scholarly journals Household Food Insecurity, Underweight Status, and Associated Characteristics among Women of Reproductive Age Group in Assayita District, Afar Regional State, Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Jemal Abdu ◽  
Molla Kahssay ◽  
Merhawi Gebremedhin

Background. Poor nutritional status of women has been a serious problem in Ethiopia. Rural women are more likely to be undernourished than urban women. Afar region is the most likely to be undernourished (43.5%). Despite the humanitarian and food aid, food insecurity and maternal underweight are very high in the region. Household food insecurity is not adequately studied in Afar region. The aim of this study was to assess the prevalence of household food insecurity and underweight status and its association among reproductive age women. Method. The study was conducted in Assayita district in June 2015. Community-based cross-sectional study design was used among nonpregnant women. Household data was collected using structured questionnaire. Multistage cluster sampling procedure was applied. Two pastoral and two agropastoral Kebeles have been selected by simple random sampling. Systematic random sampling was used to select respondents. The total sample size was 549 households. Household Food Insecurity Access Scale (HFIAS) and anthropometric data were used to determine food insecurity and underweight, respectively. Multivariate regression models were used to measure associations. Results. Prevalence of HFIAS was 70.4 with a mean of 7.0 (3.6 ± SD); 26.1%, 30.20%, and 14.1% were mild, moderate, and severe food insecurity, respectively. Underweight prevalence (BMI < 18.5) was 41.1% with prevalence of mild, moderate, and severe underweight being 34.5%, 3.9%, and 2.7%, respectively. Age, parity, and having >2 children below five years of age were statistically associated with household food insecurity and maternal underweight. Conclusion. Household food insecurity and maternal underweight were very high. Age, parity, and having ≥2 children below five years of age were associated with household food insecurity. Maternal underweight was associated with maternal age, marital status, parity, number of children below 5 years, household food insecurity, and vocation of the respondents.

PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e1945 ◽  
Author(s):  
Bishwajit Ghose ◽  
Shangfeng Tang ◽  
Sanni Yaya ◽  
Zhanchun Feng

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.


2020 ◽  
Author(s):  
Shanta Pandey ◽  
Vincent Fusaro

Abstract Background: Food insecurity is widely prevalent in certain sections of society in low and middle-income countries. The United Nations has challenged all member countries to eliminate hunger for all people by 2030. This study examines the prevalence and correlates of household food insecurity among women, especially Dalit women of reproductive age in Nepal. Methods: Data came from 2016 Nepal Demographic Health Survey, a cross-sectional, nationally representative survey that included 12,862 women between 15 and 49 years of age of which 12% were Dalit. Descriptive analysis was used to assess the prevalence of household food insecurity while logistic regression examined the relationship between women’s ethnicity and the risk of food insecurity after accounting for demographic, economic, cultural, and geo-ecological characteristics.Results: About 56% of all women and 76% of Dalit women had experienced food insecurity. Ethnicity is strongly related to food insecurity. Dalit women were most likely to be food insecure, even after accounting for factors such as education and wealth. They were 82%, 85%, 89% and 92% more vulnerable to food insecurity than Muslims, Brahmin/Chhetri, Terai Indigenous, and Hill Indigenous populations, respectively. Education was a protective factor—women with secondary education (6th to 10th grade) were 39% less likely to be food insecure compared to their counterparts without education. With a more than 10th grade education, women were 2.27 times more likely to be food secure compared to their counterparts without education. Marriage was also protective. Economically, household wealth is inversely correlated with food insecurity. Finally, residence in the Mid-Western, Far-Western and Central Development regions was correlated with food insecurity. Conclusion: To reduce food insecurity in Nepal, interventions should focus on improving women’s education and wealth, especially among Dalit and those residing in the Far- and Mid-Western regions.


2014 ◽  
Vol 18 (16) ◽  
pp. 2906-2914 ◽  
Author(s):  
Chandrashekhar T Sreeramareddy ◽  
N Ramakrishnareddy ◽  
Mayoori Subramaniam

AbstractObjectiveTo examine the association between household food insecurity score and Z-scores of childhood nutritional status indicators.DesignPopulation-based, cross-sectional survey, Nepal Demographic and Health Survey 2011.SettingA nationally representative sample of 11 085 households selected by a two-stage, stratified cluster sampling design to interview eligible men and women.SubjectsChildren (n 2591) aged 0–60 months in a sub-sample of households selected for men’s interview.ResultsPrevalence of moderate and severe household food insecurity was 23·2 % and 19·0 %, respectively, for children aged 0–60 months. Weighted prevalence rates for stunting (height-for-age Z-score (HAZ) <−2), wasting (weight-for-height Z-score (WHZ) <−2) and underweight (weight-for-age Z-score (WAZ) <−2) were 41·6 % (95 % CI 38·9, 44·3 %), 11·5 % (95 % CI 9·8, 13·2 %) and 30·1 % (95 % CI 27·5, 32·8 %), respectively. Prevalences of stunting, severe stunting (HAZ<−3) and underweight by level of household food insecurity were statistically significant (P<0·001). By multiple linear regression analyses and after adjustment for sociodemographic, child and environmental factors, household food access insecurity score was associated with HAZ (β=−0·02, P=0·01) and WAZ (β=−0·01, P=0·01) but was not associated with WHZ and BMI-for-age Z-score. A 10-point increase in household food access insecurity score was associated with a decrease in HAZ of 0·2 (95 % CI 0·05, 0·39) and decrease in WAZ of 0·1 (95 % CI 0·03, 0·27).ConclusionsOur results from a nationally representative sample confirm the previously reported association of household food insecurity with stunting and underweight. Community nutrition interventions may use household food insecurity scales for identifying those households where children may be at risk of growth faltering.


