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999			_c63526 _d63518
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003			MX-TxCIM
005			20211006073108.0
008			202101s2021||||xxk|||p|op||||00||0|eng|d
022			_a1472-6874
024	8		_ahttps://doi.org/10.1186/s12905-020-01147-7
040			_aMX-TxCIM
041			_aeng
100	1		_aHorwood, C. _919261
245	1	0	_aAddressing the interaction between food insecurity, depression risk and informal work : _bfindings of a cross-sectional survey among informal women workers with young children in South Africa
260			_aLondon (United Kingdom) : _bBioMed Central, _c2021.
500			_aPeer review
500			_aOpen Access
520			_aBackground: There is a high burden of depression globally, including in South Africa. Maternal depression is associated with poverty, unstable income, food insecurity, and lack of partner support, and may lead to poor outcomes for mothers and children. In South Africa one-third of working women are in informal work, which is associated with socioeconomic vulnerability. Methods: A cross sectional survey explored work setting and conditions, food security and risk of depression among informal working women with young children (0–3 years). Depression risk was assessed using the Edinburgh Postnatal Depression Score (EPDS) and Whooley score. Food insecurity was evaluated using Household Food Insecurity Access Scale. Data was analysed using SPSS and Stata. Results: Interviews were conducted with 265 informal women workers. Types of work included domestic work, home-based work, informal employees and own account workers, most of whom were informal traders. Most participants (149/265; 56.2%) earned between US$70–200 per month, but some participants (79/265; 29.8%) earned < US$70 per month, and few earned > US$200 per month (37/265; 14.0%). Many participants experienced mild (38/267; 14.3%), moderate (72/265; 27.2%) or severe (43/265; 16%) food insecurity. Severe food insecurity was significantly higher among participants with the lowest income compared to those with the highest income (p = 0.027). Women who received financial support from the baby’s father were less likely to be food insecure (p = 0.03). Using EPDS scores, 22/265 (8.3%) women were designated as being at risk of depression. This was similar among postnatal women and women with older children. Household food insecurity was significantly associated with depression risk (p < 0.001). Conclusions: Informal women workers were shown to be vulnerable with low incomes and high rates of food insecurity, thus increasing the risk for poor maternal health. However, levels of depression risk were low compared to previous estimates in South Africa, suggesting that informal workers may have high levels of resilience. Interventions to improve social protection, access to health services, and support for safe childcare in the workplace could improve the health and wellbeing of these mothers and support them to care for their children.
546			_aText in English
650		7	_aWorking population _2AGROVOC _919262
650		7	_aWomen _2AGROVOC _94570
650		7	_aInformal sector _2AGROVOC _911116
650		7	_aMental health _2AGROVOC _919263
650		7	_aFood security _gAGROVOC _2 _91118
650		7	_aMaternal and child health _2AGROVOC _914823
651		7	_95594 _aSouth Africa
651		7	_2AGROVOC _91316 _aAfrica
700	1		_919264 _aHaskins, L.
700	1		_919265 _aHinton, R.
700	1		_919266 _aConnolly, C.
700	1		_919267 _aLuthuli, S.
700	1		_919268 _aRollins, N.
773	0		_tBMC Women's Health _dLondon (United Kingdom) : BioMed Central, 2021. _x1472-6874 _gv. 21, art. 2
856	4		_yClick here to access online _uhttps://doi.org/10.1186/s12905-020-01147-7
942			_cJA _n0 _2ddc