scholarly journals Child dietary diversity and food (in)security as a potential correlate of child anthropometric indices in the context of urban food system in the cases of north-central Ethiopia

2020 ◽  
Vol 39 (1) ◽  
Author(s):  
Amare Molla Dinku ◽  
Tefera Chane Mekonnen ◽  
Getachew Shumye Adilu
Keyword(s):  
Food Insecurity ◽  
Food System ◽  
Dietary Diversity ◽  
Household Head ◽  
Cross Sectional Study ◽  
Anthropometric Indices ◽  
Double Burden ◽  
Cross Sectional ◽  
North Central ◽  
Central Ethiopia

Abstract Objective To investigate the relation of child dietary diversity and household food insecurity along with other socio-demographic with child anthropometric indices in north-central Ethiopia, an area with a high level of food insecurity and inadequate diet quality. Design A community-based cross-sectional study was used. Settings The study was conducted in Dessie and Combolcha towns of north-central Ethiopia from April to May 2018. Participants Randomly selected 512 mother-child pairs with child’s age range of 6–59 months. Results The mean (± SD) scores of weight-for-height/length, height/length-for-age, weight-for-age, and BMI-for-age Z-scores were 1.35 (± 2.03), − 1.89 (± 1.79), 0.05 (± 1.54), and 1.39 (± 2.06), respectively. From all anthropometric indicators, stunting and overweight/obesity remained the severe public issues hitting 43% and 42% of the children, respectively. In the model, mothers’ age and education and child’s age, sex, and dietary diversity were significantly related with child height-for-age Z-score while place of residence, sex of household head, child’s age, and dietary diversity score were the predictors of child BMI-for-age Z-score in the urban contexts of the study area. Nevertheless, food insecurity was not related to any of the child anthropometric indices. Conclusion The double burden of malnutrition epidemics (stunting and obesity) coexisted as severe public health concerns in urban settings. Anthropometric statuses of children were affected by multidimensional factors and seek strong integration and immediate intervention of multiple sectors.

Food insecurity, food expenses and consumption of sugar and soft drinks in households with and without children and/or adolescents

2021 ◽  
Vol 34 ◽  
Author(s):  
Bruna Fernanda do Nascimento Jacinto de SOUZA ◽  
Daniele Flaviane Mendes CAMARGO ◽  
Ana Maria SEGALL-CORRÊA ◽  
Letícia MARÍN-LEÓN ◽  
Priscila Maria Stolses Bergamo FRANCISCO
Keyword(s):  
Food Insecurity ◽  
Family Income ◽  
Household Head ◽  
Cross Sectional Study ◽  
Soft Drinks ◽  
Measurement Scale ◽  
Sugar Consumption ◽  
Cross Sectional ◽  
Gender And Education ◽  
Households With Children

ABSTRACT Objectives To estimate the frequency of food insecurity in households with and without children/adolescents; compare food expenses, sugar and soft drinks consumption in these households; and to analyze the relationship between food insecurity and demographic/socioeconomic variables with food expenses, and sugar and soft drinks consumption in households with and without children/adolescents. Methods Cross-sectional study with 628 households in Campinas, SP, Brazil. Food insecurity was estimated by the Brazilian Household Food Insecurity Measurement Scale. The dependent variables were the proportion of food expenses, and consumption of sugar and soft drinks; and the independent ones included food security/insecurity condition, monthly family income, gender, age and education of the household head. Results The frequency of food insecurity was higher in households with children/adolescents than in households without minors (41.4% vs. 27.9%). The proportion of food expenses was higher in households with children/adolescents and in all households it was associated with lower family income and, in households with minors, to the presence of a female householder. Soft drinks consumption was higher in households with children/adolescents; and was related to higher income in all households, and to the presence of male householder in households with minors. Sugar consumption in households with children/adolescents was associated with higher income, male gender and education level of the household head (<12 years). In households without children/adolescents, the higher sugar consumption was associated with food insecurity and the household head’s education (<8 years). Conclusion In households with children/adolescents there was a greater frequency of food insecurity and a greater commitment of income with food. Food insecurity was associated with increased sugar consumption in households without children/adolescents.

