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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Household food insufficiency and mental health in South Africa</title>
<author><name sortKey="Sorsdahl, Katherine" sort="Sorsdahl, Katherine" uniqKey="Sorsdahl K" first="Katherine" last="Sorsdahl">Katherine Sorsdahl</name>
<affiliation><nlm:aff id="A1">Department of Psychiatry & Mental Health, University of Cape Town, Cape Town, South Africa</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Slopen, Natalie" sort="Slopen, Natalie" uniqKey="Slopen N" first="Natalie" last="Slopen">Natalie Slopen</name>
<affiliation><nlm:aff id="A2">Department of Society, Human Development and Health, Harvard University, Cambridge, Massachusetts, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Siefert, Kristine" sort="Siefert, Kristine" uniqKey="Siefert K" first="Kristine" last="Siefert">Kristine Siefert</name>
<affiliation><nlm:aff id="A3">School of Social Work, University of Michigan, Ann Arbor, Michigan, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seedat, Soraya" sort="Seedat, Soraya" uniqKey="Seedat S" first="Soraya" last="Seedat">Soraya Seedat</name>
<affiliation><nlm:aff id="A4">Department of Psychiatry, University of Stellenbosch, Stellenbosch, South Africa</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Stein, Dan J" sort="Stein, Dan J" uniqKey="Stein D" first="Dan J" last="Stein">Dan J. Stein</name>
<affiliation><nlm:aff id="A1">Department of Psychiatry & Mental Health, University of Cape Town, Cape Town, South Africa</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Williams, David R" sort="Williams, David R" uniqKey="Williams D" first="David R" last="Williams">David R. Williams</name>
<affiliation><nlm:aff id="A2">Department of Society, Human Development and Health, Harvard University, Cambridge, Massachusetts, USA</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">20427548</idno>
<idno type="pmc">3195371</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3195371</idno>
<idno type="RBID">PMC:3195371</idno>
<idno type="doi">10.1136/jech.2009.091462</idno>
<date when="2010">2010</date>
<idno type="wicri:Area/Pmc/Corpus">001191</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001191</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Household food insufficiency and mental health in South Africa</title>
<author><name sortKey="Sorsdahl, Katherine" sort="Sorsdahl, Katherine" uniqKey="Sorsdahl K" first="Katherine" last="Sorsdahl">Katherine Sorsdahl</name>
<affiliation><nlm:aff id="A1">Department of Psychiatry & Mental Health, University of Cape Town, Cape Town, South Africa</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Slopen, Natalie" sort="Slopen, Natalie" uniqKey="Slopen N" first="Natalie" last="Slopen">Natalie Slopen</name>
<affiliation><nlm:aff id="A2">Department of Society, Human Development and Health, Harvard University, Cambridge, Massachusetts, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Siefert, Kristine" sort="Siefert, Kristine" uniqKey="Siefert K" first="Kristine" last="Siefert">Kristine Siefert</name>
<affiliation><nlm:aff id="A3">School of Social Work, University of Michigan, Ann Arbor, Michigan, USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Seedat, Soraya" sort="Seedat, Soraya" uniqKey="Seedat S" first="Soraya" last="Seedat">Soraya Seedat</name>
<affiliation><nlm:aff id="A4">Department of Psychiatry, University of Stellenbosch, Stellenbosch, South Africa</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Stein, Dan J" sort="Stein, Dan J" uniqKey="Stein D" first="Dan J" last="Stein">Dan J. Stein</name>
<affiliation><nlm:aff id="A1">Department of Psychiatry & Mental Health, University of Cape Town, Cape Town, South Africa</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Williams, David R" sort="Williams, David R" uniqKey="Williams D" first="David R" last="Williams">David R. Williams</name>
<affiliation><nlm:aff id="A2">Department of Society, Human Development and Health, Harvard University, Cambridge, Massachusetts, USA</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of epidemiology and community health</title>
<idno type="ISSN">0143-005X</idno>
<idno type="eISSN">1470-2738</idno>
<imprint><date when="2010">2010</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">Both mental illness and food insufficiency are common in low and middle income countries. However, there are limited data on the relation between food insufficiency and mental disorders, despite the potential relevance of such data for the development of policy-level interventions. The relationship between food insufficiency and mental disorders within a nationally representative sample of South African adults was examined.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">A national survey of 4185 South African adults was conducted using the WHO Composite International Diagnostic Interview to generate psychiatric diagnoses. The survey included a widely used single-item measure of household food insufficiency. The independent effects of food insufficiency and demographic characteristics on 12-month and lifetime DSM-IV diagnosis were assessed using logistic regression.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">29% of respondents reported that their household ‘sometimes’ did not have enough to eat while 9% reported that they ‘often’ did not have enough to eat. After controlling for conventional socioeconomic and sociodemographic variables, food insufficiency was associated with having any 12-month (OR 1.44, 95% CI 1.1 to 1.9) and lifetime (OR 1.35, 95% CI 1.1 to 1.7) DSM-IV disorder.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">In South Africa the prevalence of household food insufficiency is very high compared with studies conducted in the developed world, and is independently associated with having a 12-month and lifetime DSM-IV diagnosis. The relationship between food insufficiency and mental health has implications for reducing the burden of common mental disorders in South Africa since, unlike a number of major risk factors for mental illness, food insufficiency may be relatively amenable to intervention.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article" xml:lang="en"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">7909766</journal-id>
