Family socioeconomic status and maternal depressive symptoms: Mediation through household food insecurity across five years

2018 ◽  
Vol 215 ◽  
pp. 1-6 ◽  
Author(s):  
Qiong Wu ◽  
Robin L. Harwood ◽  
Xin Feng
Keyword(s):  
Socioeconomic Status ◽  
Depressive Symptoms ◽  
Food Insecurity ◽  
Household Food Insecurity ◽  
Maternal Depressive Symptoms ◽  
Family Socioeconomic Status ◽  
Household Food

scholarly journals The Effect of Maternal Depressive Symptoms on Infant Feeding Practices in Rural Ethiopia: Community Based Birth Cohort Study

2019 ◽  
Author(s):  
Yitbarek Kidane Woldetensay ◽  
Tefera Belachew ◽  
Shibani Ghosh ◽  
Eva Johanna Kantelhardt ◽  
Hans Konrad Biesalski ◽  
...  
Keyword(s):  
Social Support ◽  
Intimate Partner Violence ◽  
Depressive Symptoms ◽  
Food Insecurity ◽  
Infant Feeding ◽  
Partner Violence ◽  
Intimate Partner ◽  
Household Food Insecurity ◽  
Maternal Depressive Symptoms ◽  
Household Food

Abstract Background: Infant feeding is a multidimensional and multi-risk factor practice with a vital role in ensuring optimal child health, growth and development. Maternal depressive symptoms have been shown to have adverse consequences on feeding practices. However, most of these findings were based on single infant feeding practice (IFP) dimension; e.g. early initiation of breastfeeding, exclusive breastfeeding or introduction of complementary foods. This study aims to explore the longitudinal relationship between maternal depressive symptoms and IFPs in rural Ethiopia using summary IFP index. Methods: This study uses existing data from the ENGINE birth cohort study. The study had an open cohort design, with rolling recruitment and follow up of pregnant women for a period of two years. It was conducted from March 2014 to March 2016 in three districts (Woliso, Tiro-Afeta and Gomma) in the southwest of Ethiopia. The sample size was 4680 with pregnant women recruited between 12 and 32 weeks of gestation. Data were collected once during pregnancy for all women (twice for those in the first trimester), at birth, and then every three months until the child was 12 months old. Data collection was conducted by trained nurses electronically using Open Data Kit (ODK) software. A composite measure of IFP index was computed using 14 WHO recommended infant and young child feeding (IYCF) practice indicators. Maternal depressive symptoms (prenatal and postnatal) were assessed using the patient health questionnaire (PHQ-9). Linear multilevel mixed effects model was fitted to assess longitudinal relationship of IFPs and maternal depression. Results: Early postnatal depressive symptoms were inversely and significantly associated with IFPs (ß= -1.031, P=0.001). However, prenatal maternal depression was not significantly associated with IFPs (ß= -0.024, P=0.953). Similarly, intimate partner violence (ß= -0.208, P=0.001) was negatively associated with IFPs. On the other hand, maternal social support (ß= 0.107, P=0.002) and maternal social participation (ß= 0.552, P<0.001) were positively associated with IFPs. Maternal education and gestational age at birth were other important factors positively associated with IFPs. Moreover, contrary to expected, moderate household food insecurity (ß= 0.836, P=0.003), severe household food insecurity (ß= 1.034, P=0.01) and infant morbidity episodes (ß= 0.625, P=0.013) were positively associated with IFPs. Conclusion: Early postnatal depressive symptoms and intimate partner violence were negative predictors of IFPs. On the other hand, maternal education, gestational age at birth, maternal social support and social participation are positive predictors of IFPs. Overall, we conclude that a multitude of factors are related to IFPs and hence coordinated, multi-sectoral and multi-stakeholder interventions including maternal depressive symptoms screening and management are needed to improve IFPs.Key words: Infant feeding practices, prenatal depression, postnatal depression, household food insecurity, intimate partner violence, social support, Ethiopia

scholarly journals The effect of maternal depressive symptoms on infant feeding practices in rural Ethiopia: community based birth cohort study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yitbarek Kidane Woldetensay ◽  
Tefera Belachew ◽  
Shibani Ghosh ◽  
Eva Johanna Kantelhardt ◽  
Hans Konrad Biesalski ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Food Insecurity ◽  
Psychosocial Factors ◽  
Infant Feeding ◽  
Feeding Practices ◽  
Birth Cohort Study ◽  
Household Food Insecurity ◽  
Maternal Depressive Symptoms ◽  
Infant Feeding Practices ◽  
Household Food

