Maternal mental health modifies the association of food insecurity and early child development

Pedroso, Jéssica; Buccini, Gabriela; Venâncio, Sônia Isoyama; Pérez‐Escamilla, Rafael; Gubert, Muriel Bauermann

doi:10.1111/mcn.12997

Cited by 18 publications

(19 citation statements)

References 60 publications

(128 reference statements)

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“…Food security in households with children requires particular attention (17) because it has been associated with developmental risk and, in low and middle-income countries, with lower vocabulary skills (18) . These child development delays can be mediated by depression or anxiety in caregivers (19) . The economic crises and the social distancing measures have the potential to exacerbate the link between food insecurity and mental health (3).…”

Section: Introductionmentioning

confidence: 99%

Food insecurity measurement and prevalence estimates during the COVID-19 pandemic in a repeated cross-sectional survey in Mexico

Gaitán-Rossi

Vilar‐Compte

Teruel

et al. 2020

Public Health Nutr.

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Objective To validate the telephone modality of the Latin American and Caribbean Food Security Scale (ELCSA) included in three waves of a phone survey to estimate the monthly household food insecurity prevalence during the COVID-19 pandemic in Mexico. Design We examined the reliability and internal validity of the ELCSA scale in three repeated waves of cross-sectional surveys with Rasch models. We estimated the monthly prevalence of food insecurity in the general population and in households with and without children, and compared them with a national 2018 survey. We tested concurrent validity by testing associations of food insecurity with socioeconomic status and anxiety. Setting ENCOVID-19 is a monthly telephone cross-sectional survey collecting information on the well-being of Mexican households during the pandemic lockdown. Surveys used probabilistic samples and we used data from April (n=833), May (n=850), and June 2020 (n=1,674). Participants Mexicans 18 years or older who had a mobile telephone. Results ELCSA had an adequate model fit and food insecurity was associated, within each wave, with more poverty and anxiety. The COVID-19 lockdown was associated with an important reduction in food security; decreasing stepwise from 38.9% in 2018 to 24.9% in June 2020 in households with children. Conclusions Telephone surveys were a feasible strategy to monitor reductions in food security during the COVID-19 lockdown.

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Section: Introductionmentioning

confidence: 99%

Food insecurity measurement and prevalence estimates during the COVID-19 pandemic in a repeated cross-sectional survey in Mexico

Gaitán-Rossi

Vilar‐Compte

Teruel

et al. 2020

Public Health Nutr.

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“…A global recession will majorly disrupt food supply chains’ (Global Network Against Food Crises, 2020). Global evidence shows that this direct increase in food insecurity would be a serious public health concern as household food insecurity (HFI) has been shown to negatively affect caregiver mental health and that this in turn has a negative impact on early child development outcomes (Pedroso, Buccini, Venancio, Pérez‐Escamilla, & Gubert, 2020; Pérez‐Escamilla & Vianna, 2012) as young children cannot receive the nurturing care that they need (Nurturing Care for Early Childhood Development, 2020). HFI in early life has indeed been consistently associated with child internalization and externalization of problems, behavioural problems in school, and poor academic performance and intellectual outcomes once those children become school age (de Oliveira et al, 2020).…”

mentioning

confidence: 99%

COVID‐19 and maternal and child food and nutrition insecurity: a complex syndemic

Pérez‐Escamilla

Cunningham

Morán

2020

Maternal & Child Nutrition

Self Cite

148

121

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Globally, the COVID‐19 pandemic has already led to major increases in unemployment and is expected to lead to unprecedented increases in poverty and food and nutrition insecurity, as well as poor health outcomes. Families where young children, youth, pregnant and lactating women live need to be protected against the ongoing protracted pandemic and the aftershocks that are very likely to follow for years to come. The future wellbeing of the vast majority of the world now depends on reconfiguring the current ineffective food, nutrition, health, and social protection systems to ensure food and nutrition security for all. Because food, nutrition, health, and socio‐economic outcomes are intimately inter‐linked, it is essential that we find out how to effectively address the need to reconfigure and to provide better intersecoral coordination among global and local food, health care, and social protection systems taking equity and sutainability principles into account. Implementation science research informed by complex adaptive sytems frameworks will be needed to fill in the major knowledge gaps. Not doing so will not only put the development of individuals at further risk, but also negatively impact on the development potential of entire nations and ultimately our planet.

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“…Global recession because of the pandemic will likely lead to job loss, reduced income, and most importantly disruption of food supply chains leading to Household Food Insecurity (HFI) (25). Research evidence suggests that food insecurity is negatively associated with the mental health of mothers and has negative impact on early child development outcomes (26).…”

Section: The Intersection Of Covid-19 and Maternal Mental Healthmentioning

confidence: 99%

An Integrated Approach to Improve Maternal Mental Health and Well-Being During the COVID-19 Crisis

et al. 2020

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The ongoing COVID-19 pandemic has led to disruption of normal life across the globe, severely affecting the already vulnerable populations such as the pregnant women. Maternal mental health and well-being is a public health priority and the evidence about the impact of COVID-19 on mental health status of pregnant women is gradually emerging. The findings of the recently published studies suggest that increased risk perception about contracting COVID-19, reduced social support, increase in domestic violence, disruption of antenatal care, and economic consequences of COVID-19 mitigation strategies can lead to adverse mental health outcomes in antenatal period. There is a significant increase in antenatal depression and anxiety since the onset of COVID-19 and social determinants of health (e.g., younger age, lower education, lower income) are associated with these poor outcomes. In this paper, we propose an integrated approach to improve the mental health and well-being of pregnant women. Physical activity and/or mind-body interventions like yoga can be practiced as self-care interventions by pregnant women. Despite social distancing being the current norm, efforts should be made to strengthen social support. Evidence-based interventions for perinatal depression should be integrated within the health system and stepped, collaborative care using non-specialist health workers as key human resource be utilized to improve access to mental health services. Use of digital platforms and smartphone enabled delivery of services has huge potential to further improve the access to care. Most importantly, the COVID-19 related policy guidelines should categorically include maternal mental health and well-being as a priority area.

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Maternal mental health modifies the association of food insecurity and early child development

Cited by 18 publications

References 60 publications

Food insecurity measurement and prevalence estimates during the COVID-19 pandemic in a repeated cross-sectional survey in Mexico

Food insecurity measurement and prevalence estimates during the COVID-19 pandemic in a repeated cross-sectional survey in Mexico

COVID‐19 and maternal and child food and nutrition insecurity: a complex syndemic

An Integrated Approach to Improve Maternal Mental Health and Well-Being During the COVID-19 Crisis

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