The association of family food security and depression in mothers having primary school children in Ray-Iran

Journal of Diabetes & Metabolic Disorders

Fereydoun Siassi¹  Reza Rostami³  Mohammadreza Eshraghian²  Ahmad-reza Dorosty Motlagh⁵  Moloud Payab⁴ 

[1] School of Nutrition Science and Dietetics, Tehran University of Medical Sciences, Tehran, Iran;School of Public Health & Institute of Public Health Researches, Tehran University of Medical Sciences, Tehran, Iran;Institute for Psychology and Educational Sciences, University of Tehran, Tehran, Iran;Obesity and Eating Habits Research Center, Endocrinology and Metabolism Molecular -Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran;Head of Community Nutrition, School of Nutrition Science and Dietetics, Tehran University of Medical Sciences, Tehran, Iran

关键词: Mother;    Depression;    Food security;   

Others  :  803387
DOI  :  10.1186/2251-6581-13-65

 received in 2013-11-23, accepted in 2014-05-10,  发布年份 2014

【 摘 要 】

Background

As a major public health problem, food insecurity has adverse social and psychological effects, in addition to the impact on public health. This study aimed to determine the association of household food security and depression in mothers with primary school children in Ray County.

Methods

This descriptive, analytical cross-sectional study was conducted on 430 mothers with primary school children in the spring 2010. During a two-stage cluster sampling, an 18-items food security questionnaire (USDA) and the Beck depression inventory were completed via interviewing mothers. Chi-squared test, one-way analysis of variance, simple regression and stepwise multiple regression were used to describe and analyze data, and to identify related factors using SPSS-16 software.

Results

The prevalence of food insecurity and depression in mothers were 50.2% and 51.4% respectively. Also 34.6% of mothers in the "food secure" group were depressed and 77.8% in "food insecure with hunger" group were depressed and this difference was statistically significant. Twelve out of the 20 examined variables (age, family size, number of children, economic status, home ownership, employment households, educational level of the mother and also the head of household, height, energy intake, and carbohydrate and protein intakes) were significantly associated with food security and depression. Food insecurity and depression in mothers with primary school children in Ray County showed a significant positive correlation (P < 0.001).

Conclusion

The prevalence of household food insecurity and depression in the studied population were high. Since there is a significant relationship between food insecurity and depression, more attention must be paid to this group.