<journal-id journal-id-type="pubmed-jr-id">4717</journal-id>
<journal-id journal-id-type="nlm-ta">J Epidemiol Community Health</journal-id>
<journal-title-group><journal-title>Journal of epidemiology and community health</journal-title>
</journal-title-group>
<issn pub-type="ppub">0143-005X</issn>
<issn pub-type="epub">1470-2738</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">20427548</article-id>
<article-id pub-id-type="pmc">3195371</article-id>
<article-id pub-id-type="doi">10.1136/jech.2009.091462</article-id>
<article-id pub-id-type="manuscript">NIHMS327622</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Household food insufficiency and mental health in South Africa</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Sorsdahl</surname>
<given-names>Katherine</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Slopen</surname>
<given-names>Natalie</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Siefert</surname>
<given-names>Kristine</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Seedat</surname>
<given-names>Soraya</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Stein</surname>
<given-names>Dan J</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Williams</surname>
<given-names>David R</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Psychiatry & Mental Health, University of Cape Town, Cape Town, South Africa</aff>
<aff id="A2"><label>2</label>
Department of Society, Human Development and Health, Harvard University, Cambridge, Massachusetts, USA</aff>
<aff id="A3"><label>3</label>
School of Social Work, University of Michigan, Ann Arbor, Michigan, USA</aff>
<aff id="A4"><label>4</label>
Department of Psychiatry, University of Stellenbosch, Stellenbosch, South Africa</aff>
<author-notes><corresp id="cor1"><bold>Correspondence to</bold>
Dr Katherine Sorsdahl, J-Block Groote Schuur Hospital, Observatory, Cape Town 7925, South Africa; katherine. <email>sorsdahl@uct.ac.za</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>3</day>
<month>10</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="epub"><day>28</day>
<month>4</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="ppub"><month>5</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>17</day>
<month>10</month>
<year>2011</year>
</pub-date>
<volume>65</volume>
<issue>5</issue>
<fpage>426</fpage>
<lpage>431</lpage>
<abstract><sec id="S1"><title>Background</title>
<p id="P1">Both mental illness and food insufficiency are common in low and middle income countries. However, there are limited data on the relation between food insufficiency and mental disorders, despite the potential relevance of such data for the development of policy-level interventions. The relationship between food insufficiency and mental disorders within a nationally representative sample of South African adults was examined.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">A national survey of 4185 South African adults was conducted using the WHO Composite International Diagnostic Interview to generate psychiatric diagnoses. The survey included a widely used single-item measure of household food insufficiency. The independent effects of food insufficiency and demographic characteristics on 12-month and lifetime DSM-IV diagnosis were assessed using logistic regression.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">29% of respondents reported that their household ‘sometimes’ did not have enough to eat while 9% reported that they ‘often’ did not have enough to eat. After controlling for conventional socioeconomic and sociodemographic variables, food insufficiency was associated with having any 12-month (OR 1.44, 95% CI 1.1 to 1.9) and lifetime (OR 1.35, 95% CI 1.1 to 1.7) DSM-IV disorder.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">In South Africa the prevalence of household food insufficiency is very high compared with studies conducted in the developed world, and is independently associated with having a 12-month and lifetime DSM-IV diagnosis. The relationship between food insufficiency and mental health has implications for reducing the burden of common mental disorders in South Africa since, unlike a number of major risk factors for mental illness, food insufficiency may be relatively amenable to intervention.</p>
</sec>
</abstract>
<funding-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source>
<award-id>R13 MH066849-05 || MH</award-id>
</award-group>
<award-group><funding-source country="United States">Fogarty International Center : FIC</funding-source>
<award-id>R03 TW006481-03 || TW</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source>
<award-id>R01 MH070884-05 || MH</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source>
<award-id>R01 MH069864-04 || MH</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source>
<award-id>R01 MH059575-09 || MH</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute on Drug Abuse : NIDA</funding-source>
<award-id>R01 DA016558-06 || DA</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
</record>
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