Abstract Background Maternal depression and other psychosocial factors have been shown to have adverse consequences on infant feeding practices. This study explored the longitudinal relationship of maternal depressive symptoms and other selected psychosocial factors with infant feeding practices (IFPs) in rural Ethiopia using summary IFP index. Methods This study uses existing data from the ENGINE birth cohort study, conducted from March 2014 to March 2016 in three districts in the southwest of Ethiopia. A total of 4680 pregnant women were recruited and data were collected once during pregnancy (twice for those in the first trimester), at birth, and then every 3 months until the child was 12 months old. A standardized questionnaire was used to collect data on IFPs, maternal depressive symptoms, household food insecurity, intimate partner violence (IPV), maternal social support, active social participation, and other sociodemographic variables. A composite measure of IFP index was computed using 14 WHO recommended infant and young child feeding (IYCF) practice indicators. High IFP index indicated best practice. Prenatal and postnatal maternal depressive symptoms were assessed using the patient health questionnaire (PHQ-9). Linear multilevel mixed effects model was fitted to assess longitudinal relationship of IFPs with maternal depression and other psychosocial factors. Results Reports of higher postnatal depressive symptoms (ß = − 1.03, P = 0.001) and IPV (ß = − 0.21, P = 0.001) were associated with lower scores on the IFP index. Whereas, reports of better maternal social support (ß = 0.11, P = 0.002) and active social participation (ß = 0.55, P < 0.001) were associated with higher scores on the IFP index. Contrary to expectations, moderate household food insecurity (ß = 0.84, P = 0.003), severe household food insecurity (ß = 1.03, P = 0.01) and infant morbidity episodes (ß = 0.63, P = 0.013) were associated with higher scores on the IFP index. Conclusions Overall, a multitude of factors are related to IFPs and hence coordinated, multi-sectoral and multi-stakeholder interventions including maternal depressive symptoms screening and management are needed to improve infant feeding practices.

scholarly journals The effect of maternal depressive symptoms on infant feeding practices in rural Ethiopia: Community based birth cohort study

2021 ◽  
Author(s):  
Yitbarek Kidane Woldetensay ◽  
Tefera Belachew ◽  
Shibani Ghosh ◽  
Eva Johanna Kantelhardt ◽  
Hans Konrad Biesalski ◽  
...  
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Food Insecurity ◽  
Psychosocial Factors ◽  
Infant Feeding ◽  
Social Participation ◽  
Household Food Insecurity ◽  
Maternal Depressive Symptoms ◽  
Household Food ◽  
Maternal Social Support

Abstract Background: Infant feeding is a multidimensional and multi-risk factor practice with a vital role in ensuring optimal child health, growth and development. Maternal depression and other psychosocial factors have been shown to have adverse consequences on feeding practices. However, most of these findings were based on single infant feeding practice (IFP) dimension; for instance, early initiation of breastfeeding, exclusive breastfeeding or introduction of complementary foods. This study aims to explore the longitudinal relationship of maternal depressive symptoms and other selected psychosocial factors with IFPs in rural Ethiopia using summary IFP index.Methods: This study uses existing data from the ENGINE birth cohort study. The study had an open cohort design, with “rolling recruitment” procedure and follow up of pregnant women for a period of two years. It was conducted from March 2014 to March 2016 in three districts in the southwest of Ethiopia. A total of 4680 pregnant women were recruited between 12 and 32 weeks of gestation. Data were collected once during pregnancy for all women (twice for those in the first trimester), at birth, and then every three months until the child was 12 months old. Standardized questionnaire were used to collect data on IFPs, maternal depressive symptoms, household food insecurity, intimate partner violence (IPV), maternal social support, active social participation, and other socio-demographic variables. A composite measure of IFP index was computed using 14 WHO recommended infant and young child feeding (IYCF) practice indicators. High IFP index indicated best practice. Prenatal and postnatal maternal depressive symptoms were assessed using the patient health questionnaire (PHQ-9). Linear multilevel mixed effects model was fitted to assess longitudinal relationship of IFPs with maternal depression and other psychosocial factors.Results: Reports of higher postnatal depressive symptoms (ß= -1.03, P=0.001) and IPV (ß= -0.21, P=0.001) were associated with lower scores on the IFP index. Whereas, reports of better maternal social support (ß= 0.11, P=0.002) and active social participation (ß= 0.55, P<0.001) were associated with higher scores on the IFP index. Contrary to expected, moderate household food insecurity (ß= 0.84, P=0.003), severe household food insecurity (ß= 1.03, P=0.01) and infant morbidity episodes (ß= 0.63, P=0.013) were associated with higher scores on the IFP index.Conclusion: Early postnatal depressive symptoms and intimate partner violence were negative predictors of IFPs. On the other hand, maternal social support, social participation, maternal education and gestational age at birth were positive predictors of IFPs. Overall, we can conclude that multitude of factors are related to IFPs and hence coordinated, multi-sectoral and multi-stakeholder interventions including maternal depressive symptoms screening and management are needed to improve IFPs.

