Food insecurity and the risks of depression and anxiety in mothers and behavior problems in their preschool-aged children
Food insecurity and the risks of depression and anxiety in mothers and behavior problems in their preschool-aged children
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DOI：
10.1542/peds.2006-0239
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发表时间：
2006-09-01
期刊：
影响因子：
8
通讯作者：
Orzol, Sean M.
中科院分区：
文献类型：
--
作者：
Whitaker, Robert C.;Phillips, Shannon M.;Orzol, Sean M.
目标.我们试图确定当母亲报告食物不安全时，母亲抑郁和焦虑的患病率以及学龄前儿童行为问题的患病率是否更常见。2001-2003年，在美国18个大城市对2870名3岁儿童的母亲进行了横断面调查。根据美国家庭粮食安全调查模块计算的成人粮食安全量表，将母亲分为3个级别：完全粮食安全、勉强粮食安全和粮食不安全。母亲12个月的抑郁症发作和广泛性焦虑症的患病率进行了评估的复合国际诊断访谈简表。儿童行为问题在3个领域（攻击性、焦虑/抑郁或注意力不集中/多动）中≥ 1个是基于儿童行为检查表。71%的受访者完全粮食安全，17%的人粮食安全，12%的人粮食不安全。在调整社会人口因素加上产妇的身体健康，酒精使用，药物使用，产前吸烟和产前身体家庭暴力后，患有重度抑郁发作或广泛性焦虑症的母亲比例随着食品不安全的增加而增加：16.9%，21.0%和30.3%。在儿童中，在进一步调整母亲的重性抑郁发作和广泛性焦虑症后，行为问题的百分比也随着食物不安全的增加而增加：22.7%，31.1%和36.7%。当母亲粮食无保障时，母亲和儿童的心理健康问题更常见，这是一个可以通过社会政策解决的压力因素。
OBJECTIVES. We sought to determine if the prevalence of depression and anxiety in mothers and the prevalence of behavior problems in preschool-aged children are more common when mothers report being food insecure.METHODS. A cross-sectional survey of 2870 mothers of 3-year-old children was conducted in 2001-2003 in 18 large US cities. On the basis of the adult food-security scale calculated from the US Household Food Security Survey Module, mothers were categorized into 3 levels: fully food secure, marginally food secure, and food insecure. The 12-month prevalence in mothers of a major depressive episode and generalized anxiety disorder was assessed by the Composite International Diagnostic Interview-Short Form. A child behavior problem in >= 1 of 3 domains (aggressive, anxious/depressed, or inattention/hyperactivity) was based on the Child Behavior Checklist.RESULTS. Seventy-one percent of the respondents were fully food secure, 17% were marginally food secure, and 12% were food insecure. After adjustment for sociodemographic factors plus maternal physical health, alcohol use, drug use, prenatal smoking, and prenatal physical domestic violence, the percentage of mothers with either major depressive episode or generalized anxiety disorder increased with increasing food insecurity: 16.9%, 21.0%, and 30.3% across the 3 levels. Among children, after further adjustment for maternal major depressive episode and generalized anxiety disorder, the percentage with a behavior problem also increased with increasing food insecurity: 22.7%, 31.1%, and 36.7%.CONCLUSIONS. Mental health problems in mothers and children are more common when mothers are food insecure, a stressor that can potentially be addressed by social policy.