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  Depression among women of reproductive age in rural Bangladesh is linked to food security, diets and nutrition

Sparling, T. M., Waid, J. L., Wendt, A., Gabrysch, S. (2020): Depression among women of reproductive age in rural Bangladesh is linked to food security, diets and nutrition. - Public Health Nutrition, 23, 4, 660-673.
https://doi.org/10.1017/S1368980019003495

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Sparling, T. M.1, Autor
Waid, Jillian Lee2, Autor              
Wendt, Amanda2, Autor              
Gabrysch, Sabine2, Autor              
Affiliations:
1External Organizations, ou_persistent22              
2Potsdam Institute for Climate Impact Research, ou_persistent13              

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 Zusammenfassung: Objective: To quantify the relationship between screening positive for depression and several indicators of the food and nutrition environment in Bangladesh. Design: We used cross-sectional data from the Food and Agricultural Approaches to Reducing Malnutrition (FAARM) trial in Bangladesh to examine the association of depression in non-peripartum (NPW) and peripartum women (PW) with food and nutrition security using multivariable logistic regression and dominance analysis. Setting: Rural north-eastern Bangladesh. Participants: Women of reproductive age. Results: Of 2599 women, 40 % were pregnant or up to 1 year postpartum, while 60 % were not peripartum. Overall, 20 % of women screened positive for major depression. In the dominance analysis, indicators of food and nutrition security were among the strongest explanatory factors of depression. Food insecurity (HFIAS) and poor household food consumption (FCS) were associated with more than double the odds of depression (HFIAS: NPW OR = 2·74 and PW OR = 3·22; FCS: NPW OR = 2·38 and PW OR = 2·44). Low dietary diversity (<5 food groups) was associated with approximately double the odds of depression in NPW (OR = 1·80) and PW (OR = 1·99). Consumption of dairy, eggs, fish, vitamin A-rich and vitamin C-rich foods was associated with reduced odds of depression. Anaemia was not associated with depression. Low BMI (<18·5 kg/m2) was also associated with depression (NPW: OR = 1·40). Conclusions: Depression among women in Bangladesh was associated with many aspects of food and nutrition security, also after controlling for socio-economic factors. Further investigation into the direction of causality and interventions to improve diets and reduce depression among women in low- and middle-income countries are urgently needed.

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 Datum: 2020-01-092020
 Publikationsstatus: Final veröffentlicht
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 Art der Begutachtung: Expertenbegutachtung
 Identifikatoren: DOI: 10.1017/S1368980019003495
PIKDOMAIN: RD2 - Climate Resilience
eDoc: 8939
MDB-ID: No data to archive
Research topic keyword: Health
Research topic keyword: Gender Aspects
Research topic keyword: Inequality and Equity
Regional keyword: Asia
Organisational keyword: RD2 - Climate Resilience
Working Group: Climate Change and Health
 Art des Abschluß: -

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Titel: Public Health Nutrition
Genre der Quelle: Zeitschrift, SCI, Scopus
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Seiten: - Band / Heft: 23 (4) Artikelnummer: - Start- / Endseite: 660 - 673 Identifikator: Anderer: Cambridge University Press
Anderer: 1475-2727
ISSN: 1368-9800
CoNE: https://publications.pik-potsdam.de/cone/journals/resource/public-health-nutrition
Publisher: Cambridge University Press