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Association between food insecurity and depression among older adults from low- and middle-income countries
- Source :
- DEPRESSION AND ANXIETY, r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu, instname, Depression and Anxiety, Depression and Anxiety, Wiley, 2021, 38 (4), pp.439-446. ⟨10.1002/da.23147⟩, r-FSJD: Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu, Fundació Sant Joan de Déu
- Publication Year :
- 2021
-
Abstract
- Background:\ud \ud To examine the association between self‐reported food insecurity and depression in 34,129 individuals aged ≥50 years from six low‐ and middle‐income countries (LMICs) (China, Ghana, India, Mexico, Russia, and South Africa).\ud \ud Methods:\ud \ud Cross‐sectional, community‐based, nationally representative data from the WHO Study on global AGEing and adult health (SAGE) were analyzed. Self‐reported past 12‐month food insecurity was assessed with two questions on frequency of eating less and hunger due to lack of food. Questions based on the World Mental Health Survey version of the Composite International Diagnostic Interview were used for the endorsement of past 12‐month DSM‐IV depression. Multivariable logistic regression analysis and meta‐analysis were conducted to assess associations.\ud \ud Results:\ud \ud In total, 34,129 individuals aged ≥50 years [mean (SD) age, 62.4 (16.0) years; 52.1% females] were included in the analysis. Overall, the prevalence of moderate and severe food insecurity was 6.7% and 5.1%, respectively, while the prevalence of depression was 6.0%. Meta‐analyses based on countrywise estimates showed that overall, moderate food insecurity (vs. no food insecurity) is associated with a nonsignificant 1.69 (95% confidence interval [CI] = 0.82–3.48) times higher odds for depression, while severe food insecurity is significantly associated with 2.43 (95% CI = 1.65–3.57) times higher odds for depression.\ud \ud Conclusions:\ud \ud In this large representative sample of older adults from six LMICs, those with severe food insecurity were over two times more likely to suffer from depression (compared with no food insecurity). Utilizing lay health counselors and psychological interventions may be effective mechanisms to reduce depression among food‐insecure populations. Interventions to address food insecurity (e.g., supplemental nutrition programs) may reduce depression at the population level but future longitudinal studies are warranted.
- Subjects :
- Male
China
Psychological intervention
India
Logistic regression
Ghana
Odds
Russia
03 medical and health sciences
South Africa
0302 clinical medicine
older adults
Environmental health
food insecurity
Prevalence
Medicine
Humans
low- and middle-income countries
Association (psychology)
Developing Countries
Mexico
Depression (differential diagnoses)
Aged
2. Zero hunger
business.industry
1. No poverty
Middle Aged
Mental health
Confidence interval
3. Good health
030227 psychiatry
Food insecurity
Psychiatry and Mental health
Clinical Psychology
Cross-Sectional Studies
low- and middle-income countrie
depression
Female
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
business
Smith L., Il Shin J., McDermott D., Jacob L., Barnett Y., López-Sánchez G. F. , Veronese N., Yang L., Soysal P., Oh H., et al., -Association between food insecurity and depression among older adults from low- and middle-income countries.-, Depression and anxiety, 2021
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 10914269 and 15206394
- Database :
- OpenAIRE
- Journal :
- DEPRESSION AND ANXIETY, r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu, instname, Depression and Anxiety, Depression and Anxiety, Wiley, 2021, 38 (4), pp.439-446. ⟨10.1002/da.23147⟩, r-FSJD: Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu, Fundació Sant Joan de Déu
- Accession number :
- edsair.doi.dedup.....a5d2ad92b17c16fd702b270e21bf13d7