Food insecurity and mental disorders in a national sample of U.S. adolescents.
Food insecurity and mental disorders in a national sample of U.S. adolescents.
复制标题
DOI：
10.1016/j.jaac.2012.09.009
复制
发表时间：
2012-12
影响因子：
13.3
通讯作者：
Kessler RC
中科院分区：
文献类型：
--
作者：
McLaughlin KA;Green JG;Alegría M;Jane Costello E;Gruber MJ;Sampson NA;Kessler RC
在美国全国青少年样本中控制家庭社会经济地位（SES）的标准指标后，检查食品不安全是否与过去一年的DSM-IV精神障碍有关。数据来自6,483对青少年父母，他们参加了全国共病调查复制青少年补充，这是一项针对13至17岁青少年的全国性调查。食品不安全的频率和严重程度是根据美国农业部的食品安全量表（标准化到平均值为0，方差为1）评估的。使用世界卫生组织综合国际诊断访谈对DSM-IV精神障碍进行评估。食品不安全与DSM-IV/复合国际诊断访谈诊断之间的关联通过控制家庭SES（父母教育、家庭收入、相对剥夺、社区水平不平等和主观社会地位）的逻辑回归模型进行估计。在社会经济地位最低的青少年中，粮食不安全状况最高。同时控制SES的其他方面，标准化食品不安全与过去一年情绪、焦虑、行为和物质障碍的几率增加有关。即使在对极端贫困进行控制后，粮食不安全增加1个标准差，过去一年患精神障碍的几率也会增加14%。在家庭收入低、相对贫困程度高的青少年中，食物不安全与情绪障碍之间的联系最为明显。粮食不安全与广泛的青少年精神障碍相关，独立于SES的其他方面。扩大旨在减少家庭经济压力的社会项目可能是改善青少年心理健康的一个有用的政策方法。
To examine whether food insecurity is associated with past-year DSM-IV mental disorders after controlling for standard indicators of family socioeconomic status (SES) in a U.S. national sample of adolescents. Data were drawn from 6,483 adolescent–parent pairs who participated in the National Comorbidity Survey Replication Adolescent Supplement, a national survey of adolescents 13 to 17 years old. Frequency and severity of food insecurity were assessed with questions based on the U.S. Department of Agriculture’s Food Security Scale (standardized to a mean of 0, variance of 1). DSM-IV mental disorders were assessed with the World Health Organization Composite International Diagnostic Interview. Associations of food insecurity with DSM-IV/Composite International Diagnostic Interview diagnoses were estimated with logistic regression models controlling for family SES (parental education, household income, relative deprivation, community-level inequality, and subjective social status). Food insecurity was highest in adolescents with the lowest SES. Controlling simultaneously for other aspects of SES, standardized food insecurity was associated with an increased odds of past-year mood, anxiety, behavior, and substance disorders. A 1 standard deviation increase in food insecurity was associated with a 14%increase in the odds of past-year mental disorder, even after controlling for extreme poverty. The association between food insecurity and mood disorders was strongest in adolescents living in families with a low household income and high relative deprivation. Food insecurity is associated with a wide range of adolescent mental disorders independently of other aspects of SES. Expansion of social programs aimed at decreasing family economic strain might be one useful policy approach for improving youth mental health.
登录
查看更多内容
影响因子：
8
作者：
Goodman, E;Adler, NE;Colditz, GA
通讯作者：
Colditz, GA
影响因子：
12.7
作者：
Alaimo, K;Olson, CM;Briefel, RR
通讯作者：
Briefel, RR
影响因子：
12.7
作者：
Goodman, E
通讯作者：
Goodman, E
影响因子：
12.7
作者：
Goodman, E;Slap, GB;Huang, B
通讯作者：
Huang, B
影响因子：
8
作者：
Kleinman, RE;Murphy, JM;Jellinek, MS
通讯作者：
Jellinek, MS