Munger Ashley L, Hofferth Sandra L, Grutzmacher Stephanie K
Department of Family Science, School of Public Health, University of Maryland, College Park, MD 20742, United States.
J Hunger Environ Nutr. 2016;11(2):147-161. doi: 10.1080/19320248.2015.1045672. Epub 2016 Apr 22.
Food insecurity is a substantial stressor for many households. Though an association between food insecurity and depression has been well established, most studies have been cross-sectional. Although many receive benefits from the Supplemental Nutrition Assistance Program (SNAP), its role in reducing distress associated with food insecurity is unclear. Using data from 1,225 women who participated in the Fragile Families and Child Wellbeing Study, this study investigated 1) whether change in food security status predicts change in depression severity over a two-year period, 2) whether participating in SNAP predicts depression, and 3) whether the relationship between food insecurity and depression varies based on receipt of SNAP. Food insecurity was linked to probability of depression over time. Additionally, for those who became food insecure over the two-year period, losing SNAP benefits was associated with increased probability of depression, while gaining benefits was associated with reduced probability of depression. This suggests that the SNAP program offsets emotional hardship for those who have recently become food insecure. Further research is needed to evaluate the most efficient and efficacious means to reduce food insecurity and improve emotional wellbeing among vulnerable families.
粮食不安全对许多家庭来说是一个重大压力源。尽管粮食不安全与抑郁症之间的关联已得到充分证实,但大多数研究都是横断面研究。虽然许多人从补充营养援助计划(SNAP)中受益,但其在减轻与粮食不安全相关的痛苦方面的作用尚不清楚。本研究利用参与脆弱家庭与儿童福利研究的1225名女性的数据,调查了:1)粮食安全状况的变化是否能预测两年内抑郁症严重程度的变化;2)参与SNAP是否能预测抑郁症;3)粮食不安全与抑郁症之间的关系是否因获得SNAP福利而有所不同。随着时间的推移,粮食不安全与患抑郁症的可能性相关。此外,对于那些在两年内变得粮食不安全的人来说,失去SNAP福利与抑郁症患病可能性增加有关,而获得福利则与抑郁症患病可能性降低有关。这表明SNAP计划为那些最近变得粮食不安全的人缓解了情感困境。需要进一步研究以评估减少粮食不安全和改善弱势家庭心理健康的最有效手段。