scholarly journals Diarrheal Diseases in Under-Five Children and Associated Factors among Farta District Rural Community, Amhara Regional State, North Central Ethiopia: A Comparative Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Yilkal Tafere ◽  
Bedilu Abebe Abate ◽  
Habtamu Demelash Enyew ◽  
Amsalu Belete Mekonnen
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Diarrheal Diseases ◽  
Open Defecation ◽  
Cross Sectional ◽  
North Central ◽  
Central Ethiopia ◽  
Under Five ◽  
Factors Associated ◽  
Under Five Children

Background. Diarrheal diseases are the major cause of morbidity and mortality among under-five children in low- and middle-income countries including Ethiopia. One of the national initiatives to reduce its burden is an implementation of an open-defecation-free program. However, information related to the comparison of diarrheal diseases among residents in open-defecation-free and non-open-defecation-free. Hence, this study assessed the magnitude of diarrheal diseases among residents in open-defecation-free and non-open-defecation-free areas of Farta District, North Central Ethiopia. Methods. A community-based comparative cross-sectional study was conducted among 758 households (378 in open-defecation-free and 380 in non-open-defecation-free kebeles) who have under-five children using a structured questionnaire. A systematic sampling technique was used to select study participants. Binary logistic regression was used to analyze factors associated with diarrheal diseases in the district. Results. Overall, 29.9% of children had diarrheal diseases in the last two weeks prior to the study. The magnitude of diarrheal diseases among under-five children living in open-defecation-free and non-open-defecation-free residents was 19.3% and 40.5%, respectively. Lack of functional handwashing facilities (AOR: 11, 95% CI (8.1–29.6)), improper excreta disposal (AOR: 3.84, 95% CI (2.15–5.65)), and residing in non-open-defecation-free areas (AOR: 2.4, 95% CI (1.72–3.23)) were factors associated with diarrheal diseases. Conclusions. The prevalence of diarrhea among children residing in open-defecation-free areas was lower than that among children those who resided in non-open-defecation-free areas. Lack of functional handwashing facilities, residing in non-open-defecation-free areas, and improper excreta disposal were significantly associated with diarrheal diseases in the district. Strengthening health promotion on non-open defecation, maintaining functional handwashing facilities, and preparing additional handwashing facilities are necessary. Continuous engagement of the community health extension workers is recommended, sustaining the implementation of open-defecation-free programs in the district.

scholarly journals Malnutrition and Food Insecurity Might Pose a Double Burden for Older Adults

Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2407
Author(s):  
Konstantinos Gkiouras ◽  
Stavros Cheristanidis ◽  
Theopoula D. Papailia ◽  
Maria G. Grammatikopoulou ◽  
Nikolaos Karamitsios ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Food Insecurity ◽  
Assessment Tool ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Double Burden ◽  
Cross Sectional

Although food insecurity has been associated with a disadvantageous socioeconomic status, especially in older adults, its association with comorbidities is less clear. The scope of the present cross-sectional study was to assess the prevalence of food insecurity among older adults and evaluate the association between food insecurity, malnutrition, chronic disease, multimorbidity and healthcare utilization. A total of 121 older adults (mean (standard deviation) age: 72.6 (8.1)) were recruited from a Primary Care Health Center from 10 August 2019 to 10 September 2019. Food insecurity and malnutrition status were assessed by the Household Food Insecurity Access Scale and Mini Nutritional Assessment tool, respectively. Recorded variables included financial, family data and comorbidities. The prevalence of food insecurity in the sample reached 50.4%, with men and older adults malnourished or at risk for malnutrition, exhibiting high risk for food insecurity. Multimorbidity, frequency of health care utilization and medication adherence were not associated with food insecurity, possibly due to the free health services and remunerated medications offered by the Greek government. However, male gender and malnutrition risk were significant predictors of food insecurity in the multiple logistic analyses. This study highlights the need for mainstreaming food insecurity assessment among older adults with comorbidities, especially those at risk for malnutrition.

