Show simple item record

dc.contributor.authorWhittle, Henry J
dc.contributor.authorWolfe, William R
dc.contributor.authorSheira, Lila A
dc.contributor.authorFrongillo, Edward A
dc.contributor.authorPalar, Kartika
dc.contributor.authorMerenstein, Daniel
dc.contributor.authorWilson, Tracey E
dc.contributor.authorAdedimeji, Adebola
dc.contributor.authorCohen, Mardge H
dc.contributor.authorWentz, Eryka L
dc.contributor.authorTien, Phyllis C
dc.contributor.authorWeiser, Sheri D
dc.date.accessioned2023-07-14T16:09:03Z
dc.date.available2023-07-14T16:09:03Z
dc.date.issued2020-04-06
dc.identifier.citationWhittle HJ, Wolfe WR, Sheira LA, Frongillo EA, Palar K, Merenstein D, Wilson TE, Adedimeji A, Cohen MH, Wentz EL, Tien PC, Weiser SD. Associations between food insecurity and psychotropic medication use among women living with HIV in the United States. Epidemiol Psychiatr Sci. 2020 Apr 6;29:e113. doi: 10.1017/S2045796020000232. PMID: 32248873; PMCID: PMC7214522.en_US
dc.identifier.eissn2045-7979
dc.identifier.doi10.1017/S2045796020000232
dc.identifier.pmid32248873
dc.identifier.urihttp://hdl.handle.net/20.500.12648/10485
dc.description.abstractAims: Psychotropic prescription rates continue to increase in the United States (USA). Few studies have investigated whether social-structural factors may play a role in psychotropic medication use independent of mental illness. Food insecurity is prevalent among people living with HIV in the USA and has been associated with poor mental health. We investigated whether food insecurity was associated with psychotropic medication use independent of the symptoms of depression and anxiety among women living with HIV in the USA.
dc.description.abstractMethods: We used cross-sectional data from the Women's Interagency HIV Study (WIHS), a nationwide cohort study. Food security (FS) was the primary explanatory variable, measured using the Household Food Security Survey Module. First, we used multivariable linear regressions to test whether FS was associated with symptoms of depression (Center for Epidemiologic Studies Depression [CESD] score), generalised anxiety disorder (GAD-7 score) and mental health-related quality of life (MOS-HIV Mental Health Summary score; MHS). Next, we examined associations of FS with the use of any psychotropic medications, including antidepressants, sedatives and antipsychotics, using multivariable logistic regressions adjusting for age, race/ethnicity, income, education and alcohol and substance use. In separate models, we additionally adjusted for symptoms of depression (CESD score) and anxiety (GAD-7 score).
dc.description.abstractResults: Of the 905 women in the sample, two-thirds were African-American. Lower FS (i.e. worse food insecurity) was associated with greater symptoms of depression and anxiety in a dose-response relationship. For the psychotropic medication outcomes, marginal and low FS were associated with 2.06 (p < 0.001; 95% confidence interval [CI] = 1.36-3.13) and 1.99 (p < 0.01; 95% CI = 1.26-3.15) times higher odds of any psychotropic medication use, respectively, before adjusting for depression and anxiety. The association of very low FS with any psychotropic medication use was not statistically significant. A similar pattern was found for antidepressant and sedative use. After additionally adjusting for CESD and GAD-7 scores, marginal FS remained associated with 1.93 (p < 0.05; 95% CI = 1.16-3.19) times higher odds of any psychotropic medication use. Very low FS, conversely, was significantly associated with lower odds of antidepressant use (adjusted odds ratio = 0.42; p < 0.05; 95% CI = 0.19-0.96).
dc.description.abstractConclusions: Marginal FS was associated with higher odds of using psychotropic medications independent of depression and anxiety, while very low FS was associated with lower odds. These complex findings may indicate that people experiencing very low FS face barriers to accessing mental health services, while those experiencing marginal FS who do access services are more likely to be prescribed psychotropic medications for distress arising from social and structural factors.
dc.language.isoenen_US
