Risk Factors of Stunting and Wasting among Children Aged 6–59 Months in Household Food Insecurity of Jima Geneti District, Western Oromia, Ethiopia: An Observational Study

Undernutrition is the most difficult and widespread public health concern in low-income nations including Ethiopia. Therefore, this study aimed to investigate the associated risk factors of stunting and wasting among children aged 6–59 months in Jima Geneti district, Western Oromia, Ethiopia. A community-based cross-sectional study was conducted on 500 children from December 1 to 28, 2020. A multiple-stage sampling method was performed to select children from each kebele. Anthropometric measurements were taken, and the nutritional status was generated using WHO Anthro v. 3.2.1. Data analysis was performed using the SPSS version 20.0. Bivariate and multivariate logistic regression analyses were carried out to identify the associated risk factors of stunting and wasting among children in the study area. Statistical significance was set at p < 0.05 . The study results showed that the prevalence of stunting and wasting among children was 27% and 11.8%, respectively. The findings of this study also revealed that the prevalence of household food insecurity and poor dietary diets was 19.6% and 52.2%, respectively. Low wealth status (AOR = 2.5; 95% CI: 1.1, 5.55) and poor dietary diets (AOR = 4.7; 95% CI: 2.5, 8.83) were associated risk factors for stunting. However, child meal frequency (AOR = 3.9; 95% CI: 1.23, 12.6), and children who did feed leftover food (AOR = 2.75; 95% CI: 1.02, 7.44) were associated risk factors for wasting. Poor dietary diets (AOR = 2.65; 95% CI: 1.06, 6.66) were also associated risk factors for wasting. The findings of this study concluded that the prevalence of stunting and wasting was high in the study area. Therefore, addressing family-level risk factors which are major drivers of children’s nutritional status is crucial to ensure the nutritional status of children.

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A Food Insecurity Systematic Review: Experience from Malaysia

Nutrients ◽

10.3390/nu13030945 ◽

2021 ◽

Vol 13 (3) ◽

pp. 945

Author(s):

Norhasmah Sulaiman ◽

Heather Yeatman ◽

Joanna Russell ◽

Leh Shii Law

Keyword(s):

Risk Factors ◽

Food Insecurity ◽

Coping Strategies ◽

Low Income ◽

Meta Analysis ◽

Welfare Recipient ◽

Vulnerable Groups ◽

Household Food Security ◽

Household Food Insecurity ◽

Household Food

Living free from hunger is a basic human right. However, some communities still experience household food insecurity. This systematic literature review explored different aspects of household food insecurity in Malaysia including vulnerable groups, prevalence, risk factors, coping strategies, and the consequences of food insecurity. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Thirty-three relevant articles were selected from scientific databases such as CINAHL, Pubmed and Google Scholar, scrutiny of reference lists, and personal communication with experts in the field. The prevalence of household food insecurity in Malaysia was unexpectedly reported as high, with affected groups including Orang Asli, low-income household/welfare-recipient households, university students, and the elderly. Demographic risk factors and socioeconomic characteristics included larger household, living in poverty, and low education. Coping strategies were practices to increase the accessibility of food in their households. Consequences of household food insecurity included psychological, dietary (macro- and micronutrient intakes), nutritional status, and health impacts. In conclusion, this review confirmed that household food insecurity in Malaysia continues to exist. Nevertheless, extensive and active investigations are encouraged to obtain a more holistic and comprehensive picture pertaining to household food security in Malaysia.

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Conceptualising household food insecurity in Northern Ireland: risk factors, implications for society and the economy, and recommendations for business and policy response

SN Business & Economics ◽

10.1007/s43546-021-00070-9 ◽

2021 ◽

Vol 1 (5) ◽

Author(s):

Emma Beacom ◽

Sinéad Furey ◽

Lynsey Hollywood ◽

Paul Humphreys

Keyword(s):

Mental Health ◽

Risk Factors ◽

Northern Ireland ◽

Food Insecurity ◽

Health Concern ◽

Household Food Insecurity ◽

Policy Response ◽

Physical And Mental Health ◽

Household Food ◽

Developed Nations

AbstractHousehold food insecurity in developed nations has been identified as a significant public health concern. Although various research on the topic exists, such as contributors to food insecurity, and implications for individual physical and mental health outcomes; there is currently a lack of consideration as to how individual implications of food insecurity such as poor physical and mental health can consequently impact on business and the wider economy. In addition, there is a lack of conceptual literature related to food insecurity. Stakeholder interviews (n = 19) were conducted, and data were used to inform the conceptual model (risk factors, potential implications for individuals, the economy and business, and opportunities for business and policy response). The main suggested implications related to business and the economy were reduced contribution to the workforce and the economy, and increased cost pressures on the National Health Service. Business responses suggested included the inclusion of initiatives to address food insecurity in corporate social responsibility strategies, and further involvement of food businesses/retailers in redistributing surplus food. Policy responses suggested included policies relating to welfare, wages and work contracts, food redistribution incentives, sustainability, and community interventions in disadvantaged areas. The resulting model is unique in conceptualising food insecurity in the Northern Ireland context, with applicability to the UK and other developed nations.

