scholarly journals Poor Maternal Mental Health Mediates the Relationship Between Household Food Insecurity and Early Child Development in Brazil

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 280-280
Author(s):  
Jessica Silva ◽  
Fernando José Herkrath ◽  
Gabriela Buccini ◽  
Sonia Isoyama Venancio ◽  
Rafael Pérez-Escamilla ◽  
...  
Keyword(s):  
Mental Health ◽  
Child Development ◽  
Food Insecurity ◽  
Maternal Mental Health ◽  
Unwanted Pregnancy ◽  
Early Child Development ◽  
Household Food Insecurity ◽  
Early Child ◽  
Household Food ◽  
The Relationship

Abstract Objectives The aim of the study was to evaluate whether maternal mental health and infant's diet mediate the association between Household Food Insecurity (HFI) and Early Child Development (ECD) using Structural Equation Modeling (SEM). We hypothesized a priori that both maternal mental health and infant's diet would mediate the association between HFI and ECD. Methods A cross-sectional study was carried out with 474 mother-infant dyads at Primary Health Centers in the Federal District, Brazil. Mothers answered a questionnaire that evaluated variables through validated instruments. SEM analyses were conducted including the following observed variables: HFI, ECD, consumption of a healthy and diverse diet, presence of a partner in the household, wanted pregnancy and current breastfeeding. Latent variables were included to evaluate mental health (created from maternal depression, trait anxiety and state anxiety), poverty (created from maternal educational level, household per capita income and participation in the Brazilian cash transfer program) and infant health (created from preterm birth, hospitalization after birth and Neonatal Intensive Care Unit needed after birth). Results Poor maternal mental health mediated the relationship between HFI and ECD (β = –0.05), but a healthy and diverse diet was not a mediator in this relationship. Poverty was related to lower ECD scores directly (β = 0.21) and indirectly (β = 0.02). Not having a partner (β = 0.05) and having an unwanted pregnancy (β = 0.02) predicted indirectly lower ECD scores. Conclusions Poor maternal mental health mediates the relationship between HFI and ECD, and ECD is influenced by poverty, single motherhood and unwanted pregnancy through different pathways. Therefore, it is necessary that public policies and interventions that aim to promote an optimal ECD also approach these aspects. Longitudinal cohort studies are needed to determine causality and identify promising approaches to improve parenting skills and ECD outcomes in the context of HFI. Funding Sources This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) (Finance Code 001, CAPES scholarship Programa Doutorado Sanduíche no Exterior Process number 88,881.189710/2018–01).

Maternal Mental Health Mediates the Relationship Between Household Food Insecurity and Early Child Development in Brazil

2021 ◽  
Vol 42 (1) ◽  
pp. 77-90
Author(s):  
Jéssica Pedroso ◽  
Fernando José Herkrath ◽  
Gabriela Buccini ◽  
Sonia Isoyama Venancio ◽  
Rafael Pérez-Escamilla ◽  
...  
Keyword(s):  
Mental Health ◽  
Structural Equation Modeling ◽  
Structural Equation ◽  
Maternal Mental Health ◽  
Unwanted Pregnancy ◽  
Equation Modeling ◽  
Early Child Development ◽  
Household Food Insecurity ◽  
Household Food ◽  
The Relationship

Background: Optimal early child development (ECD) is fundamental for every child to achieve their developmental potential and thrive. Household food insecurity (HFI) is a risk factor for suboptimal development, but there is still a need to better understand the pathways that explain this relationship. Objective: To evaluate whether maternal mental health and infant’s diet mediate the association between HFI and ECD using structural equation modeling. Methods: Cross-sectional study with 474 mother–infant dyads. Mothers answered a questionnaire that evaluated variables through validated instruments. Structural equation modeling analyses were conducted to obtain standardized effects (β) and bias-corrected 95% CI, enabling comparisons between the magnitude of the effects. The following observed variables were included: HFI, ECD, consumption of a healthy and diverse diet, the presence of a partner in the household, wanted pregnancy, and current breastfeeding. Latent variables were included to evaluate mental health, poverty, and neonatal health. Results: Poor maternal mental health mediated the relationship between HFI and ECD (β = −.05), but a healthy and diverse diet was not a mediator in this relationship. Poverty was related to lower development scores directly (β = .21) and indirectly (β = .02). Not having a partner (β = .05) and having an unwanted pregnancy (β = .02) predicted indirectly lower development scores. Conclusions: Poor maternal mental health mediates the relationship between HFI and ECD, and ECD is influenced by poverty, single motherhood, and unwanted pregnancy through different pathways. Therefore, public policies and interventions that aim to promote an optimal ECD should also approach these aspects.

