Food insecurity and its association with co-occurring postnatal depression, hazardous drinking, and suicidality among women in peri-urban South Africa
Identifieur interne : 002822 ( Main/Exploration ); précédent : 002821; suivant : 002823Food insecurity and its association with co-occurring postnatal depression, hazardous drinking, and suicidality among women in peri-urban South Africa
Auteurs : Sarah Dewing [Afrique du Sud] ; Mark Tomlinson [Afrique du Sud] ; Ingrid M. Le Roux [Afrique du Sud] ; Mickey Chopra [États-Unis] ; Alexander C. Tsai [États-Unis]Source :
- Journal of affective disorders [ 0165-0327 ] ; 2013.
Abstract
Although the public health impacts of food insecurity and depression on both maternal and child health are extensive, no studies have investigated the associations between food insecurity and postnatal depression or suicidality.
We interviewed 249 women three months after they had given birth and assessed food insecurity, postnatal depression symptom severity, suicide risk, and hazardous drinking. Multivariable Poisson regression models with robust standard errors were used to estimate the impact of food insecurity on psychosocial outcomes.
Food insecurity, probable depression, and hazardous drinking were highly prevalent and co-occurring. More than half of the women (149 [59.8%]) were severely food insecure, 79 (31.7%) women met screening criteria for probable depression, and 39 (15.7%) women met screening criteria for hazardous drinking. Nineteen (7.6%) women had significant suicidality, of whom 7 (2.8%) were classified as high risk. Each additional point on the food insecurity scale was associated with increased risks of probable depression (adjusted risk ratio [ARR], 1.05; 95% CI, 1.02–1.07), hazardous drinking (ARR, 1.04; 95% CI, 1.00–1.09), and suicidality (ARR, 1.12; 95% CI, 1.02–1.23). Evaluated at the means of the covariates, these estimated associations were large in magnitude.
The study is limited by lack of data on formal DSM-IV diagnoses of major depressive disorder, potential sample selection bias, and inability to assess the causal impact of food insecurity.
Food insecurity is strongly associated with postnatal depression, hazardous drinking, and suicidality. Programmes promoting food security for new may enhance overall psychological well-being in addition to improving nutritional status.
Url:
DOI: 10.1016/j.jad.2013.04.040
PubMed: 23707034
PubMed Central: 3762324
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 001C20
- to stream Pmc, to step Curation: 001C19
- to stream Pmc, to step Checkpoint: 001964
- to stream Ncbi, to step Merge: 001F65
- to stream Ncbi, to step Curation: 001F65
- to stream Ncbi, to step Checkpoint: 001F65
- to stream Main, to step Merge: 002831
- to stream Main, to step Curation: 002822
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Food insecurity and its association with co-occurring postnatal depression, hazardous drinking, and suicidality among women in peri-urban South Africa</title>
<author><name sortKey="Dewing, Sarah" sort="Dewing, Sarah" uniqKey="Dewing S" first="Sarah" last="Dewing">Sarah Dewing</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Health Systems Research Unit, Medical Research Council of South Africa, Tygerberg, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Health Systems Research Unit, Medical Research Council of South Africa, Tygerberg</wicri:regionArea>
<wicri:noRegion>Tygerberg</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tomlinson, Mark" sort="Tomlinson, Mark" uniqKey="Tomlinson M" first="Mark" last="Tomlinson">Mark Tomlinson</name>
<affiliation wicri:level="1"><nlm:aff id="A2">Department of Psychology, Stellenbosch University, Stellenbosch, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Department of Psychology, Stellenbosch University, Stellenbosch</wicri:regionArea>
<wicri:noRegion>Stellenbosch</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="A3">Alan J. Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Alan J. Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town</wicri:regionArea>
<wicri:noRegion>Cape Town</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Le Roux, Ingrid M" sort="Le Roux, Ingrid M" uniqKey="Le Roux I" first="Ingrid M." last="Le Roux">Ingrid M. Le Roux</name>
<affiliation wicri:level="1"><nlm:aff id="A4">Philani Child Health and Nutrition Project, Khayelitsha, Elonwabeni, Cape Town, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Philani Child Health and Nutrition Project, Khayelitsha, Elonwabeni, Cape Town</wicri:regionArea>
