Food insecurity is associated with food diversity, depression and blood pressure among rural and urban high school students in Kurdish population Food insecurity, food diversity and mental health

Main Article Content

Pishva Arzhang
Bahram Pourghassem Gargari
Amir Bagheri
Elyas Nattagh Eshtivani
Abed Ghavami
Farzad Mohammadi
Alireza Rahmanabadi

Keywords

Food insecurity, Mental disorder, blood pressure

Abstract

Introduction: Due to lack of data on the food insecurity and food diversity in the west of Iran, this
study conducted to assay food insecurity and its association with food diversity, depression and blood pressure
among Kurdish population focusing on high school students and their families. Method: This cross-sectional
study was conducted between September and March, 2015-2016 on 364 high-school students (68.68% urban
and 31.32% rural) and their families. Food security questionnaire, general socio-economic questionnaire
(SEQ) and food frequency questionnaire (FFQ). Beck’s Depression Inventory (BDI) test was used to assess
depression condition. Data analysis was performed with SPSS22 and P value less than 0.05 was considered
to be statistically significant. Result: Participants with food diversity less than the median (group2) had more
associated to food insecurity in all participants (P=0.02). Moreover, in total population dairy diversity was
negatively associated with food insecurity (p=0.05). No association was observed between food insecurity and
depression among all participants (P=0.54) but after splitting to sex it was significant for female (P=0.02)
but not male (P=0.48). Conclusion: food insecurity is associated with different complication in high-school
students in the Kurdish population, west of Iran. Food insecurity which is related to low income is related also
to low food diversity and other aspects of life such as mental problems, as mentioned depression.

