scholarly journals Household Food Insecurity and Its Association with Behavioral Problems in Children Living in Urban Slums: Findings from Karachi, Pakistan (P04-081-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Nadia Shah ◽  
Mehwish Hussain
Keyword(s):  
Food Insecurity ◽  
Behavioral Problems ◽  
Linear Regression Analysis ◽  
Urban Slums ◽  
Household Food Insecurity ◽  
Cross Sectional ◽  
Funding Sources ◽  
Household Food ◽  
Multi Stage ◽  
Almost All

Abstract Objectives To determine prevalence of Household Food Insecurity in urban slums of Karachi To assess children's behavior living in a state of food insecurity in urban slums To relate Household food insecurity with child's behavior Methods The study used a cross-sectional descriptive survey; conducted in 12 towns from all six districts of Karachi using multi-stage sampling methods. The structured questionnaire, comprised of Socio-demographic information, Household Food Insecurity Access Scale (HFIAS) and Child's behaviour questionnaire (CBQ) was conducted among 400 mothers of children bearing age 3 to 11 years living in urban slums. Correlation of HFIAS and CBQ scores were measured by Spearman's correlation coefficient. Generalized linear regression analysis was performed to determine relationship between scores of food insecurity and child behavior. Results Every two out of three households were found food insecure. 70% of households were worried for shortage of food in past month. Almost all households endured insufficient quality (95%) while 84.2% households did not have sufficient quantity of food in past month. Overall 70% mothers reported behavioral problems in their children; of which solitary and aggressiveness were the most common behavioral problems. Subsequent misbehavior reported were: avoiding going to school, stressed, impetuous, fearful, somatic complaints, bullied and not confident. Correlation between food insecurity and child misbehavior was significantly positive. One additional household with food insecurity increased 26.7% behavioral problems in children in urban slums. Conclusions Food insecurity in slum areas of Karachi is rampant. Behavioral problems in children living in areas with food insecurity are at subsequent high risk. Strategies must be derived for related interventions to reduce these psycho-social problems in addition to socioeconomic problems. Funding Sources No funding was available for the research. Authors conduction self research.

scholarly journals Household Food Insecurity and Mental Health Among Teenage Girls Living in Urban Slums in Varanasi, India: A Cross-Sectional Study

2018 ◽  
Vol 15 (8) ◽  
pp. 1585 ◽  
Author(s):  
Divya Rani ◽  
Jitendra Singh ◽  
Dilaram Acharya ◽  
Rajan Paudel ◽  
Kwan Lee ◽  
...  
Keyword(s):  
Mental Health ◽  
Food Insecurity ◽  
Mental Health Problems ◽  
Behavioral Control ◽  
Cross Sectional Study ◽  
Urban Slums ◽  
Household Food Insecurity ◽  
Cross Sectional ◽  
Teenage Girls ◽  
Household Food

This study was undertaken to investigate the relation between household food insecurity and mental health problems in teenage girls living in urban slums. This community-based cross-sectional study was conducted in 5 urban slums in Varanasi, India, between September 2016 and July 2017. A probability proportion to size (PPS) method was employed to select 5 of 210 urban slums at a first stage, and in the second stage, 418 teenage girls were chosen randomly from selected households. The Household Food Insecurity Access Scale (HFIAS) and mental health inventory tools were employed to assess food insecurity and mental health status. Multivariable logistic regression analysis with at a 95% confidence interval (CI) was used to assess the association between household food insecurity and mental health status. Of 418 respondents, 47.6% were food insecure; 64.1%, 57.7%, and 58.4% had high levels of anxiety, depression, or psychological distress, respectively; and 57.2% exhibited a medium level of loss of behavioral control. Furthermore, teenage girls from food insecure households were more likely to have high levels of anxiety, depression, loss of behavioral control and psychological distress than those living in food secure households. This study shows food insecurity is independently associated with mental health problems among teenage girls. Food insecurity in Indian slums should be addressed by specific public health intervention programs that provide access to sufficient safe, nutritious food.