2020 ◽  
Vol 23 (15) ◽  
pp. 2687-2699
Author(s):  
Lamis H Jomaa ◽  
Farah A Naja ◽  
Samer A Kharroubi ◽  
Marwa H Diab-El-Harake ◽  
Nahla C Hwalla

AbstractObjective:Examine the associations between household food insecurity (HFI) with sociodemographic, anthropometric and dietary intakes of mothers.Design:Cross-sectional survey (2014–2015). In addition to a sociodemographic questionnaire, data collection included the validated Arabic version of the Household Food Insecurity Access Scale, which was used to evaluate HFI. Dietary intake was assessed using 24-h dietary recall of a single habitual day, and maternal BMI was calculated based on weight and height measurements. Associations between HFI and maternal dietary intake (food groups, energy and macronutrients’ intake) were examined. Simple and multiple logistic regression analyses were conducted to explore the associations between HFI status with odds of maternal overweight and measures of diet quality and diversity (Healthy Eating Index (HEI) and Minimum Dietary Diversity for Women of Reproductive Age (MDD-W)).Setting:Lebanon.Participants:Mothers, nationally representative sample of Lebanese households with children (n 1204).Results:HFI was experienced among almost half of the study sample. Correlates of HFI were low educational attainment, unemployment and crowding. Significant inverse associations were observed between HFI and dietary HEI (OR 0·64, 95 % CI 0·46, 0·90, P = 0·011) and MDD-W (OR 0·6, 95 % CI 0·42, 0·85, P = 0·004), even after adjusting for socioeconomic correlates. No significant association was observed between HFI and odds of maternal overweight status.Conclusions:HFI was associated with compromised maternal dietary quality and diversity. Findings highlight the need for social welfare programmes and public health interventions to alleviate HFI and promote overall health and wellbeing of mothers.


2021 ◽  
pp. 1-11
Author(s):  
Rosa Elena Ponce-Alcala ◽  
Jose Luis Ramirez-Garcia Luna ◽  
Teresa Shamah-Levy ◽  
Hugo Melgar-Quiñonez

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.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Nadia Shah ◽  
Mehwish Hussain

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.


BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e021683 ◽  
Author(s):  
Lauren D Mangini ◽  
Mark D Hayward ◽  
Yeyi Zhu ◽  
Yongquan Dong ◽  
Michele R Forman

ObjectiveFood insecurity is positively associated with asthma, the most common chronic childhood disease, yet directionality is unclear. The objective was to determine the association between exposure to food insecurity in early childhood and the odds of asthma later in childhood.DesignData from four waves of the Early Childhood Longitudinal Study-Kindergarten (ECLS-K) cohort, a prospective, dual-frame, multistage probability cluster sampling study of school-aged US children were entered in multivariate logistic regression models, adjusted for covariates. Exposures to food insecurity were based on parental responses to the validated USDA 18-item module at each wave.SettingPublic and private primary and secondary schools between 1998 and 2007.ParticipantsAt its inception (1999), the ECLS-K had 20 578 kindergarteners; by the spring of eighth grade (2007), the cohort dropped to 9725 due to attrition. Children missing an exposure, outcome or confounding variable were excluded, final n=6731.Primary outcome measureChild’s diagnosis of asthma by a healthcare professional as reported by the parent.ResultsHousehold food insecurity (vs food security) in the year before kindergarten and in second grade had a higher odds of asthma by 18% (95% CI 1.17 to 1.20) and 55% (95% CI 1.51 to 1.55). After removing asthmatics before third grade from the model, food insecurity in second grade was associated with higher odds of asthma at fifth or eighth grades (OR 1.55; 95% CI 1.53 to 1.58), whereas food insecurity in the year before kindergarten had a lower odds at fifth or eighth grades.ConclusionsFood insecurity in the year before kindergarten and in second grade were associated with a higher odds of asthma in third grade. Food insecurity in second grade retained the signal for increased odds of asthma after third and through eighth grades. Additional research is needed to explore childhood windows of vulnerability to asthma.


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