scholarly journals Maternal mental health modifies the association of food insecurity and early child development

2020 ◽  
Vol 16 (4) ◽  
Author(s):  
Jéssica Pedroso ◽  
Gabriela Buccini ◽  
Sonia Isoyama Venancio ◽  
Rafael Pérez‐Escamilla ◽  
Muriel Bauermann Gubert
Keyword(s):  
Mental Health ◽  
Child Development ◽  
Food Insecurity ◽  
Maternal Mental Health ◽  
Early Child Development ◽  
Early Child

scholarly journals Impact of household food insecurity on maternal mental health in Egypt

2021 ◽  
Vol 27 (4) ◽  
pp. 344-352
Author(s):  
Eman Mahfouz ◽  
Eman Mohammed ◽  
Shaza Alkilany ◽  
Tarek Abdel Rahman
Keyword(s):  
Mental Health ◽  
Food Insecurity ◽  
Maternal Mental Health ◽  
Cross Sectional Study ◽  
Poor Mental Health ◽  
Household Food Insecurity ◽  
Cross Sectional ◽  
Number Of Children ◽  
Household Food ◽  
The Impact

Background: Food insecurity leads to disturbed eating patterns, hunger or poor nutrition and is strongly correlated with poor mental health. Aims: To determine the impact of household food insecurity on maternal mental health in a rural population in Egypt. Methods: This community-based cross-sectional study was conducted in Qulubba Village in Minia Governorate. We interviewed 497 mothers with at least one child, using the Household Food Insecurity Access Scale and Hopkins Symptom Check List-25. Results: Nearly 70% of women resided in food-insecure households. Symptoms of anxiety and depression were significantly more common among food-insecure mothers. By logistic regression analysis, household food insecurity, socioeconomic status, husband working abroad and number of children were significant predictors of maternal distress. Mothers with severe food insecurity were approximately 13 times more likely to experience mental distress than were food secure-mothers. Conclusions: Household food insecurity was associated with an increased likelihood of poor maternal mental health. The study highlights the need for policies to decrease poverty and programmes for screening and addressing food insecurity. Integrating mental health into programmes addressing food insecurity and providing counselling are recommended.

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 A holistic approach to promoting early child development: a cluster randomised trial of a group-based, multicomponent intervention in rural Bangladesh

2021 ◽  
Vol 6 (3) ◽  
pp. e004307
Author(s):  
Helen O Pitchik ◽  
Fahmida Tofail ◽  
Mahbubur Rahman ◽  
Fahmida Akter ◽  
Jesmin Sultana ◽  
...  
Keyword(s):  
Mental Health ◽  
Child Development ◽  
Dietary Diversity ◽  
Primary Caregivers ◽  
Secondary Outcome ◽  
Early Child Development ◽  
Early Child ◽  
Rural Bangladesh ◽  
Cluster Randomised ◽  
Adjusted Means

