. M., & Mercille, G. (2020). Disparities in access to healthy diets: how food security and food shopping behaviors relate to fruit and vegetable intake. Journal of the Academy of Nutrition and Dietetics120(11), 1847-1858. https://doi.org/10.1016/j.jand.2020.03.020

Ducharme, S., Albaugh, M. D., Hudziak, J. J., Botteron, K. N., Nguyen, T. V., Truong, C., ... & O'Neill, J. (2014). Anxious/depressed symptoms are linked to right ventromedial prefrontal cortical thickness maturation in healthy children and young adults. Cerebral cortex24(11), 2941-2950. https://doi.org/10.1093/cercor/bht151

Eng, C. W., Lim, S. C., Ngongo, C., Sham, Z. H., Kataria, I., Chandran, A., & Mustapha, F. I. (2022). Dietary practices, food purchasing, and perceptions about healthy food availability and affordability: a cross-sectional study of low-income Malaysian adults. BMC Public Health22(1), 192. https://doi.org/10.1186/s12889-022-12598-y

Engel, G. L. (1977). The need for a new medical model: a challenge for biomedicine. Science, 196(4286), 129-136. https://doi.org/10.1126/science.847460

Engel, G. L. (1981). The clinical application of the biopsychosocial model. The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine, 6(2), 101-124. https://doi.org/10.1093/jmp/6.2.101

Frayn, M., Livshits, S., & Knäuper, B. (2018). Emotional eating and weight regulation: a qualitative study of compensatory behaviors and concerns. Journal of Eating Disorders, 6(1). https://doi.org/10.1186/s40337-018-0210-6

Habib, F. Q., Abu Dardak, R., & Zakaria, S. (2011). Consumers’ preference and consumption towards fast food: Evidences from Malaysia. Business and Management Quarterly Review (BMQR)2(1), 14-27. https://ir.uitm.edu.my/id/eprint/880

Halleröd, B., & Larsson, D. (2008). Poverty, welfare problems and social exclusion. International Journal of Social Welfare17(1), 15-25. https://doi.org/10.1111/j.1468-2397.2007.00503.x

Hang, S., Jost, G. M., Guyer, A. E., Robins, R. W., Hastings, P. D., & Hostinar, C. E. (2024). Understanding the development of chronic loneliness in youth. Child development perspectives18(1), 44-53. https://doi.org/10.1111/cdep.12496

Hawkley, L. C. & Cacioppo, J. T. (2010). Loneliness matters: A theoretical and empirical review of consequences and mechanisms. Annals of behavioral medicine: a publication of the Society of Behavioral Medicine, 40(2), 218-227. https://doi.org/10.1007/s12160-010-9210-8

Haws, K. L., Reczek, R. W., & Sample, K. L. (2017). Healthy diets make empty wallets: The healthy= expensive intuition. Journal of Consumer Research43(6), 992-1007. https://doi.org/10.1093/jcr/ucw078

Hays, R., & DiMatteo, M. R. (1987). A short-form measure of loneliness. Journal of Personality Assessment, 51(1), 69–81. https://doi.org/10.1207/s15327752jpa5101_6

Hong, S. A., & Peltzer, K. (2017). Dietary behaviour, psychological well-being and mental distress among adolescents in Korea. Child and Adolescent Psychiatry and Mental Health, 11(1). https://doi.org/10.1186/s13034-017-0194-z

Horesh, D., Kapel Lev‐Ari, R., & Hasson‐Ohayon, I. (2020). Risk factors for psychological distress during the COVID‐19 pandemic in Israel: Loneliness, age, gender, and health status play an important role. British Journal of Health Psychology, 25(4), 925–933. https://doi.org/10.1111/bjhp.12455

Howse, E., Hankey, C., Allman-Farinelli, M., Bauman, A., & Freeman, B. (2018). ‘Buying salad is a lot more expensive than going to McDonalds’: young adults’ views about what influences their food choices. Nutrients, 10(8), 996. https://doi.org/10.3390/nu10080996

Hyman, M. (2020). Food Fix: How food changes mental health and behavior. Alternative and Complementary Therapies, 26(6), 255–257. https://doi.org/10.1089/act.2020.29299.mhy

Ibrahim, A.Z. (2021). Determine the Food Access among Low-Income Households in Rural Area, Kedah, Malaysia, Journal of Business and Economics Review, 6(3),212–222. https://doi.org/10.35609/jber.2021.6.3(5)

Jacob, L., Stubbs, B., & Koyanagi, A. (2020). Consumption of carbonated soft drinks and suicide attempts among 105,061 adolescents aged 12–15 years from 6 high-income, 22 middle-income, and 4 low-income countries. Clinical Nutrition39(3), 886–892. https://doi.org/10.1016/j.clnu.2019.03.028

Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L., ... & Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological medicine32(6), 959-976. https://doi.org/10.1017/S0033291702006074

Latikka, R., Koivula, A., Oksa, R., Savela, N., & Oksanen, A. (2022). Loneliness and psychological distress before and during the COVID-19 pandemic: Relationships with social media identity bubbles. Social Science & Medicine293, 114674. https://doi.org/10.1016/j.socscimed.2021.114674

Lee, E. E., Depp, C., Palmer, B. W., Glorioso, D., Daly, R., Liu, J., Tu, X. M., Kim, H.-C., Tarr, P., Yamada, Y., & Jeste, D. V. (2018). High prevalence and adverse health effects of loneliness in community-dwelling adults across the lifespan: role of wisdom as a protective factor. International Psychogeriatrics, 31(10), 1447–1462. https://doi.org/10.1017/s1041610218002120

Li, A. S. W., Figg, G., & Schüz, B. (2019). Socioeconomic status and the prediction of health promoting dietary behaviours: A systematic review and meta‐analysis based on the theory of planned behaviour. Applied Psychology: Health and Well-Being11(3), 382–406. https://doi.org/10.1111/aphw.12154

Lim, S. B. S. (2014). Obesity and Dining Out: An Exploration of Dietary Trends in Urban Malaysia (Order No. 1555227). Available from ProQuest Dissertations & Theses Global. (1551753975). http://210.48.222.80/proxy.pac/dissertations-theses/obesity-dining-out-exploration-dietary-trends/docview/1551753975/se-2

Mamun, A. A., Hayat, N., & Zainol, N. R. B. (2020). Healthy eating determinants: A study among Malaysian young adults. Foods9(8), 974. https://doi.org/10.3390/foods9080974

Maree, J. G. (2021). The psychosocial development theory of Erik Erikson: critical overview. Early Child Development and Care, 191(7-8), 1107-1121. https://10.1080/03004430.2020.1845163

Mason, T. B. (2020). Loneliness, eating, and body mass index in parent–adolescent dyads from the family life, activity, sun, health, and eating study. Personal Relationships27(2), 420–432. https://doi.org/10.1111/pere.12321

Mazlan, S., Meran, N. E. S., Kamal, M. H. M., & Ramli, N. (2017). Decision to visit night market from Malaysian customer perspective. Tourism, Hospitality and Culinary Arts, 9(2), 143-152. https://fhtm.uitm.edu.my/images/jthca/Vol9Issue2/1-14.pdfma

Megalakaki, O., & Kokou-Kpolou, C. K. (2021). Effects of biopsychosocial factors on the association between loneliness and mental health risks during the COVID-19 lockdown. Current Psychology. https://doi.org/10.1007/s12144-021-02246-w

Menec, V. H., Newall, N. E., Mackenzie, C. S., Shooshtari, S., & Nowicki, S. (2020). Examining social isolation and loneliness in combination in relation to social support and psychological distress using Canadian Longitudinal Study of Aging (CLSA) data. PLOS ONE15(3), e0230673. https://doi.org/10.1371/journal.pone.0230673

Muhamad, S., Yulita, Y., Hussain, N. E., Akhir, N. H. M., Rashid, N. K. A., & Ahmat, N. (2020). Food-based dietary patterns among low-income single mothers in Terengganu, Malaysia. Research Square. https://doi.org/10.21203/rs.3.rs-66902/v1

Norddin, N., Che’Ya, N. N., Mohidem, N. A., & Zalbahar, N. (2025). Association between neighbourhood food environment and dietary quality among adolescents in Kuala Lumpur, Malaysia. Heliyon11(3). https://doi.org/10.1016/j.heliyon.2025.e42247

Pengpid, S., & Peltzer, K. (2019). High carbonated soft drink intake is associated with health risk behavior and poor mental health among school-going adolescents in six Southeast Asian countries. International Journal of Environmental Research and Public Health17(1), 132. https://doi.org/10.3390/ijerph17010132

Pozzi, E., Vijayakumar, N., Rakesh, D., & Whittle, S. (2021). Neural correlates of emotion regulation in adolescents and emerging adults: A meta-analytic study. Biological Psychiatry89(2), 194-204. https://doi.org/10.1016/j.biopsych.2020.08.006

Rahim, N. C. A., Ahmad, M. H., Siew Man, C., Zainuddin, A. A., Rodzlan Hasani, W. S., Ganapathy, S. S., & Ahmad, N. A. (2022). Factors influencing the levels of awareness on Malaysian healthy plate concept among rural adults in Malaysia. International Journal of Environmental Research and Public Health19(10), 6257. https://doi.org/10.3390/ijerph19106257

