scholarly journals Physical development and mental health in South African perinatally HIV-positive adolescents on antiretroviral therapy and their caregivers with and without household food insecurity

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Sarah Heany ◽  
Nicole Phillips ◽  
Landon Myer ◽  
Heather Zar ◽  
Dan Stein ◽  
...  

Background: Perinatally acquired HIV-infected (PHIV+) adolescents have shown impairments in neurocognitive function and mental health problems compared with their peers. The contribution of food insecurity to such impairments has not been explored.Objectives: The aim of this report has been to explore the contribution of food insecurity to neurocognitive impairment and mental health problems in adolescents with perinatally-acquired HIV infection.Method: A total of 248 PHIV+ adolescents and healthy controls aged between 9 and 12 years completed a neuropsychological battery, the Childhood Behaviour Checklist (CBCL) and the Becks Youth Inventory. Head circumference, body mass index (BMI), height for age (HAZ), Tanner pubertal staging, albumin, haemoglobin, CD4 and viral loads were also measured. Participants’ caregivers were interviewed about their mental health and household food security. T-tests were used to assess for differences in food secure and food insecure households.Results: Caregivers of PHIV+ adolescents reported higher levels of depressive symptoms and household food insecurity. Increased food insecurity was associated with more behavioural problems in adolescents, as well as lower haemoglobin and albumin levels, faster processing speed and increased Tanner staging in boys. Body mass index and HAZ were not affected by food insecurity.Conclusion: These findings suggest that household food insecurity is associated with some altered behavioural, physical and physiological outcomes, which could complicate and compound the existing difficulties in PHIV+ households.

2018 ◽  
Vol 69 ◽  
pp. 428-439 ◽  
Author(s):  
Wendy H. Oddy ◽  
Karina L. Allen ◽  
Georgina S.A. Trapp ◽  
Gina L. Ambrosini ◽  
Lucinda J. Black ◽  
...  

2018 ◽  
Vol 202 ◽  
pp. 115-120.e1 ◽  
Author(s):  
Brenda J. Lohman ◽  
Tricia K. Neppl ◽  
Yoojin Lee ◽  
Olivia N. Diggs ◽  
Daniel Russell

2012 ◽  
Vol 26 (S1) ◽  
Author(s):  
Michael P Burke ◽  
Edward A Frongillo ◽  
Sonya J Jones ◽  
Bethany A Bell

Author(s):  
Divya Rani ◽  
Jitendra Singh ◽  
Dilaram Acharya ◽  
Rajan Paudel ◽  
Kwan Lee ◽  
...  

This study was undertaken to investigate the relation between household food insecurity and mental health problems in teenage girls living in urban slums. This community-based cross-sectional study was conducted in 5 urban slums in Varanasi, India, between September 2016 and July 2017. A probability proportion to size (PPS) method was employed to select 5 of 210 urban slums at a first stage, and in the second stage, 418 teenage girls were chosen randomly from selected households. The Household Food Insecurity Access Scale (HFIAS) and mental health inventory tools were employed to assess food insecurity and mental health status. Multivariable logistic regression analysis with at a 95% confidence interval (CI) was used to assess the association between household food insecurity and mental health status. Of 418 respondents, 47.6% were food insecure; 64.1%, 57.7%, and 58.4% had high levels of anxiety, depression, or psychological distress, respectively; and 57.2% exhibited a medium level of loss of behavioral control. Furthermore, teenage girls from food insecure households were more likely to have high levels of anxiety, depression, loss of behavioral control and psychological distress than those living in food secure households. This study shows food insecurity is independently associated with mental health problems among teenage girls. Food insecurity in Indian slums should be addressed by specific public health intervention programs that provide access to sufficient safe, nutritious food.


2016 ◽  
Vol 11 (2) ◽  
pp. 227-241 ◽  
Author(s):  
Michael P. Burke ◽  
Edward A. Frongillo ◽  
Sonya J. Jones ◽  
Bethany B. Bell ◽  
Heather Hartline-Grafton

Author(s):  
Geneviève Jessiman-Perreault ◽  
Lynn McIntyre

The sex gap (i.e., the significant difference in an outcome between men and women) in the occurrence of a variety of mental health conditions has been well documented. Household food insecurity has also repeatedly been found to be associated with a variety of poor mental health outcomes. Although both sex and household food insecurity have received attention individually, rarely have they been examined together to explore whether or how these indicators of two social locations interact to impact common mental health outcomes. Using a pooled sample (N = 302,683) of the Canadian Community Health Survey (2005–2012), we test whether sex modifies the relationship between household food insecurity assessed by the Household Food Security Survey Module and five adverse mental health outcomes, controlling for confounding covariates. Although the sex gap was observed among food secure men versus women, males and females reporting any level of food insecurity were equally likely to report adverse mental health outcomes, compared with those reporting food security. Therefore, household food insecurity seems to narrow the sex gap on five adverse mental health outcomes.


2019 ◽  
Vol 119 (10) ◽  
pp. 1666-1675 ◽  
Author(s):  
Melissa N. Poulsen ◽  
Lisa Bailey-Davis ◽  
Jonathan Pollak ◽  
Annemarie G. Hirsch ◽  
Brian S. Schwartz

Nutrients ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 121
Author(s):  
Elizabeth Olatunji ◽  
Charles Obonyo ◽  
Pamela Wadende ◽  
Vincent Were ◽  
Rosemary Musuva ◽  
...  

The triple burden of malnutrition in many low- and middle-income countries (LMICs) is partly a result of changing food environments and a shift from traditional diets to high-calorie Western-style diets. Exploring the relationship between food sources and food- and nutrition-related outcomes is important to understanding how changes in food environments may affect nutrition in LMICs. This study examined associations of household food source with household food insecurity, individual dietary diversity and individual body mass index in Western Kenya. Interview-administered questionnaire and anthropometric data from 493 adults living in 376 randomly-selected households were collected in 2019. Adjusted regression analyses were used to assess the association of food source with measures of food insecurity, dietary diversity and body mass index. Notably, participants that reported rearing domesticated animals for consumption (‘own livestock’) had lower odds of moderate or severe household food insecurity (odds ratio (OR) = 0.29 (95% CI: 0.09, 0.96)) and those that reported buying food from supermarkets had lower odds of moderate or severe household food insecurity (borderline significant, OR = 0.37 (95% CI: 0.14, 1.00)), increased dietary diversity scores (Poisson coefficient = 0.17 (95% CI: 0.10, 0.24)) and higher odds of achieving minimum dietary diversity (OR = 2.84 (95% CI: 1.79, 4.49)). Our findings provide insight into the relationship between food environments, dietary patterns and nutrition in Kenya, and suggest that interventions that influence household food source may impact the malnutrition burden in this context.


Sign in / Sign up

Export Citation Format

Share Document