IntroductionIn low- and middle-income countries, children experience multiple risks for delayed development. We evaluated a multicomponent, group-based early child development intervention including behavioural recommendations on responsive stimulation, nutrition, water, sanitation, hygiene, mental health and lead exposure prevention.MethodsWe conducted a 9-month, parallel, multiarm, cluster-randomised controlled trial in 31 rural villages in Kishoreganj District, Bangladesh. Villages were randomly allocated to: group sessions (‘group’); alternating groups and home visits (‘combined’); or a passive control arm. Sessions were delivered fortnightly by trained community members. The primary outcome was child stimulation (Family Care Indicators); the secondary outcome was child development (Ages and Stages Questionnaire Inventory, ASQi). Other outcomes included dietary diversity, latrine status, use of a child potty, handwashing infrastructure, caregiver mental health and knowledge of lead. Analyses were intention to treat. Data collectors were independent from implementers.ResultsIn July–August 2017, 621 pregnant women and primary caregivers of children<15 months were enrolled (group n=160, combined n=160, control n=301). At endline, immediately following intervention completion (July–August 2018), 574 participants were assessed (group n=144, combined n=149, control n=281). Primary caregivers in both intervention arms participated in more play activities than control caregivers (age-adjusted means: group 4.22, 95% CI 3.97 to 4.47; combined 4.77, 4.60 to 4.96; control 3.24, 3.05 to 3.39), and provided a larger variety of play materials (age-adjusted means: group 3.63, 3.31 to 3.96; combined 3.81, 3.62 to 3.99; control 2.48, 2.34 to 2.59). Compared with the control arm, children in the group arm had higher total ASQi scores (adjusted mean difference in standardised scores: 0.39, 0.15 to 0.64), while in the combined arm scores were not significantly different from the control (0.25, –0.07 to 0.54).ConclusionOur findings suggest that group-based, multicomponent interventions can be effective at improving child development outcomes in rural Bangladesh, and that they have the potential to be delivered at scale.Trial registration numberThe trial is registered in ISRCTN (ISRCTN16001234).

scholarly journals Association of Household Food Insecurity with the Mental and Physical Health of Low-Income Urban Ecuadorian Women with Children

2016 ◽  
Vol 2016 ◽  
pp. 1-14 ◽  
Author(s):  
M. Margaret Weigel ◽  
Rodrigo X. Armijos ◽  
Marcia Racines ◽  
William Cevallos ◽  
Nancy P. Castro
Keyword(s):  
Mental Health ◽  
Food Insecurity ◽  
Physical Health ◽  
Low Income ◽  
Household Food Insecurity ◽  
Health Complaints ◽  
Physical And Mental Health ◽  
Epidemiologic Transition ◽  
Household Food ◽  
Mental And Physical Health

Chronic physical and mental health conditions account for a rising proportion of morbidity, mortality, and disability in the Americas region. Household food insecurity (HFI) has been linked to chronic disease in US and Canadian women but it is uncertain if the same is true for low- and middle-income Latin American countries in epidemiologic transition. We conducted a survey to investigate the association of HFI with the physical and mental health of 794 women with children living in low-income Quito, Ecuador, neighborhoods. Data were collected on HFI and health indicators including self-reported health (SF-1), mental health (MHI-5), blood pressure, and self-reported mental and physical health complaints. Fasting blood glucose and lipids were measured in a subsample. The multivariate analyses revealed that HFI was associated with poorer self-rated health, low MHI-5 scores, and mental health complaints including stress, depression, and ethnospecific illnesses. It was also associated with chest tightness/discomfort/pain, dental disease, and gastrointestinal illness but not other conditions. The findings suggest that improving food security in low-income households may help reduce the burden of mental distress in women with children. The hypothesized link with diabetes and hypertension may become more apparent as Ecuador moves further along in the epidemiologic transition.

scholarly journals Association of Household Food Insecurity with Nutritional Status and Mental Health of Pregnant Women in Rural Bangladesh

Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4303
Author(s):  
S. M. Tafsir Hasan ◽  
Daluwar Hossain ◽  
Faysal Ahmed ◽  
Md Alfazal Khan ◽  
Ferdousi Begum ◽  
...  
Keyword(s):  
Mental Health ◽  
Nutritional Status ◽  
Food Insecurity ◽  
Pregnant Women ◽  
Women’S Health ◽  
Women's Health ◽  
Household Food Insecurity ◽  
Household Food ◽  
Independent Association ◽  
Environmental Shocks

