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.

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 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 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 < 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 < 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 < 0.0001). Maternal symptoms of common mental disorders were significantly associated with stunting (AOR = 1.68 [1.02–2.78], P < 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.

scholarly journals Association between food insecurity and anemia among women of reproductive age

PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e1945 ◽  
Author(s):  
Bishwajit Ghose ◽  
Shangfeng Tang ◽  
Sanni Yaya ◽  
Zhanchun Feng
Keyword(s):  
Logistic Regression ◽  
Food Insecurity ◽  
Hemoglobin Concentration ◽  
Reproductive Age ◽  
Household Food Insecurity ◽  
Women Of Reproductive Age ◽  
Cross Sectional Survey ◽  
Wealth Status ◽  
Cross Sectional ◽  
Household Food

Background:Food insecurity and hidden hunger (micronutrient deficiency) affect about two billion people globally. Household food insecurity (HFI) has been shown to be associated with one or multiple micronutrient (MMN) deficiencies among women and children. Chronic food insecurity leads to various deficiency disorders, among which anemia stands out as the most prevalent one. As a high malnutrition prevalent country, Bangladesh has one of the highest rates of anemia among all Asian countries. In this study, we wanted to investigate for any association exists between HFI and anemia among women of reproductive age in Bangladesh.Methodology:Information about demographics, socioeconomic and anemia status on 5,666 married women ageing between 13 and 40 years were collected from a nationally representative cross-sectional survey Bangladesh Demographic and Health Survey (BDHS 2011). Food security was measured by the Household Food Insecurity Access Scale (HFIAS). Capillary hemoglobin concentration (Hb) measured by HemoCue® was used as the biomarker of anemia. Data were analysed using cross-tabulation, chi-square tests and multiple logistic regression methods.Results:Anemia prevalence was 41.7%. Logistic regression showed statistically significant association with anemia and type of residency (p = 0.459; OR = 0.953, 95%CI = 0.840–1.082), wealth status (Poorest: p < 0.001; OR = 1.369, 95%CI = 1.176–1.594; and average: p = 0.030; 95%CI = 1.017–1.398), educational attainment (p < 0.001; OR = 1.276, 95%CI = 1.132–1.439) and household food insecurity (p < 0.001; 95%CI = 1.348–1.830). Women who reported food insecurity were about 1.6 times more likely to suffer from anemia compared to their food secure counterparts.Conclusion:HFI is a significant predictor of anemia among women of reproductive age in Bangladesh. Programs targeting HFI could prove beneficial for anemia reduction strategies. Gender aspects of food and nutrition insecurity should be taken into consideration in designing national anemia prevention frameworks.

scholarly journals The association between household food insecurity and obesity in Mexico: a cross-sectional study of ENSANUT MC 2016

2021 ◽  
pp. 1-11
Author(s):  
Rosa Elena Ponce-Alcala ◽  
Jose Luis Ramirez-Garcia Luna ◽  
Teresa Shamah-Levy ◽  
Hugo Melgar-Quiñonez
Keyword(s):  
Food Insecurity ◽  
Abdominal Obesity ◽  
Urban Areas ◽  
National Level ◽  
Cross Sectional Study ◽  
Household Food Insecurity ◽  
Sectional Study ◽  
Cross Sectional ◽  
Household Food ◽  
Mexican Adults

Abstract Objective: To examine the association between household food insecurity and overweight, obesity and abdominal obesity in Mexican adults. Design: Cross-sectional study. Setting: We analysed data from the Mexican Halfway National Health and Nutrition Survey 2016, a nationally representative survey that accounted for rural and urban areas in four regions of Mexico: North, Centre, Mexico City and South. Participants: Adults from 20 to 59 years old (n 5456, which represents 45 804 210 individuals at the national level). Results: 70·8 % of the Mexican adults had some degree of household food insecurity. This situation showed larger proportions (P < 0·05) among indigenous people, those living in a rural area, in the Southern region or the lowest socio-economic quintiles. The prevalence of obesity and abdominal obesity was higher in female adults (P < 0·001), with the highest proportions occurring among those experiencing severe household food insecurity. Among women, mean BMI and waist circumference were higher as household food insecurity levels increased (P < 0·001). According to multivariate logistic regression models, severe household food insecurity showed to be positively associated with obesity (OR: 2·36; P = 0·001) in Mexican adult females. Conclusions: Our findings confirm the association between household food insecurity and obesity among Mexican women. Given the socio-demographic characteristics of the food-insecure population, it is alarming that prevailing socio-economic inequalities in the country might also be contributing to the likelihood of obesity. Therefore, it is crucial to maintain and bolster surveillance systems to track both problems and implement adequate policies and interventions.

scholarly journals Household Food Insecurity and Its Association with Behavioral Problems in Children Living in Urban Slums: Findings from Karachi, Pakistan (P04-081-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Nadia Shah ◽  
Mehwish Hussain
Keyword(s):  
Food Insecurity ◽  
Behavioral Problems ◽  
Linear Regression Analysis ◽  
Urban Slums ◽  
Household Food Insecurity ◽  
Cross Sectional ◽  
Funding Sources ◽  
Household Food ◽  
Multi Stage ◽  
Almost All

Abstract Objectives To determine prevalence of Household Food Insecurity in urban slums of Karachi To assess children's behavior living in a state of food insecurity in urban slums To relate Household food insecurity with child's behavior Methods The study used a cross-sectional descriptive survey; conducted in 12 towns from all six districts of Karachi using multi-stage sampling methods. The structured questionnaire, comprised of Socio-demographic information, Household Food Insecurity Access Scale (HFIAS) and Child's behaviour questionnaire (CBQ) was conducted among 400 mothers of children bearing age 3 to 11 years living in urban slums. Correlation of HFIAS and CBQ scores were measured by Spearman's correlation coefficient. Generalized linear regression analysis was performed to determine relationship between scores of food insecurity and child behavior. Results Every two out of three households were found food insecure. 70% of households were worried for shortage of food in past month. Almost all households endured insufficient quality (95%) while 84.2% households did not have sufficient quantity of food in past month. Overall 70% mothers reported behavioral problems in their children; of which solitary and aggressiveness were the most common behavioral problems. Subsequent misbehavior reported were: avoiding going to school, stressed, impetuous, fearful, somatic complaints, bullied and not confident. Correlation between food insecurity and child misbehavior was significantly positive. One additional household with food insecurity increased 26.7% behavioral problems in children in urban slums. Conclusions Food insecurity in slum areas of Karachi is rampant. Behavioral problems in children living in areas with food insecurity are at subsequent high risk. Strategies must be derived for related interventions to reduce these psycho-social problems in addition to socioeconomic problems. Funding Sources No funding was available for the research. Authors conduction self research.

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