Abstract:
PURPOSE:Household food insecurity in South Africa is a pervasive public health challenge. Although its link to chronic health conditions is well established, its relationship to mental illness, particularly major depression, is not well-understood. Despite KwaZulu-Natal Province being the epicenter of the drug-resistant tuberculosis (MDR-TB) epidemic, and having the largest share of poverty in South Africa, this relationship remains unexamined. This study investigated the association between major depressive episode (MDE) and household food insecurity among individuals with MDR-TB. METHODS:We enrolled and interviewed 141 newly admitted microbiologically confirmed MDR-TB inpatients at a specialized TB hospital in KwaZulu-Natal Province, South Africa. Logistic regression models were fitted to assess the relationship between MDE and household food insecurity, while accounting for socio-demographic status (e.g., age, gender, education, marital status, social grant status, income, and preference for living in one's community). RESULTS:The prevalence of MDE and household food insecurity was 11.35% and 21.01%, respectively. MDE was significantly associated with household food insecurity (aOR 4.63, 95% CI 1.17-18.38). Individuals who are female (aOR 6.29, 95% CI 1.13-35.03), young (aOR 8.86, 95% CI 1.69-46.34), have low educational attainment (aOR 6.19, 95% CI 1.70-22.59) and receive social grants (aOR 7.60, 95% CI 2.36-24.48) were most at risk of household food insecurity. CONCLUSIONS:MDE in individuals with MDR-TB was significantly associated with household food insecurity, independent of socio-economic status. Although MDR-TB is not exclusively a disease of the poor, individuals from socio-economically disadvantaged backgrounds (e.g., female, young adults, low education, and social grant recipients) were more likely to experience household food insecurity. Our study underscores the need to address the co-occurring cycles of food insecurity and untreated MDE in South Africa.
journal_name
Soc Psychiatry Psychiatr Epidemioljournal_title
Social psychiatry and psychiatric epidemiologyauthors
Tomita A,Ramlall S,Naidu T,Mthembu SS,Padayatchi N,Burns JKdoi
10.1007/s00127-019-01669-ysubject
Has Abstractpub_date
2019-03-01 00:00:00pages
387-393issue
3eissn
0933-7954issn
1433-9285pii
10.1007/s00127-019-01669-yjournal_volume
54pub_type
杂志文章abstract:PURPOSE:Stigma among health care professionals is detrimental to the life of those with mental health problems. In the region of post-communist Europe, the level of stigma among health care providers remains understudied. We aimed to compare attitudes towards people with mental illness between Czech medical doctors and...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-016-1263-y
更新日期:2016-09-01 00:00:00
abstract::Children 7 to 12 years of age were asked to indicate events they had experienced in the previous three months in a questionnaire devised for the study. Most children were able to complete the questionnaire and reported positive and negative events, the most common themes being personal achievement, illness-related eve...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/BF00782882
更新日期:1990-11-01 00:00:00
abstract:BACKGROUND:While there is a need to assess morale in community mental health professionals, it still remains to be determined how to obtain and interpret data in a sound and meaningful way. The aims of the present study were to assess the extent to which levels of morale are sensitive to differences between professiona...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,评审
doi:10.1007/s00127-007-0154-7
更新日期:2007-03-01 00:00:00
abstract:PURPOSE:Childhood trauma may increase vulnerability to numerous specific psychiatric disorders, or a generalised liability to experience dimensions of internalising or externalising psychopathology. We use a nationally representative sample (N = 34,653) to examine the long-term consequences of childhood trauma and thei...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-018-1525-y
更新日期:2018-11-01 00:00:00
abstract::It has been suggested that the short-term clinical outcome of schizophrenia may be better in developing than in industrialised countries. Little is known of the social outcome of the disorder in the medium term in developing societies. In a study of 120 clinically stable outpatients in a clinic in Nigeria, we examined...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 临床试验,杂志文章
doi:10.1007/s001270050126
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVE:This study aimed to examine sex differences in young people's beliefs about the causes and characteristics of, as well as treatment for, bulimia nervosa. METHOD:Participants (100 male, 102 female) completed a four part questionnaire adapted from other studies. RESULTS:There were sex differences on about a t...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-010-0308-x
更新日期:2012-01-01 00:00:00