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Association of Household Food Insecurity with the Mental and Physical Health of Low-Income Urban Ecuadorian Women with Children

Journal of Environmental and Public Health ◽

10.1155/2016/5256084 ◽

2016 ◽

Vol 2016 ◽

pp. 1-14 ◽

Cited By ~ 9

Author(s):

M. Margaret Weigel ◽

Rodrigo X. Armijos ◽

Marcia Racines ◽

William Cevallos ◽

Nancy P. Castro

Keyword(s):

Mental Health ◽

Food Insecurity ◽

Physical Health ◽

Low Income ◽

Household Food Insecurity ◽

Health Complaints ◽

Physical And Mental Health ◽

Epidemiologic Transition ◽

Household Food ◽

Mental And Physical Health

Chronic physical and mental health conditions account for a rising proportion of morbidity, mortality, and disability in the Americas region. Household food insecurity (HFI) has been linked to chronic disease in US and Canadian women but it is uncertain if the same is true for low- and middle-income Latin American countries in epidemiologic transition. We conducted a survey to investigate the association of HFI with the physical and mental health of 794 women with children living in low-income Quito, Ecuador, neighborhoods. Data were collected on HFI and health indicators including self-reported health (SF-1), mental health (MHI-5), blood pressure, and self-reported mental and physical health complaints. Fasting blood glucose and lipids were measured in a subsample. The multivariate analyses revealed that HFI was associated with poorer self-rated health, low MHI-5 scores, and mental health complaints including stress, depression, and ethnospecific illnesses. It was also associated with chest tightness/discomfort/pain, dental disease, and gastrointestinal illness but not other conditions. The findings suggest that improving food security in low-income households may help reduce the burden of mental distress in women with children. The hypothesized link with diabetes and hypertension may become more apparent as Ecuador moves further along in the epidemiologic transition.

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Association of Household Food Insecurity with Nutritional Status and Mental Health of Pregnant Women in Rural Bangladesh

Nutrients ◽

10.3390/nu13124303 ◽

2021 ◽

Vol 13 (12) ◽

pp. 4303

Author(s):

S. M. Tafsir Hasan ◽

Daluwar Hossain ◽

Faysal Ahmed ◽

Md Alfazal Khan ◽

Ferdousi Begum ◽

...

Keyword(s):

Mental Health ◽

Nutritional Status ◽

Food Insecurity ◽

Pregnant Women ◽

Women’S Health ◽

Women's Health ◽

Household Food Insecurity ◽

Household Food ◽

Independent Association ◽

Environmental Shocks

Food insecurity may affect women’s health; however, pertinent research is scant among pregnant women. This study investigated the association of household food insecurity (HFI) with the nutritional status and mental health of 672 early-gestation (5–16 weeks) pregnant women with a singleton fetus, who participated in the screening activity of a community-based trial (NCT04868669) in Matlab, Bangladesh. Height (cm), weight (kg), body mass index (kg/m2), mid-upper arm circumference (MUAC) (cm), depression, anxiety, and stress were the outcomes studied. HFI was assessed using the Household Food Insecurity Access Scale. Women’s depression, anxiety, and stress were assessed using the Depression, Anxiety, and Stress Scales-21. Propensity score matching based weighted multivariable linear and logistic regression were used to evaluate the independent association of HFI with the outcomes. In adjusted models, pregnant women from food-insecure households in rural Matlab were on average 2.0 cm shorter (β = −2.0, 95% CI: −3.3, −0.7), 2.0 kg lighter (β = −2.0, 95% CI: −3.4, −0.7), and had 0.6 cm lower MUAC (β = −0.6, 95% CI: −1.1, −0.1) than their food-secure counterparts. HFI was associated with higher odds of depression (OR = 3.3, 95% CI: 1.8, 5.9), anxiety (OR = 6.1, 95% CI: 3.7, 10.0), and stress (OR = 4.8, 95% CI: 1.6, 14.2) among the women. Public health measures should focus on ensuring proper nutrition during the critical growth periods of life, pregnancy, and external environmental shocks, to mitigate the adverse effects of HFI on women’s health.