Household food insecurity is associated with depressive symptoms in the Canadian adult population

2021 ◽  
Vol 279 ◽  
pp. 563-571
Author(s):  
Mojtaba Shafiee ◽  
Hassan Vatanparast ◽  
Bonnie Janzen ◽  
Sara Serahati ◽  
Pardis Keshavarz ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Food Insecurity ◽  
Adult Population ◽  
Household Food Insecurity ◽  
Household Food

597 Sleep Bruxism in Preschool Children: Associations with Emotional-Behavioral Problems

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A235-A235
Author(s):  
Christine Laganière ◽  
Samantha Kenny ◽  
Hélène Gaudreau ◽  
Irina Pokhvisneva ◽  
Andrée-Anne Bouvette-Turcot ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Depressive Symptoms ◽  
Behavioral Problems ◽  
Sleep Bruxism ◽  
Maternal Depressive Symptoms ◽  
Sleep Habits ◽  
Related Factors ◽  
Family Socioeconomic Status ◽  
Biological Sex ◽  
The Relationship

Abstract Introduction Several psychosocial factors contribute to the etiology of sleep bruxism in childhood, including emotional-behavioral problems, as well as environmental and familial factors. It is known that sleep bruxism is prevalent in preschoolers, but most etiology studies were conducted with school-aged children or adolescents. Studies focusing on younger, preschool-aged populations that consider family-related factors are lacking. This study aimed to assess the relationship between emotional-behavioral problems and the presence of sleep bruxism in preschoolers, while taking maternal depressive symptoms into consideration. Methods Three hundred eighty-three mother-child dyads from the Maternal Adversity, Vulnerability, and Neurodevelopment (MAVAN) cohort were included in the present study. Mothers completed the Child’s Sleep Habits Questionnaires (CSHQ; includes the frequency of bruxism), a questionnaire about their child’s emotional-behavioral problems (CBCL; anxiety and depressive problems), and reported their own depressive symptoms (CES-D). Measures were completed at two timepoints: when children were 4 and 5 years old. Generalized Estimating Equation (GEE) models were used to evaluate the relationship between sleep bruxism frequency and children’s emotional-behavioral problems, while controlling for maternal depressive symptoms, child’s biological sex, family socioeconomic status, and age. Results Maternal reports indicated that 12% of children experienced sleep bruxism at least sometimes at age four, and 20% did at age five. Children’s anxiety and depressive symptoms were associated with increased sleep bruxism frequency (p &lt; 0.05). Associations between children’s emotional-behavioral problems and bruxism remained statistically significant when controlling for maternal depressive symptoms, child’s biological sex, family socioeconomic status, and time (p &lt; 0.05). Conclusion In this normative cohort of children, sleep bruxism was associated with anxiety and depressive symptoms in children as young as age four. Furthermore, this relationship can still be observed when the severity of maternal depressive symptoms is considered. Whether anxiety and depressive symptoms contribute to sleep bruxism, or vice versa, remain to be further investigated. Nevertheless, results suggest that screening of emotional-behavioral problems should be considered in children experiencing sleep bruxism. Support (if any) Fonds de recherche du Québec - Santé

scholarly journals Household food insecurity is associated with depressive symptoms among low-income pregnant Latinas

2010 ◽  
Vol 7 (4) ◽  
pp. 421-430 ◽  
Author(s):  
Amber Hromi-Fiedler ◽  
Angela Bermúdez-Millán ◽  
Sofia Segura-Pérez ◽  
Rafael Pérez-Escamilla
Keyword(s):  
Depressive Symptoms ◽  
Food Insecurity ◽  
Low Income ◽  
Household Food Insecurity ◽  
Household Food

scholarly journals Household food insecurity is associated with depressive symptoms: results from a Mexican population-based survey

Food Security ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 407-416 ◽  
Author(s):  
Spyros Kolovos ◽  
Gerardo A Zavala ◽  
Anne Sophie Leijen ◽  
Hugo Melgar-Quiñonez ◽  
Maurits van Tulder
Keyword(s):  
Logistic Regression ◽  
Food Security ◽  
Depressive Symptoms ◽  
Food Insecurity ◽  
Latin American ◽  
Mexican Population ◽  
Household Food Insecurity ◽  
Household Food ◽  
High Prevalence ◽  
Adjusted Logistic Regression