dc.relation.urlhttps://www.cambridge.org/core/journals/epidemiology-and-psychiatric-sciences/article/associations-between-food-insecurity-and-psychotropic-medication-use-among-women-living-with-hiv-in-the-united-states/150F90D21B85F6063BE6A5F0C521E5E7#en_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectAIDSen_US
dc.subjectpsychiatric servicesen_US
dc.subjectpsychotropic drugsen_US
dc.subjectsocial and political issuesen_US
dc.subjectwomenen_US
dc.titleAssociations between food insecurity and psychotropic medication use among women living with HIV in the United States.en_US
dc.typeArticle/Reviewen_US
dc.source.journaltitleEpidemiology and psychiatric sciencesen_US
dc.source.volume29
dc.source.beginpagee113
dc.source.endpage
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryEngland
dc.description.versionVoRen_US
refterms.dateFOA2023-07-14T16:09:06Z
html.description.abstractAims: Psychotropic prescription rates continue to increase in the United States (USA). Few studies have investigated whether social-structural factors may play a role in psychotropic medication use independent of mental illness. Food insecurity is prevalent among people living with HIV in the USA and has been associated with poor mental health. We investigated whether food insecurity was associated with psychotropic medication use independent of the symptoms of depression and anxiety among women living with HIV in the USA.
html.description.abstractMethods: We used cross-sectional data from the Women's Interagency HIV Study (WIHS), a nationwide cohort study. Food security (FS) was the primary explanatory variable, measured using the Household Food Security Survey Module. First, we used multivariable linear regressions to test whether FS was associated with symptoms of depression (Center for Epidemiologic Studies Depression [CESD] score), generalised anxiety disorder (GAD-7 score) and mental health-related quality of life (MOS-HIV Mental Health Summary score; MHS). Next, we examined associations of FS with the use of any psychotropic medications, including antidepressants, sedatives and antipsychotics, using multivariable logistic regressions adjusting for age, race/ethnicity, income, education and alcohol and substance use. In separate models, we additionally adjusted for symptoms of depression (CESD score) and anxiety (GAD-7 score).
html.description.abstractResults: Of the 905 women in the sample, two-thirds were African-American. Lower FS (i.e. worse food insecurity) was associated with greater symptoms of depression and anxiety in a dose-response relationship. For the psychotropic medication outcomes, marginal and low FS were associated with 2.06 (p < 0.001; 95% confidence interval [CI] = 1.36-3.13) and 1.99 (p < 0.01; 95% CI = 1.26-3.15) times higher odds of any psychotropic medication use, respectively, before adjusting for depression and anxiety. The association of very low FS with any psychotropic medication use was not statistically significant. A similar pattern was found for antidepressant and sedative use. After additionally adjusting for CESD and GAD-7 scores, marginal FS remained associated with 1.93 (p < 0.05; 95% CI = 1.16-3.19) times higher odds of any psychotropic medication use. Very low FS, conversely, was significantly associated with lower odds of antidepressant use (adjusted odds ratio = 0.42; p < 0.05; 95% CI = 0.19-0.96).
html.description.abstractConclusions: Marginal FS was associated with higher odds of using psychotropic medications independent of depression and anxiety, while very low FS was associated with lower odds. These complex findings may indicate that people experiencing very low FS face barriers to accessing mental health services, while those experiencing marginal FS who do access services are more likely to be prescribed psychotropic medications for distress arising from social and structural factors.
dc.description.institutionN/Aen_US
dc.description.departmentInfectious Diseasesen_US
dc.description.degreelevelN/Aen_US
dc.identifier.journalEpidemiology and psychiatric sciences


Files in this item

Thumbnail
Name:
associations-between-food-inse ...
Size:
211.1Kb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record

Attribution-NonCommercial-NoDerivatives 4.0 International
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International