【 授权许可】

   
2014 Payab et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Noorbala A, Azizi F, Hatami H, Janghorbani M: Epidemiology and control of prevalent disease in Iran. Tehran: Khosravi Publication; 2004:265-279.
• [2]Sadock BJKH, Sadock VA: Kaplan & Sadock's synopsis of psychiatry: behavioral sciences/clinical psychiatry. edition t, editor: Philadelphia. London: Wolter Kluwer/Lippincott Williams & Wilkins; 2007.
• [3]WHO: Mental and neurological disorders. 2001. [cited 2014]; Available from: http://www.who.int/whr/2001/media_centre/en/ webcite
• [4]Kavyani H, Ahmadi Abhari A, Nazari H, Hormozi K: Prevalence of depression disorders in Tehran. Tehran Univ Med J 2002, 1381(60):5.
• [5]Psychological health--depression Health reports 1999. Winter; 11(3):63-75
• [6]Bickel G, Nord M, Price C, Hamilton W, Cook J: Guide to measuring household food security. Alexandria: Department of Agriculture Food and Nutrition Service; 2000.
• [7]Carlson SJ, Andrews MS, Bickel GW: Measuring food insecurity and hunger in the United States: development of a national benchmark measure and prevalence estimates. J Nutr 1999, 129(2):510S-516S.
• [8]Melgar-Quinonez HR, Zubieta AC, MkNelly B, Nteziyaremye A, Gerardo MF, Dunford C: Household food insecurity and food expenditure in Bolivia, Burkina Faso, And the Philippines. J Nutr 2006, 136(5):1431S-1437S.
• [9]Coleman-Jensen A, Nord M, Andrews M, Carlson S: Household food security in the United States in 2010. US Dept of Agricult Econ Res Serv 2011, ERR-125:1-26.
• [10]Ghassemi H: Food and nutrition security in Iran: a national study on planning and administration. Tehran: Plan and Budget Organization; 1998.
• [11]Ramesh T, Dorosty Motlagh A, Abdollahi M: Prevalence of household food insecurity in the City of Shiraz and its association with socio-economic and demographic factors, 2008. Iran J Nutr Sci Food Technol 2010, 4(4):53-64.
• [12]Campbell CC: Food insecurity: a nutritional outcome or a predictor variable? J Nutr 1991, 121(3):408-415.
• [13]Casey P, Goolsby S, Berkowitz C, Frank D, Cook J, Cutts D, Black MM, Zaldivar N, Levenson S, Heeren T, Meyers A, Children's Sentinel Nutritional Assessment Program Study Group: Maternal depression, changing public assistance, food security, and child health status. Pediatrics 2004, 113(2):298-304.
• [14]Huddleston-Casas C, Charnigo R, Simmons LA: Food insecurity and maternal depression in rural, low-income families: a longitudinal investigation. Public Health Nutr 2009, 12(8):1133-1140.
• [15]Hogerzeil HV: The concept of essential medicines: lessons for rich countries. Br Med J 2004, 329(7475):1169.
• [16]Rafiei M, Nord M, Sadeghizadeh A, Entezari MH: Assessing the internal validity of a household survey-based food security measure adapted for use in Iran. Nutr J 2009, 8:28.
• [17]Payab M, Motlagh AR, Eshraghian M, Rostami R, Siassi F, Abbasi B, Ahmadi M, Karimi T, Mahjouri MY, Seifirad S: The association between depression, socio-economic factors and dietary intake in mothers having primary school children living in Rey, South of Tehran, Iran. J Diabetes Metab Disord 2012, 11(1):29.
• [18]Timur S, Sahin NH: The prevalence of depression symptoms and influencing factors among perimenopausal and postmenopausal women. Menopause 2010, 17(3):545-551.
• [19]Eshraghian M, Siassi F, Djazayeri A: Obesity and food security in Yazd primary school students. Tehran Univ Med J 2007, 65(7):67-76.
• [20]Dastgiri S, Mahboob S, Tutunchi H, Ostadrahimi A: Determinants of food insecurity: a cross – sectional study in Tabriz. J Ardabil Univ Med Sci Health Serv 2006, 6(3):233-239.
• [21]Mohammadzadeh A, Dorosty A, Eshraghian M: Household food security status and associated factors among high-school students in Esfahan, Iran. Public Health Nutr 2010, 13(10):1609-1613.
• [22]Mohammadi Nasrabadi F, Omidvar N, Hoshyar Rad A, Mehrabi Y, Abdollahi M: Association of food security and body weight status of adult members of Iranian households. Nutr Sci Food Technol 2008, 3(2):41-53.
• [23]Kaiser LL, Townsend MS, Melgar-Quinonez HR, Fujii ML, Crawford PB: Choice of instrument influences relations between food insecurity and obesity in Latino women. Am J Clin Nutr 2004, 80(5):1372-1378.
• [24]Chaput JP, Gilbert JA, Tremblay A: Relationship between food insecurity and body composition in Ugandans living in urban Kampala. J Am Diet Assoc 2007, 107(11):1978-1982.
• [25]Che J, Chen J: Food insecurity in Canadian households. Health Rep 2001, 12(4):11-22.
• [26]Foley W, Ward P, Carter P, Coveney J, Tsourtos G, Taylor A: An ecological analysis of factors associated with food insecurity in South Australia, 2002–7. Public Health Nutr 2010, 13(2):215-221.
• [27]Willows ND, Veugelers P, Raine K, Kuhle S: Prevalence and sociodemographic risk factors related to household food security in Aboriginal peoples in Canada. Public Health Nutr 2009, 12(8):1150-1156.
• [28]Shariff ZM, Khor GL: Obesity and household food insecurity: evidence from a sample of rural households in Malaysia. Eur J Clin Nutr 2005, 59(9):1049-1058.
• [29]Kirkpatrick SI, Tarasuk V: Food insecurity is associated with nutrient inadequacies among Canadian adults and adolescents. J Nutr 2008, 138(3):604-612.
• [30]Rosas LG, Harley K, Fernald LC, Guendelman S, Mejia F, Neufeld LM, Eskenazi B: Dietary associations of household food insecurity among children of Mexican descent: results of a binational study. J Am Diet Assoc 2009, 109(12):2001-2009.
• [31]Kim K, Frongillo EA: Participation in food assistance programs modifies the relation of food insecurity with weight and depression in elders. J Nutr 2007, 137(4):1005-1010.
• [32]Whitaker RC, Phillips SM, Orzol SM: Food insecurity and the risks of depression and anxiety in mothers and behavior problems in their preschool-aged children. Pediatrics 2006, 118(3):e859-e868.
• [33]Hadley C, Patil CL: Food insecurity in rural Tanzania is associated with maternal anxiety and depression. Am J Hum Biol 2006, 18(3):359-368.