Food insecurity and symptoms of anxiety and depression disorder during the COVID- 19 pandemic: COVID-Inconfidentes, a population-based survey

This study aimed to investigate the association between adult food insecurity (FI) and symptoms of generalized anxiety disorder (GAD) and major depressive disorder (MDD) in two Brazilian cities during the coronavirus disease (COVID-19) pandemic. This study used data derived from a cross-sectional su...

Full description

Bibliographic Details
Main Authors: Thaís S. Sabião, Raquel D. Mendonça, Adriana L. Meireles, George L.L. Machado-Coelho, Júlia C.C. Carraro
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:SSM: Population Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352827322001355
_version_ 1797990582537158656
author Thaís S. Sabião
Raquel D. Mendonça
Adriana L. Meireles
George L.L. Machado-Coelho
Júlia C.C. Carraro
author_facet Thaís S. Sabião
Raquel D. Mendonça
Adriana L. Meireles
George L.L. Machado-Coelho
Júlia C.C. Carraro
author_sort Thaís S. Sabião
collection DOAJ
description This study aimed to investigate the association between adult food insecurity (FI) and symptoms of generalized anxiety disorder (GAD) and major depressive disorder (MDD) in two Brazilian cities during the coronavirus disease (COVID-19) pandemic. This study used data derived from a cross-sectional survey of 1693 adults. Interviews were conducted using an electronic questionnaire. The FI was measured using the Brazilian Food Insecurity Scale. The Generalized Anxiety Disorder-7 was used to measure the symptoms of GAD. The Patient Health Questionnaire-9 was used for MDD symptoms. The association between FI, GAD, and MDD symptoms was investigated using a Poisson regression model with robust variance to estimate the prevalence ratio and 95% confidence interval (95% CI). In regression models, a linear association between FI levels and outcomes was observed, with severe food insecurity having a 3.56 higher prevalence of GAD symptoms (95% CI: 2.23, 5.68) and a 3.03 higher prevalence of MDD (95% CI: 1.55, 5.90). In the stratified analyses, worse results were observed for females and males, individuals with non-white race/skin color, those without children, and those with lower monthly family income. In conclusion, the FI was associated with symptoms of GAD and MDD, and the sociodemographic characteristics interfered in this association. Therefore, we recommend the improvement of public health and social protection policies for food-insecure people.
first_indexed 2024-04-11T08:38:57Z
format Article
id doaj.art-8e2f2755f07547309e5e074d70422cce
institution Directory Open Access Journal
issn 2352-8273
language English
last_indexed 2024-04-11T08:38:57Z
publishDate 2022-09-01
publisher Elsevier
record_format Article
series SSM: Population Health
spelling doaj.art-8e2f2755f07547309e5e074d70422cce2022-12-22T04:34:15ZengElsevierSSM: Population Health2352-82732022-09-0119101156Food insecurity and symptoms of anxiety and depression disorder during the COVID- 19 pandemic: COVID-Inconfidentes, a population-based surveyThaís S. Sabião0Raquel D. Mendonça1Adriana L. Meireles2George L.L. Machado-Coelho3Júlia C.C. Carraro4Universidade Federal de Ouro Preto, School of Nutrition, Postgraduate Program in Health and Nutrition, Research and Study Group on Nutrition and Public Health (GPENSC), Campus Morro do Cruzeiro, 35400-000, Ouro Preto, Minas Gerais, Brazil; Corresponding author.Universidade Federal de Ouro Preto, Department of Clinical and Social Nutrition, Research and Study Group on Nutrition and Public Health (GPENSC), School of Nutrition, Campus Morro do Cruzeiro, 35400-000, Ouro Preto, Minas Gerais, BrazilUniversidade Federal de Ouro Preto, Department of Clinical and Social Nutrition, Research and Study Group on Nutrition and Public Health (GPENSC), School of Nutrition, Campus Morro do Cruzeiro, 35400-000, Ouro Preto, Minas Gerais, BrazilEpidemiology Laboratory, Medical School, Universidade Federal de Ouro Preto, Campus Morro do Cruzeiro, 35400-000, Ouro Preto, Minas Gerais, BrazilUniversidade Federal de Ouro