Richard, A., Rohrmann, S., Vandeleur, C. L., Schmid, M., Barth, J., & Eichholzer, M. (2017). Loneliness is adversely associated with physical and mental health and lifestyle factors: Results from a Swiss national survey. PLOS ONE, 12(7), e0181442. https://doi.org/10.1371/journal.pone.0181442

Richards, G., Malthouse, A., & Smith, A. (2015). The Diet and Behaviour Scale (DABS): Testing a new measure of food and drink consumption in a cohort of secondary school children from the Southwest of England. Journal of Food Research4(3), 148. https://doi.org/10.5539/jfr.v4n3p148

Salari-Moghaddam, A., Keshteli, A. H., Mousavi, S. M., Afshar, H., Esmaillzadeh, A., & Adibi, P. (2019). Adherence to the MIND diet and prevalence of psychological disorders in adults. Journal of Affective Disorders, 256, 96–102. https://doi.org/10.1016/j.jad.2019.05.056

Sangsefidi, Z. S., Mirzaei, M., & Hosseinzadeh, M. (2020). The relation between dietary intakes and psychological disorders in Iranian adults: a population-based study. BMC psychiatry20(1), 257.https://doi.org/10.1186/s12888-020-02678-x

Sanusi, G. A. (2020). Socio-demographic perspective on the intention to use Malaysian dietary guidelines among young adults. Selangor Business Review, 5(1), 1-17. https://sbr.journals.unisel.edu.my/ojs/index.php/sbr/article/view/68

Shahar, S., Vanoh, D., Mat Ludin, A. F., Singh, D. K. A., & Hamid, T. A. (2019). Factors associated with poor socioeconomic status among Malaysian older adults: an analysis according to urban and rural settings. BMC public health19(Suppl 4), 549. https://doi.org/10.1186/s12889-019-6866-2

Soraya, S., Hastuti, D., & Johan, I. R. (2021). The influence of parents feeding practices, eating knowledge, and attitude on eating behavior among senior high school students in South Tangerang, Indonesia. Open Access Macedonian Journal of Medical Sciences, 9(E), 913-918. https://doi.org/10.3889/oamjms.2021.7147

Spence, C. (2017). Comfort food: A review. International Journal of Gastronomy and Food Science9, 105–109. https://doi.org/10.1016/j.ijgfs.2017.07.001

Sulaiman, N., Yeatman, H., Russell, J., & Law, L. S. (2021). A food insecurity systematic review: experience from Malaysia. Nutrients13(3), 945. https://doi.org/10.3390/nu13030945

Tay, C. (2022, June 24). Costlier food accelerates Malaysia's inflation to 2.8% in May 2022 — DOSM. The Edge Markets. https://www.theedgemarkets.com/article/malaysias-inflation-28-onyear-may-2022-dosm

Taylor, S., & Stanton, A. L. (2015). Health Psychology (9th ed.). McGraw-Hill Education.

Teoh, A. N. (2024). The State of Food Environment in Malaysia. SEA-PHN Network Webinar on Improving Food Environments in Southeast Asia Countries: Where Are We Heading? https://sea-phn.org/wp-content/uploads/2024/10/2.-Dr.-Teoh-Ai-Ni-The-State-of-Food-Environment-in-Malaysia.pdf

Terada, T., Mistura, M., Tulloch, H., Pipe, A., & Reed, J. (2019). Dietary behaviour is associated with cardiometabolic and psychological risk indicators in female hospital nurses—A post-hoc, cross-sectional study. Nutrients, 11(9), 2054. https://doi.org/10.3390/nu11092054

Tiong, X. T., Abdullah, N. S. S., Bujang, M. A., Joon, C. K., Wee, H. L., Fong, Y., & Yean, A. (2018). Validation of the Kessler's psychological distress scale (K10 & K6) in a Malaysian population. ASEAN Journal of Psychiatry19(1).

Xiao, A., Yang, S., & Iqbal, Q. (2018). Factors affecting purchase intentions in generation Y: An empirical evidence from fast food industry in Malaysia. Administrative Sciences, 9(1), 4. https://doi.org/10.3390/admsci9010004


Keywords


B40 youths; dietary habits; loneliness; Malaysian youths; low income; psychological distress; young adults.

Full Text:

PDF


DOI: http://dx.doi.org/10.17576/ebangi.2025.2204.36

Refbacks

  • There are currently no refbacks.


-


 

_________________________________________________

eISSN 1823-884x

Faculty of Social Sciences & Humanities
Universiti Kebangsaan Malaysia
43600 UKM Bangi, Selangor Darul Ehsan
MALAYSIA

© Copyright UKM Press, Universiti Kebangsaan Malaysia