Asrullah Muhammad, Maula Ahmad Watsiq, Dewi Shita Listya, Helmyati Siti, Melse-Boonstra Alida
Division of Human Nutrition and Health, Wageningen University and Research, Wageningen, the Netherlands.
Centre for Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Br J Nutr. 2024 Dec 20:1-10. doi: 10.1017/S0007114524003027.
The COVID-19 pandemic has presented multifaceted challenges globally, impacting adolescent health. Among these, food security and nutrition are intertwined closely with mental health outcomes. In Indonesia, with its diverse socio-economic landscape, these interconnections may have been exacerbated by the pandemic. This study investigated the relationship between food security, nutrition and adolescent mental health in Indonesia during COVID-19. Longitudinal data were collected from 511 adolescent boys and girls in 2021-2022 in Gunungkidul district, Yogyakarta. Food security was measured using the Household Food Insecurity Access Scale (HFIAS), and the validated Kessler-10 Psychological Distress Scale (K10) was used to measure adolescent depression. Multivariate linear regression and linear mixed-effects regression were employed to explore associations between these variables, while adjusting for sex, age, pubertal status and household income. Overall, food insecurity score was positively associated with depressive symptoms (: 0·72, 95 % CI 0·52, 0·92), while BMI -score was inversely associated (: -0·31, 95 % CI 0·68, -0·03). We found an increase in strength of association between food insecurity and depressive symptoms over time (moderately food-insecure: : 1·36 (95 % CI -0·10, 2·83) to 4·63 (95 % CI 2·17, 7·09); severely food-insecure: : 1·89 (95 % CI 0·36, 3·41) to 3·30 (95 % CI 1·50, 5·10). Enhancing food access, improving nutritional status and providing mental health support are crucial components of adolescent health.
新冠疫情在全球带来了多方面挑战，影响着青少年健康。其中，粮食安全和营养与心理健康状况紧密相连。在社会经济格局多样的印度尼西亚，这些联系可能因疫情而加剧。本研究调查了新冠疫情期间印度尼西亚粮食安全、营养与青少年心理健康之间的关系。2021年至2022年，在日惹的Gunungkidul区收集了511名青少年男孩和女孩的纵向数据。使用家庭粮食不安全获取量表（HFIAS）来衡量粮食安全，并使用经过验证的凯斯勒10项心理困扰量表（K10）来衡量青少年抑郁情况。采用多元线性回归和线性混合效应回归来探究这些变量之间的关联，同时对性别、年龄、青春期状态和家庭收入进行了调整。总体而言，粮食不安全得分与抑郁症状呈正相关（β：0·72，95%置信区间0·52，0·92），而体重指数得分与抑郁症状呈负相关（β： -0·31，95%置信区间 -0·68， -0·03）。我们发现，随着时间推移，粮食不安全与抑郁症状之间的关联强度增加（中度粮食不安全：β从1·36（95%置信区间 -0·10，2·83）增至4·63（95%置信区间2·17，7·09）；重度粮食不安全：β从1·89（95%置信区间0·36，3·41）增至3·30（95%置信区间1·50，5·10）。增加粮食获取、改善营养状况以及提供心理健康支持是青少年健康的关键组成部分。
