title: Food insecurity, depression, and social support in HIV-infected Hispanic individuals.
abstract: Previous research has identified an association between food insecurity and depression in a variety of world regions in both healthy and HIV-infected individuals. We examined this association in 183 HIV-infected Hispanic adults from the greater Boston area. We measured depression with the Burnam depression screen and food insecurity with the Radimer/Cornell Questionnaire. Dietary intake was assessed with an adapted version of the Block Food Frequency Questionnaire. Logistic regression models were created with depression as the outcome variable and food insecurity as the main predictor. In bivariate analyses, food insecurity was significantly associated with depression [odds ratio (OR) 2.5; 95% confidence interval (CI) 1.1, 5.5; p = 0.03]. When we accounted for social support, food insecurity was no longer significant. We found no differences in the quality or quantity of dietary intake between the food insecure and food secure groups. Our findings highlight the importance of social support in the association between food insecurity and depression. Food insecurity may reflect social support more than actual dietary intake in this population.
authors.affiliation: Tufts University School of Medicine, 136 Harrison Avenue, Boston, MA, 02111, USA.
authors.forename: Leonid
authors.initials: L
authors.lastname: Kapulsky
authors.forename: Alice M
authors.initials: AM
authors.lastname: Tang
authors.forename: Janet E
authors.initials: JE
authors.lastname: Forrester
mesh_terms: D000328:Adult; D001900:Boston; D003863:Depression / Q000208:ethnology*; D004032:Diet; D005260:Female; D005523:Food Supply / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000208:ethnology*; D006509:Hepatitis B / Q000208:ethnology; D006526:Hepatitis C / Q000208:ethnology; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D011203:Poverty / Q000208:ethnology; D011446:Prospective Studies; D012907:Smoking / Q000208:ethnology; D012944:Social Support; D019966:Substance-Related Disorders / Q000208:ethnology