Household Food Insecurity and Mental Health Among Teenage Girls Living in Urban Slums in Varanasi, India: A Cross-Sectional Study

Rani, Divya; Singh, Jitendra Kumar; Acharya, Dilaram; Paudel, Rajan; Lee, Kwan; Singh, Shri Prakash

doi:10.3390/ijerph15081585

Cited by 32 publications

(30 citation statements)

References 53 publications

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“…In turn, food insecurity is associated with elevated vulnerability to mental health challenges [25]. A study with adolescent girls living in slums in India reported associations between food insecurity and depression [26]. There is an urgent need to understand intervenable contextual factors that shape mental health with urban refugee and displaced youth living in slums to inform tailored programming.…”

Section: Introductionmentioning

confidence: 99%

Contextual factors associated with depression among urban refugee and displaced youth in Kampala, Uganda: findings from a cross-sectional study

et al. 2020

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Background: Advancing mental health among refugee and displaced adolescents and youth is critically important, as chronic psychological stress can have lifelong harmful impacts. These groups experience socio-environmental stressors that can harm mental health. Informed by a social contextual framework, this study explored the prevalence of depression among urban refugee and displaced youth in Kampala, Uganda and associations with symbolic (violence), relational (social support), and material (food and community insecurity) contexts. Methods: We implemented a cross-sectional survey with refugee and displaced adolescent girls and young women and adolescent boys and young men aged 16-24 living in Kampala's informal settlements. We conducted peer-driven recruitment, whereby peer navigators shared study information with their networks and in turn participants were invited to recruit their peers. We conducted gender disaggregated analyses, including stepwise multiple regression to examine factors associated with depression. We then conducted structural equation modeling (SEM) using weighted least squares estimation to examine direct paths from violence, food insecurity, and community insecurity to depression, and indirect effects through social support. Results: Among participants (n = 445), young women (n = 333) reported significantly higher depression symptoms than young men (n = 112), including any symptoms (73.9% vs. 49.1%, p < 0.0001), mild to moderate symptoms (60.4% vs. 45.5%, p = 0.008), and severe symptoms (13.5% vs 3.6%, p = 0.002). SEM results among young women indicate that the latent violence factor (lifetime sexual and physical violence) had direct effects on depression and social support, but social support did not mediate the path from violence to depression. The model fit the data well: χ2(3) = 9.82, p = 0.020; RMSEA = 0.08, 90% CI [0.03, 0.14], CFI = 0.96). Among young men, SEM findings indicate that food insecurity had direct effects on social support, and an indirect effect on depression through the mediating role of social support. Fit indices suggest good model fit: χ2(3) = 2.09, p = 0.352; RMSEA = 0.02, 90% CI [0.000, 0.19], CFI = 0.99.

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Section: Introductionmentioning

confidence: 99%

Contextual factors associated with depression among urban refugee and displaced youth in Kampala, Uganda: findings from a cross-sectional study

et al. 2020

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“…In addition to NCDs, mental health is an essential issue in this areas, especially in women and youth (35,36). A Cross-Sectional Study among teenage girls living in urban slums in India revealed more than half of them had high levels of anxiety, depression, or psychological distress (59). These situations could be modi ed through participatory community-based interventions (60).…”

Section: Discussionmentioning

confidence: 99%

The Slums in the Mirror of Health: A Systematic Review Analysis from IRAN

Raoofi¹,

Amirkhani²,

Monjazeb³

et al. 2020

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Background: One billion worldwide population are living in slum areas that mostly accompanied with high rates of poverty, illiteracy, unemployment, unhealthy situation, and inappropriate health-care services. The prediction of enormous growth of slums by 2030, led to a raise to address the “plight of slums” in Sustainable Development Goals (SDGs). To address evidence based health related priorities, we conducted a systematic review to summarizing evidences on health situations of slums population in Iran.Methods: Six electronic databases were systematically searched for published studies without any restriction on age, time and language to assess health situations of slums in Iran by following the PRISMA protocol. All identified articles were screened, quality assessed and data extracted by two authors independently.Results: The finding of this systematic review in addition to overall view categorized in five categories: Health System, Reproductive Health, Infectious Diseases, Non-communicable Diseases and Their Risk Factors, Social Issues besides overall situation of Slums.Conclusions: Community-based participatory interventions with socioeconomic approach on modifiable risk factors; active response of health system; establishment new health care centers in slum areas; augmenting the quality of care; active case finding; and elevating health knowledge, attitude, and practice among slum dwellers is crucial to achieving SDGs.

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“…Details of the study settings, participants, and other methodological details are described elsewhere. 28…”

Section: Study Design Setting and Participantsmentioning

confidence: 99%

“…The details of food insecurity and mental health status measurement is available from our previous publication. 28…”

Section: Household Food Security and Mental Health Statusmentioning

confidence: 99%

“…Moreover, household food insecurity has been demonstrated to be a major risk factor, especially during the adolescent period. 28,55 An Ethiopian study concluded household food insecurity among girls was associated with a higher frequency of illness and poor work performance due to poor health, tiredness, and lack of energy. 55 Furthermore, stressed, food-insecure individuals are likely to change their dietary behaviors, and thus increase the risk of being thin.…”

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confidence: 99%

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Underweight and Associated Factors Among Teenage Adolescent Girls in Resource-poor Settings: A Cross-sectional Study

Singh¹,

Acharya²,

Rani³

et al. 2021

RMHP

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Household Food Insecurity and Mental Health Among Teenage Girls Living in Urban Slums in Varanasi, India: A Cross-Sectional Study

Cited by 32 publications

References 53 publications

Contextual factors associated with depression among urban refugee and displaced youth in Kampala, Uganda: findings from a cross-sectional study

Contextual factors associated with depression among urban refugee and displaced youth in Kampala, Uganda: findings from a cross-sectional study

The Slums in the Mirror of Health: A Systematic Review Analysis from IRAN

Underweight and Associated Factors Among Teenage Adolescent Girls in Resource-poor Settings: A Cross-sectional Study

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