scholarly journals Intimate partner violence, common mental disorders and household food insecurity: an analysis using path analysis

2016 ◽  
Vol 19 (16) ◽  
pp. 2965-2974 ◽  
Author(s):  
Claudia Leite de Moraes ◽  
Emanuele Souza Marques ◽  
Michael Eduardo Reichenheim ◽  
Marcela de Freitas Ferreira ◽  
Rosana Salles-Costa
Keyword(s):  
Intimate Partner Violence ◽  
Mental Disorders ◽  
Food Insecurity ◽  
Path Analysis ◽  
Partner Violence ◽  
Physical Violence ◽  
Common Mental Disorders ◽  
Intimate Partner ◽  
Household Food Insecurity ◽  
Household Food

AbstractObjectiveTo investigate the direct and indirect associations between psychological and physical intimate partner violence and the occurrence of common mental disorders (CMD) and how they relate to the occurrence of household food insecurity (HFI).DesignThis was a population-based cross-sectional study. Intimate partner violence was assessed using the Brazilian version of the Revised Conflict Tactics Scale (CTS2) and HFI was assessed using the Brazilian Food Insecurity Scale. The propositional analytical model was based on a review of the literature and was tested using path analysis.SettingDuque de Caxias, Greater Rio de Janeiro, Brazil (April–December 2010).SubjectsWomen (n 849) who had been in a relationship in the 12 months preceding the interview.ResultsBoth psychological and physical violence were found to be major risk factors of HFI. Psychological violence was associated with HFI indirectly via physical violence and CMD, and directly by an unidentified path. The effects of physical violence seemed to be manifested exclusively through CMD. Most of the variables in the propositional model related to socio-economic position, demographic characteristics, degree of women’s social support and partner alcohol misuse were retained in the ‘final’ model, indicating that these factors contribute significantly to the increased likelihood of HFI.ConclusionsThe results reinforce the importance of considering domestic violence and other psychosocial aspects of family life when implementing interventions designed to reduce/eradicate HFI.

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 association between intimate partner domestic violence and the food security status of poor families in Brazil

2015 ◽  
Vol 19 (7) ◽  
pp. 1305-1311 ◽  
Author(s):  
Rita de Cássia Ribeiro-Silva ◽  
Rosemeire Leovigildo Fiaccone ◽  
Maurício Lima Barreto ◽  
Mônica Leila Portela Santana ◽  
Sandra Maria Chaves dos Santos ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Food Security ◽  
Food Insecurity ◽  
Partner Violence ◽  
Physical Violence ◽  
Prevalence Ratio ◽  
Intimate Partner ◽  
Household Food Security ◽  
Physical Intimate Partner Violence ◽  
Household Food

AbstractObjectiveTo assess the association between physical intimate partner violence and household food security within households with schoolchildren.DesignCross-sectional study.SettingSalvador, Bahia, north-eastern Brazil.SubjectsThe study was conducted in 1019 households with students. Violence between couples was evaluated using the Portuguese version of the revised Conflict Tactics Scales (CTS2), previously adapted and validated for use in Brazil. The Brazilian Food Insecurity Scale (BFIS) was used to identify food insecurity. We also obtained socio-economic information for each participant. We used multivariate Poisson regression to assess the associations of interest.ResultsAccording to the results of the BFIS, 62·5 % of the households were found to experience food insecurity, including 19·5 % moderate food insecurity and 6·5 % severe food insecurity. The prevalence of minor physical violence was 9·6 % (95 % CI 7·8, 11·4 %) and of severe physical violence was 4·7 % (95 % CI 3·4, 6·0 %) among the couples. In the final multivariate model, it was found that couples reporting minor (prevalence ratio=1·23; 95 % CI 1·12, 1·35) and severe (prevalence ratio=1·16; 95 % CI 1·00, 1·34) physical violence were more likely to be experiencing household food insecurity, compared with those not reporting physical violence.ConclusionsPhysical intimate partner violence was associated with food insecurity of households. The present study brings new data to the subject of the role of violence in the context of food insecurity.

scholarly journals The association of household food insecurity and HIV infection with common mental disorders among newly diagnosed tuberculosis patients in Botswana

2020 ◽  
pp. 1-9
Author(s):  
Qiao Wang ◽  
Mbatshi Dima ◽  
Ari Ho-Foster ◽  
Keneilwe Molebatsi ◽  
Chawangwa Modongo ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Hiv Infection ◽  
Food Insecurity ◽  
Common Mental Disorders ◽  
Household Food Insecurity ◽  
Depression And Anxiety ◽  
Newly Diagnosed ◽  
Cross Sectional ◽  
Household Food ◽  
Prevalence Of Depression