abstract:AIM:Quality of life has recently been emphasized in the management of schizophrenia, yet data from developing country is lacking. We explored the differences in subjective quality of life between conventional antipsychotics (CAs) and atypical antipsychotics (AAs). METHODS:This is a naturalistic study conducted in Kual...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-008-0415-0
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVE:To study the prevalence of behavioural and emotional problems and the scope of symptoms in preschool children. The results serve as baseline in a 4-year follow-up study. METHOD:The sample consisted of 1887 preschool children who started primary level education within 6 months upon data collection. The sample...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-006-0045-3
更新日期:2006-05-01 00:00:00
abstract::The traditional purpose of psychiatric epidemiologic surveys has been the assessment of mental illness and, by implication, the need for care. Previous research has focused on unmet need, defined as those who meet "caseness" but do not receive care, but has rarely examined the converse. Since survey respondents receiv...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/BF00805441
更新日期:1997-08-01 00:00:00
abstract:BACKGROUND:Immigrants may experience several negative consequences as a result of their migration including discrimination, unsatisfactory economic conditions, and rejection from the host countries, which may contribute to psychiatric illness and vulnerability to suicidal behaviors. The purpose of the current study was...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-012-0608-4
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:Reluctance to seek formal help has been seen as a major problem in trying to reduce the prevalence of anxiety and depression. AIMS:The aims of this study were to assess the psychiatric status of those self-referring to psycho-educational Stress and Self-Confidence community workshops using a cognitive behav...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-005-0896-z
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:There are reports on favourable course and outcome of schizophrenia in lowincome countries. The aim of the present study was to examine onset and clinical course of the illness in a community-based sample in rural Ethiopia based on crosssectional information. METHOD:A two-stage survey was carried out in But...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-003-0678-4
更新日期:2003-11-01 00:00:00
abstract::A nationwide random sample of psychiatric patients (n = 832) admitted for hospitalization in Israel in 1980 was followed up until the end of 1984. A multivariate analysis was performed, where the dependent variables were: the cumulative length of all hospitalizations, the mean duration of hospitalization and the mean ...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/BF00782743
更新日期:1990-05-01 00:00:00
abstract:OBJECTIVES:To investigate continuity and change of self-reported physical and psychological complaints in young adults over a period of 20 years. STUDY DESIGN AND SETTING:The Zurich Study--a long-term panel survey in psychiatric epidemiology--is based on a stratified sample of 591 subjects born in 1958 (women) and 195...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-006-0111-x
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:It has been suggested that the risk of cancer may be higher in people with psychological disorders, like depression and anxiety, than in the general population. AIMS:To determine cancer risk in cohorts of people with depression or anxiety, compared with that in a control cohort. METHOD:Analysis of linked s...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-007-0211-2
更新日期:2007-09-01 00:00:00
abstract::The article describes the objectives and design of a prospective study of the prevalence, incidence and course of psychiatric disorders in a representative sample of non-institutionalized Dutch adults. A total of 7146 men and women aged 18-64, contacted through a multistage sample of municipalities and households, wer...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s001270050097
更新日期:1998-12-01 00:00:00
abstract:PURPOSE:Understanding the needs of individuals transitioning to the community following a psychiatric hospitalization can inform community service planning. This study is among the first to examine the needs of a sample of psychiatric inpatients approaching discharge in a large urban area in the USA. METHODS:Represent...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-019-01817-4
更新日期:2020-01-02 00:00:00
abstract:AIMS:Evaluating French general practitioners (GPs) diagnostic knowledge and practice in the detection and treatment of early schizophrenia as well as needs and preferences with specialist services. METHODS:A postal survey comprising 27 questions was conducted among 2,039 GPs from three counties of Western France. Comp...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-013-0686-y
