scholarly journals Addressing the interaction between food insecurity, depression risk and informal work: findings of a cross-sectional survey among informal women workers with young children in South Africa

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Horwood Christiane ◽  
Haskins Lyn ◽  
Hinton Rachael ◽  
Connolly Catherine ◽  
Luthuli Silondile ◽  
...  
Keyword(s):  
South Africa ◽  
Women Workers ◽  
Food Insecurity ◽  
Working Women ◽  
Household Food Insecurity ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Informal Work ◽  
Depression Risk ◽  
Household Food

Abstract Background There is a high burden of depression globally, including in South Africa. Maternal depression is associated with poverty, unstable income, food insecurity, and lack of partner support, and may lead to poor outcomes for mothers and children. In South Africa one-third of working women are in informal work, which is associated with socioeconomic vulnerability. Methods A cross sectional survey explored work setting and conditions, food security and risk of depression among informal working women with young children (0–3 years). Depression risk was assessed using the Edinburgh Postnatal Depression Score (EPDS) and Whooley score. Food insecurity was evaluated using Household Food Insecurity Access Scale. Data was analysed using SPSS and Stata. Results Interviews were conducted with 265 informal women workers. Types of work included domestic work, home-based work, informal employees and own account workers, most of whom were informal traders. Most participants (149/265; 56.2%) earned between US$70–200 per month, but some participants (79/265; 29.8%) earned < US$70 per month, and few earned > US$200 per month (37/265; 14.0%). Many participants experienced mild (38/267; 14.3%), moderate (72/265; 27.2%) or severe (43/265; 16%) food insecurity. Severe food insecurity was significantly higher among participants with the lowest income compared to those with the highest income (p = 0.027). Women who received financial support from the baby’s father were less likely to be food insecure (p = 0.03). Using EPDS scores, 22/265 (8.3%) women were designated as being at risk of depression. This was similar among postnatal women and women with older children. Household food insecurity was significantly associated with depression risk (p < 0.001). Conclusions Informal women workers were shown to be vulnerable with low incomes and high rates of food insecurity, thus increasing the risk for poor maternal health. However, levels of depression risk were low compared to previous estimates in South Africa, suggesting that informal workers may have high levels of resilience. Interventions to improve social protection, access to health services, and support for safe childcare in the workplace could improve the health and wellbeing of these mothers and support them to care for their children.

scholarly journals Addressing the interaction between food insecurity, depression risk and informal work: findings of a cross-sectional survey among informal women workers with young children in South Africa.

2020 ◽  
Author(s):  
Christiane Horwood ◽  
Haskins Lyn ◽  
Hinton Rachael ◽  
Connolly Catherine ◽  
Luthuli Silondile ◽  
...  
Keyword(s):  
South Africa ◽  
Women Workers ◽  
Food Insecurity ◽  
Working Women ◽  
Household Food Insecurity ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Informal Work ◽  
Depression Risk ◽  
Household Food

Abstract Background: There is a high burden of depression globally, including in South Africa. Maternal depression is associated with poverty, unstable income, food insecurity, and lack of partner support, and may lead to poor outcomes for mothers and children. In South Africa one-third of working women are in informal work, which is associated with socioeconomic vulnerability. Methods: A cross sectional survey explored work setting and conditions, food security and risk of depression among informal working women with young children (0-3years). Depression risk was assessed using the Edinburgh Postnatal Depression Score (EPDS) and Whooley score. Food insecurity was evaluated using USAID Household Food Insecurity Access Scale (HFIAS). Data was analysed using SPSS and Stata. Results: Interviews were conducted with 265 informal women workers. Types of work included domestic work, home-based work, informal employees and own account workers, most of whom were informal traders. Most participants (149/265; 56.2%) earned between US$70-200 per month, but some participants (79/265; 29.8%) earned less than US$70 per month, and few earned >US$200 per month (37/265; 14.0%). Many participants experienced mild (38/267; 14.3%), moderate (72/265; 27.2%) or severe (43/265; 16%) food insecurity. Severe food insecurity was significantly higher among participants with the lowest income compared to those with the highest income (p= 0.027). Women who received financial support from the baby’s father were less likely to be food insecure (p=0.03). Using EPDS scores, 22/265 (8.3%) women were designated as being at risk of depression. This was similar among postnatal women and women with older children. Household food insecurity was significantly associated with depression risk (p<0.001).Conclusions: Informal women workers were shown to be vulnerable with low incomes and high rates of food insecurity, thus increasing the risk for poor maternal health. However, levels of depression risk were low compared to previous estimates in South Africa, suggesting that informal workers may have high levels of resilience. Interventions to improve social protection, access to health services, and support for safe childcare in the workplace could improve the health and wellbeing of these mothers and support them to care for their children.

scholarly journals Addressing the interaction between food insecurity, perinatal depression and informal work: findings of a cross-sectional survey among informal women workers with young children in South Africa.