Abstract Objective: To determine the association between food insecurity and HIV infection with depression and anxiety among new tuberculosis (TB) patients. Design: Our cross-sectional study assessed depression, anxiety and food insecurity with Patient Health Questionnaire (PHQ-9), Zung Anxiety Self-Assessment Scale (ZUNG) and Household Food Insecurity Access Scale, respectively. Poisson regression models with robust variance were used to examine correlates of depression (PHQ-9 ≥ 10) and anxiety (ZUNG ≥ 36). Setting: Gaborone, Botswana. Participants: Patients who were newly diagnosed with TB. Results: Between January and December 2019, we enrolled 180 TB patients from primary health clinics in Botswana. Overall, 99 (55·0 %) were HIV positive, 47 (26·1 %), 85 (47·2 %) and 69 (38·5 %) indicated depression, anxiety and moderate to severe food insecurity, respectively. After adjusting for potential confounders, food insecurity was associated with a higher prevalence of depression (adjusted prevalence ratio (aPR) = 2·30; 95 % CI 1·40, 3·78) and anxiety (aPR = 1·41; 95 % CI 1·05, 1·91). Prevalence of depression and anxiety was similar between HIV-infected and HIV-uninfected participants. Estimates remained comparable when restricted to HIV-infected participants. Conclusions: Mental disorders may be affected by food insecurity among new TB patients, regardless of HIV status.

scholarly journals The association of household food insecurity and HIV infection with common mental disorders among newly diagnosed tuberculosis patients in Botswana

2020 ◽  
Author(s):  
Qiao Wang ◽  
Mbatshi Dima ◽  
Ari Ho-Foster ◽  
Keneilwe Molebatsi ◽  
Chawangwa Modongo ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Hiv Infection ◽  
Food Insecurity ◽  
Common Mental Disorders ◽  
Household Food Insecurity ◽  
Depression And Anxiety ◽  
Newly Diagnosed ◽  
Tuberculosis Patients ◽  
Household Food ◽  
Prevalence Of Depression

Objective: To determine the association between food insecurity and HIV-infection with depression and anxiety among new tuberculosis patients. Design: Our cross-sectional study assessed depression, anxiety, and food insecurity with Patient Health Questionnaire (PHQ9), Zung Anxiety Self-Assessment Scale (ZUNG), and Household Food Insecurity Access Scale, respectively. Poisson regression models with robust variance were used to examine correlates of depression (PHQ9 ≥ 10) and anxiety (ZUNG ≥ 36). Setting: Gaborone, Botswana. Participants: Patients who were newly diagnosed with tuberculosis. Results: Between January and December 2019, we enrolled 180 TB patients from primary health clinics in Botswana. Overall, 99 (55.0%) were HIV-positive, 47 (26.1%), 85 (47.2%), and 69 (38.5%) indicated depression, anxiety, and moderate to severe food insecurity, respectively. After adjusting for potential confounders, food insecurity was associated with a higher prevalence of depression (adjusted prevalence ratio [aPR] = 2.30; 95% confidence interval [CI] = 1.40, 3.78) and anxiety (aPR = 1.41; 95% CI = 1.05, 1.91). Prevalence of depression and anxiety were similar between HIV-infected and -uninfected participants. Estimates remained comparable when restricted to HIV-infected participants. Conclusions: Mental disorders may be affected by food insecurity among new tuberculosis patients, regardless of HIV status.

Intimate partner violence and perinatal common mental disorders among women in rural Vietnam

2013 ◽  
Vol 5 (1) ◽  
pp. 29-37 ◽  
Author(s):  
J. Fisher ◽  
T. D. Tran ◽  
B. Biggs ◽  
T. H. Dang ◽  
T. T. Nguyen ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Mental Disorders ◽  
Partner Violence ◽  
Common Mental Disorders ◽  
Intimate Partner

scholarly journals Impact of Common Mental Disorders on Food Insecurity among Women in Butajira, Ethiopia: A Cohort Study

2020 ◽  
Author(s):  
bilal shikur endris ◽  
Seifu Hagos Gebreyesus ◽  
Girmay Medhin ◽  
Martin Prince ◽  
Atalay Alem ◽  
...  
Keyword(s):  
Cohort Study ◽  
Mental Disorders ◽  
Food Insecurity ◽  
Common Mental Disorders ◽  
Household Food Insecurity ◽  
Time Points ◽  
South Central ◽  
Household Food ◽  
Increased Risk ◽  
Self Reporting Questionnaire

