Household Food Insecurity and Mental Health Problems Among Adolescents: What Do Parents Report?
Household Food Insecurity and Mental Health Problems Among Adolescents: What Do Parents Report?
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DOI：
10.1016/j.acap.2015.08.005
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发表时间：
2016-01-01
影响因子：
3.1
通讯作者：
Stein, Ruth E. K.
中科院分区：
文献类型：
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作者：
Poole-Di Salvo, Elizabeth;Silver, Ellen J.;Stein, Ruth E. K.
目的：调查生活在粮食不安全家庭的青少年是否比同龄人有更差的家长报告的心理健康 (MH)。 方法：我们分析了来自参加 2007 年（八年级）幼儿园早期纵向研究的 8600 名青少年的横断面数据。家庭粮食不安全 (HFI) 通过家长报告对 18 项美国家庭粮食安全量表进行评估。家长报告的优势和困难问卷 (SDQ) 中的总困难得分 >13 表明青少年 MH 存在问题。还计算了 SDQ 子量表分数（情绪、行为、多动、同伴问题）。通过双变量和多变量分析探讨了 HFI 和 MH 之间的关联。针对 MH 问题，分析了 HFI 与性别以及 HFI 和免费/减价学校午餐的相互作用。结果：总共 10.2% 的青少年患有 HFI； 11.2% 的 SDQ >13。患有 HFI 的青少年总体心理健康问题（28.7% vs 9.2%）、情绪问题（21.6% vs 6.6%）、行为问题（26.5% vs 11.6%）、多动症（22.4% vs 11.3%）和同伴问题（19.8% vs 8.6%）的比例较高（所有 P < .01）。调整混杂因素后，HFI 与整体 MH 问题之间的关联（比值比 2.3；95% 置信区间 1.6-3.3）仍然存在。HFI 与性别以及 HFI 与免费/减价学校午餐的相互作用并不显着。结论：HFI 与男性和女性青少年中家长报告的 MH 问题风险增加相关。免费/减价的学校午餐并没有显着改变这种关系。有必要采取有效的干预措施来促进青少年的 MH 和减少 HFI。
OBJECTIVE: To investigate whether adolescents living in households with food insecurity have poorer parent-reported mental health (MH) than peers.METHODS: We analyzed cross-sectional data from similar to 8600 adolescents who participated in the 2007 (8th grade) wave of the Early Childhood Longitudinal Study Kindergarten. Household food insecurity (HFI) was assessed by parental report on the 18-item US Household Food Security Scale. Total Difficulties score >13 on the parent-reported Strengths and Difficulties Questionnaire (SDQ) indicated problems with adolescent MH. SDQ subscale scores (Emotional, Conduct, Hyperactivity, Peer Problems) were also calculated. Associations between HFI and MH were explored in bivariate and multivariable analyses. Interactions of HFI and gender and HFI and receipt of free/reduced-price school lunch were analyzed with regard to problems with MH.RESULTS: A total of 10.2% of adolescents lived with HFI; 11.2% had SDQ >13. Adolescents with HFI had higher rates of overall MH problems (28.7% vs 9.2%), emotional problems (21.6% vs 6.6%), conduct problems (26.5% vs 11.6%), hyperactivity (22.4% vs 11.3%), and peer problems (19.8% vs 8.6%) (all P < .01). After adjustment for confounders, the association between HFI and overall MH problems (odds ratio 2.3; 95% confidence interval 1.6-3.3) remained Interactions of HFI and gender and HFI and free/reduced-price school lunch were not significant.CONCLUSIONS: HFI was associated with increased risk of parent-reported MH problems among both male and female adolescents. Free/reduced-price school lunch did not significantly alter this relationship. Effective interventions to promote MH and reduce HFI among adolescents are necessary.