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Please use this identifier to cite or link to this item: http://dspace.ucuenca.edu.ec/handle/123456789/29187
Title: VThe Relationship Between Hunger and Mental Health Outcomes Among School-Going Ecuadorian Adolescents
Authors: Romo Null, Matthew Laz
Abril Ulloa, Sandra Victoria
Kelvin, Elizabeth A.
metadata.dc.ucuenca.correspondencia: Kelvin, Elizabeth A., Elizabeth.Kelvin@sph.cuny.edu
Keywords: Adolescent
Depression
Ecuador
Food security
Hunger
Suicidal ideation
metadata.dc.ucuenca.areaconocimientofrascatiamplio: 3. Ciencias Médicas y de la Salud
metadata.dc.ucuenca.areaconocimientofrascatidetallado: 3.3.4 Nutrición
metadata.dc.ucuenca.areaconocimientofrascatiespecifico: 3.3 Ciencias de la Salud
metadata.dc.ucuenca.areaconocimientounescoamplio: 09 - Salud y Bienestar
metadata.dc.ucuenca.areaconocimientounescodetallado: 0912 - Medicina
metadata.dc.ucuenca.areaconocimientounescoespecifico: 091 - Salud
Issue Date: 2016
metadata.dc.ucuenca.embargoend: 31-Dec-2050
metadata.dc.ucuenca.volumen: Volumen 51, Numero 6
metadata.dc.source: Social Psychiatry and Psychiatric Epidemiology
metadata.dc.identifier.doi: 10.1007/s00127-016-1204-9
metadata.dc.type: ARTÍCULO
Abstract: 
Purpose: Mental health and food insecurity are major public health issues among adolescents in Ecuador. Our objective was to determine the relationship between hunger, symptoms of depression, and suicidal ideation among school-going Ecuadorian adolescents. Methods: We conducted crude and multivariable logistic regression models using data from the 2007 Global School-based Student Health Survey from Quito, Guayaquil, and Zamora, Ecuador (N = 5524). Hunger was defined as having gone hungry in the past 30 days due to lack of food in the home. Outcomes of interest were symptoms of depression and suicidal ideation with or without planning in the past year. Results: Overall, 41.2 % (2200/5467) of students reported experiencing hunger. In multivariable logistic regression models, hunger had an increasing exposure-response relationship with symptoms of depression [sometimes hungry odds ratio (OR) 1.80, P = 0.0001; most of the time or always hungry OR 2.01, P < 0.0001] and suicidal ideation with planning (sometimes hungry OR 1.55, P = 0.04; most of the time or always hungry OR 2.63, P = 0.001). Conclusion: Hunger was associated with increased odds of symptoms of depression and suicidal ideation with planning. Strategies to improve mental health among adolescents in Ecuador should consider the potential contribution of hunger and food insecurity.
Description: 
Purpose: Mental health and food insecurity are major public health issues among adolescents in Ecuador. Our objective was to determine the relationship between hunger, symptoms of depression, and suicidal ideation among school-going Ecuadorian adolescents. Methods: We conducted crude and multivariable logistic regression models using data from the 2007 Global School-based Student Health Survey from Quito, Guayaquil, and Zamora, Ecuador (N = 5524). Hunger was defined as having gone hungry in the past 30 days due to lack of food in the home. Outcomes of interest were symptoms of depression and suicidal ideation with or without planning in the past year. Results: Overall, 41.2 % (2200/5467) of students reported experiencing hunger. In multivariable logistic regression models, hunger had an increasing exposure-response relationship with symptoms of depression [sometimes hungry odds ratio (OR) 1.80, P = 0.0001; most of the time or always hungry OR 2.01, P < 0.0001] and suicidal ideation with planning (sometimes hungry OR 1.55, P = 0.04; most of the time or always hungry OR 2.63, P = 0.001). Conclusion: Hunger was associated with increased odds of symptoms of depression and suicidal ideation with planning. Strategies to improve mental health among adolescents in Ecuador should consider the potential contribution of hunger and food insecurity.
URI: https://link.springer.com/article/10.1007/s00127-016-1204-9
metadata.dc.ucuenca.urifuente: https://link.springer.com/journal/127/51/6
ISSN: 0933-7954, e1433-9285
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