The relationship between diet/nutrition and the mental health of immigrants in Western societies through a holistic bio-psycho-socio-cultural lens: A scoping review

被引：20

作者：

Elshahat, Sarah ^{[1
]}

Moffat, Tina ^{[1
]}

Gagnon, Olivia ^{[2
]}

Charkatli, Lein ^{[3
,4
]}

Gomes-Szoke, Emily D. ^{[4
]}

机构：

[1] McMaster Univ, Fac Social Sci, Dept Anthropol, Hamilton, ON, Canada

[2] Carleton Univ, Fac Sci, Dept Neurosci, Ottawa, ON, Canada

[3] McMaster Univ, Fac Sci, Dept Psychol Neurosci & Behav, Hamilton, ON, Canada

[4] McMaster Univ, Fac Sci, Dept Biol, Hamilton, ON, Canada

来源：

APPETITE | 2023年 / 183卷

关键词：

Dietary intake; Nutrition; Healthy eating; Depression; Anxiety; Immigrants; FOOD INSECURITY; VITAMIN-D; PSYCHOLOGICAL DISTRESS; RESOURCE UTILIZATION; DEPRESSIVE SYMPTOMS; LIVING-CONDITIONS; WOMEN; MIGRANTS; REFUGEE; HUNGER;

D O I：

10.1016/j.appet.2023.106463

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

Epidemiological evidence suggests that diet and nutrition not only impact individuals' physical health but also shape their mental health (MH). The nutrition/diet-MH relationship may be critical among immigrants due to socioeconomic and sociocultural factors. Despite the complex nutrition/diet-MH relationship, most scholarship in this area employs a biomedical perspective. This scoping review of 63 studies deployed a holistic bio-psycho-socio-cultural framework to examine the relationship between diet/nutrition and immigrants' MH. Five auto-mated databases (Embase, PubMed, Medline, PsycINFO and Anthropology Plus) were systematically searched for relevant articles from Western countries. A bio-psycho-socio-cultural conceptual model guided the analysis of the multi-faceted diet/nutrition-MH relationship.Consumption of fruit/vegetables, unsaturated fats, vitamin D-rich foods and whole grains was significantly positively related to MH. Reported pathways included enhanced self-esteem and ability to stay physically active. Energy-dense food consumption emanating from unhealthful dietary acculturation to the Western lifestyle was associated with poor MH through various mechanisms, including exhaustion and worry about developing non-communicable diseases. Food insecurity and related hunger were significantly positively associated with depression and anxiety among immigrants through different pathways, including family conflicts, homesickness, social exclusion, feelings of shame/stigma, and helplessness related to not affording nutritious foods that meet one's cultural dietary requirements. Ethnic food consumption appeared to mitigate MH issues and enhance immigrants' well-being.A bio-psycho-socio-cultural-informed model is needed to gain an in-depth and encompassing understanding of immigrant MH as it relates to diet/nutrition. The first iteration of such a model is presented in this review alongside an illustration of how it may be used to strengthen an analysis and understanding of the multi-faceted diet/nutrition-MH relationship amongst immigrants and inform public health professionals and dieticians/ practitioners.

引用

页数：11

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