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Maternal mental health and the persistence of food insecurity in poor rural families.
J Health Care Poor Underserved 2009; 20(3):645-61JH

Abstract

BACKGROUND

Little is known about the causal relationship between and the mechanisms linking depression and food insecurity. Our purpose was to examine these knowledge gaps.

METHODS

Chi-squared analysis of longitudinal data from 29 rural upstate New York families followed for three years and qualitative analysis of interviews were used to identify associations and mechanisms.

RESULTS

Depressive symptoms (p=.009) and poor mental health (p=.01) in mothers limited the likelihood families would leave food insecurity. This relationship was mediated through limiting the employment of adult family members and operated in three ways: preventing the depressed household member from working, preventing a different household member from working, and limiting access to childcare for depressed children so adults could work.

CONCLUSIONS

Poor mental health is associated with keeping families food-insecure by limiting their employment. High-quality, accessible mental health care is needed for poverty-associated food insecurity to be alleviated.

Authors+Show Affiliations

Cornell University, Ithaca, NY 14853, USA. ml336@cornell.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

19648695

Citation

Lent, Megan D., et al. "Maternal Mental Health and the Persistence of Food Insecurity in Poor Rural Families." Journal of Health Care for the Poor and Underserved, vol. 20, no. 3, 2009, pp. 645-61.
Lent MD, Petrovic LE, Swanson JA, et al. Maternal mental health and the persistence of food insecurity in poor rural families. J Health Care Poor Underserved. 2009;20(3):645-61.
Lent, M. D., Petrovic, L. E., Swanson, J. A., & Olson, C. M. (2009). Maternal mental health and the persistence of food insecurity in poor rural families. Journal of Health Care for the Poor and Underserved, 20(3), pp. 645-61. doi:10.1353/hpu.0.0182.
Lent MD, et al. Maternal Mental Health and the Persistence of Food Insecurity in Poor Rural Families. J Health Care Poor Underserved. 2009;20(3):645-61. PubMed PMID: 19648695.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maternal mental health and the persistence of food insecurity in poor rural families. AU - Lent,Megan D, AU - Petrovic,Lindsay E, AU - Swanson,Josephine A, AU - Olson,Christine M, PY - 2009/8/4/entrez PY - 2009/8/4/pubmed PY - 2009/9/30/medline SP - 645 EP - 61 JF - Journal of health care for the poor and underserved JO - J Health Care Poor Underserved VL - 20 IS - 3 N2 - BACKGROUND: Little is known about the causal relationship between and the mechanisms linking depression and food insecurity. Our purpose was to examine these knowledge gaps. METHODS: Chi-squared analysis of longitudinal data from 29 rural upstate New York families followed for three years and qualitative analysis of interviews were used to identify associations and mechanisms. RESULTS: Depressive symptoms (p=.009) and poor mental health (p=.01) in mothers limited the likelihood families would leave food insecurity. This relationship was mediated through limiting the employment of adult family members and operated in three ways: preventing the depressed household member from working, preventing a different household member from working, and limiting access to childcare for depressed children so adults could work. CONCLUSIONS: Poor mental health is associated with keeping families food-insecure by limiting their employment. High-quality, accessible mental health care is needed for poverty-associated food insecurity to be alleviated. SN - 1049-2089 UR - https://www.unboundmedicine.com/medline/citation/19648695/Maternal_mental_health_and_the_persistence_of_food_insecurity_in_poor_rural_families_ L2 - http://muse.jhu.edu/cgi-bin/resolve_openurl.cgi?issn=1049-2089&volume=20&issue=3&spage=645&aulast=Lent DB - PRIME DP - Unbound Medicine ER -