The association of household food insecurity and HIV infection with common mental disorders among newly diagnosed tuberculosis patients in Botswana

Bibliographic Data

ID15097302
AuthorsQiao Wang (0000-0003-0648-9399), Mbatshi Dima (Botswana Open University), Ari Ho-Foster (University of Pennsylvania), Keneilwe Molebatsi (0000-0003-4741-3278, University of Botswana), Chawangwa Modongo (University of Pennsylvania), Nicola M Zetola (0000-0003-0712-8579, University of Pennsylvania), Sanghyuk S Shin (0000-0001-9982-4373, corresponding author)
Year2022
Volume25
Issue4
Pages913-921
Publication date2022-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980020004139
PMID33070794
OpenAlexW3092960086
LanguageEN
Citations received4
References cited21

Objective: To determine the association between food insecurity and HIV infection with depression and anxiety among new tuberculosis (TB) patients. Design: Our cross-sectional study assessed depression, anxiety and food insecurity with Patient Health Questionnaire (PHQ-9), Zung Anxiety Self-Assessment Scale (ZUNG) and Household Food Insecurity Access Scale, respectively. Poisson regression models with robust variance were used to examine correlates of depression (PHQ-9 ≥ 10) and anxiety (ZUNG ≥ 36). Setting: Gaborone, Botswana. Participants: Patients who were newly diagnosed with TB. Results: Between January and December 2019, we enrolled 180 TB patients from primary health clinics in Botswana. Overall, 99 (55·0 %) were HIV positive, 47 (26·1 %), 85 (47·2 %) and 69 (38·5 %) indicated depression, anxiety and moderate to severe food insecurity, respectively. After adjusting for potential confounders, food insecurity was associated with a higher prevalence of depression (adjusted prevalence ratio (aPR) = 2·30; 95 % CI 1·40, 3·78) and anxiety (aPR = 1·41; 95 % CI 1·05, 1·91). Prevalence of depression and anxiety was similar between HIV-infected and HIV-uninfected participants. Estimates remained comparable when restricted to HIV-infected participants. Conclusions: Mental disorders may be affected by food insecurity among new TB patients, regardless of HIV status

Association (psychology · Food insecurity · Human immunodeficiency virus (HIV · Mental health · Mental illness · Tuberculosis · Child Nutrition and Water Access · Food Safety and Hygiene · Food Security and Health in Diverse Populations

Tools

Open DOIOpen Access