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 Dietary Diversity and Associated Factors among Pregnant Women Attending Antenatal Clinic in Shashemane, Oromia, Central Ethiopia: A Cross-Sectional Study

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Melaku Desta ◽  
Mohammed Akibu ◽  
Mesfin Tadese ◽  
Meskerem Tesfaye
Keyword(s):  
Pregnant Women ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Antenatal Clinic ◽  
Cross Sectional Study ◽  
Food Groups ◽  
Sectional Study ◽  
Cross Sectional ◽  
Central Ethiopia ◽  
Pregnant Mothers

Background. Maternal dietary diversity is a proxy indicator of maternal nutrient adequacy and improves health outcomes for both mothers and babies. However, little is documented on dietary diversity among pregnant mothers. Therefore, this study assessed diet diversity and associated factors among pregnant mothers attending the antenatal clinic in Shashemane, Oromia, Central Ethiopia.Methods. An institution-based cross-sectional study was conducted on 315 systematically selected pregnant women attending antenatal clinic of Shashemane town in April 2017. Dietary diversity was assessed using a 24 h dietary recall method, and the dietary diversity score was computed for ten food groups. Bivariate and multivariate logistic regressions were computed to identify associated factors of dietary diversity.Result. In this study, only a quarter (25.4%) of pregnant mothers consumed adequate dietary diversity. Mother’s tertiary (AOR 3.18; 95% CI: 1.8, 6.35) and secondary (AOR 2.13; 95% CI: 2.32, 8.72) education, household monthly income above 3500 ETB (AOR = 2.24; 95% CI: 1.47, 7.78), livestock ownership (AOR = 4.15; 95% CI: 2.07, 9.86), women who got emotional support from the husband (AOR = 3.49; 95% CI: 1.12, 8.23), and women who participated in the shooping (AOR = 2.54; 95% CI: 3.27, 9.83) were more likely to attain the adequate dietary diversity.Conclusion. The study revealed that the overall consumption of adequate dietary diversity was found to be low. Developing the educational level of women, increasing household income and owning of livestock, increasing husbands’ support, and improving women’s participation in the shopping are recommended to improve women’s adequate dietary diversity.

scholarly journals Differences in Underlying Causes of Infant Malnutrition Between a Pastoral and an Agro Pastoral Community in Ethiopia

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 247-247
Author(s):  
Ana Moyeda Carabaza ◽  
John Dawson ◽  
Mary Murimi
Keyword(s):  
Food Insecurity ◽  
Infant Health ◽  
Dietary Diversity ◽  
Household Survey ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Pastoral Community ◽  
Pastoral Communities ◽  
Feed The Future

Abstract Objectives To determine the difference in underlying factors related to child nutritional status between pastoral and agro pastoral based communities in Ethiopia. Methods This cross-sectional study was conducted in two rural pastoral communities located in the Somali region and agro pastoral community located in Southern Nations. Pairs of mothers and their infants aged 6 to 52 months were randomly selected to participate in the survey. Data was collected using the Household Food Insecurity Access Scale, Dietary Diversity, and Sanitation for Household Survey. Anthropometric measurements taken included height, length, and weight using WHO Anthro version 3.2.2. Chi-square tests were used to assess differences between communities. Logistic regression were used to analyze factors that contributed to infant health status. Results A total of 232 participants from both communities completed the survey. The agro pastoral community reported a higher food insecurity rate at 87% than the pastoral community at 70%. The prevalence of women not achieving the minimum dietary diversity was significantly higher in the pastoral community than the agro pastoral community (94% vs 68%, P &lt; .001). Similarly, more households in the pastoral community reported accessing drinking water from unimproved sources (64% vs 0.9%, P &lt; .001) and using unimproved toilet facilities (97% vs. 77%, P &lt; .001) than the agropastoral community. Although almost all participants from both the agropastoral and pastoral communities reported washing their hands during critical times (100% and 96%) respectively. In addition, the pastoral community had significantly higher prevalence rates of infants’ wasting (44.5% vs 0%, P &lt; .001) and underweight (47.8% vs 7.7%, P &lt; .001) than the agro pastoral community. Conclusions Even though the prevalence of food insecurity was higher in the agro pastoral community than the pastoral community, they had lower rates of infant malnutrition. In contrast, although the pastoral community reported a lower rate of food insecurity, they had higher rates of child wasting and underweight, reported low dietary diversity, and poor hygiene practices. Based on these findings, dietary diversity and environmental sanitation may be protective of child wasting and underweight over and above food insecurity. Funding Sources Feed the Future Livestock Systems Innovation Lab (LSIL).