Abstract 485 | PDF Downloads 217

References

1. Gucciardi, E., et al., The Intersection between Food Insecurity and Diabetes: A Review. Curr Nutr Rep, 2014. 3(4): p. 324-332.
2. Smith, S., et al., Addressing Food Insecurity in Family Medicine and Medical Education. Fam Med, 2017. 49(10): p. 765-771.
3. Motbainor, A., A. Worku, and A. Kumie, Level and determinants of food insecurity in East and West Gojjam zones of Amhara Region, Ethiopia: a community based comparative cross-sectional study. BMC public health, 2016. 16.
4. Keino, S., G. Plasqui, and B. van den Borne, Household food insecurity access: a predictor of overweight and underweight among Kenyan women. Agriculture & Food Security, 2014. 3(1): p. 2.
5. Poole-Di Salvo, E., E.J. Silver, and R.E. Stein, Household Food Insecurity and Mental Health Problems Among Adolescents: What Do Parents Report? Academic pediatrics, 2016. 16(1): p. 90-96.
6. Kirkpatrick, S.I. and V. Tarasuk, Food insecurity is associated with nutrient inadequacies among Canadian adults and adolescents. The Journal of nutrition, 2008. 138(3): p. 604-612.
7. Ruel, M.T., Operationalizing dietary diversity: a review of measurement issues and research priorities. The Journal of nutrition, 2003. 133(11): p. 3911S-3926S.
8. Chakona, G. and C. Shackleton, Minimum Dietary Diversity Scores for Women Indicate Micronutrient Adequacy and Food Insecurity Status in South African Towns. Nutrients, 2017. 9(8).
9. Chakona, G. and C. Shackleton, Minimum dietary diversity scores for women indicate micronutrient adequacy and food insecurity status in South African Towns. Nutrients, 2017. 9(8): p. 812.
10. Jones, A.D., Food Insecurity and Mental Health Status: A Global Analysis of 149 Countries. Am J Prev Med, 2017. 53(2): p. 264-273.
11. Grilo, S.A., et al., Food insecurity and effectiveness of behavioral interventions to reduce blood pressure, New York City, 2012-2013. Prev Chronic Dis, 2015. 12: p. E16.
12. Pereira, R.A. and A. Hodge, Food insecurity: a critical public health nutrition concern. Public health nutr, 2015. 18(16): p. 2893-2894.
13. Borch, A. and U. Kjærnes, Food security and food insecurity in Europe: An analysis of the academic discourse (1975–2013). Appetite, 2016. 103: p. 137-147.
14. Bickel, G., et al., Guide to measuring household food security. US Department of Agriculture, Food and Nutrition Service, Office of Analysis, Nutrition, and Evaluation http://www fns usda gov/fsec/FILES/Guide% 20to% 20Measuring% 20Household% 20Food% 20Security (3-23-00) pdf, 2000.
15. Rafiei, M., et al., Assessing the internal validity of a household survey-based food security measure adapted for use in Iran. J. Nutr., 2009. 8(1): p. 1.
16. Hakim, S., A. Dorosty, and M. Eshraqian, Relationship between food insecurity and some of socioeconomic factors with BMI among women in Dezfoul. Iran J Public Health, 2011. 2: p. 55-66.
17. Mohammadzadeh, A., A. Dorosty, and M. Eshraghian, Household food security status and associated factors among high-school students in Esfahan, Iran. Public health nutr, 2010. 13(10): p. 1609-1613.
18. Ramesh, T., A. Dorosty, and M. Abdollahi, Prevalence of food insecurity in household of Shiraz and association with some of socioeconomic and population factors. Iranian Journal of Nutrition Sciences and Food Technology, 2010. 4(4): p. 53-64.
19. Onis, M.d., et al., Development of a WHO growth reference for school-aged children and adolescents. Bull. World Health Organ., 2007. 85(9): p. 660-667.
20. Falkner, B. and S.R. Daniels, Summary of the fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Hypertension, 2004. 44(4): p. 387-388.
21. Willows, N.D., et al., Prevalence and sociodemographic risk factors related to household food security in Aboriginal peoples in Canada. Public health nutrition, 2009. 12(08): p. 1150-1156.
22. Chinnakali, P., et al., Prevalence of household-level food insecurity and its determinants in an urban resettlement colony in north India. J Health Popul Nutr, 2014. 32(2): p. 227.
23. Foley, W., et al., An ecological analysis of factors associated with food insecurity in South Australia, 2002–7. Nutr Today., 2010. 13(02): p. 215-221.
24. Shariff, Z.M. and K.G. Lin, Indicators and nutritional outcomes of household food insecurity among a sample of rural Malaysian women. J Nutr, 2004. 30: p. 50-55.
25. Sharkey, J.R., W.R. Dean, and C.M. Johnson, Association of household and community characteristics with adult and child food insecurity among Mexican-origin households in colonias along the Texas-Mexico border. Int J Equity Health, 2011. 10(1): p. 1.
26. Furness, B.W., et al., Prevalence and predictors of food insecurity among low-income households in Los Angeles County. Public Health Nutr, 2004. 7(06): p. 791-794.
27. Sarlio-Lähteenkorva, S. and E. Lahelma, Food insecurity is associated with past and present economic disadvantage and body mass index. J. Nutr., 2001. 131(11): p. 2880-2884.
28. Dean, W.R. and J.R. Sharkey, Food insecurity, social capital and perceived personal disparity in a predominantly rural region of Texas: an individual-level analysis. Soc Sci Med
2011. 72(9): p. 1454-1462.
29. Jyoti, D.F., E.A. Frongillo, and S.J. Jones, Food insecurity affects school children's academic performance, weight gain, and social skills. J Nutr, 2005. 135(12): p. 2831-9.
30. Kim, K., et al., Factors related to household food insecurity in the Republic of Korea. Public health nutr, 2011. 14(06): p. 1080-1087.
31. Irving, S.M., R.S. Njai, and P.Z. Siegel, Peer Reviewed: Food Insecurity and Self-Reported Hypertension Among Hispanic, Black, and White Adults in 12 States, Behavioral Risk Factor Surveillance System, 2009. Prev Chronic Dis, 2014. 11.
32. Na, M., et al., Maternal Dietary Diversity Decreases with Household Food Insecurity in Rural Bangladesh: A Longitudinal Analysis. J Nutr, 2016. 146(10): p. 2109-2116.
33. Harris-Fry, H., et al., Socio-economic determinants of household food security and women's dietary diversity in rural Bangladesh: a cross-sectional study. J Health Popul Nutr, 2015. 33: p. 2.
34. M'Kaibi, F.K., et al., The relationship between agricultural biodiversity, dietary diversity, household food security, and stunting of children in rural Kenya. Food Sci Nutr, 2017. 5(2): p. 243-254.
35. Mundo-Rosas, V., et al., [Dietary diversity and nutrient intake in children 24 to 59 months old and their association with food insecurity]. Salud Publica Mex, 2014. 56 Suppl 1: p. s39-46.
36. Montgomery, J., et al., Food Insecurity and Depression Among Adults With Diabetes: Results From the National Health and Nutrition Examination Survey (NHANES). Diabetes Educ, 2017. 43(3): p. 260-271.
37. Munger, A.L., S.L. Hofferth, and S.K. Grutzmacher, The Role of the Supplemental Nutrition Assistance Program in the Relationship between Food Insecurity and Probability of Maternal Depression. J Hunger Environ Nutr, 2016. 11(2): p. 147-161.

Most read articles by the same author(s)