Investigating tangible and mental resources as predictors of perceived household food insecurity during pregnancy among women in a South African birth cohort study.

Journal: Social science & medicine (1982)

Volume: 187

Issue: 

Year of Publication: 2018

Affiliated Institutions:  Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, Providence, RI, USA. Electronic address: jennifer_pellowski@brown.edu. Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital and Medical Research Council, Unit on Child & Adolescent Health, University of Cape Town, South Africa. Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University, Providence, RI, USA; Department of Psychiatry and Mental Health, University of Cape Town, South Africa. Department of Psychiatry and Mental Health, University of Cape Town, South Africa; South African Medical Research Council (SAMRC) Unit on Risk & Resilience in Mental Disorders, Cape Town, South Africa.

Abstract summary 

Food insecurity during pregnancy is concerning given the increased nutritional needs of the mother for proper fetal development. However, research is lacking within the South African context to investigate the association of economic and psychosocial factors and food insecurity among pregnant women, using comprehensive, conceptually driven models.This study applies the Network-Individual-Resource (NIR) Model to investigate individual, intimate dyadic, and family level predictors of perceived household food insecurity for pregnant women.826 pregnant women enrolled in the Drakenstein Child Health Study (DCHS), a birth cohort in two communities in a peri-urban area of South Africa. Hierarchical logistic regressions were used to investigate the impact of household/family, intimate dyads, and individual tangible and mental resources on perceived household food insecurity during the critical period of pregnancy. Perceived household food insecurity was assessed through an adapted version of the USDA Household Food Security Scale - Short Form.Among 826 pregnant women in South Africa, individual-level tangible resources (e.g. income, social assistance, HIV status) and mental resources (e. g. depression, childhood trauma) predicted perceived household food insecurity and these predictors differed by community. Intimate dyadic and family level resources did not predict household food insecurity.Our findings of the economic and psychosocial predictors of perceived household food insecurity among pregnant women in South Africa, mirror findings in general populations. This study provides support for the extension of the NIR model to perceived household food insecurity, particularly regarding individual-level mental and tangible resources, as well as the impact of community-level factors. Future research should investigate the extent to which resource sharing occurs within networks.

Authors & Co-authors:  Pellowski Jennifer A JA Barnett Whitney W Kuo Caroline C CC Koen Nastassja N Zar Heather J HJ Stein Dan J DJ

Study Outcome 

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Statistics
Citations :  Bain LE, Awah PK, Geraldine N, Kindong NP, Sigal Y, Bernard N, Tanjeko AT. Malnutrition in sub-Saharan Africa: burden, causes and prospects. The Pan African Medical Journal. 2013;15:120.
Authors :  6
Identifiers
Doi : 10.1016/j.socscimed.2017.06.022
SSN : 1873-5347
Study Population
Women
Mesh Terms
Adaptation, Psychological
Other Terms
Network-Individual-Resource Model;Perceived household food insecurity;Poverty;Pregnancy;South Africa
Study Design
Cohort Study,Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
England