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The syndemic effects of food insecurity, water insecurity, and HIV on depressive symptomatology among Kenyan women

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  • Boateng, Godfred O.
  • Workman, Cassandra L.
  • Miller, Joshua D.
  • Onono, Maricianah
  • Neilands, Torsten B.
  • Young, Sera L.

Abstract

Depression is a leading cause of disability worldwide and a major contributor to the overall global burden of disease, especially for women of childbearing age. Social science scholarship has demonstrated significant relationships between mental health, food insecurity (FI), water insecurity (WI), and HIV. Little is known, however, about the temporal relationships between food and water insecurity or the mechanisms through which these multiple stressors may operate or interact to impact depression. We therefore used syndemic theory to explore the complex relationships between FI, WI, and HIV on depressive symptomatology among Kenyan women of mixed HIV status (n=183, NCT02979418). We sought to 1) understand the temporal relationships between time-variant risk factors for depression, i.e. FI and WI, and 2) assess how these factors potentially interacted with HIV to impact depressive symptomatology. We first assessed the bidirectional relationship between WI and FI using a cross-lagged three-wave, two-variable panel model. Next, we modeled depressive symptomatology at 21 months as a linear function of the potentially syndemic interaction between FI, WI, and HIV status, adjusting for household wealth. WI had a predominant predictive effect on FI (Bayesian posterior predictive p-value=0.13); there was no reverse causality for the influence of FI on WI. The interaction effect of FI, WI, and HIV was significantly associated with greater depressive symptomatology (β=0.06) at 21 months postpartum. These data suggest that water insecurity may be an important determinant of food insecurity. Further, the co-occurrence of FI, WI, and HIV increases the likelihood of maternal depressive symptomatology, i.e. there is a syndemic relationship. These findings suggest that the role of household WI in other adverse health outcomes beyond mental well-being should be examined, and that interventions to improve mental health will be more effective if they also consider concurrent resource insecurities, regardless of HIV status.

Suggested Citation

  • Boateng, Godfred O. & Workman, Cassandra L. & Miller, Joshua D. & Onono, Maricianah & Neilands, Torsten B. & Young, Sera L., 2022. "The syndemic effects of food insecurity, water insecurity, and HIV on depressive symptomatology among Kenyan women," Social Science & Medicine, Elsevier, vol. 295(C).
    • Handle: RePEc:eee:socmed:v:295:y:2022:i:c:s0277953620302628
    DOI: 10.1016/j.socscimed.2020.113043
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    References listed on IDEAS

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    1. Tsai, Alexander C. & Burns, Bridget F.O., 2015. "Syndemics of psychosocial problems and HIV risk: A systematic review of empirical tests of the disease interaction concept," Social Science & Medicine, Elsevier, vol. 139(C), pages 26-35.
    2. Workman, Cassandra L. & Ureksoy, Heather, 2017. "Water insecurity in a syndemic context: Understanding the psycho-emotional stress of water insecurity in Lesotho, Africa," Social Science & Medicine, Elsevier, vol. 179(C), pages 52-60.
    3. Stevenson, Edward G.J. & Greene, Leslie E. & Maes, Kenneth C. & Ambelu, Argaw & Tesfaye, Yihenew Alemu & Rheingans, Richard & Hadley, Craig, 2012. "Water insecurity in 3 dimensions: An anthropological perspective on water and women's psychosocial distress in Ethiopia," Social Science & Medicine, Elsevier, vol. 75(2), pages 392-400.
    4. Crespi, Catherine M. & Boscardin, W. John, 2009. "Bayesian model checking for multivariate outcome data," Computational Statistics & Data Analysis, Elsevier, vol. 53(11), pages 3765-3772, September.
    5. Brewis, Alexandra & Choudhary, Neetu & Wutich, Amber, 2019. "Household water insecurity may influence common mental disorders directly and indirectly through multiple pathways: Evidence from Haiti," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    6. Cole, Steven M. & Tembo, Gelson, 2011. "The effect of food insecurity on mental health: Panel evidence from rural Zambia," Social Science & Medicine, Elsevier, vol. 73(7), pages 1071-1079.
    7. Charlotte Bernard & François Dabis & Nathalie de Rekeneire, 2017. "Prevalence and factors associated with depression in people living with HIV in sub-Saharan Africa: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-22, August.
    8. Godfred O Boateng & Shalean M Collins & Patrick Mbullo & Pauline Wekesa & Maricianah Onono & Torsten B Neilands & Sera L Young, 2018. "A novel household water insecurity scale: Procedures and psychometric analysis among postpartum women in western Kenya," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-28, June.
    9. Singer, Merrill, 1994. "Aids and the health crisis of the U.S. urban poor; the perspective of critical medical anthropology," Social Science & Medicine, Elsevier, vol. 39(7), pages 931-948, October.
    10. Tsai, Alexander C. & Tomlinson, Mark & Comulada, W. Scott & Rotheram-Borus, Mary Jane, 2016. "Food insufficiency, depression, and the modifying role of social support: Evidence from a population-based, prospective cohort of pregnant women in peri-urban South Africa," Social Science & Medicine, Elsevier, vol. 151(C), pages 69-77.
    11. Tsai, Alexander C. & Bangsberg, David R. & Frongillo, Edward A. & Hunt, Peter W. & Muzoora, Conrad & Martin, Jeffrey N. & Weiser, Sheri D., 2012. "Food insecurity, depression and the modifying role of social support among people living with HIV/AIDS in rural Uganda," Social Science & Medicine, Elsevier, vol. 74(12), pages 2012-2019.
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