在加纳北部,中等至严重的家庭粮食不安全与青春期女孩的抑郁症有关:一项横断面分析。

IF 3.3 Q2 NUTRITION & DIETETICS
Fusta Azupogo, Nawaf Saeed, Anthony Wemakor, Hammond Yaw Addae, Michael Boah, Inge D Brouwer
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引用次数: 2

摘要

目的:家庭粮食不安全与抑郁症呈正相关;然而,青少年之间的联系并不为人所知。我们研究了加纳北部少女家庭粮食不安全与抑郁之间的关系。方法:我们分析了Ten2Twenty-Ghana随机对照试验终点线10-17岁少女(n=582)的数据。这些女孩是从加纳北部米昂区的19所小学中随机挑选出来的。采用儿童抑郁量表和食品不安全体验量表进行面对面访谈,评估儿童抑郁和家庭食品不安全状况。采用分层调查、二元逻辑回归和线性混合模型来检验家庭食品不安全与抑郁症状之间的关系。我们在分析中考虑了一些潜在的混杂因素,如生活满意度、自我效能、自尊、健康投诉、儿童年龄、月经初潮状态、青春期发育、贫血、发育迟缓、食用水果和蔬菜的频率、食用动物源性食品的频率、母亲年龄、家庭财富指数和规模,以及该女孩在试验中被分配到的干预组。结果:约20.1%的青春期女孩被归类为可能抑郁,70.3%的家庭处于粮食不安全状态,其中22.9%和18.0%的家庭分别处于中度和重度粮食不安全状态。与来自粮食安全家庭的女孩相比,在控制了潜在的混杂因素后,来自中度(调整后的OR (AOR) 2.63, 95% CI(1.35至5.12))和严重(AOR 3.28, 95% CI(1.66至6.49))粮食不安全家庭的女孩被归类为抑郁症的几率约为三倍。在原始模型和最终调整模型中,来自粮食不安全家庭的青春期女孩患抑郁症的几率大约是来自粮食安全家庭的同龄人的两倍。结论:该研究发现,加纳北部少女的家庭粮食不安全和抑郁程度很高,两者之间存在剂量反应关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Moderate-to-severe household food insecurity is associated with depression among adolescent girls in northern Ghana: a cross-sectional analysis.

Moderate-to-severe household food insecurity is associated with depression among adolescent girls in northern Ghana: a cross-sectional analysis.

Moderate-to-severe household food insecurity is associated with depression among adolescent girls in northern Ghana: a cross-sectional analysis.

Objective: Household food insecurity is positively associated with depression; however, the association among adolescents is not well known. We examined the association between household food insecurity and depression among adolescent girls in Northern Ghana.

Methods: We analysed data from the Ten2Twenty-Ghana randomised controlled trial end-line for adolescent girls aged 10-17 years (n=582). The girls were chosen at random from 19 primary schools in the Mion District of Ghana's northern region. The children's depression inventory and the Food Insecurity Experience Scale were used in face-to-face interviews to assess depression and household food insecurity. Hierarchical survey binary logistic regression and linear mixed models were used to examine the association between household food insecurity and depressive symptoms. We took into account a number of potential confounders in the analysis, such as life satisfaction, self-efficacy, self-esteem, health complaints, child's age, menarche status, pubertal development, anaemia, stunting, frequency of consuming fruits and vegetables, frequency of consuming animal-sourced foods, maternal age, household wealth index and size, and the intervention group the girl was assigned to in the trial.

Results: About 20.1% of adolescent girls were classified as likely depressed, and 70.3% of their households were food insecure, with 22.9% and 18.0% being moderately and severely food insecure, respectively. Compared with girls from food-secure households, those from moderately (adjusted OR (AOR) 2.63, 95% CI (1.35 to 5.12)) and severely (AOR 3.28, 95% CI (1.66 to 6.49)) food insecure households had about three times the odds of being classified as depressed, after controlling for potential confounders. The odds of being likely depressed were about twice for adolescent girls from food-insecure households compared with their peers from food-secure households in both the crude and final adjusted model.

Conclusion: The study discovered high levels of household food insecurity and depression in adolescent girls in Northern Ghana, with a dose-response association between the two.

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来源期刊
BMJ Nutrition, Prevention and Health
BMJ Nutrition, Prevention and Health Nursing-Nutrition and Dietetics
CiteScore
5.80
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0.00%
发文量
34
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