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, Sv Subramanian, David R. Bangsberg, Nicholas A. Christakis

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Objective To assess the association between food insecurity and depression symptom severity stratified by sex, and test for evidence of effect modification by social network characteristics. Design A 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. Setting In-home survey interviews in south-western Uganda. Subjects All adult residents across eight rural villages; 96 % response rate (n 1669). Results Severe 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. Conclusions In 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.

Original languageEnglish (US)
Pages (from-to)838-848
Number of pages11
JournalPublic Health Nutrition
Volume21
Issue number5
DOIs
StatePublished - Apr 1 2018

Keywords

  • Depression
  • Food insecurity
  • Hopkins Symptom Checklist for Depression
  • Household Food Insecurity Access Scale
  • Mental health
  • Networks
  • Sub-Saharan Africa

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Public Health, Environmental and Occupational Health

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