scholarly journals Factors Associated With Minimum Dietary Diversity Among Children Aged 6 to 23 Months in Debre Berhan Town, Central Ethiopia: Community-based Cross-sectional Study

2021 ◽  
Author(s):  
Takele Gezahegn Demie ◽  
Getachew Tilahun Gesese ◽  
Behailu Tariku Derseh ◽  
Kalayu Birhane Mruts ◽  
Tesfaye Birhane Gebremariam
Keyword(s):  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Food Groups ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Central Ethiopia ◽  
Factors Associated ◽  
Debre Berhan ◽  
Minimum Dietary Diversity

Abstract Background: Minimum dietary diversity (MDD) is the consumption of four or more food groups from the seven food groups. Poor infant and young child feeding (IYCF) practices in the first 2 years of age are among major causes of childhood undernutrition, illness, and mortality. Therefore, this study aimed at investigating MDD and its associated factors among IYC aged 6–23 months in Debre Berhan town, central Ethiopia.Methods: A community-based cross-sectional study was undertaken from January 1 to 30, 2017. A simple random sampling technique was used to sample 377 IYC aged 6-23 months with mothers/caregivers. An interviewer-administered structured and pretested questionnaire was used to collect data through a face-to-face interview. Data were cleaned and entered into Epidata 3.1, exported to SPSS software version 20. Logistic regression was fitted and an odds ratio with a 95% confidence interval (CI) and p-value less than 0.05 was used to identify factors associated with MDD. Results: A total of 377 IYC aged 6-23 months with mothers/caregivers were participated in the study. The proportion of children who met the MDD practice was 58.4%. Mother’s education [(AOR = 0.15; 95% CI = 0.02-0.88), (AOR = 0.21; 95% CI = 0.05-0.97)], mother’s occupation (AOR = 0.28; 95% CI = 0.15-0.54), father’s occupation (AOR = 3.45; 95% CI = 1.40-8.54), and number of antenatal care visit by mothers (AOR = 0.54; 95% CI = 0.30-0.97) were factors associated with MDD among IYC.Conclusion: Even though the study showed better progress as compared to the national prevalence of the consumption of MDD, it is substandard in the study area. Thus, more efforts need to be done to achieve the recommended MDD intake for all children aged between 6 and 23 months. Increasing mothers’ level of education, creating employment opportunities for both mothers and fathers’, and increasing the frequency of ANC service use are vital interventions to improve IYCF practices in Debre Berhan town.

scholarly journals Household Food Insecurity, Low Dietary Diversity, and Early Marriage Were Predictors for Undernutrition among Pregnant Women Residing in Gambella, Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Mamo Nigatu ◽  
Tsegaye Tewelde Gebrehiwot ◽  
Desta Hiko Gemeda
Keyword(s):  
Food Insecurity ◽  
Pregnant Women ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Early Marriage ◽  
High Stake ◽  
Cross Sectional ◽  
Maternal Undernutrition ◽  
First Marriage ◽  
Food Insecure Households

Background. Maternal undernutrition affects the health of both mothers and children and, as a result, has broad impacts on economic and social development. Objective. The aim of this study was to assess magnitude of undernutrition and associated factors among pregnant women in Gambella town, 2014. Methods. Community based cross-sectional study was conducted on 338 randomly selected pregnant women from March to April 2014. Bivariate and multivariable logistic regressions were used for data analysis. Result. The prevalence of undernutrition among pregnant women in Gambella town was 28.6%. Pregnant women who were married before their age of eighteen, who were from food insecure households, and who had low dietary diversity score were nearly four (AOR = 3.9, 95% CI: 2.2–6.9), two (AOR = 2.3, 95% CI : 1.2–3.6), and two (AOR = 2.1, 95% CI: 1.3–4.16) times more likely to be undernourished as compared to their counterparts, respectively. Conclusion. Prevalence of undernutrition among pregnant women in Gambella town was unacceptably high. Stake holders should give due consideration to health education to delay age at first marriage and mainstreaming and strengthening nutritional activities that contribute to reduction of food insecurity and consumption of unbalanced nutrients.