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 Association between food insecurity and anemia among women of reproductive age

PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e1945 ◽  
Author(s):  
Bishwajit Ghose ◽  
Shangfeng Tang ◽  
Sanni Yaya ◽  
Zhanchun Feng
Keyword(s):  
Logistic Regression ◽  
Food Insecurity ◽  
Hemoglobin Concentration ◽  
Reproductive Age ◽  
Household Food Insecurity ◽  
Women Of Reproductive Age ◽  
Cross Sectional Survey ◽  
Wealth Status ◽  
Cross Sectional ◽  
Household Food

Background:Food insecurity and hidden hunger (micronutrient deficiency) affect about two billion people globally. Household food insecurity (HFI) has been shown to be associated with one or multiple micronutrient (MMN) deficiencies among women and children. Chronic food insecurity leads to various deficiency disorders, among which anemia stands out as the most prevalent one. As a high malnutrition prevalent country, Bangladesh has one of the highest rates of anemia among all Asian countries. In this study, we wanted to investigate for any association exists between HFI and anemia among women of reproductive age in Bangladesh.Methodology:Information about demographics, socioeconomic and anemia status on 5,666 married women ageing between 13 and 40 years were collected from a nationally representative cross-sectional survey Bangladesh Demographic and Health Survey (BDHS 2011). Food security was measured by the Household Food Insecurity Access Scale (HFIAS). Capillary hemoglobin concentration (Hb) measured by HemoCue® was used as the biomarker of anemia. Data were analysed using cross-tabulation, chi-square tests and multiple logistic regression methods.Results:Anemia prevalence was 41.7%. Logistic regression showed statistically significant association with anemia and type of residency (p = 0.459; OR = 0.953, 95%CI = 0.840–1.082), wealth status (Poorest: p < 0.001; OR = 1.369, 95%CI = 1.176–1.594; and average: p = 0.030; 95%CI = 1.017–1.398), educational attainment (p < 0.001; OR = 1.276, 95%CI = 1.132–1.439) and household food insecurity (p < 0.001; 95%CI = 1.348–1.830). Women who reported food insecurity were about 1.6 times more likely to suffer from anemia compared to their food secure counterparts.Conclusion:HFI is a significant predictor of anemia among women of reproductive age in Bangladesh. Programs targeting HFI could prove beneficial for anemia reduction strategies. Gender aspects of food and nutrition insecurity should be taken into consideration in designing national anemia prevention frameworks.

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 The association of household food insecurity and HIV infection with common mental disorders among newly diagnosed tuberculosis patients in Botswana

2020 ◽  
pp. 1-9
Author(s):  
Qiao Wang ◽  
Mbatshi Dima ◽  
Ari Ho-Foster ◽  
Keneilwe Molebatsi ◽  
Chawangwa Modongo ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Hiv Infection ◽  
Food Insecurity ◽  
Common Mental Disorders ◽  
Household Food Insecurity ◽  
Depression And Anxiety ◽  
Newly Diagnosed ◽  
Cross Sectional ◽  
Household Food ◽  
Prevalence Of Depression

Abstract Objective: To determine the association between food insecurity and HIV infection with depression and anxiety among new tuberculosis (TB) patients. Design: Our cross-sectional study assessed depression, anxiety and food insecurity with Patient Health Questionnaire (PHQ-9), Zung Anxiety Self-Assessment Scale (ZUNG) and Household Food Insecurity Access Scale, respectively. Poisson regression models with robust variance were used to examine correlates of depression (PHQ-9 ≥ 10) and anxiety (ZUNG ≥ 36). Setting: Gaborone, Botswana. Participants: Patients who were newly diagnosed with TB. Results: Between January and December 2019, we enrolled 180 TB patients from primary health clinics in Botswana. Overall, 99 (55·0 %) were HIV positive, 47 (26·1 %), 85 (47·2 %) and 69 (38·5 %) indicated depression, anxiety and moderate to severe food insecurity, respectively. After adjusting for potential confounders, food insecurity was associated with a higher prevalence of depression (adjusted prevalence ratio (aPR) = 2·30; 95 % CI 1·40, 3·78) and anxiety (aPR = 1·41; 95 % CI 1·05, 1·91). Prevalence of depression and anxiety was similar between HIV-infected and HIV-uninfected participants. Estimates remained comparable when restricted to HIV-infected participants. Conclusions: Mental disorders may be affected by food insecurity among new TB patients, regardless of HIV status.

scholarly journals Predictors of household food insecurity and relationship with obesity in First Nations communities in British Columbia, Manitoba, Alberta and Ontario

2020 ◽  
pp. 1-13
Author(s):  
Ashleigh Domingo ◽  
Jerry Spiegel ◽  
Martin Guhn ◽  
Hannah Wittman ◽  
Amy Ing ◽  
...  
Keyword(s):  
Food Insecurity ◽  
First Nations ◽  
Sociodemographic Factors ◽  
Household Food Insecurity ◽  
Holistic Wellness ◽  
Cross Sectional ◽  
Household Food ◽  
Central Canada ◽  
Food Security And Nutrition ◽  
Food Insecure Households