<wicri:noRegion>Cape Town</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chopra, Mickey" sort="Chopra, Mickey" uniqKey="Chopra M" first="Mickey" last="Chopra">Mickey Chopra</name>
<affiliation wicri:level="2"><nlm:aff id="A5">Health Section, United Nations Children's Fund, NY, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Health Section, United Nations Children's Fund, NY</wicri:regionArea>
<placeName><region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Tsai, Alexander C" sort="Tsai, Alexander C" uniqKey="Tsai A" first="Alexander C." last="Tsai">Alexander C. Tsai</name>
<affiliation wicri:level="2"><nlm:aff id="A6">Center for Global Health and Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, Boston, MA, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Center for Global Health and Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A7">Harvard Medical School, Boston, MA, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard Medical School, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">23707034</idno>
<idno type="pmc">3762324</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3762324</idno>
<idno type="RBID">PMC:3762324</idno>
<idno type="doi">10.1016/j.jad.2013.04.040</idno>
<date when="2013">2013</date>
<idno type="wicri:Area/Pmc/Corpus">001C20</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001C20</idno>
<idno type="wicri:Area/Pmc/Curation">001C19</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001C19</idno>
<idno type="wicri:Area/Pmc/Checkpoint">001964</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001964</idno>
<idno type="wicri:Area/Ncbi/Merge">001F65</idno>
<idno type="wicri:Area/Ncbi/Curation">001F65</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">001F65</idno>
<idno type="wicri:doubleKey">0165-0327:2013:Dewing S:food:insecurity:and</idno>
<idno type="wicri:Area/Main/Merge">002831</idno>
<idno type="wicri:Area/Main/Curation">002822</idno>
<idno type="wicri:Area/Main/Exploration">002822</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Food insecurity and its association with co-occurring postnatal depression, hazardous drinking, and suicidality among women in peri-urban South Africa</title>
<author><name sortKey="Dewing, Sarah" sort="Dewing, Sarah" uniqKey="Dewing S" first="Sarah" last="Dewing">Sarah Dewing</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Health Systems Research Unit, Medical Research Council of South Africa, Tygerberg, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Health Systems Research Unit, Medical Research Council of South Africa, Tygerberg</wicri:regionArea>
<wicri:noRegion>Tygerberg</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tomlinson, Mark" sort="Tomlinson, Mark" uniqKey="Tomlinson M" first="Mark" last="Tomlinson">Mark Tomlinson</name>
<affiliation wicri:level="1"><nlm:aff id="A2">Department of Psychology, Stellenbosch University, Stellenbosch, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Department of Psychology, Stellenbosch University, Stellenbosch</wicri:regionArea>
<wicri:noRegion>Stellenbosch</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="A3">Alan J. Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Alan J. Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town</wicri:regionArea>
<wicri:noRegion>Cape Town</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Le Roux, Ingrid M" sort="Le Roux, Ingrid M" uniqKey="Le Roux I" first="Ingrid M." last="Le Roux">Ingrid M. Le Roux</name>
<affiliation wicri:level="1"><nlm:aff id="A4">Philani Child Health and Nutrition Project, Khayelitsha, Elonwabeni, Cape Town, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Philani Child Health and Nutrition Project, Khayelitsha, Elonwabeni, Cape Town</wicri:regionArea>
<wicri:noRegion>Cape Town</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chopra, Mickey" sort="Chopra, Mickey" uniqKey="Chopra M" first="Mickey" last="Chopra">Mickey Chopra</name>
<affiliation wicri:level="2"><nlm:aff id="A5">Health Section, United Nations Children's Fund, NY, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Health Section, United Nations Children's Fund, NY</wicri:regionArea>
<placeName><region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Tsai, Alexander C" sort="Tsai, Alexander C" uniqKey="Tsai A" first="Alexander C." last="Tsai">Alexander C. Tsai</name>