scholarly journals Food insecurity access scale and dietary score as proxy indicators of nutritional status among backyard livestock households during COVID-19 pandemic in Southwest Nigeria

2021 ◽  
Vol 48 (4) ◽  
pp. 227-239
Author(s):  
M. A. Popoola ◽  
M. O. Yahaya ◽  
O. O. Awodola-Peters ◽  
G. L. Adebisi ◽  
M. O. Bolarinwa ◽  
...  
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Livestock Production ◽  
Probit Regression ◽  
Cross Sectional ◽  
Sécurité Alimentaire ◽  
Southwest Nigeria ◽  
Food Insecurity Access

Food insecurity and dietary diversity of households are important nutrition outcome which have been found reliable in assessing the dietary intake of a population during a determined period and they have been used as indicators of food security among households. A facility based cross-sectional study design was conducted on 374 households that were involved in backyard livestock production in Southwest Nigeria during COVID-19 pandemic lockdown. Household dietary diversity (HDD) was measured using 12 different foods from which the HDD score was estimated, which is a continuous score ranged from 0 to 12, and was recoded to a three-level ordered categorical variable. Food insecurity was also assessed using household food insecurity access scale (HFIAS) generated from nine items (questions) specific to an experience of food insecurity occurring within the previous four weeks among the households. A probit regression model was specified to determine the variables responsible for increasing the probability of the households being food insecured during the lockdown. Result showed that more than half of households involved in backyard livestock production was within medium dietary diversity category (71.7%) and moderately had access to food (75.4%). State of residence, household size, income generated by members of households, species of livestock raised and purpose of livestock production were major determinants of food insecurity (access) during the COVID-19 pandemic lockdown among the respondents. Thus, there is need to promote sustainable and diversification of livelihood among households through backyard livestock production in a bid to increase and sustain their food security status.     L'insécurité alimentaire et la diversité alimentaire des ménages sont des résultats nutritionnels importants qui se sont avérés fiables pour évaluer l'apport alimentaire d'une population pendant une période déterminée et qui ont été utilisées comme indicateurs de la sécurité alimentaire des ménages. Une conception d'étude transversale basée sur les installations a été menée sur 374 ménages impliqués dans la production de bétail de basse- cour dans le sud-ouest du Nigéria pendant le confinement de la pandémie COVID-19. La diversité alimentaire des ménages (HDD) a été mesurée à l'aide de 12 aliments différents à partir desquels le score HDD a été estimé, qui est un score continu allant de 0 à 12, et a été recodé en une variable catégorielle ordonnée à trois niveaux. L'insécurité alimentaire a également été évaluée à l'aide de l'échelle d'accès à l'insécurité alimentaire des ménages (HFIAS) générée à partir de neuf éléments (questions) spécifiques à une expérience d'insécurité alimentaire survenue au cours des quatre semaines précédentes parmi les ménages. Un modèle de régression probit a été spécifié pour déterminer les variables responsables de l'augmentation de la probabilité que les ménages soient en situation d'insécurité alimentaire pendant le confinement. Les résultats ont montré que plus de la moitié des ménages impliqués dans la production de bétail de basse-cour appartenaient à la catégorie de diversité alimentaire moyenne (71.7%) et avaient modérément accès à la nourriture (75.4%). L'état de résidence, la taille du ménage, les revenus générés par les membres des ménages, les espèces de bétail élevées et le but de la production animale étaient les principaux déterminants de l'insécurité alimentaire (accès) pendant le confinement de la pandémie COVID-19 parmi les répondants. Ainsi, il est nécessaire de promouvoir la durabilité et la diversification des moyens de subsistance parmi les ménages grâce à la production de bétail de basse-cour dans le but d'augmenter et de maintenir leur niveau de sécurité alimentaire.

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