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Socio-demographic, household food security and nutritional status of older (> 50 Y) women from rural Zambian communities: A descriptive study

African Journal of Food, Agriculture, Nutrition and Development ◽

10.18697/ajfand.105.20490 ◽

2021 ◽

Vol 21 (105) ◽

pp. 18912-18931

Author(s):

U Mukherjee ◽

◽

JM Chalwe ◽

S Mbambara ◽

WH Oldewage-Theron ◽

...

Keyword(s):

Food Security ◽

Nutritional Status ◽

Food Insecurity ◽

Older Women ◽

Demographic Characteristics ◽

Household Food Security ◽

Household Food Insecurity ◽

Dietary Intakes ◽

Household Food ◽

Socio Demographic Factors

Socio-demographic factors and household food insecurity are considered to influence the nutritional status of older women. The rapidly growing elderly population in Africa is a concern particularly in sustaining their health and nutritional status. In spite of this, there is a scarcity of information in older Zambian women and this study aimed to assess the socio-demographic factors, nutritional status and household food insecurity status of older women in rural Zambian communities. This cross-sectional study was conducted in Twatasha compound of Kitwe and Ndeke community of Ndola. The socio-demographic characteristics, anthropometric measurements, dietary intakes and household food security were evaluated in a convenience sample of 153 older women (≥ 50 years) through the Household Food Insecurity Access Scale (HFIAS). IBM SPSS version 26 was used for descriptive (frequencies, means and standard deviations, and medians with interquartile frequencies) and inferential (bivariate and Spearman correlations) statistical analyses. The socio-demographic characteristics showed that almost all (98.7%) of the participants had other members of the family residing with them. Most participants (57%) had attained primary school education, 19% had secondary education and 5% had college education. Almost half (49%) of the participants did not report their employment status and 36% reported to be unemployed. Over-nutrition was most prevalent (37.3% overweight and 39.8% obese) while 20.9 % and 2.0% of the respondents were normal weight and underweight respectively. The median (25th percentile; 75th percentile) dietary intakes showed inadequate intakes for most nutrients, except for carbohydrates (170 g [133;225]). The total fat intake represented 14% of total energy intake. The majority (86.0%) of the participants were identified as severely food insecure while only 6.0% were food secure. The majority of the participants (80-90%) used at least seven out of the nine behavioural responses to food insecurity. The findings show resource-poor and severely food insecure communities. We recommended urgent interventions to improve access to healthy foods (such as home gardening projects) and promote healthy dietary habits (including nutrition education).

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Impact of household food insecurity on the nutritional status and the response to therapeutic feeding of people living with human immunodeficiency virus

Patient Preference and Adherence ◽

10.2147/ppa.s25672 ◽

2011 ◽

pp. 619 ◽

Cited By ~ 10

Author(s):

Paluku Bahwere ◽

Deconink ◽

Banda ◽

Angella Mtimuni ◽

Collins

Keyword(s):

Human Immunodeficiency Virus ◽

Nutritional Status ◽

Food Insecurity ◽

Household Food Insecurity ◽

Household Food ◽

Immunodeficiency Virus

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Dependency in Activities of Daily Living Is Associated with Household Food Insecurity Among Mexican Older Adults (P04-070-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz051.p04-070-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Veronica Mundo Rosas ◽

Ignacio Méndez Gómez-Humarán ◽

María Concepción Medina Zacarías

Keyword(s):

Older Adults ◽

Activities Of Daily Living ◽

Food Insecurity ◽

Low Income ◽

Daily Living ◽

Pension Plan ◽

Household Food Insecurity ◽

Nutrition Survey ◽

Retirement Pension ◽

Household Food

Abstract Objectives To analyze the association between dependency in activities of daily living (DADL) among Mexican older adults and the presence of household food insecurity. Methods Data on 6674 Mexican adults aged ≥60 years and their households were drawn from the 2012 Mexican National Health and Nutrition Survey (ENSANUT). DADL dependency, measured under the Katz Index (1983), was determined when respondents indicated needing assistance from another person in order to perform at least one DADL. Food insecurity (FI) was measured according to the Latinoamerican and Caribbean Food Security Scale (ELCSA). We used Path Analysis to examine the structure of the association of FI with DADL and other socio-demographic variables. Results 22.6% of older adults analyzed were ADL-dependent, and 72.9% lived in households marked by a FI category. We found that DADL (P = 0.001) exerted a significant impact on moderate and severe FI in households not benefiting from a food aid program (P = 0.000) or retirement pension plan (P = 0.000). Conclusions Few studies have explored this issue. DADL are intimately linked to household FI in that they affect the productivity of working adults and their caregivers. The findings from this study support the creation of nutritional policies and programs which address the unique needs of low income elderly people who have functional limitations. Funding Sources N/A.

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