Abstract Background: There is a growing body of evidence for an association between common mental disorders and food insecurity. However, since most studies have been cross-sectional, it has not been possible to differentiate the direction of the association. The aim of this study was to determine the effect of common mental disorders on food insecurity using a prospective cohort study design. Methods: The study was carried out in Butajira, south-central Ethiopia among mothers who were enrolled in the CMaMiE cohort. A total of 1815 enrolled women were evaluated for symptoms of CMD using the Self-Reporting Questionnaire-20 (SRQ-20) at two time points; August 2012 (time 1, T1) and in August 2014 (time 2, T2). Probable CMD was defined when mothers reported six or more affirmative (yes) responses to the SRQ-20. Household food insecurity was measured using the Household Food Insecurity Access Scale (HFIAS) in December 2017 (time 3, T3). Zero inflated negative binomial regression was used to determine the independent effects of CMDs at T1 and T2 on food insecurity score at T3. A Poisson working model was used to determine the risk of being severely food insecure associated with CMD. Results : About two thirds of women (67.0%) were living in food insecure households.The prevalence of CMD was 4.8% at T1 and 10.0% at T2 and only 1.2 % (n=22) women had CMD at both time points. After controlling for potential confounders, women with CMD at T2 only (RR=1.14; 95%CI: 1.02, 1,29) had higher HFIAS scores at T3; Women with CMD at T1 only were not significantly associated with HFIAS score at T3. Women with CMD at T1 only had 4 times higher risk of severe food insecurity (RR=3.96, 95% CI: 2.15-7.27) and women with CMD at T2 only had 2.2 times higher risk of severe food insecurity (RR=2.24, 95% CI: 1.27-3.95) at follow-up. Conclusion : Common mental disorders among mothers were prospectively associated with increased risk of household food insecurity in this rural Ethiopian population. Possible mechanisms such as increased cost for health care, lost productivity and decreased self-efficacy warrant further investigation for their potential to prevent future food insecurity.

scholarly journals Food insecurity and common mental disorders in perinatal women living in low socio-economic settings in Cape Town, South Africa during the COVID-19 pandemic: a cohort study

2021 ◽  
Author(s):  
Zulfa Abrahams ◽  
Crick Lund
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Cohort Study ◽  
Mental Disorders ◽  
Food Insecurity ◽  
Common Mental Disorders ◽  
Household Food Insecurity ◽  
Household Food ◽  
Perinatal Women

Abstract Objective: Common mental disorders (CMDs) such as depression and anxiety are highly prevalent during the perinatal period, and are associated with food insecurity, domestic violence and lack of social support. This study explores the relationship between household food insecurity, mental health status and several adverse social and economic factors experienced by perinatal women during the COVID-19 pandemic.Design: Cohort study, using telephonic interviews at two time-points, three months apart. Logistic regression analysis was used to model the associations of several baseline risk factors with the occurrence of household food insecurity at follow-up as the outcome.Setting: Midwife obstetric units or basic antenatal care units in Cape Town, South Africa.Participants: The sample comprised of 880 perinatal women at baseline and 660 women at follow-up. Results: At baseline 23% were pregnant, 54% were unemployed, 13% had a probable CMD, 43% were severely food insecure and 21% experienced domestic abuse in the past year. Of the 660 women interviewed at follow-up, 71% were unemployment, 3.5% were pregnant, 7% had a probable CMD, and 32% were severely food insecure. In the multivariate regression model, after controlling for ethnicity, number of children, being HIV-infected, and having a planned pregnancy, the odds of being food insecure were greater in women who were unemployed (OR=1.88; p=0.001) or had probable CMD (OR=2.20; p=0.019) at baseline. Conclusions: This study highlights a range of socio-demographic and mental health related variables that predict food insecurity among perinatal women during the COVID-19 pandemic.

scholarly journals Common mental disorders and intimate partner violence in pregnancy

2014 ◽  
Vol 48 (1) ◽  
pp. 29-35 ◽  
Author(s):  
Ana Bernarda Ludermir ◽  
Sandra Valongueiro ◽  
Thália Velho Barreto de Araújo
Keyword(s):  
Intimate Partner Violence ◽  
Mental Disorders ◽  
Sexual Violence ◽  
Partner Violence ◽  
Common Mental Disorders ◽  
Intimate Partner ◽  
Northeastern Brazil ◽  
Psychological Violence ◽  
Self Reporting Questionnaire ◽  
In Pregnancy