AbstractThe objective of this cross-sectional study was to assess the relationship between food insecurity and depression in the Mexican population. We used data from the 2012 health and nutrition survey (ENSANUT), which is representative of the Mexican population. Food insecurity was determined by the Latin American and Caribbean Food Security Scale (ELCSA). Depressive symptoms were evaluated using the Center for Epidemiological Studies Depression Scale Short-Form (CES-D-SF). Adjusted logistic regression analyses and ANCOVA were used. Out of 33,011 participants, 5788 (18%) had high depressive symptoms and 24,098 (73%) experienced food insecurity. The adjusted logistic regression analysis showed that, participants with mild food insecurity, (OR = 1.47,95% CI = 1.27 to 1.71), moderate food insecurity (OR = 2.14,95% CI = 1.85 to 2.47) and severe food insecurity (OR = 3.01,95% CI = 2.51 to 3.60,) were more likely to have high depressive symptoms than food secure participants. Participants with moderate food insecurity (OR =1.45, 95% CI = 1.28 to 1.64) and severe food insecurity (OR =2.04, 95% CI = 1.76 to 2.37) were more likely to suffer from depression as compared to participants with mild food insecurity. Participants with severe food insecurity were more likely (OR=1.41, 95% CI = 1.21 to 1.65) to suffer from depression compared to participants with moderate food insecurity. This paper provides an overview of the complex problem of food insecurity and mental health. Despite the unknown causality, the analysis suggests a strong association between depression and food insecurity. This problem calls for much more attention from the scientific community. Given the high prevalence of depression and the high prevalence of household food insecurity in Mexico, the implementation of successful public health programs to improve food security is necessary.

scholarly journals The Effect of Maternal Depressive Symptoms on Infant Feeding Practices in Rural Ethiopia: Community Based Birth Cohort Study

2020 ◽  
Author(s):  
Yitbarek Kidane Woldetensay ◽  
Tefera Belachew ◽  
Shibani Ghosh ◽  
Eva Johanna Kantelhardt ◽  
Hans Konrad Biesalski ◽  
...  
Keyword(s):  
Social Support ◽  
Intimate Partner Violence ◽  
Depressive Symptoms ◽  
Infant Feeding ◽  
Partner Violence ◽  
Intimate Partner ◽  
Household Food Insecurity ◽  
Maternal Depressive Symptoms ◽  
Household Food ◽  
Maternal Social Support

Abstract Background: Infant feeding is a multidimensional and multi-risk factor practice with a vital role in ensuring optimal child health, growth and development. Maternal depression and other psychosocial factors have been shown to have adverse consequences on feeding practices. However, most of these findings were based on single infant feeding practice (IFP) dimension; for instance, early initiation of breastfeeding, exclusive breastfeeding or introduction of complementary foods. This study aims to explore the longitudinal relationship of maternal depressive symptoms and other selected psychosocial factors with IFPs in rural Ethiopia using summary IFP index. Methods: This study uses existing data from the ENGINE birth cohort study. The study had an open cohort design, with “rolling recruitment” procedure and follow up of pregnant women for a period of two years. It was conducted from March 2014 to March 2016 in three districts in the southwest of Ethiopia. A total of 4680 pregnant women were recruited between 12 and 32 weeks of gestation. Data were collected once during pregnancy for all women (twice for those in the first trimester), at birth, and then every three months until the child was 12 months old. Standardized questionnaire were used to collect data on IFPs, maternal depressive symptoms, household food insecurity, intimate partner violence, maternal social support, active social participation, and other socio-demographic variables. A composite measure of IFP index was computed using 14 WHO recommended infant and young child feeding (IYCF) practice indicators. Prenatal and postnatal maternal depressive symptoms were assessed using the patient health questionnaire (PHQ-9). Linear multilevel mixed effects model was fitted to assess longitudinal relationship of IFPs with maternal depression and other psychosocial factors. Results: Postnatal depressive symptoms (ß= -1.031, P=0.001) and intimate partner violence (ß= -0.208, P=0.001) were inversely and significantly associated with IFPs. However, prenatal maternal depressive symptoms was not significantly associated with IFPs (ß= -0.024, P=0.953). On the other hand, maternal social support (ß= 0.107, P=0.002) and maternal social participation (ß= 0.552, P<0.001) were positively associated with IFPs. Maternal education and gestational age at birth were other important factors positively associated with IFPs. Moreover, contrary to expected, moderate household food insecurity (ß= 0.836, P=0.003), severe household food insecurity (ß= 1.034, P=0.01) and infant morbidity episodes (ß= 0.625, P=0.013) were positively associated with IFPs. Conclusion: Early postnatal depressive symptoms and intimate partner violence were negative predictors of IFPs. On the other hand, maternal social support, social participation, maternal education and gestational age at birth were positive predictors of IFPs. Overall, we can conclude that multitude of factors are related to IFPs and hence coordinated, multi-sectoral and multi-stakeholder interventions including maternal depressive symptoms screening and management are needed to improve IFPs.

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