2020 ◽  
Author(s):  
Christiane Horwood ◽  
Haskins Lyn ◽  
Hinton Rachael ◽  
Connolly Catherine ◽  
Luthuli Silondile ◽  
...  
Keyword(s):  
South Africa ◽  
Women Workers ◽  
Food Insecurity ◽  
Working Women ◽  
Household Food Insecurity ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Informal Work ◽  
Depression Risk ◽  
Household Food

Abstract Background: There is a high burden of depression globally, including in South Africa. Maternal depression is associated with poverty, unstable income, food insecurity, and lack of partner support, and may lead to poor outcomes for mothers and children. In South Africa one-third of working women are in informal work, which is associated with socioeconomic vulnerability.Methods: A cross sectional survey explored work setting and conditions, food security and risk of depression among informal working women with young children (0-3years). Depression risk was assessed using the Edinburgh Postnatal Depression Score (EPDS) and Whooley score. Food insecurity was evaluated using USAID Household Food Insecurity Access Scale (HIFAS). Data was analysed using SPSS and STATA.Results: Interviews were conducted with 265 informal women workers. Types of work included domestic work, home-based work, informal employees and own account workers, most of whom were informal traders. Most participants (149/265; 56.2%) earned between US$70-200 per month, but some participants (79/265; 29.8%) earned less than US$70 per month, and few earned >US$200 per month (37/265; 14.0%). Many participants experienced mild (38/267; 14.3%), moderate (72/265; 27.2%) or severe (43/265; 16%) food insecurity. Severe food insecurity was significantly higher among participants with the lowest income compared to those with the highest income (p= 0.027). Women who received financial support from the baby’s father were less likely to be food insecure (p=0.03). Using EPDS scores, 22/265 (8.3%) women were designated as being at risk of depression. This was similar among postnatal women and women with older children. Household food insecurity was significantly associated with depression risk (p<0.001).Conclusions: Informal women workers were shown to be vulnerable with low incomes and high rates of food insecurity, thus increasing the risk for poor maternal health, and child health and development outcomes. However, levels of depression risk were low compared to previous estimates in South Africa, suggesting that informal workers may have high levels of resilience. Interventions to improve social protection, access to health services, and support for safe childcare in the workplace could support these mothers care for their children.

scholarly journals Addressing the interaction between food insecurity, depression risk and informal work: findings of a cross-sectional survey among informal women workers with young children in South Africa.

2020 ◽  
Author(s):  
Christiane Horwood ◽  
Lyn Haskins ◽  
Rachael Hinton ◽  
Catherine Connolly ◽  
Silondile Luthuli ◽  
...  
Keyword(s):  
South Africa ◽  
Women Workers ◽  
Food Insecurity ◽  
Working Women ◽  
Household Food Insecurity ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Informal Work ◽  
Depression Risk ◽  
Household Food

Abstract Background: There is a high burden of depression globally, including in South Africa. Maternal depression is associated with poverty, unstable income, food insecurity, and lack of partner support, and may lead to poor outcomes for mothers and children. In South Africa one-third of working women are in informal work, which is associated with socioeconomic vulnerability.Methods: A cross sectional survey explored work setting and conditions, food security and risk of depression among informal working women with young children (0-3years). Depression risk was assessed using the Edinburgh Postnatal Depression Score (EPDS) and Whooley score. Food insecurity was evaluated using Household Food Insecurity Access Scale (HFIAS). Data was analysed using SPSS and Stata. Results: Interviews were conducted with 265 informal women workers. Types of work included domestic work, home-based work, informal employees and own account workers, most of whom were informal traders. Most participants (149/265; 56.2%) earned between US$70-200 per month, but some participants (79/265; 29.8%) earned less than US$70 per month, and few earned >US$200 per month (37/265; 14.0%).Many participants experienced mild (38/267; 14.3%), moderate (72/265; 27.2%) or severe (43/265; 16%) food insecurity. Severe food insecurity was significantly higher among participants with the lowest income compared to those with the highest income (p= 0.027). Women who received financial support from the baby’s father were less likely to be food insecure (p=0.03).Using EPDS scores, 22/265 (8.3%) women were designated as being at risk of depression. This was similar among postnatal women and women with older children. Household food insecurity was significantly associated with depression risk (p<0.001).Conclusions: Informal women workers were shown to be vulnerable with low incomes and high rates of food insecurity, thus increasing the risk for poor maternal health. However, levels of depression risk were low compared to previous estimates in South Africa, suggesting that informal workers may have high levels of resilience. Interventions to improve social protection, access to health services, and support for safe childcare in the workplace could improve the health and wellbeing of these mothers and support them to care for their children.

scholarly journals Addressing the interaction between food insecurity, depression risk and informal work: findings of a cross-sectional survey among informal women workers with young children in South Africa.

