Household food insecurity is associated with depressive symptoms: results from a Mexican population-based survey
Household food insecurity is associated with depressive symptoms: results from a Mexican population-based survey
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DOI：
10.1007/s12571-020-01014-1
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发表时间：
2020-01-31
期刊：
影响因子：
6.7
通讯作者：
van Tulder, Maurits
中科院分区：
文献类型：
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作者：
Kolovos, Spyros;Zavala, Gerardo A.;van Tulder, Maurits
这项横断面研究的目的是评估墨西哥人口中粮食不安全和抑郁症之间的关系。我们使用了2012年健康和营养调查（ENSANUT）的数据，该数据代表了墨西哥人口。粮食不安全是根据拉丁美洲和加勒比粮食安全等级表确定的。使用流行病学研究中心抑郁量表简表（CES-D-SF）评估抑郁症状。采用校正logistic回归分析和ANCOVA。在33，011名参与者中，5788人（18%）有高度抑郁症状，24，098人（73%）经历了食物不安全。调整后的logistic回归分析显示，轻度食物不安全的参与者，（OR = 1.47，95%CI = 1.27 ~ 1.71），中度食物不安全（OR = 2.14，95%CI = 1.85 ~ 2.47）和严重食物不安全（OR = 3.01，95%CI = 2.51 ~ 3.60），与食物安全组相比，食物安全组抑郁症状发生率更高。与轻度食物不安全的参与者相比，中度食物不安全（OR =1.45，95%CI = 1.28至1.64）和重度食物不安全（OR =2.04，95%CI = 1.76至2.37）的参与者更容易患抑郁症。与中度食物不安全的参与者相比，严重食物不安全的参与者更有可能（OR=1.41，95%CI = 1.21至1.65）患抑郁症。本文概述了粮食不安全和心理健康这一复杂问题。尽管因果关系未知，但分析表明抑郁症与粮食不安全之间存在很强的关联。这个问题需要科学界给予更多的关注。鉴于墨西哥抑郁症的高发病率和家庭粮食不安全的高发病率，有必要实施成功的公共卫生计划，以改善粮食安全。
The objective of this cross-sectional study was to assess the relationship between food insecurity and depression in the Mexican population. We used data from the 2012 health and nutrition survey (ENSANUT), which is representative of the Mexican population. Food insecurity was determined by the Latin American and Caribbean Food Security Scale (ELCSA). Depressive symptoms were evaluated using the Center for Epidemiological Studies Depression Scale Short-Form (CES-D-SF). Adjusted logistic regression analyses and ANCOVA were used. Out of 33,011 participants, 5788 (18%) had high depressive symptoms and 24,098 (73%) experienced food insecurity. The adjusted logistic regression analysis showed that, participants with mild food insecurity, (OR = 1.47,95% CI = 1.27 to 1.71), moderate food insecurity (OR = 2.14,95% CI = 1.85 to 2.47) and severe food insecurity (OR = 3.01,95% CI = 2.51 to 3.60,) were more likely to have high depressive symptoms than food secure participants. Participants with moderate food insecurity (OR =1.45, 95% CI = 1.28 to 1.64) and severe food insecurity (OR =2.04, 95% CI = 1.76 to 2.37) were more likely to suffer from depression as compared to participants with mild food insecurity. Participants with severe food insecurity were more likely (OR=1.41, 95% CI = 1.21 to 1.65) to suffer from depression compared to participants with moderate food insecurity. This paper provides an overview of the complex problem of food insecurity and mental health. Despite the unknown causality, the analysis suggests a strong association between depression and food insecurity. This problem calls for much more attention from the scientific community. Given the high prevalence of depression and the high prevalence of household food insecurity in Mexico, the implementation of successful public health programs to improve food security is necessary.