ArticlePublic health nutrition2024
Food insecurity and perinatal depression among pregnant women in BUNMAP cohort in Ethiopia: a structural equation modelling.
Article in Public health nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed, 4 citations in OpenAlex.
- Relationship between maternal social support and undernutrition among children under 5 years in Siem Reap Province, Cambodia: the chain mediating roles of household food insecurity and maternal depression.BMC public health · 2025Article
- Low infant negative emotionality buffers infants from family economic stress.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2025Article
- Impact of household food insecurity on the use of maternal health services in the Savanes region, Togo: a qualitative study.BMC public health · 2025Article
- Association between food insecurity and mental health outcomes among a convenient sample of Lebanese pregnant women.PloS one · 2025Article
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4 authors at 1 institution in 1 country.
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Abstract
objectiveTo assess the effect of food insecurity on perinatal depression in rural Ethiopia.
designWe used a prospective cohort in which food insecurity was considered as primary exposure and perinatal depression as an outcome. Food insecurity at baseline (in the period of 8-24 weeks of pregnancy) was measured using the Household Food Insecurity Access Scale (HFIAS), and perinatal depression at follow-up (in 32-36 weeks of pregnancy) was measured using a Patient Health Questionnaire (PHQ-9). We used multivariable regression to assess the effect of food insecurity on the prevalence of perinatal depression. We explored food insecurity's direct and indirect impacts on perinatal depression using structural equation modelling (SEM).
settingThis paper used data from the Butajira Nutrition, Mental Health and Pregnancy (BUNMAP) cohort established under the Butajira Health and Demographic Surveillance Site (BHDSS).
participantsSeven hundred and fifty-five pregnant women.
resultsAmong the study participants, 50 % were food-insecure, and about one-third were depressed at 32-36 follow-up. In SEM, higher values of baseline food insecurity, depressive symptoms and state-trait anxiety (STA) were positively and significantly associated with perinatal depression. The direct impact of food insecurity on perinatal depression accounts for 42 % of the total effect, and the rest accounted for the indirect effect through baseline depression (42 %) and STA (16 %).
conclusionThe significant effect of food insecurity at baseline on perinatal depression and the indirect effect of baseline food insecurity through baseline anxiety and depression in the current study implies the importance of tailored interventions for pregnant women that consider food insecurity and psychosocial problems.
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