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Household food insufficiency and mental health in South Africa

dc.contributor.authorSorsdahl K.
dc.contributor.authorSlopen N.
dc.contributor.authorSiefert K.
dc.contributor.authorSeedat S.
dc.contributor.authorStein D.J.
dc.contributor.authorWilliams D.R.
dc.date.accessioned2011-05-25T08:49:48Z
dc.date.available2011-05-25T08:49:48Z
dc.date.issued2011
dc.identifier.citationJournal of Epidemiology and Community Health
dc.identifier.citation65
dc.identifier.citation5
dc.identifier.citation426
dc.identifier.citation431
dc.identifier.issn0143005X
dc.identifier.other10.1136/jech.2009.091462
dc.identifier.urihttp://hdl.handle.net/10019.1/14699
dc.description.abstractBackground: Both mental illness and food insufficiency are common in low and middle income countries. However, there are limited data on the relation between food insufficiency and mental disorders, despite the potential relevance of such data for the development of policy-level interventions. The relationship between food insufficiency and mental disorders within a nationally representative sample of South African adults was examined. Methods: A national survey of 4185 South African adults was conducted using the WHO Composite International Diagnostic Interview to generate psychiatric diagnoses. The survey included a widely used single-item measure of household food insufficiency. The independent effects of food insufficiency and demographic characteristics on 12-month and lifetime DSM-IV diagnosis were assessed using logistic regression. Results: 29% of respondents reported that their household 'sometimes' did not have enough to eat while 9% reported that they 'often' did not have enough to eat. After controlling for conventional socioeconomic and sociodemographic variables, food insufficiency was associated with having any 12-month (OR 1.44, 95% CI 1.1 to 1.9) and lifetime (OR 1.35, 95% CI 1.1 to 1.7) DSM-IV disorder. Conclusions: In South Africa the prevalence of household food insufficiency is very high compared with studies conducted in the developed world, and is independently associated with having a 12-month and lifetime DSM-IV diagnosis. The relationship between food insufficiency and mental health has implications for reducing the burden of common mental disorders in South Africa since, unlike a number of major risk factors for mental illness, food insufficiency may be relatively amenable to intervention.
dc.titleHousehold food insufficiency and mental health in South Africa
dc.typeArticle
dc.description.versionArticle


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