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Food Insecurity, Maternal Mental Health, and Domestic Violence: A Call for a Syndemic Approach to Research and Interventions

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Abstract

Introduction

Food security is a prerequisite for achieving optimal health, and mothers and children living in food insecure households face barriers to physical and mental health and healthy development. Mothers in food insecure households often also experience poor mental health and domestic violence. Although associations between these domains have been explored, little research exists about the intersection of these three phenomena.

Methods

In this commentary, we briefly identify existing, relevant research that investigates the relationships between and among food insecurity, maternal mental health, and domestic violence.

Results

A substantial body of evidence from cross-sectional and longitudinal studies has demonstrated significant relationships and pathways between these co-morbidities, with bi-directional associations between food insecurity and poor mental health, domestic violence and poor mental health, and cumulative risks attributed to more severe symptoms and exposures. However, there is limited evidence about interventions that target these three areas concurrently. More specifically, there are few sustained, multi-disciplinary efforts that tackle these issues in a broad, cross-cutting way.

Discussion

In line with the Sustainable Development Goals, we suggest the adoption of an interdisciplinary approach to address more effectively the needs of the most vulnerable mothers who rest at the intersection of these issues. We identify three avenues for further research efforts.

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References

  • Adams, A. E., Tolman, R. M., Bybee, D., Sullivan, C. M., & Kennedy, A. C. (2013). The impact of intimate partner violence on low-income women’s economic well-being. Violence Against Women,18(12), 1345–1367. https://doi.org/10.1177/1077801212474294.

    Article  Google Scholar 

  • Barnett, W., Pellowski, J., Kuo, C., Koen, N., Donald, K. A., Zar, H. J., et al. (2019). Food-insecure pregnant women in South Africa: A cross-sectional exploration of maternal depression as a mediator of violence and trauma risk factors. British Medical Journal Open,9(3), e018277.

    Google Scholar 

  • Barrett, C. B. (2010). Measuring food insecurity. Science,327(5967), 825. https://doi.org/10.1126/science.1182768.

    Article  CAS  PubMed  Google Scholar 

  • Chersich, M., Luchters, S., Blaauw, D., Scorgie, F., Kern, E., Van den Heever, A., et al. (2016). Safeguarding maternal and child health in South Africa by starting the child support grant before birth: Design lessons from pregnancy support programmes in 27 countries. South African Medical Journal,106(12), 1192–1210.

    Article  CAS  Google Scholar 

  • Chilton, M. M., Rabinowich, J. R., & Woolf, N. H. (2014). Very low food security in the USA is linked with exposure to violence. Public Health Nutrition,17(1), 73–82. https://doi.org/10.1017/S1368980013000281.

    Article  PubMed  Google Scholar 

  • Christian, P., Mullany, L. C., Hurley, K. M., Katz, J., & Black, R. E. (2015). Nutrition and maternal, neonatal, and child health. Seminars in Perinatology,39(5), 361–372. https://doi.org/10.1053/j.semperi.2015.06.009.

    Article  PubMed  Google Scholar 

  • Delany, A., Jehoma, S., & Lake, L. (2016). South African child gauge 2016: Children and social assistance. Children's Institute: University of Cape Town.

    Google Scholar 

  • Dewing, S., Tomlinson, M., le Roux, I. M., Chopra, M., & Tsai, A. C. (2013). Food insecurity and its association with co-occurring postnatal depression, hazardous drinking, and suicidality among women in peri-urban South Africa. Journal of Affective Disorder,150(2), 460–465. https://doi.org/10.1016/j.jad.2013.04.040.

    Article  Google Scholar 

  • Field, S., Onah, M., van Heyningen, T., & Honikman, S. (2018). Domestic and intimate partner violence among pregnant women in a low resource setting in South Africa: A facility-based, mixed methods study. BMC Women's Health. https://doi.org/10.1186/s12905-018-0612-2.

    Article  PubMed  PubMed Central  Google Scholar 

  • Goodman, L. A., Smyth, K. F., Borges, A. M., & Singer, R. (2009). When crises collide: How intimate partner violence and poverty intersect to shape women’s mental health and coping? Trauma, Violence, & Abuse,10(4), 306–329.

    Article  Google Scholar 

  • Grinspun, A. (2016). No small change: The multiple impacts of the child support grant on child and adolescent well-being. ChildGauge, 44.

  • Guitart, D., Pickering, C., & Byrne, J. (2012). Past results and future directions in urban community gardens research. Urban Forestry & Urban Greening,11(4), 364–373. https://doi.org/10.1016/j.ufug.2012.06.007.

    Article  Google Scholar 

  • Gundersen, C., & Ziliak, J. P. (2015). Food insecurity and health outcomes. Health Affairs,34(11), 1830–1839.

    Article  Google Scholar 

  • Hedtke, K. A., Ruggiero, K. J., Fitzgerald, M. M., Zinzow, H. M., Saunders, B. E., Resnick, H. S., et al. (2008). A longitudinal investigation of interpersonal violence in relation to mental health and substance use. Journal of Consulting and Clinical Psychology,76(4), 633.