<affiliation wicri:level="2"><nlm:aff id="A6">Center for Global Health and Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, Boston, MA, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Center for Global Health and Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A7">Harvard Medical School, Boston, MA, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard Medical School, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of affective disorders</title>
<idno type="ISSN">0165-0327</idno>
<idno type="eISSN">1573-2517</idno>
<imprint><date when="2013">2013</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">Although the public health impacts of food insecurity and depression on both maternal and child health are extensive, no studies have investigated the associations between food insecurity and postnatal depression or suicidality.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">We interviewed 249 women three months after they had given birth and assessed food insecurity, postnatal depression symptom severity, suicide risk, and hazardous drinking. Multivariable Poisson regression models with robust standard errors were used to estimate the impact of food insecurity on psychosocial outcomes.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Food insecurity, probable depression, and hazardous drinking were highly prevalent and co-occurring. More than half of the women (149 [59.8%]) were severely food insecure, 79 (31.7%) women met screening criteria for probable depression, and 39 (15.7%) women met screening criteria for hazardous drinking. Nineteen (7.6%) women had significant suicidality, of whom 7 (2.8%) were classified as high risk. Each additional point on the food insecurity scale was associated with increased risks of probable depression (adjusted risk ratio [ARR], 1.05; 95% CI, 1.02–1.07), hazardous drinking (ARR, 1.04; 95% CI, 1.00–1.09), and suicidality (ARR, 1.12; 95% CI, 1.02–1.23). Evaluated at the means of the covariates, these estimated associations were large in magnitude.</p>
</sec>
<sec id="S4"><title>Limitations</title>
<p id="P4">The study is limited by lack of data on formal DSM-IV diagnoses of major depressive disorder, potential sample selection bias, and inability to assess the causal impact of food insecurity.</p>
</sec>
<sec id="S5"><title>Conclusion</title>
<p id="P5">Food insecurity is strongly associated with postnatal depression, hazardous drinking, and suicidality. Programmes promoting food security for new may enhance overall psychological well-being in addition to improving nutritional status.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list><country><li>Afrique du Sud</li>
<li>États-Unis</li>
</country>
<region><li>Massachusetts</li>
<li>État de New York</li>
</region>
</list>
<tree><country name="Afrique du Sud"><noRegion><name sortKey="Dewing, Sarah" sort="Dewing, Sarah" uniqKey="Dewing S" first="Sarah" last="Dewing">Sarah Dewing</name>
</noRegion>
<name sortKey="Le Roux, Ingrid M" sort="Le Roux, Ingrid M" uniqKey="Le Roux I" first="Ingrid M." last="Le Roux">Ingrid M. Le Roux</name>
<name sortKey="Tomlinson, Mark" sort="Tomlinson, Mark" uniqKey="Tomlinson M" first="Mark" last="Tomlinson">Mark Tomlinson</name>
<name sortKey="Tomlinson, Mark" sort="Tomlinson, Mark" uniqKey="Tomlinson M" first="Mark" last="Tomlinson">Mark Tomlinson</name>
</country>
<country name="États-Unis"><region name="État de New York"><name sortKey="Chopra, Mickey" sort="Chopra, Mickey" uniqKey="Chopra M" first="Mickey" last="Chopra">Mickey Chopra</name>
</region>
<name sortKey="Tsai, Alexander C" sort="Tsai, Alexander C" uniqKey="Tsai A" first="Alexander C." last="Tsai">Alexander C. Tsai</name>
<name sortKey="Tsai, Alexander C" sort="Tsai, Alexander C" uniqKey="Tsai A" first="Alexander C." last="Tsai">Alexander C. Tsai</name>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002822 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 002822 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= SidaSubSaharaV1 |flux= Main |étape= Exploration |type= RBID |clé= PMC:3762324 |texte= Food insecurity and its association with co-occurring postnatal depression, hazardous drinking, and suicidality among women in peri-urban South Africa }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:23707034" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \ | NlmPubMed2Wicri -a SidaSubSaharaV1
![]() | This area was generated with Dilib version V0.6.32. | ![]() |