Food insecurity, social networks and symptoms of depression among men and women in rural Uganda: a cross-sectional, population-based study

Perkins, Jessica M.; Nyakato, Viola N.; Kakuhikire, Bernard; Tsai, Alexander C.; Subramanian, S. V.; Bangsberg, David R.; Christakis, Nicholas A.

doi:10.1017/s1368980017002154

Cited by 60 publications

(54 citation statements)

References 83 publications

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“…The primary sources of income and/or livelihood among Nyakabare residents are subsistence farming, animal husbandry, and supplemental migratory work. Food and water insecurity are common in this context (Perkins et al, 2018; Tsai et al, 2012, 2016).…”

Section: Methodsmentioning

confidence: 99%

Relative wealth, subjective social status, and their associations with depression: Cross-sectional, population-based study in rural Uganda

Smith

Kakuhikire

Baguma

et al. 2019

SSM - Population Health

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Depression is a leading cause of disability worldwide, and has been found to be a consistent correlate of socioeconomic status (SES). The relative deprivation hypothesis proposes that one mechanism linking SES to health involves social comparisons, suggesting that relative SES rather than absolute SES is of primary importance in determining health status. Using data from a whole-population sample of 1,620 participants residing in rural southwestern Uganda, we estimated the independent associations between objective and subjective relative wealth and probable depression, as measured by the depression subscale of the Hopkins Symptom Checklist (HSCLD). Objective relative wealth was measured by an asset index based on information about housing characteristics and household possessions, which was used to rank study participants into quintiles (within each village) of relative household asset wealth. Subjective relative wealth was measured by a single question asking participants to rate their wealth, on a 5-point Likert scale, relative to others in their village. Within the population, 460 study participants (28.4%) screened positive for probable depression. Using Poisson regression with cluster-robust error variance, we found that subjective relative wealth was associated with probable depression, adjusting for objective relative wealth and other covariates (adjusted relative risk [aRR] comparing lowest vs. highest level of subjective relative wealth = 1.90, 95% confidence interval [CI]: 1.18, 3.06). Objective relative wealth was not associated with probable depression (aRR comparing lowest vs. highest quintile of objective relative wealth = 1.09, 95% CI: 0.77, 1.55). These results suggest that, in this context, subjective relative wealth is a stronger correlate of mental health status compared with objective relative wealth. Our findings are potentially consistent with the relative deprivation hypothesis, but more research is needed to explain how relative differences in wealth are (accurately or inaccurately) perceived and to elucidate the implications of these perceptions for health outcomes.

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Section: Methodsmentioning

confidence: 99%

Relative wealth, subjective social status, and their associations with depression: Cross-sectional, population-based study in rural Uganda

Smith

Kakuhikire

Baguma

et al. 2019

SSM - Population Health

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“…Mental and substance use disorders are important and growing public health problems, particularly in low-and middle-income countries (LMICs) 1 and account for 8.8% and 16.6% of the total burden of disease in respectively low-income and lower-middle-income countries 2 . These disorders act as risk factors for the development of communicable and non-communicable diseases [3][4][5][6][7] , contribute to accidental and non-accidental injuries 8 , lead to loss of productivity, food insecurity and poverty 9,10 and ultimately result in a higher risk for premature mortality 11 . Despite the high burden, only 7% of the people in low income countries and 14 to 21% of the people in middle income countries who have mental and behavioral health disorders receive treatment 12 .…”

Section: Introductionmentioning

confidence: 99%

Associations of the Built Environment With Physical Activity and Sedentary Time in Ugandan Outpatients With Mental Health Problems

Vancampfort¹,

Stubbs²,

Sallis³

et al. 2019

Journal of Physical Activity and Health

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“…The local economy is largely dominated by animal husbandry, petty trading, subsistence agriculture, and supplemental migratory work. Food and water insecurity are common [27][28][29]. In this study, samples were collected between August 11, 2015 and June 8, 2017.…”

Section: Plos Onementioning

confidence: 99%

Gut carriage of antimicrobial resistance genes in women exposed to small-scale poultry farms in rural Uganda: A feasibility study

et al. 2020

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Background Antibiotic use for livestock is presumed to be a contributor to the acquisition of antimicrobial resistance (AMR) genes in humans, yet studies do not capture AMR data before and after livestock introduction. Methods We performed a feasibility study by recruiting a subset of women in a delayed-start randomized controlled trial of small-scale chicken farming to examine the prevalence of clinicallyrelevant AMR genes. Stool samples were obtained at baseline and one year post-randomization from five intervention women who received chickens at the start of the study, six control women who did not receive chickens until the end of the study, and from chickens provided to the control group at the end of the study. Stool was screened for 87 clinically significant AMR genes using a commercially available qPCR array (Qiagen). Results Chickens harbored 23 AMR genes from classes found in humans as well as additional vancomycin and β-lactamase resistance genes. AMR patterns between intervention and control women appeared more similar at baseline than one year post randomization (PERMANOVA R 2 = 0.081, p = 0.61 at baseline, R 2 = 0.186, p = 0.09 at 12 months) Women in the control group who had direct contact with the chickens sampled in the study had greater similarities in AMR gene patterns to chickens than those in the intervention group who did not have direct contact with chickens sampled (p = 0.01). However, at one year there was a trend

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Food insecurity, social networks and symptoms of depression among men and women in rural Uganda: a cross-sectional, population-based study

Abstract: In this population-based study from rural Uganda, food insecurity was associated with mental health for both men and women. Future research is needed on networks and food insecurity-related shame in relation to depression symptoms among food-insecure men.

Cited by 60 publications

References 83 publications

Relative wealth, subjective social status, and their associations with depression: Cross-sectional, population-based study in rural Uganda

Relative wealth, subjective social status, and their associations with depression: Cross-sectional, population-based study in rural Uganda

Associations of the Built Environment With Physical Activity and Sedentary Time in Ugandan Outpatients With Mental Health Problems

Gut carriage of antimicrobial resistance genes in women exposed to small-scale poultry farms in rural Uganda: A feasibility study

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