    Article  Google Scholar 

  • Hernandez, D. C. (2015). The impact of cumulative family risks on various levels of food insecurity. Social Science Research,50, 292–302. https://doi.org/10.1016/j.ssresearch.2014.12.007.

    Article  PubMed  Google Scholar 

  • Hernandez, D. C., Marshall, A., & Mineo, C. (2014). Maternal depression mediates the association between intimate partner violence and food insecurity. Journal of Women's Health,23(1), 29–37.

    Article  Google Scholar 

  • Hidrobo, M., Peterman, A., & Heise, L. (2016). The effect of cash, vouchers, and food transfers on intimate partner violence: Evidence from a randomized experiment in Northern Ecuador. American Economic Journal: Applied Economics,8(3), 284–303. https://doi.org/10.1257/app.20150048.

    Article  Google Scholar 

  • Howard, L. M., Oram, S., Galley, H., Trevillion, K., & Feder, G. (2013). Domestic violence and perinatal mental disorders: A systematic review and meta-analysis. PLoS Medicine,10(5), e1001452.

    Article  Google Scholar 

  • Huddleston-Casas, C., Charnigo, R., & Simmons, L. A. (2009). Food insecurity and maternal depression in rural, low-income families: A longitudinal investigation. Public Health Nutrition,12(8), 1133–1140. https://doi.org/10.1017/S1368980008003650.

    Article  PubMed  Google Scholar 

  • Lombe, M., Saltzman, L. Y., Chu, Y., Sinha, A., & Nebbitt, V. E. (2017). Cumulative risk and resilience: The roles of comorbid maternal mental health conditions and community cohesion in influencing food security in low-income households. Social Work in Mental Health,16(1), 74–92. https://doi.org/10.1080/15332985.2017.1344756.

    Article  Google Scholar 

  • Loopstra, R. (2018). Interventions to address household food insecurity in high-income countries. Proceedings of the Nutrition Society,77(3), 270–281.

    Article  Google Scholar 

  • Loopstra, R., & Tarasuk, V. (2012). The relationship between food banks and household food insecurity among low-income Toronto families. Canadian Public Policy,38(4), 497–514.

    Article  Google Scholar 

  • Maynard, M., Andrade, L., Packull-McCormick, S., Perlman, C. M., Leos-Toro, C., & Kirkpatrick, S. I. (2018). Food insecurity and mental health among females in high-income countries. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph15071424.

    Article  PubMed  PubMed Central  Google Scholar 

  • Moraes, C. L., Marques, E. S., Reichenheim, M. E., Ferreira, M. F., & Salles-Costa, R. (2016). Intimate partner violence, common mental disorders and household food insecurity: An analysis using path analysis. Public Health Nutrition,19(16), 2965–2974. https://doi.org/10.1017/S1368980016001178.

    Article  PubMed  Google Scholar 

  • Noonan, K., Corman, H., & Reichman, N. E. (2016). Effects of maternal depression on family food insecurity. Economics & Human Biology,22, 201–215.

    Article  Google Scholar 

  • Pega, F., Liu, S. Y., Walter, S., Pabayo, R., Saith, R., & Lhachimi, S. K. (2017). Unconditional cash transfers for reducing poverty and vulnerabilities: Effect on use of health services and health outcomes in low- and middle-income countries. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD011135.pub2.

    Article  PubMed  Google Scholar 

  • Ramsey, R., Giskes, K., Turrell, G., & Gallegos, D. (2012). Food insecurity among adults residing in disadvantaged urban areas: Potential health and dietary consequences. Public Health Nutrition,15(2), 227–237. https://doi.org/10.1017/S1368980011001996.

    Article  PubMed  Google Scholar 

  • Siefert, K., Heflin, C. M., Corcoran, M. E., & Williams, D. R. (2001). Food insufficiency and the physical and mental health of low-income women. Women and Health,32(1–2), 159–177. https://doi.org/10.1300/J013v32n01_08.

    Article  CAS  PubMed  Google Scholar 

  • Singer, M., Bulled, N., Ostrach, B., & Mendenhall, E. (2017). Syndemics and the biosocial conception of health. The Lancet,389(10072), 941–950. https://doi.org/10.1016/s0140-6736(17)30003-x.

    Article  Google Scholar 

  • van Heyningen, T., Honikman, S., Myer, L., Onah, M. N., Field, S., & Tomlinson, M. (2017). Prevalence and predictors of anxiety disorders amongst low-income pregnant women in urban South Africa: A cross-sectional study. Archives of Women's Mental Health,20(6), 765–775. https://doi.org/10.1007/s00737-017-0768-z.

    Article  PubMed  PubMed Central  Google Scholar 

  • Walker, S. P., Wachs, T. D., Grantham-McGregor, S., Black, M. M., Nelson, C. A., Huffman, S. L., et al. (2011). Inequality in early childhood: Risk and protective factors for early child development. Lancet. https://doi.org/10.1016/s0140-6736(11)60555-2.

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Christina Laurenzi.

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Laurenzi, C., Field, S. & Honikman, S. Food Insecurity, Maternal Mental Health, and Domestic Violence: A Call for a Syndemic Approach to Research and Interventions. Matern Child Health J 24, 401–404 (2020). https://doi.org/10.1007/s10995-019-02872-8

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