scholarly journals Household food insecurity is associated with low dietary diversity among pregnant and lactating women in rural Malawi

2018 ◽  
Vol 22 (4) ◽  
pp. 697-705 ◽  
Author(s):  
Yunhee Kang ◽  
Kristen M Hurley ◽  
Julie Ruel-Bergeron ◽  
Assumpta Bou Monclus ◽  
Rachel Oemcke ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Pregnant Women ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Household Food Insecurity ◽  
Food Groups ◽  
Cross Sectional ◽  
Lactating Women ◽  
Rural Districts ◽  
Household Food

AbstractObjectiveTo examine the association between household food insecurity and dietary diversity in the past 24h (dietary diversity score (DDS, range: 0–9); minimum dietary diversity (MDD, consumption of three or more food groups); consumption of nine separate food groups) among pregnant and lactating women in rural Malawi.DesignCross-sectional study.SettingTwo rural districts in Central Malawi.SubjectsPregnant (n 589) and lactating (n 641) women.ResultsOf surveyed pregnant and lactating women, 66·7 and 68·6 %, respectively, experienced moderate or severe food insecurity and only 32·4 and 28·1 %, respectively, met MDD. Compared with food-secure pregnant women, those who reported severe food insecurity had a 0·36 lower DDS (P<0·05) and more than threefold higher risk (OR; 95 % CI) of not consuming meat/fish (3·19; CI 1·68, 6·03). The risk of not consuming eggs (3·77; 1·04, 13·7) was higher among moderately food-insecure pregnant women. Compared with food-secure lactating women, those who reported mild, moderate and severe food insecurity showed a 0·36, 0·44 and 0·62 lower DDS, respectively (all P<0·05). The risk of not achieving MDD was higher among moderately (1·95; 1·06, 3·59) and severely (2·82; 1·53, 5·22) food-insecure lactating women. The risk of not consuming meat/fish and eggs increased in a dose–response manner among lactating women experiencing mild (1·75; 1·01, 3·03 and 2·81; 1·09, 7·25), moderate (2·66; 1·47, 4·82 and 3·75; 1·40, 10·0) and severe (5·33; 2·63, 10·8 and 3·47; 1·19, 10·1) food insecurity.ConclusionsAddressing food insecurity during and after pregnancy needs to be considered when designing nutrition programmes aiming to increase dietary diversity in rural Malawi.

scholarly journals IS THERE AN ASSOCIATION BETWEEN FOOD INSECURITY AND DIETARY DIVERSITY AMONG SENIORS IN LUBBOCK?

2017 ◽  
pp. 1-8
Author(s):  
W.H. Oldewage-Theron ◽  
B.A.Z. Abu
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Dietary Diversity ◽  
Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Household Food Insecurity ◽  
Dietary Intakes ◽  
Cross Sectional ◽  
Household Food ◽  
Food Security Status

Objectives: To determine household food insecurity and dietary diversity (DD) among seniors in Lubbock, Texas and examine the relationships between food security status and DD. Design: Cross-sectional study design. Setting: Lubbock, Texas. Participants: 200 seniors (≥ 50 years) randomly selected from seven senior centers and Meals on Wheels. Measurements: Socio-demographic and economic questionnaire, the validated Household Food Insecurity Access Scale (HFIAS) for food security and coping strategies, the validated DD scale for measuring the minimum DD for women (MDD-W), and weight and height measurements. P<0.05 considered significant was used for all statistical analyses. Results: The majority of the respondents (59.8%) were categorized as food secure. No significant relationships were observed between DD and HFIAS. The linear regression analysis carried out on the socio-demographic predictors of food security showed that age, household income and money spent on food per month were predictors of food security (R2= 0.233; p<0.000; SEE=4.462). The number of people in the household was the only predictor for DD score (R2= 0.028; p<0.000; SEE=1.929). Conclusions: This study showed a serious problem of household food insecurity among seniors in Lubbock, Texas affecting 40% of seniors. The results provide some of the first insights into seniors’ food security status and DD. No relationship could be established between food security status and DD in this study. Only household size was a predictor for DD in this study and further research is needed to determine quantity of dietary intakes and factors influencing the dietary patterns.