Food insecurity may affect women’s health; however, pertinent research is scant among pregnant women. This study investigated the association of household food insecurity (HFI) with the nutritional status and mental health of 672 early-gestation (5–16 weeks) pregnant women with a singleton fetus, who participated in the screening activity of a community-based trial (NCT04868669) in Matlab, Bangladesh. Height (cm), weight (kg), body mass index (kg/m2), mid-upper arm circumference (MUAC) (cm), depression, anxiety, and stress were the outcomes studied. HFI was assessed using the Household Food Insecurity Access Scale. Women’s depression, anxiety, and stress were assessed using the Depression, Anxiety, and Stress Scales-21. Propensity score matching based weighted multivariable linear and logistic regression were used to evaluate the independent association of HFI with the outcomes. In adjusted models, pregnant women from food-insecure households in rural Matlab were on average 2.0 cm shorter (β = −2.0, 95% CI: −3.3, −0.7), 2.0 kg lighter (β = −2.0, 95% CI: −3.4, −0.7), and had 0.6 cm lower MUAC (β = −0.6, 95% CI: −1.1, −0.1) than their food-secure counterparts. HFI was associated with higher odds of depression (OR = 3.3, 95% CI: 1.8, 5.9), anxiety (OR = 6.1, 95% CI: 3.7, 10.0), and stress (OR = 4.8, 95% CI: 1.6, 14.2) among the women. Public health measures should focus on ensuring proper nutrition during the critical growth periods of life, pregnancy, and external environmental shocks, to mitigate the adverse effects of HFI on women’s health.

scholarly journals The Relation between Food Insecurity and Mental Health Care Service Utilization in Ontario

2018 ◽  
Vol 63 (8) ◽  
pp. 557-569 ◽  
Author(s):  
Valerie Tarasuk ◽  
Joyce Cheng ◽  
Craig Gundersen ◽  
Claire de Oliveira ◽  
Paul Kurdyak
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Food Insecurity ◽  
Service Utilization ◽  
Care Service ◽  
Health Care Service ◽  
Household Food Insecurity ◽  
The Past ◽  
Household Food ◽  
Health Care Service Utilization

Objective: To determine the relationship between household food insecurity status over a 12-month period and adults’ use of publicly funded health care services in Ontario for mental health reasons during this period. Methods: Data for 80,942 Ontario residents, 18 to 64 years old, who participated in the Canadian Community Health Survey in 2005, 2007-2008, 2009-2010, or 2011-2012 were linked to administrative health care data to determine individuals’ hospitalizations, emergency department visits, and visits to psychiatrists and primary care physicians for mental health reasons. Household food insecurity over the past 12 months was assessed using the Household Food Security Survey Module. Logistic regression models were used to estimate the odds of mental health service utilization in the past 12 months by household food insecurity status, adjusting for sociodemographic factors and prior use of mental health services. Results: In our fully adjusted models, in comparison to food-secure individuals, the odds of any mental health care service utilization over the past 12 months were 1.15 (95% confidence interval [CI], 1.04 to 1.29) for marginally food-insecure individuals, 1.39 (95% CI, 1.19 to 1.42) for moderately food-insecure individuals, and 1.50 (95% CI, 1.35 to 1.68) for severely food-insecure individuals. A similar pattern persisted across individual types of services, with odds of utilization highest with severe food insecurity. Conclusions: Household food insecurity status is a robust predictor of mental health service utilization among working-age adults in Ontario. Policy interventions are required to address the underlying causes of food insecurity and the particular vulnerability of individuals with mental illness.

Household Food Insecurity: Serious Concerns for Child Development

2011 ◽  
Author(s):  
Barbara H. Fiese ◽  
Craig Gundersen ◽  
Brenda Koester ◽  
LaTesha Washington
Keyword(s):  
Child Development ◽  
Food Insecurity ◽  
Household Food Insecurity ◽  
Household Food
Sign in / Sign up

Export Citation Format

Share Document