Dataset Information

Association between Depressive Symptoms and Food Insecurity among Indonesian Adults: Results from the 2007-2014 Indonesia Family Life Survey.

ABSTRACT: BACKGROUND:Depressive symptoms and food insecurity are two of the public health concerns in developing countries. Food insecurity is linked to several chronic diseases, while little is known about the association between food insecurity and depressive symptoms among adults. A person with limited or uncertain availability or access to nutritionally sufficient, socially relevant, and safe foods is defined as a food-insecure person. MATERIALS AND METHODS:Data were obtained from 8613 adults who participated in the Indonesia Family Life Survey (IFLS) in 2007 and 2014. The 10 items of the food frequency questionnaire (FFQ) were used in food consumption score analysis to assess food insecurity based on the concept of the World Food Program (WFP). Depressive symptoms were assessed using 10 items of the self-reported Center for Epidemiologic Studies Depression (CES-D) questionnaire. A linear and multiple logistic regression model with a generalized estimating equation was used to test the hypothesis while accounting for the health behaviors and sociodemographic characteristics. RESULTS:Food consumption score was negatively associated with CES-D 10 score (?-coefficients: -9.71 × 10-3 to -1.06 × 10-2; 95% CIs: -7.46 × 10-3 to -1.26 × 10-2). The borderline and poor food consumption group was positively associated with the depressive symptoms, both in the unadjusted and adjusted models (exponentiated ?-coefficients: 1.13 to 1.18; 95% CIs: 1.06 to 1.28). Conclusions: Depressive symptoms were positively significantly associated with food insecurity. Thus, health professionals must be aware of the issue, and should consider health and nutrition programs for adults at risk of food insecurity.

SUBMITTER: Isaura ER

PROVIDER: S-EPMC6950164 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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Association between Depressive Symptoms and Food Insecurity among Indonesian Adults: Results from the 2007-2014 Indonesia Family Life Survey.

Isaura Emyr Reisha ER Chen Yang-Ching YC Adi Annis Catur AC Fan Hsien-Yu HY Li Chung-Yi CY Yang Shwu-Huey SH

Nutrients 20191211 12

<h4>Background</h4>Depressive symptoms and food insecurity are two of the public health concerns in developing countries. Food insecurity is linked to several chronic diseases, while little is known about the association between food insecurity and depressive symptoms among adults. A person with limited or uncertain availability or access to nutritionally sufficient, socially relevant, and safe foods is defined as a food-insecure person.<h4>Materials and methods</h4>Data were obtained from 8613 ...[more]

PMID: 31835825

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Project description:Background Metabolic syndrome (MetS) is a risk factor for COVID-19 morbidity and mortality, thus pandemic-driven policies may more strongly influence the emotional responses of those with MetS. Objective Examine emotional, mental health, and food security impact of COVID-19 pandemic on persons with metabolic syndrome Study Design, Setting, Participants Baseline, pre-pandemic biomedical measures and online survey of persons enrolled, with minimal or no participation in a 2-year lifestyle intervention trial to reverse metabolic syndrome; repeated online survey during COVID-19 pandemic. Measurable Outcome/Analysis Change in depressive symptoms (Patient Health Questionnaire-8 score), perceived stress (Cohen Stress Scale), food security (USDA 10-item Food Security Screener); baseline eating competence (EC; Satter Eating Competence Inventory), health (SF-36), socioeconomic and demographic items. Change in normal and transformed variables was analyzed with paired t-tests, multiple regression, repeated measures ANOVA. Results Participants (n = 132; MetS diagnosis) were mostly female (67%), White (70%), middle-aged (mean 57.0 ± 11.0 y) well-educated (62% college/post-graduate), with a median income of $86,000. Perceived stress was significantly higher at baseline than follow-up (18.5 ± 6.4 vs 14.9 ± 7.2; P < 0.001) even when controlling for confounders (eg, EC, vitality). Food security increased from 83% at baseline to 90% at follow-up (P < 0.001). Migration to or continued food insecurity (n = 13) tended to be associated with being non-White (P = 0.05). Depressive symptoms increased from baseline (2.1 ± 2.3 vs 3.5 ± 3.4; P < 0.001) even when controlling for EC or gender. Depression, which was a study exclusion criterion, was noted at follow-up (n = 10). Movement to depression was not associated with socioeconomic demographics, but was related to lower baseline vitality (44.4 ± 20.7 vs 60.3 ± 18.9; P = 0.012), mental health (71.0 ± 14.3 vs 82 ± 10.4; P = 0.002) and higher follow-up perceived stress (22.6 ± 7.7 vs 14.2 ± 6.8; P < 0.001). Conclusion A high-risk sample for COVID-19, which was highly educated, did not experience increased stress or food insecurity, but demonstrated increased depressive symptoms after the onset of COVID-19 pandemic, with some baseline susceptibility noted.

Project description:BACKGROUND:Nearly 40 million American adults report past year food insecurity. This is concerning, as food insecurity is associated with chronic disease morbidity and premature mortality. Women disproportionately experience food insecurity, and sexual minority women (i.e., lesbian, bisexual, and heterosexual women reporting same-sex behavior; SMW) may be at greater risk for experiencing food insecurity disparities. The purpose of this study was to investigate patterns and prevalence of food insecurity and food assistance use in sexual minority and exclusively heterosexual women using population-level health surveillance data. METHODS:Using pooled 2004-2014 National Health and Nutrition Examination Survey data (N =?7379), we estimated weighted point prevalence of past 12-month food insecurity, severe food insecurity, Supplemental Nutrition Assistance Program (SNAP) use, and emergency food assistance use. We then used Poisson regression with robust variance to estimate prevalence ratios comparing SMW to exclusively heterosexual women on all outcomes. Women were classified by sexual identity and lifetime same-sex behavior as lesbian (n =?88), bisexual (n =?251), heterosexual and reporting same-sex behavior (heterosexual WSW; n =?366), or exclusively heterosexual women (referent; n =?6674). RESULTS:Between 20.6-27.3% of lesbian, bisexual, and heterosexual WSW reported past 12-month food insecurity (versus 13.1% of exclusively heterosexual women). All SMW reported greater prevalence of past 12-month food insecurity and severe food insecurity than exclusively heterosexual women: prevalence ratios (PR) ranged from 1.34 (95% confidence interval [CI], 1.05-1.70) to 1.84 (95% CI, 1.13-3.01). No differences were found in SNAP participation by sexual orientation, but more lesbians and heterosexual WSW reported using emergency food assistance in the past 12-months (PR?=?1.89; 95% CI, 1.29-2.79 and PR?=?1.43; 95% CI, 1.03-2.00 respectively). CONCLUSIONS:All SMW reported higher prevalence of food insecurity than exclusively heterosexual women. Lesbians and heterosexual WSW were also more likely to rely on emergency food assistance. This is problematic as SNAP use may reduce food insecurity over time, but emergency food resources (e.g., food pantries) do not. More evidence is needed to understand the multilevel factors driving food insecurity in this population to develop policy and community-based efforts to increase SNAP participation and decrease food insecurity.

Dataset Information

Association between Depressive Symptoms and Food Insecurity among Indonesian Adults: Results from the 2007-2014 Indonesia Family Life Survey.

Publications

Association between Depressive Symptoms and Food Insecurity among Indonesian Adults: Results from the 2007-2014 Indonesia Family Life Survey.

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