Food insecurity and perinatal depression among pregnant women in Bunmap cohort in Ethiopia
A structural equation modelling
Bibliographic Data
| ID | 15091786 |
|---|---|
| Authors | Abera Biratu (Addis Ababa University, corresponding author), Atalay Alem (0000-0001-8353-7185, Addis Ababa University), Girmay Medhin (0000-0003-2146-4261, Addis Ababa University), Seifu H Gebreyesus (0000-0001-7834-4696, Addis Ababa University) |
| Year | 2024 |
| Volume | 27 |
| Issue | 1 |
| Pages | e120-e120 |
| Publication date | 2024-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980024000855 |
| PMID | 38605538 |
| OpenAlex | W4394757511 |
| Language | EN |
| Citations received | 2 |
| References cited | 46 |
Objective: To assess the effect of food insecurity on perinatal depression in rural Ethiopia. Design: We used a prospective cohort in which food insecurity was considered as primary exposure and perinatal depression as an outcome. Food insecurity at baseline (in the period of 8–24 weeks of pregnancy) was measured using the Household Food Insecurity Access Scale (HFIAS), and perinatal depression at follow-up (in 32–36 weeks of pregnancy) was measured using a Patient Health Questionnaire (PHQ-9). We used multivariable regression to assess the effect of food insecurity on the prevalence of perinatal depression. We explored food insecurity’s direct and indirect impacts on perinatal depression using structural equation modelling (SEM). Setting: This paper used data from the Butajira Nutrition, Mental Health and Pregnancy (BUNMAP) cohort established under the Butajira Health and Demographic Surveillance Site (BHDSS). Participants: Seven hundred and fifty-five pregnant women. Results: Among the study participants, 50 % were food-insecure, and about one-third were depressed at 32–36 follow-up. In SEM, higher values of baseline food insecurity, depressive symptoms and state–trait anxiety (STA) were positively and significantly associated with perinatal depression. The direct impact of food insecurity on perinatal depression accounts for 42 % of the total effect, and the rest accounted for the indirect effect through baseline depression (42 %) and STA (16 %). Conclusion: The significant effect of food insecurity at baseline on perinatal depression and the indirect effect of baseline food insecurity through baseline anxiety and depression in the current study implies the importance of tailored interventions for pregnant women that consider food insecurity and psychosocial problems
Anxiety · Baseline (sea · Cohort · Cohort study · Depression (economics · Depressive symptoms · Edinburgh Postnatal Depression Scale · Environmental health · Food insecurity · Food security · Geography · Pregnancy · Psychiatry · Psychological intervention · Child Nutrition and Water Access · Demography · Food Security and Health in Diverse Populations · Maternal Mental Health During Pregnancy and Postpartum · Medicine
Development of a Universally Applicable Household Food Insecurity Measurement Tool
Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries
The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement
Food Insecurity and the Risks of Depression and Anxiety in Mothers and Behavior Problems in their Preschool-Aged Children
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Household Food Insecurity Access Scale (HFIAS) for Measurement of Food Access: Indicator Guide: Version 3
No health without mental health
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The development of a six‐item short‐form of the state scale of the Spielberger State—Trait Anxiety Inventory (STAI)
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The Lancet Commission on global mental health and sustainable development
Food Insecurity Is Associated with Depression, Anxiety, and Stress
Spatio-temporal clustering of mortality in Butajira HDSS, Ethiopia, from 1987 to 2008
Intimate partner violence against adult women and its association with major depressive disorder, depressive symptoms and postpartum depression
If it goes up, must it come down? Chronic stress and the hypothalamic-pituitary-adrenocortical axis in humans
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| Citations per year | 2 |
|---|---|
| Citation span | 2025 - 2025 (1) |
| Highly cited | No |