Preto, Department of Clinical and Social Nutrition, Research and Study Group on Nutrition and Public Health (GPENSC), School of Nutrition, Campus Morro do Cruzeiro, 35400-000, Ouro Preto, Minas Gerais, BrazilThis study aimed to investigate the association between adult food insecurity (FI) and symptoms of generalized anxiety disorder (GAD) and major depressive disorder (MDD) in two Brazilian cities during the coronavirus disease (COVID-19) pandemic. This study used data derived from a cross-sectional survey of 1693 adults. Interviews were conducted using an electronic questionnaire. The FI was measured using the Brazilian Food Insecurity Scale. The Generalized Anxiety Disorder-7 was used to measure the symptoms of GAD. The Patient Health Questionnaire-9 was used for MDD symptoms. The association between FI, GAD, and MDD symptoms was investigated using a Poisson regression model with robust variance to estimate the prevalence ratio and 95% confidence interval (95% CI). In regression models, a linear association between FI levels and outcomes was observed, with severe food insecurity having a 3.56 higher prevalence of GAD symptoms (95% CI: 2.23, 5.68) and a 3.03 higher prevalence of MDD (95% CI: 1.55, 5.90). In the stratified analyses, worse results were observed for females and males, individuals with non-white race/skin color, those without children, and those with lower monthly family income. In conclusion, the FI was associated with symptoms of GAD and MDD, and the sociodemographic characteristics interfered in this association. Therefore, we recommend the improvement of public health and social protection policies for food-insecure people.http://www.sciencedirect.com/science/article/pii/S2352827322001355Generalized Anxiety Disorder-7 (GAD-7)Patient Health Questionnaire-9 (PHQ-9)AnxietyDepressionFood InsecurityCOVID-19
spellingShingle Thaís S. Sabião
Raquel D. Mendonça
Adriana L. Meireles
George L.L. Machado-Coelho
Júlia C.C. Carraro
Food insecurity and symptoms of anxiety and depression disorder during the COVID- 19 pandemic: COVID-Inconfidentes, a population-based survey
SSM: Population Health
Generalized Anxiety Disorder-7 (GAD-7)
Patient Health Questionnaire-9 (PHQ-9)
Anxiety
Depression
Food Insecurity
COVID-19
title Food insecurity and symptoms of anxiety and depression disorder during the COVID- 19 pandemic: COVID-Inconfidentes, a population-based survey
title_full Food insecurity and symptoms of anxiety and depression disorder during the COVID- 19 pandemic: COVID-Inconfidentes, a population-based survey
title_fullStr Food insecurity and symptoms of anxiety and depression disorder during the COVID- 19 pandemic: COVID-Inconfidentes, a population-based survey
title_full_unstemmed Food insecurity and symptoms of anxiety and depression disorder during the COVID- 19 pandemic: COVID-Inconfidentes, a population-based survey
title_short Food insecurity and symptoms of anxiety and depression disorder during the COVID- 19 pandemic: COVID-Inconfidentes, a population-based survey
title_sort food insecurity and symptoms of anxiety and depression disorder during the covid 19 pandemic covid inconfidentes a population based survey
topic Generalized Anxiety Disorder-7 (GAD-7)
Patient Health Questionnaire-9 (PHQ-9)
Anxiety
Depression
Food Insecurity
COVID-19
url http://www.sciencedirect.com/science/article/pii/S2352827322001355
work_keys_str_mv AT thaisssabiao foodinsecurityandsymptomsofanxietyanddepressiondisorderduringthecovid19pandemiccovidinconfidentesapopulationbasedsurvey
AT raqueldmendonca foodinsecurityandsymptomsofanxietyanddepressiondisorderduringthecovid19pandemiccovidinconfidentesapopulationbasedsurvey
AT adrianalmeireles foodinsecurityandsymptomsofanxietyanddepressiondisorderduringthecovid19pandemiccovidinconfidentesapopulationbasedsurvey
AT georgellmachadocoelho foodinsecurityandsymptomsofanxietyanddepressiondisorderduringthecovid19pandemiccovidinconfidentesapopulationbasedsurvey
AT juliacccarraro foodinsecurityandsymptomsofanxietyanddepressiondisorderduringthecovid19pandemiccovidinconfidentesapopulationbasedsurvey