scholarly journals Undernutrition and Associated Factors among Lactating Women: Community-Based Cross-Sectional Study in Moyale District, Borena Zone, Southern Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Hailu Bekele ◽  
Gebi Husein Jima ◽  
Ashenafi Habtamu Regesu
Keyword(s):  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Sectional Study ◽  
Monthly Income ◽  
Community Based ◽  
Cross Sectional ◽  
Lactating Women ◽  
Household Food ◽  
Delivery Place

Background. Undernutrition is one of the most widespread public health problems that affect both developed and developing countries. In Ethiopia, it is one of the factors leading to unacceptable high morbidity and mortality among women. However, little is documented on undernutrition among lactating women particularly in such a purely pastoral community. Therefore, this study was designed to assess prevalence of undernutrition and its associated factors among lactating women living in pastoral community of Moyale District, Borena Zone, Southern Ethiopia, 2018. Methods. A community-based cross-sectional study was conducted. Data were collected from a random sampled 545 lactating women using structured interviewer-administered questionnaire. Height and weight measurements of the study participants were also taken to compute body mass index. Data were entered in to Epi info version 7 and then exported to SPSS version 21 software for analysis. Descriptive statistics like frequency, mean, and percentage were computed to describe characteristics of the sample. Multivariable analysis was carried out, association between independent and dependent variables were measured using adjusted odds ratios, and its 95% confidence interval and P value below 0.05 were considered statistically significant. Results. This study showed that prevalence of undernutrition among lactating women was 17.7%. Dietary diversity (AOR = 2.49, 95% CI: 1.43–4.36), monthly income (AOR = 5.22, 95% CI: 1.40–19.40), extra meal taking (AOR = 2.76, 95% CI: 1.43–5.29, delivery place (AOR = 2.65, 95% CI: 1.24–5.65), and household food insecurity (AOR = 6.57, 95% CI: 3.50–12.34) were independent variables showing statistically significant association with undernutrition of lactating women. Conclusion and recommendations. The study revealed that magnitude of undernutrition among lactating women was high. Dietary diversity, monthly income, extra meal, delivery place, and household food insecurity were found to be predictor of undernutrition. Finally, we recommend that governmental and nongovernmental organizations should organize timely interventions targeting lactating women.

scholarly journals The association between household food insecurity and obesity in Mexico: a cross-sectional study of ENSANUT MC 2016

2021 ◽  
pp. 1-11
Author(s):  
Rosa Elena Ponce-Alcala ◽  
Jose Luis Ramirez-Garcia Luna ◽  
Teresa Shamah-Levy ◽  
Hugo Melgar-Quiñonez
Keyword(s):  
Food Insecurity ◽  
Abdominal Obesity ◽  
Urban Areas ◽  
National Level ◽  
Cross Sectional Study ◽  
Household Food Insecurity ◽  
Sectional Study ◽  
Cross Sectional ◽  
Household Food ◽  
Mexican Adults

Abstract Objective: To examine the association between household food insecurity and overweight, obesity and abdominal obesity in Mexican adults. Design: Cross-sectional study. Setting: We analysed data from the Mexican Halfway National Health and Nutrition Survey 2016, a nationally representative survey that accounted for rural and urban areas in four regions of Mexico: North, Centre, Mexico City and South. Participants: Adults from 20 to 59 years old (n 5456, which represents 45 804 210 individuals at the national level). Results: 70·8 % of the Mexican adults had some degree of household food insecurity. This situation showed larger proportions (P < 0·05) among indigenous people, those living in a rural area, in the Southern region or the lowest socio-economic quintiles. The prevalence of obesity and abdominal obesity was higher in female adults (P < 0·001), with the highest proportions occurring among those experiencing severe household food insecurity. Among women, mean BMI and waist circumference were higher as household food insecurity levels increased (P < 0·001). According to multivariate logistic regression models, severe household food insecurity showed to be positively associated with obesity (OR: 2·36; P = 0·001) in Mexican adult females. Conclusions: Our findings confirm the association between household food insecurity and obesity among Mexican women. Given the socio-demographic characteristics of the food-insecure population, it is alarming that prevailing socio-economic inequalities in the country might also be contributing to the likelihood of obesity. Therefore, it is crucial to maintain and bolster surveillance systems to track both problems and implement adequate policies and interventions.

