在加拿大安大略省，产妇食物不安全与产后精神障碍呈正相关。
Maternal Food Insecurity is Positively Associated with Postpartum Mental Disorders in Ontario, Canada.
机构信息
Department of Nutritional Sciences, University of Toronto, Toronto, Canada.
Department of Agricultural and Consumer Economics, University of Illinois, Urbana, IL, USA.
出版信息
J Nutr. 2020 Nov 19;150(11):3033-3040. doi: 10.1093/jn/nxaa240.
BACKGROUND
Household food insecurity has been associated with pregnancy complications and poorer birth outcomes in the United States and with maternal mental disorders in the United Kingdom, but there has been little investigation of the effects of food insecurity during this life stage in Canada.
OBJECTIVES
Our objective was to examine the relationship between the food insecurity status of women during pregnancy and maternal and birth outcomes and health in infancy in Canada.
METHODS
We drew on data from 1998 women in Ontario, Canada, whose food insecurity was assessed using the Household Food Security Survey Module on the Canadian Community Health Survey, cycles 2005 to 2011-2012. These records were linked to multiple health administrative databases to identify indications of adverse health outcomes during pregnancy, at birth, and during children's first year of life. We included women who gave birth between 9 months prior and 6 months after their interview date, and for whom infant outcome data were available. Multivariable Poisson regression models were used to compare outcomes by maternal food security status, expressed as adjusted relative risks (aRR) with 95% CIs.
RESULTS
While pregnant, 5.6% of women were marginally food insecure and 10.0% were moderately or severely food insecure. Food insecurity was unrelated to pregnancy complications and adverse birth outcomes, but 26.8% of women with moderate or severe food insecurity had treatment for postpartum mental disorders in the 6-month postpartum period, compared to 13.9% of food-secure women (aRR, 1.86; 95% CI, 1.40-2.46). Children born to food-insecure mothers were at elevated risk of being treated in an emergency department in the first year of life (aRR, 1.18; 95% CI, 1.01-1.38).
CONCLUSIONS
Maternal food insecurity during pregnancy in Ontario, Canada, is associated with postpartum mental disorders and a greater likelihood of infants being treated in an emergency department.
背景
家庭食物不安全与美国的妊娠并发症和较差的出生结局以及英国的产妇精神障碍有关，但在加拿大，很少有研究调查这一生命阶段的食物不安全的影响。
目的
我们的目的是研究加拿大孕妇的食物不安全状况与产妇和出生结局以及婴儿期健康之间的关系。
方法
我们利用了加拿大安大略省 1998 名妇女的数据，这些妇女的食物不安全状况使用加拿大社区健康调查的家庭食物安全调查模块进行评估，周期为 2005 年至 2011-2012 年。这些记录与多个健康管理数据库相关联，以确定妊娠期间、分娩时和儿童生命的第一年的不良健康结果的迹象。我们纳入了在接受访谈日期前 9 个月至后 6 个月分娩的妇女，并且婴儿结局数据可用。使用多变量泊松回归模型比较按产妇食物安全状况表示的调整相对风险（aRR）和 95%CI 的结果。
结果
怀孕期间，5.6%的妇女处于边缘性食物不安全状态，10.0%的妇女处于中度或重度食物不安全状态。食物不安全与妊娠并发症和不良出生结局无关，但中度或重度食物不安全的 26.8%的妇女在产后 6 个月内接受了产后精神障碍的治疗，而食物安全的妇女为 13.9%（aRR，1.86；95%CI，1.40-2.46）。母亲食物不安全的儿童在生命的第一年接受急诊治疗的风险较高（aRR，1.18；95%CI，1.01-1.38）。
结论
在加拿大安大略省，孕妇怀孕期间的食物不安全与产后精神障碍以及婴儿更有可能在急诊室接受治疗有关。
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