2020 ◽  
Author(s):  
Christiane Horwood ◽  
Lyn Haskins ◽  
Rachael Hinton ◽  
Catherine Connolly ◽  
Silondile Luthuli ◽  
...  
Keyword(s):  
South Africa ◽  
Women Workers ◽  
Food Insecurity ◽  
Working Women ◽  
Household Food Insecurity ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Informal Work ◽  
Depression Risk ◽  
Household Food

Abstract Background: There is a high burden of depression globally, including in South Africa. Maternal depression is associated with poverty, unstable income, food insecurity, and lack of partner support, and may lead to poor outcomes for mothers and children. In South Africa one-third of working women are in informal work, which is associated with socioeconomic vulnerability. Methods: A cross sectional survey explored work setting and conditions, food security and risk of depression among informal working women with young children (0-3years). Depression risk was assessed using the Edinburgh Postnatal Depression Score (EPDS) and Whooley score. Food insecurity was evaluated using Household Food Insecurity Access Scale (HFIAS). Data was analysed using SPSS and Stata. Results: Interviews were conducted with 265 informal women workers. Types of work included domestic work, home-based work, informal employees and own account workers, most of whom were informal traders. Most participants (149/265; 56.2%) earned between US$70-200 per month, but some participants (79/265; 29.8%) earned less than US$70 per month, and few earned >US$200 per month (37/265; 14.0%). Many participants experienced mild (38/267; 14.3%), moderate (72/265; 27.2%) or severe (43/265; 16%) food insecurity. Severe food insecurity was significantly higher among participants with the lowest income compared to those with the highest income (p= 0.027). Women who received financial support from the baby’s father were less likely to be food insecure (p=0.03). Using EPDS scores, 22/265 (8.3%) women were designated as being at risk of depression. This was similar among postnatal women and women with older children. Household food insecurity was significantly associated with depression risk (p<0.001).Conclusions: Informal women workers were shown to be vulnerable with low incomes and high rates of food insecurity, thus increasing the risk for poor maternal health. However, levels of depression risk were low compared to previous estimates in South Africa, suggesting that informal workers may have high levels of resilience. Interventions to improve social protection, access to health services, and support for safe childcare in the workplace could improve the health and wellbeing of these mothers and support them to care for their children.

scholarly journals Correction to: Addressing the interaction between food insecurity, depression risk and informal work: findings of a cross-sectional survey among informal women workers with young children in South Africa

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Christiane Horwood ◽  
Lyn Haskins ◽  
Rachael Hinton ◽  
Catherine Connolly ◽  
Silondile Luthuli ◽  
...  
Keyword(s):  
South Africa ◽  
Women Workers ◽  
Young Children ◽  
Food Insecurity ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Informal Work ◽  
Depression Risk

An amendment to this paper has been published and can be accessed via the original article.

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 assessment of food security in homeless individuals: a comparison of the Food Security Survey Module and the Household Food Insecurity Access Scale

2011 ◽  
Vol 14 (12) ◽  
pp. 2254-2259 ◽  
Author(s):  
Anna C Holland ◽  
Matthew C Kennedy ◽  
Stephen W Hwang
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Homeless Population ◽  
Household Food Insecurity ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Household Food ◽  
The Us ◽  
Food Insecurity Access

AbstractObjectiveTo compare the Household Food Insecurity Access Scale (HFIAS), the US Food Security Survey Module (US FSSM) and a modified version of the US FSSM in which references to buying food were changed to references to getting food, in terms of their classification of food security levels among homeless individuals, and to determine which of these instruments was most preferred by homeless individuals.DesignA cross-sectional survey.SettingRecruitment of participants took place at seven shelters and from three drop-in programmes that serve homeless individuals in Toronto, Canada.SubjectsFifty individuals who were ≥18 years of age, able to communicate in English and currently homeless.ResultsThe modified US FSSM assigned 20 % of participants to a lower ordinal food security category compared with the US FSSM, and only 8 % to a higher food security category. The HFIAS assigned 30 % of participants to a lower food security category compared with either the US FSSM or the modified US FSSM, and only 10–16 % of participants to a higher food security category. When asked to compare all three instruments, the majority of respondents (62 %) selected the HFIAS as the best instrument for people who are homeless.ConclusionsA majority of homeless individuals selected the HFIAS as the best food security instrument for people who are homeless. Our findings suggest that the HFIAS is a more appropriate instrument than the US FSSM for measuring food security in the homeless population.