OBJECTIVE : To investigate the association between common mental disorders and intimate partner violence during pregnancy. METHODS : A cross sectional study was carried out with 1,120 pregnant women aged 18-49 years old, who were registered in the Family Health Program in the city of Recife, Northeastern Brazil, between 2005 and 2006. Common mental disorders were assessed using the Self-Reporting Questionnaire (SRQ-20). Intimate partner violence was defined as psychologically, physically and sexually abusive acts committed against women by their partners. Crude and adjusted odds ratios were estimated for the association studied utilizing logistic regression analysis. RESULTS : The most common form of partner violence was psychological. The prevalence of common mental disorders was 71.0% among women who reported all form of violence in pregnancy and 33.8% among those who did not report intimate partner violence. Common mental disorders were associated with psychological violence (OR 2.49, 95%CI 1.8;3.5), even without physical or sexual violence. When psychological violence was combined with physical or sexual violence, the risk of common mental disorders was even higher (OR 3.45; 95%CI 2.3;5.2). CONCLUSIONS : Being assaulted by someone with whom you are emotionally involved can trigger feelings of helplessness, low self-esteem and depression. The pregnancy probably increased women`s vulnerability to common mental disorders

scholarly journals Domains of common mental disorders in women reporting intimate partner violence

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Ariane Gomes dos Santos ◽  
Claudete Ferreira de Souza Monteiro
Keyword(s):  
Intimate Partner Violence ◽  
Mental Disorders ◽  
Physical Abuse ◽  
Physical Aggression ◽  
Partner Violence ◽  
Sexual Coercion ◽  
Common Mental Disorders ◽  
Intimate Partner ◽  
Psychological Aggression ◽  
Self Reporting Questionnaire

Objective to verify associations between the types of intimate partner violence and the domains of common mental disorders in women. Method cross-sectional study with 369 women. The information was obtained through the instruments Self-Reporting Questionnaire and Conflict Tactic Scales. To analyze the data, Pearson’s Chi-Square test, Fisher’s exact test and Odds Ratio were used. Results women who reported physical abuse with and without sequela were respectively 2.58 and 3.7 times more likely to have symptoms of anxious depressed mood. The chances of experiencing symptoms of decreased vital energy increased by 2.27 times with psychological aggression, 3.06 times with physical abuse without sequelae and 3.13 times with physical abuse with sequelae. Somatic symptoms did not show statistical association with the types of violence. The propensity to develop symptoms of depressive thoughts increased 3.11 times with psychological aggression, 6.13 times with physical aggression without sequelae, 2.47 times with sexual coercion and 7.3 times with physical aggression with sequelae. Conclusion the types of intimate partner violence are strongly associated with the domains of common mental disorders in women. This finding may contribute to more accurate interventions by health professionals to women victims of violence.

scholarly journals Child Dietary Diversity, Household Food Insecurity, Child Stunting and Maternal Mental Health Symptoms in Vakinankaratra, Madagascar

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 295-295
Author(s):  
Christine Walters ◽  
Joel Komakech ◽  
Hasina Rakotomanana ◽  
Barbara Stoecker
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Food Insecurity ◽  
Dietary Diversity ◽  
Common Mental Disorders ◽  
Maternal Mental Health ◽  
Household Food Insecurity ◽  
Child Stunting ◽  
Household Food ◽  
Adjusted Model

Abstract Objectives This study aimed to determine the association between child dietary diversity, household food insecurity, child stunting, and maternal mental health symptoms in the Vakinankaratra region of Madagascar. Methods This cross-sectional study included 391 mother-child dyads. The World Health Organization (WHO) standards were used for defining child dietary diversity and child stunting and the Household Food Insecurity Access Scale (HFIAS) was used for food insecurity scores. Maternal symptoms of common mental disorders were assessed using the WHO Self-Reporting Questionnaire (SRQ), which was translated into Malagasy and pre-tested; a cutoff of seven was used to indicate the occurrence of symptoms of common mental disorders. Multivariate linear and logistic regression models adjusted for strata, cluster, and confounding variables were conducted with statistical significance set at P &lt; 0.05. Results More than half (56.8%) of the mothers reported symptoms of common mental disorders and more than half of the children (69.4%) were stunted. The mean HFIAS score was 10.3 (±5.6) and mean child dietary diversity score was 3.0 (±1.31). Symptoms of common mental disorders were significantly associated with child dietary diversity score in the bivariate analysis but became nonsignificant in the final adjusted model (β = –0.22, P = 0.06, R2 = 0.07). In the adjusted model, having symptoms of common mental disorders was significantly associated with higher HFIAS score (β = 3.45, P &lt; 0.0001, R2 = 0.13) and HFIAS scores were significantly associated with having symptoms of common mental disorders (AOR = 1.31 [1.09–1.17], P &lt; 0.0001). Maternal symptoms of common mental disorders were significantly associated with stunting (AOR = 1.68 [1.02–2.78], P &lt; 0.05). Conclusions Maternal mental health and household food insecurity were significantly associated in this rural area of the Vakinankaratra region in Madagascar. Furthermore, assessing maternal symptoms of common mental disorders and referring mothers for mental health care appears to be an important consideration for improving child stunting in the region. Funding Sources Oklahoma State University.

Sign in / Sign up

Export Citation Format

Share Document