Food insecurity in women with mental illnesses attending a psychiatric hospital in KwaZulu-Natal.

IF 1.3 4区 医学 Q4 PSYCHIATRY
South African Journal of Psychiatry Pub Date : 2025-05-16 eCollection Date: 2025-01-01 DOI:10.4102/sajpsychiatry.v31i0.2342
Precious S Dimba, Shamima Saloojee, Vuyokazi Ntlantsana, Sibongile Mashaphu
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引用次数: 0

Abstract

Background: Food insecurity is a problem for many people globally. Women and people living with mental illnesses are at a particular risk. There is limited information regarding food insecurity in women living with mental illnesses from South Africa.

Aim: To describe the prevalence of food insecurity, its association with socio-demographic and clinical factors, as well as quality of life (QoL) in women with mental illnesses attending a psychiatric hospital.

Setting: King Dinuzulu Hospital Complex in eThekwini KwaZulu-Natal over a 6-month period.

Methods: A researcher-designed questionnaire was used to collect socio-demographic and clinical data, while the Household Food Insecurity Access Scale (HFIAS) and the World Health Organization QoL questionnaire (WHO QOL-BREF) were used to collect data on food insecurity and QoL, respectively.

Results: The 123 participants had a mean age of 50 years (standard deviation [s.d.] ± 13.89), and an overall prevalence of food insecurity of 47.1%. In a bivariate analysis, food insecurity was significantly associated with younger age (p = 0.02), having no monthly household income (p = 0.01), a comorbid psychiatric diagnosis (p = 0.02) and a poorer overall QoL (p < 0.001).

Conclusion: Women with mental illnesses had a higher prevalence of food insecurity, with an associated poorer QoL. Additional measures are required to improve food security in this vulnerable group.

Contribution: This study found that women with mental illness had more than twice the prevalence of food insecurity than the general population in KwaZulu-Natal.

在夸祖鲁-纳塔尔省精神病院就诊的精神病妇女的粮食不安全问题。
背景:粮食不安全是全球许多人面临的问题。妇女和患有精神疾病的人面临的风险特别大。关于南非患有精神疾病的妇女粮食不安全的信息有限。目的:描述粮食不安全的普遍性,其与社会人口和临床因素的关系,以及精神病院精神病妇女的生活质量(QoL)。背景:在夸祖鲁-纳塔尔省的迪努祖鲁国王综合医院,为期6个月。方法:采用研究者设计的问卷收集社会人口学和临床数据,采用家庭粮食不安全获取量表(HFIAS)和世界卫生组织生活质量问卷(WHO QoL - bref)分别收集粮食不安全和生活质量数据。结果:123名参与者的平均年龄为50岁(标准差[s.d。[±13.89]),总体粮食不安全患病率为47.1%。在双变量分析中,食品不安全与年龄较小(p = 0.02)、没有家庭月收入(p = 0.01)、共病精神诊断(p = 0.02)和总体生活质量较差(p < 0.001)显著相关。结论:患有精神疾病的女性食物不安全的发生率更高,与之相关的生活质量较差。需要采取更多措施来改善这一弱势群体的粮食安全。贡献:这项研究发现,在夸祖鲁-纳塔尔省,患有精神疾病的妇女的粮食不安全发生率是一般人口的两倍多。
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来源期刊
CiteScore
1.60
自引率
10.00%
发文量
56
审稿时长
>12 weeks
期刊介绍: The journal is the leading psychiatric journal of Africa. It provides open-access scholarly reading for psychiatrists, clinical psychologists and all with an interest in mental health. It carries empirical and conceptual research articles, reviews, editorials, and scientific letters related to psychiatry. It publishes work from various places in the world, and makes special provision for the interests of Africa. It seeks to serve its readership and researchers with the most topical content in psychiatry for clinical practice and academic pursuits, including work in the subspecialty areas of psychiatry.
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