scholarly journals Contribution of forest foods to dietary intake and their association with household food insecurity: a cross-sectional study in women from rural Cameroon

2016 ◽  
Vol 19 (17) ◽  
pp. 3185-3196 ◽  
Author(s):  
Robert Fungo ◽  
John Muyonga ◽  
Margaret Kabahenda ◽  
Archileo Kaaya ◽  
Clement A Okia ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Food Insecurity ◽  
Food Consumption ◽  
Dietary Diversity ◽  
Household Food Insecurity ◽  
Nutrient Intakes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Household Food ◽  
Forest Foods

AbstractObjectiveTo determine the contribution of forest foods to dietary intake and estimate their association with household food insecurity.DesignCross-sectional survey conducted among 279 households. Using a 7 d recall questionnaire, information on household food consumption was collected from women and used to determine the household dietary diversity score, food variety score and forest food consumption score (FFCS). Household Food Insecurity Access Scale (HFIAS) score was determined and Spearman rank correlation was used to establish the relationship between consumption of forest foods and HFIAS score. Women’s dietary intake was estimated from two 24 h recalls. The contribution of forest foods to women’s nutrient intakes was calculated and women’s nutrient intakes were compared with estimated average nutrient requirements.SettingRural forest-dependent households in twelve villages in eastern and southern Cameroon.SubjectsHousehold heads and their non-pregnant, non-lactating spouses.ResultsForty-seven unique forest foods were identified; of these, seventeen were consumed by 98 % of respondents over the course of one week and by 17 % of women during the two 24 h recall periods. Although forest foods contributed approximately half of women’s total daily energy intake, considerably greater contributions were made to vitamin A (93 %), Na (100 %), Fe (85 %), Zn (88 %) and Ca (89 %) intakes. Despite a highly biodiverse pool of foods, most households (83 %) suffered from high food insecurity based on the HFIAS. A significant inverse correlation was observed between the HFIAS score and the FFCS (r2=−0·169, P=0·0006), demonstrating that forest foods play an important role in ensuring food security in these forest-dependent communities.ConclusionsForest foods are widely consumed by forest-dependent communities. Given their rich nutrient content, they have potential to contribute to food and nutrition security.

scholarly journals Food insecurity, childhood illness and maternal emotional distress in Ethiopia

2011 ◽  
Vol 15 (4) ◽  
pp. 648-655 ◽  
Author(s):  
Laura C Anderson ◽  
Ayalew Tegegn ◽  
Fasil Tessema ◽  
Sandro Galea ◽  
Craig Hadley
Keyword(s):  
Food Insecurity ◽  
Emotional Distress ◽  
Childhood Illness ◽  
Household Food Insecurity ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hopkins Symptom Checklist ◽  
Rural Ethiopia ◽  
Household Food ◽  
Childhood Morbidity

AbstractObjectiveThe relationship between food insecurity, maternal emotional distress and childhood morbidity in resource-poor settings is not well clarified. The present study aimed to assess independent associations between household food insecurity and childhood morbidity and potential modifications by maternal emotional distress.DesignA cross-sectional survey. A food security scale was used to assess household food insecurity; maternal reports were used to assess recent childhood illness; and the Hopkins Symptom Checklist was used to assess symptoms of emotional distress among mothers.SettingThe Oromia Region, Ethiopia (rural area).SubjectsA total of 936 mother–child pairs.ResultsOf 936 children assessed, 22·4 % had experienced diarrhoea, 20·7 % had cough and 21·5 % had fever in the 2 weeks preceding the interview. Household food insecurity was reported by 39 % of mothers. Greater food insecurity and greater maternal emotional distress were each independently associated with higher prevalence of cough and fever. Among mothers with low emotional distress, food insecurity was associated with a 2·3 times greater odds of diarrhoea in their children.ConclusionsHousehold food insecurity may increase the risk of childhood illness in rural Ethiopia, and children having mothers with greater emotional distress may be at highest risk. These findings highlight the importance of strengthening policy initiatives aimed at reducing the high prevalence of food insecurity and emotional distress in Ethiopia.

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