Tiffany E Mark1, Ryan J Latulipe2, Martina Anto-Ocrah3,4, Geoffrey Mlongoti5, David Adler3, Joseph W Lanning5,6. 1. Department of Pediatrics, Johns Hopkins University School of Medicine, 1800 Orleans St, Baltimore, MD, 21218, USA. tmark8@jhmi.edu. 2. Department of Emergency Medicine, New York Presbyterian/Columbia & Cornell, 525 E 68th St Box #301, New York, NY, 10065, USA. 3. Department of Emergency Medicine, University of Rochester School of Medicine and Dentistry, 601 Elmwood Ave, Rochester, NY, 14642, USA. 4. Department of Obstetrics and Gynecology, University of Rochester School of Medicine and Dentistry, 601 Elmwood Ave, Rochester, NY, 14642, USA. 5. Food Systems, School for International Training, 1 Kipling Rd., Brattleboro, VT, 05302, USA. 6. Department of Anthropology, University of Georgia, 355 S Jackson St, Athens, GA, 30602, USA.
Abstract
OBJECTIVES: We evaluate the association between food insecurity (FI) and clinical depression, and the modifying effects of seasonality on this association. METHODS: Food insecurity is assessed from 175 post-partum women in the rural Ntcheu District of central Malawi using the USAID's Household Food Insecurity Access Scale (HFIAS). Clinical depression is measured using a validated Chichewa version of the Self-Reporting Questionnaire (SRQ). Interviews were conducted from October 2016 to June 2017 and spanned 5 months of the dry season (April-November) and the 4 months of rainy season (December-March). RESULTS: After adjusting for age and parity, participants who reported high FI (HFIAS score ≥ 9) had 4.6 (95%CI 1.8-11.4) times the odds of meeting the cut-off for clinical depression (SRQ score ≥ 8). The effect was greater during the dry season (OR 9.9; 95%CI 2.0-48.6), than in the rainy season (OR 2.6; 95%CI 0.8-8.3) though the interaction term was not statistically significant (p = 0.18) CONCLUSIONS FOR PRACTICE: High FI is associated with diagnostic markers of clinical depression.
OBJECTIVES: We evaluate the association between food insecurity (FI) and clinical depression, and the modifying effects of seasonality on this association. METHODS: Food insecurity is assessed from 175 post-partum women in the rural Ntcheu District of central Malawi using the USAID's Household Food Insecurity Access Scale (HFIAS). Clinical depression is measured using a validated Chichewa version of the Self-Reporting Questionnaire (SRQ). Interviews were conducted from October 2016 to June 2017 and spanned 5 months of the dry season (April-November) and the 4 months of rainy season (December-March). RESULTS: After adjusting for age and parity, participants who reported high FI (HFIAS score ≥ 9) had 4.6 (95%CI 1.8-11.4) times the odds of meeting the cut-off for clinical depression (SRQ score ≥ 8). The effect was greater during the dry season (OR 9.9; 95%CI 2.0-48.6), than in the rainy season (OR 2.6; 95%CI 0.8-8.3) though the interaction term was not statistically significant (p = 0.18) CONCLUSIONS FOR PRACTICE: High FI is associated with diagnostic markers of clinical depression.
Authors: Elias M A Militao; Elsa M Salvador; Olalekan A Uthman; Stig Vinberg; Gloria Macassa Journal: Int J Environ Res Public Health Date: 2022-04-21 Impact factor: 4.614
Authors: Martina Anto-Ocrah; Ryan J Latulipe; Tiffany E Mark; David Adler; Tasneem Zaihra; Joseph W Lanning Journal: BMC Pregnancy Childbirth Date: 2022-06-13 Impact factor: 3.105
Authors: Kathy Trang; Lam X Le; Carolyn A Brown; Margaret Q To; Patrick S Sullivan; Tanja Jovanovic; Carol M Worthman; Le Minh Giang Journal: JMIR Form Res Date: 2022-01-27