scholarly journals Agricultural Food Production Diversity and Dietary Diversity among Female Small Holder Farmers in a Region of the Ecuadorian Andes Experiencing Nutrition Transition

Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2454
Author(s):  
Christopher L Melby ◽  
Fadya Orozco ◽  
Jenni Averett ◽  
Fabián Muñoz ◽  
Maria José Romero ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Rural Areas ◽  
Dietary Diversity ◽  
Household Food Insecurity ◽  
Food Groups ◽  
Household Food ◽  
Small Holder Farmers ◽  
Production Diversity ◽  
Small Holder ◽  
Agricultural Food

Some rural areas of Ecuador, including the Imbabura Province of the Andes Highlands, are experiencing a double burden of malnutrition where micronutrient deficiencies persist at the same time obesity is increasing as many traditional home-grown foods are being replaced with more commercially prepared convenience foods. Thus, the relationships among agricultural food production diversity (FPD), dietary diversity (DD), and household food insecurity (HFI) of the rural small holder farmers need further study. Therefore, we examined these associations in small holder farmers residing in this Province in the Andes Highlands (elevation > 2500 m). Non-pregnant maternal home managers (n = 558, x age = 44.1, SD = 16.5 y) were interviewed regarding the number of different agricultural food crops cultivated and domestic animals raised in their family farm plots. DD was determined using the Minimum Dietary Diversity for Women Score (MDD-W) based on the number of 10 different food groups consumed, and household food insecurity (HFI) was determined using the 8-item Household Food Insecurity Experience Scale. The women reported consuming an average of 53% of their total food from what they cultivated or raised. Women with higher DD [MMD-W score ≥ 5 food groups (79% of total sample)] were on farms that cultivated a greater variety of crops (x = 8.7 vs. 6.7), raised more animals (x = 17.9 vs. 12.7, p < 0.05), and reported lower HFI and significantly higher intakes of energy, protein, iron, zinc, and vitamin A (all p < 0.05). Multiple regression analyses demonstrated that FPD was only modestly related to DD, which together with years of education, per capita family income, and HFI accounted for 26% of DD variance. In rural areas of the Imbabura Province, small holder farmers still rely heavily on consumption of self-cultivated foods, but greater diversity of crops grown in family farm plots is only weakly associated with greater DD and lower HFI among the female caretakers.

scholarly journals Contribution of forest foods to dietary intake and their association with household food insecurity: a cross-sectional study in women from rural Cameroon

2016 ◽  
Vol 19 (17) ◽  
pp. 3185-3196 ◽  
Author(s):  
Robert Fungo ◽  
John Muyonga ◽  
Margaret Kabahenda ◽  
Archileo Kaaya ◽  
Clement A Okia ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Food Insecurity ◽  
Food Consumption ◽  
Dietary Diversity ◽  
Household Food Insecurity ◽  
Nutrient Intakes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Household Food ◽  
Forest Foods

AbstractObjectiveTo determine the contribution of forest foods to dietary intake and estimate their association with household food insecurity.DesignCross-sectional survey conducted among 279 households. Using a 7 d recall questionnaire, information on household food consumption was collected from women and used to determine the household dietary diversity score, food variety score and forest food consumption score (FFCS). Household Food Insecurity Access Scale (HFIAS) score was determined and Spearman rank correlation was used to establish the relationship between consumption of forest foods and HFIAS score. Women’s dietary intake was estimated from two 24 h recalls. The contribution of forest foods to women’s nutrient intakes was calculated and women’s nutrient intakes were compared with estimated average nutrient requirements.SettingRural forest-dependent households in twelve villages in eastern and southern Cameroon.SubjectsHousehold heads and their non-pregnant, non-lactating spouses.ResultsForty-seven unique forest foods were identified; of these, seventeen were consumed by 98 % of respondents over the course of one week and by 17 % of women during the two 24 h recall periods. Although forest foods contributed approximately half of women’s total daily energy intake, considerably greater contributions were made to vitamin A (93 %), Na (100 %), Fe (85 %), Zn (88 %) and Ca (89 %) intakes. Despite a highly biodiverse pool of foods, most households (83 %) suffered from high food insecurity based on the HFIAS. A significant inverse correlation was observed between the HFIAS score and the FFCS (r2=−0·169, P=0·0006), demonstrating that forest foods play an important role in ensuring food security in these forest-dependent communities.ConclusionsForest foods are widely consumed by forest-dependent communities. Given their rich nutrient content, they have potential to contribute to food and nutrition security.