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Recollections of cold and overprotective behaviors from parents have been hypothesized to lead to the presence of mental disorders in young adulthood through their detrimental effects on individuals' satisfaction in later partner relationships. Previous studies have not explicitly tested, however, whether pa...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-004-0806-9
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:National suicide statistics show remarkable differences in the frequencies of various methods used for completed suicide. The WHO/EURO Multicentre Study on Parasuicide makes possible for the first time an international comparison of the frequencies of methods used in attempted suicide, because the data are b...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s001270050198
更新日期:2000-04-01 00:00:00
abstract:PURPOSE:The relationship between social networks and health and wellbeing is increasingly demonstrated in vulnerable adult populations. This relationship for vulnerable children and young people has not hitherto been systematically reviewed. This narrative synthesis aims to consolidate research to provide a foundationa...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,评审
doi:10.1007/s00127-020-01968-9
更新日期:2020-11-02 00:00:00
abstract::The seasonality of birth in 142 schizophrenics from Barcelona (Spain) has been studied, showing a pattern similar to that described by other authors, with a maximum in winter. If sample is compared with the local general population there are significant differences, but these disappear when the comparison is made with...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/BF01788969
更新日期:1989-09-01 00:00:00
abstract:BACKGROUND:The link between depression and paranoia has long been discussed in psychiatric literature. Because the causality of this association is difficult to study in patients with full-blown psychosis, we aimed to investigate how clinical depression relates to the presence and occurrence of paranoid symptoms in cli...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-015-1160-9
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:Previous studies have associated mental distress and disorders with increased health care utilization and costs. However, most studies have selected subjects from treatment facilities or have applied retrospective designs. METHODS:N = 3,300 subjects from the baseline cohort of the Study of Health in Pomerani...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-009-0005-9
更新日期:2009-10-01 00:00:00
abstract::The present study examined the general public's ability to recognise mental health disorders and this ability's association with psychiatric scepticism, knowledge of psychiatry, and the Big Five personality factors. A total of 477 members of the British general public completed an overclaiming scale, in which they wer...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-010-0193-3
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:The long-term work performance of persons with schizophrenia in the community is unclear. This study examined the status of long-term work functioning and the predictors of poor work status among patients with schizophrenia in a Chinese rural area. METHODS:A 10-year follow-up investigation (1994-2004) of a ...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-010-0285-0
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:To present 1-month, 12-month and lifetime prevalence estimates of mood, anxiety and alcohol disorders in Italy; and the socio-demographic correlates and comorbidity patterns of these estimated disorders. METHOD:A representative random sample of non-institutionalised citizens of Italy aged 18 or older (N=4,71...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-006-0097-4
更新日期:2006-11-01 00:00:00
abstract::Long-stay psychiatric patients discharged to two group homes from Friern Hospital were studied 1 year and 5 years after discharge. A much greater cohesiveness of social relationships was noted in the smaller home at both time points, whereas in the larger home residents had failed to develop friendships and intimacy w...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s001270050077
更新日期:1998-09-01 00:00:00
abstract:BACKGROUND:Religious delusions are clinically important because they may be associated with selfharm and poorer outcomes from treatment. They have not been extensively researched. This study sought to investigate the prevalence of religious delusions in a sample of patients admitted to hospital with schizophrenia, to d...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s001270200005
更新日期:2002-03-01 00:00:00
abstract::A total of 728 patients admitted to the medical, gynaecological and surgical departments of one urban and one rural general hospital in Austria were investigated for psychiatric morbidity. Using the Clinical Interview Schedule and its case criteria, the prevalence of psychiatric morbidity was found to be highest in me...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/BF00785771
更新日期:1996-06-01 00:00:00