Impact of Common Mental Disorders on Food Insecurity among Women in Butajira, Ethiopia: A Cohort Study

Background:There is a growing body of evidence for an association between common mental disorders and food insecurity. However, since most studies have been cross-sectional, it has not been possible to differentiate the direction of the association. The aim of this study was to determine the effect of common mental disorders on food insecurity using a prospective cohort study design. Methods: The study was carried out in Butajira, south-central Ethiopiaamong mothers who were enrolled in the CMaMiEcohort. A total of 1815 enrolled women were evaluatedfor symptoms of CMD using the Self-Reporting Questionnaire-20 (SRQ-20) at two time points; August 2012 (time 1, T1) and in August 2014 (time 2, T2). Probable CMD was defined when mothers reportedsix or more affirmative (yes) responsesto the SRQ-20. Household food insecuritywas measured using the Household Food Insecurity Access Scale (HFIAS) in December 2017 (time 3, T3). Zero inflated negative binomial regression was used to determine the independent effects of CMDs at T1 and T2 on food insecurity score at T3. APoisson working model was also used to determine the risk of being severely food insecure associated with having CMD.

[1]  D. Chisholm,et al.  Catastrophic health expenditure and impoverishment in households of persons with depression: a cross-sectional, comparative study in rural Ethiopia , 2019, BMC Public Health.

[2]  C. Hanlon,et al.  Maternal depression symptoms are highly prevalent among food-insecure households in Ethiopia , 2017, Public Health Nutrition.

[3]  N. Christakis,et al.  Food insecurity, social networks and symptoms of depression among men and women in rural Uganda: a cross-sectional, population-based study , 2017, Public Health Nutrition.

[4]  M. Bachmann,et al.  Socioeconomic position and depression in South African adults with long-term health conditions: a longitudinal study of causal pathways , 2017, Epidemiology and Psychiatric Sciences.

[5]  A. Jones.  Food insecurity and mental health status: a global analysis of 149 countries , 2017, American journal of preventive medicine.

[6]  M. al’Absi,et al.  Household food insecurity and mental distress among pregnant women in Southwestern Ethiopia: a cross sectional study design , 2015, BMC Pregnancy and Childbirth.

[7]  A. Nahusenay,et al.  Roles of Rural Women in Livelihood and Sustainable Food Security in Ethiopia: A Case Study from Delanta Dawunt District, North Wollo Zone , 2015 .

[8]  T. Lunde,et al.  Is the adapted Household Food Insecurity Access Scale (HFIAS) developed internationally to measure food insecurity valid in urban and rural households of Ethiopia? , 2015, BMC Nutrition.

[9]  C. Pariante,et al.  Effects of perinatal mental disorders on the fetus and child , 2014, The Lancet.

[10]  N. Reichman,et al.  Effects of Maternal Depression on Family Food Insecurity , 2014, Economics and human biology.

[11]  A. Adane,et al.  Food Insecurity in Farta District, Northwest Ethiopia: a community based cross–sectional study , 2014, BMC Research Notes.

[12]  M. Prince,et al.  Perinatal common mental disorders and child survival in Ethiopia , 2014, Journal of paediatrics and child health.

[13]  V. Patel,et al.  Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review. , 2012, Bulletin of the World Health Organization.

[14]  M. Black,et al.  Maternal depression and early childhood growth in developing countries: systematic review and meta-analysis. , 2011, Bulletin of the World Health Organization.

[15]  V. Patel,et al.  Sociocultural practices in Ethiopia: association with onset and persistence of postnatal common mental disorders , 2010, The British journal of psychiatry : the journal of mental science.

[16]  M. Prince,et al.  Maternal common mental disorders and infant development in Ethiopia: the P-MaMiE Birth Cohort , 2010, BMC public health.

[17]  M. Emmelin,et al.  Joint effect of maternal depression and intimate partner violence on increased risk of child death in rural Ethiopia , 2010, Archives of Disease in Childhood.

[18]  Vikram Patel,et al.  Poverty and common mental disorders in low and middle income countries: A systematic review. , 2010, Social science & medicine.

[19]  V. Patel,et al.  Perinatal mental distress and infant morbidity in Ethiopia: a cohort study , 2010, Archives of Disease in Childhood: Fetal and Neonatal Edition.

[20]  L. Simmons,et al.  Food insecurity and maternal depression in rural, low-income families: a longitudinal investigation , 2009, Public Health Nutrition.

[21]  C. Hadley,et al.  Moving Beyond Hunger and Nutrition: A Systematic Review of the Evidence Linking Food Insecurity and Mental Health in Developing Countries , 2009, Ecology of food and nutrition.

[22]  V. Patel,et al.  Impact of antenatal common mental disorders upon perinatal outcomes in Ethiopia: the P‐MaMiE population‐based cohort study , 2009, Tropical medicine & international health : TM & IH.

[23]  S. Galea,et al.  Food insecurity, stressful life events and symptoms of anxiety and depression in east Africa: evidence from the Gilgel Gibe growth and development study , 2008, Journal of Epidemiology & Community Health.

[24]  D. Edington,et al.  The association of worker productivity and mental health: a review of the literature , 2008 .

[25]  V. Patel,et al.  Detecting perinatal common mental disorders in Ethiopia: validation of the self-reporting questionnaire and Edinburgh Postnatal Depression Scale. , 2008, Journal of affective disorders.

[26]  S. Galea,et al.  Parental symptoms of common mental disorders and children's social, motor, and language development in sub-Saharan Africa , 2008, Annals of human biology.

[27]  V. Patel,et al.  Scale up services for mental disorders: a call for action , 2007, The Lancet.

[28]  R. Whitaker,et al.  Food Insecurity and the Risks of Depression and Anxiety in Mothers and Behavior Problems in their Preschool-Aged Children , 2006, Pediatrics.

[29]  S. Huttly,et al.  Maternal mental health and child nutritional status in four developing countries , 2005, Journal of Epidemiology and Community Health.

[30]  A. Cherian,et al.  Maternal depression and low maternal intelligence as risk factors for malnutrition in children: a community based case-control study from South India , 2004, Archives of Disease in Childhood.

[31]  V. Patel,et al.  Divided by a common language , 2003, Archives of disease in childhood.

[32]  K. Puura,et al.  Longitudinal study of maternal depressive symptoms and child well-being. , 2001, Journal of the American Academy of Child and Adolescent Psychiatry.

[33]  Phyllis S. Gabriel,et al.  Mental health and work : impact, issues, and good practices , 2000 .

[34]  R. Kumar,et al.  Impact of maternal postnatal depression on cognitive development of young children. , 1986, British medical journal.

[35]  Shuangge Ma,et al.  Relative Risk Regression in Medical Research: Models, Contrasts, Estimators, and Algorithms , 2006 .

[36]  C. G. Hudson,et al.  Socioeconomic status and mental illness: tests of the social causation and selection hypotheses. , 2005, The American journal of orthopsychiatry.

[37]  V. Patel,et al.  Poverty and common mental disorders in developing countries. , 2003, Bulletin of the World Health Organization.