scholarly journals Relationship between Household Food Insecurity and Food and Nutrition Literacy among Children of 9-12 years of age: a cross-sectional study in a city of Iran

2020 ◽  
Author(s):  
Fatemeh Khorram Rouz ◽  
Azam Doustmohammadian ◽  
Omid Eslami ◽  
Majid Khadem-Rezaiyan ◽  
Parisa Pourmohammadi ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Primary Schools ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Household Food Insecurity ◽  
Food Label ◽  
Sectional Study ◽  
Cross Sectional ◽  
Household Food ◽  
Food And Nutrition

Abstract ObjectiveThe aim of this study was to assess the relationship between household food insecurity (HFI) with food and nutrition literacy (FNLIT) in a sample of Iranian children. This cross sectional study was performed on 315 children aged 9 to 12 years recruited from the primary schools throughout Mashhad, Iran. The Household Food Insecurity Access Scale (HFIAS) was used to assess the HFI. Also, overall FNLIT score and its sub-categories were evaluated using a validated 40-item questionnaire.Results The prevalence of HFI in the total sample was about 56 %. Also, almost 14 % of students had a low FNLIT score. Food insecure children had significantly lower levels of FNLT and some subscales including nutrition knowledge, food choice literacy, and food label literacy than the food-secure subjects, moreover, they had a higher likelihood of having low FNLIT score (OR = 2.89, CI: 1.03-8.09; p = 0.04). In conclusion, there is a negative association between HFI and FNLIT in children. Further studies to confirm this finding are needed.

scholarly journals Validity and reliability of the Arabic version of the Household Food Insecurity Access Scale in rural Lebanon

2014 ◽  
Vol 18 (2) ◽  
pp. 251-258 ◽  
Author(s):  
Farah Naja ◽  
Nahla Hwalla ◽  
Talar Fossian ◽  
Dina Zebian ◽  
Lara Nasreddine
Keyword(s):  
Food Insecurity ◽  
Cross Sectional Study ◽  
Household Food Insecurity ◽  
Arabic Version ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Food Quantity ◽  
Household Food ◽  
Mother And Child ◽  
Food Insecurity Access

AbstractObjectiveTo assess the validity and reliability of the Arabic version of the Household Food Insecurity Access Scale (HFIAS) in rural Lebanon.DesignA cross-sectional study on a sample of households with at least one child aged 0–2 years. In a one-to-one interview, participants completed an adapted Arabic version of the HFIAS. In order to evaluate the validity of the HFIAS, basic sociodemographic information, anthropometric measurements of the mother and child, and dietary intake data of the child were obtained. In order to examine reproducibility, the HFIAS was re-administered after 3 months.SettingRural Lebanon.SubjectsMother and child pairs (n 150).ResultsFactor analysis of HFIAS items revealed two factors: ‘insufficient food quality’ and ‘insufficient food quantity’. Using Pearson's correlation, food insecurity was inversely associated with mother's and father's education levels, number of cars and electrical appliances in the household, income, weight-for-age and length-for-age of the child and the child's dietary adequacy. In contrast, mother's BMI and crowding index were positively associated with food insecurity scores (P < 0·05 for all correlations). Cronbach's α of the scale was 0·91. A moderate correlation was observed between the two administrations of the questionnaire (intra-class correlation = 0·58; P < 0·05).ConclusionsOur findings indicated that the adapted Arabic version of the HFIAS is a valid and reliable tool to assess food insecurity in rural Lebanon, lending further evidence to the utility of the HFIAS in assessing food insecurity in culturally diverse populations.

Sign in / Sign up

Export Citation Format

Share Document