Evidence map›Paper›PMID 28988551›Full record

ArticlePublic health nutrition2018

Food insecurity, social networks and symptoms of depression among men and women in rural Uganda: a cross-sectional, population-based study.

Jessica M Perkins, Viola N Nyakato, Bernard Kakuhikire, Alexander C Tsai, S V Subramanian, David R Bangsberg, Nicholas A Christakis

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In one paragraph

Article in Public health nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jessica M Perkins1Chester M. Pierce,MD Division of Global Psychiatry,Massachusetts General Hospital,125 Nashua Street 7th floor,Suite 722,Boston,MA 02114,USA.ORCID 0000-0002-5475-8816
Viola N Nyakato2Mbarara University of Science and Technology,Mbarara,Uganda.
Bernard Kakuhikire2Mbarara University of Science and Technology,Mbarara,Uganda.
Alexander C Tsai1Chester M. Pierce,MD Division of Global Psychiatry,Massachusetts General Hospital,125 Nashua Street 7th floor,Suite 722,Boston,MA 02114,USA.
S V Subramanian3Harvard Center for Population and Development Studies,Cambridge,MA,USA.
David R Bangsberg2Mbarara University of Science and Technology,Mbarara,Uganda.
Nicholas A Christakis6Yale Institute for Network Science,Yale University,New Haven,CT,USA.

Funding

Roybal Center for Translational Research on AgingP30AG034420 · NIA · YALE UNIVERSITY · PI CHRISTAKIS, NICHOLAS A · 2009 to 2018
$3.3M
Microenterprise to empower and improve health of HIV+ women in UgandaK23MH096620 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI TSAI, ALEXANDER C · 2012 to 2016
$922k
NIA NIH HHS P30 AG034420NIMH NIH HHS K23 MH096620
6 · The paper itself

Abstract

objectiveTo assess the association between food insecurity and depression symptom severity stratified by sex, and test for evidence of effect modification by social network characteristics.

designA population-based cross-sectional study. The nine-item Household Food Insecurity Access Scale captured food insecurity. Five name generator questions elicited network ties. A sixteen-item version of the Hopkins Symptom Checklist for Depression captured depression symptom severity. Linear regression was used to estimate the association between food insecurity and depression symptom severity while adjusting for potential confounders and to test for potential network moderators.

settingIn-home survey interviews in south-western Uganda. SUBJECTS: All adult residents across eight rural villages; 96 % response rate (n 1669).

resultsSevere food insecurity was associated with greater depression symptom severity (b=0·4, 95 % CI 0·3, 0·5, P<0·001 for women; b=0·3, 95 % CI 0·2, 0·4, P<0·001 for men). There was no evidence of effect modification by social network factors for women. However, for men who are highly embedded within in their village social network, and (separately) for men who have few poor contacts in their personal network, the relationship between severe food insecurity and depression symptoms was stronger than for men on the periphery of their village social network, and for men with many poor personal network contacts, respectively.

conclusionsIn this population-based study from rural Uganda, food insecurity was associated with mental health for both men and women. Future research is needed on networks and food insecurity-related shame in relation to depression symptoms among food-insecure men.

Indexed as

Food SupplyRural PopulationSeverity of Illness IndexSocial NetworkingSocial SupportAdultAgedCross-Sectional StudiesDepressionDepressive DisorderFemaleHumansLinear ModelsMaleMiddle AgedPovertyDepressionFood insecurityHopkins Symptom Checklist for DepressionHousehold Food Insecurity Access ScaleMental healthNetworksSub-Saharan Africa

Identifiers

PMID28988551
PMCPMC5916750

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.