Abstract Objective: To further understandings of household food insecurity in First Nations communities in Canada and its relationship with obesity. Design: Analysis of a cross-sectional dataset from the First Nations Food, Nutrition and Environment Study representative of First Nations communities south of the 60th parallel. Multivariate logistic regression was used to assess associations between food insecurity and sociodemographic factors, as well as the odds of obesity among food-insecure households adjusting for sociodemographic characteristics. Setting: Western and Central Canada. Participants: First Nations peoples aged ≥19 years. Results: Forty-six percent of First Nations households experienced food insecurity. Food insecurity was highest for respondents who received social assistance; had ≤10 years of education; were female; had children in the household; were 19–30 years old; resided in Alberta; and had no year-round road access into the community. Rates of obesity were highest for respondents residing in marginally food-insecure households (female 56·6 %; male 54·6 %). In gender-specific analyses, the odds of obesity were highest among marginally food-insecure households in comparison with food-secure households, for both female (OR 1·57) and male (OR 1·57) respondents, adjusting for sociodemographic variables. For males only, those in severely food-insecure (compared with food-secure) households had lower odds of obesity after adjusting for confounding (OR 0·56). Conclusions: The interrelated challenges of food insecurity and obesity in First Nations communities emphasise the need for Indigenous-led, culturally appropriate and food sovereign approaches to food security and nutrition in support of holistic wellness and prevention of chronic disease.

Household food insecurity and educational outcomes in school-going adolescents in Ghana

2020 ◽  
pp. 1-13
Author(s):  
Rainier Masa ◽  
Gina Chowa
Keyword(s):  
Food Insecurity ◽  
Educational Outcomes ◽  
School Attendance ◽  
School Lunch ◽  
Moderating Effect ◽  
Household Food Insecurity ◽  
Design Data ◽  
Cross Sectional ◽  
Negatively Associated ◽  
Household Food

Abstract Objectives: We examined the association of household food insecurity with educational outcomes and explored the moderating effect of gender and school lunch programme. Design: The study used a cross-sectional design. Data were collected in 2014 using interviewer-administered questionnaires and school administrative records. We measured household food insecurity using the Household Food Insecurity Access Scale. Educational outcomes referred to knowledge, attitudes and skills that students are expected to obtain while attending school. We obtained sixteen different measures of educational outcomes, ranging from academic grades to beliefs and attitudes towards school and education. Data were analysed using multilevel modelling with covariates at the student and school levels. We conducted moderation tests by adding a two-way interaction between food insecurity and gender, and between food insecurity and school lunch programme. Setting: The study was conducted in 100 schools located in fifty-four districts within Ghana’s eight administrative regions in 2014. Participants: Participants included 2201 school-going adolescents aged 15–19 years. Results: More than 60 % of adolescents were from food-insecure households. Household food insecurity was negatively associated with Math grade and school attendance. Food insecurity was also inversely associated with socio-emotional outcomes, including academic self-efficacy, commitment to school and academic aspirations and expectations. We did not find a moderating effect of gender and school lunch programme. Conclusions: Food insecurity is negatively associated with wide-ranging educational outcomes related to both learning and socio-emotional abilities. Our study supports prior evidence suggesting the importance of food access on both cognitive and non-cognitive educational outcomes.

scholarly journals The assessment of food security in homeless individuals: a comparison of the Food Security Survey Module and the Household Food Insecurity Access Scale

2011 ◽  
Vol 14 (12) ◽  
pp. 2254-2259 ◽  
Author(s):  
Anna C Holland ◽  
Matthew C Kennedy ◽  
Stephen W Hwang
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Homeless Population ◽  
Household Food Insecurity ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Household Food ◽  
The Us ◽  
Food Insecurity Access

AbstractObjectiveTo compare the Household Food Insecurity Access Scale (HFIAS), the US Food Security Survey Module (US FSSM) and a modified version of the US FSSM in which references to buying food were changed to references to getting food, in terms of their classification of food security levels among homeless individuals, and to determine which of these instruments was most preferred by homeless individuals.DesignA cross-sectional survey.SettingRecruitment of participants took place at seven shelters and from three drop-in programmes that serve homeless individuals in Toronto, Canada.SubjectsFifty individuals who were ≥18 years of age, able to communicate in English and currently homeless.ResultsThe modified US FSSM assigned 20 % of participants to a lower ordinal food security category compared with the US FSSM, and only 8 % to a higher food security category. The HFIAS assigned 30 % of participants to a lower food security category compared with either the US FSSM or the modified US FSSM, and only 10–16 % of participants to a higher food security category. When asked to compare all three instruments, the majority of respondents (62 %) selected the HFIAS as the best instrument for people who are homeless.ConclusionsA majority of homeless individuals selected the HFIAS as the best food security instrument for people who are homeless. Our findings suggest that the HFIAS is a more appropriate instrument than the US FSSM for measuring food security in the homeless population.

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