Food insecurity is associated with maternal depression and child pervasive developmental symptoms in low-income Latino households

Abstract

ABSTRACTThe objective of this study was to investigate associations between household food insecurity, maternal clinical depression, and child behavior problems in low-income Latino households. Data were collected from a cohort of 168 children and their Latina mothers recruited prenatally at two San Francisco hospitals from 2006 to 2007. Food insecurity at year four was associated with increased odds of maternal clinical depression at years four to five (adjusted OR 1.22, 95% confidence interval 1.03–1.43). Food insecurity at year four was associated with child pervasive developmental problems at year five (B = 0.21, p = 0.041) in adjusted models. The association between food insecurity at year four and oppositional defiant problems at year five was partially mediated (28.7% mediation, p = 0.046) by maternal clinical depression in years four and five. Our results suggest that household food insecurity is associated with greater maternal depression, and both food insecurity and maternal depression uniquely predict certain types of child behavior problems. Assessing for and addressing household food insecurity may be beneficial additions to psychosocial interventions targeting maternal and child mental health.Abbreviations: DSM: Diagnostic and Statistical Manual; CBCL: Child Behavior Checklist; MINI: Mini International Neuropsychiatric Interview; US HFSSM: US Household Food Security Scale Module