Gender Differences in Food Insecurity and Morbidity Among Adolescents in Southwest Ethiopia

AbstractObjectiveThe present review aimed to identify and synthesize literature on household food insecurity with respect to whether the respondent was male or female.DesignA systematic review of prevalence studies followed by a meta-analysis was conducted between 28 August 2014 and 19 October 2014 in seven electronic databases. The search was updated in April 2016. The included studies used experience-based measures to assess household food insecurity. Dichotomous measures of food insecurity were used. Pooled odds ratios of household food insecurity prevalence in women v. men were obtained through random-effect modelling. Quality assessment, publication bias diagnostics and subgroup analysis were also performed.SettingPopulation-based studies (i.e. non-clinical populations).SubjectsParticipants aged 18 years or over.ResultsOut of the 5145 articles initially identified, forty-two studies with a total population of 233 153 were included. In general, results showed that the odds for household food insecurity was 40 % higher in studies where women were the respondent (95 % CI 1·27, 1·54; P<0·001). Besides, subgroup analysis revealed that female-headed households were 75% (95 % CI 49–96%) more likely to be food insecure than male-headed households.ConclusionsOur results confirm the existence of gender differences in reporting household food insecurity. Furthermore, they indicate that households headed by women constitute a segment of the population that is particularly vulnerable to food insecurity.

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Effect of food insecurity on mental health of patients with tuberculosis in Southwest Ethiopia: a prospective cohort study

BMJ Open ◽

10.1136/bmjopen-2020-045434 ◽

2021 ◽

Vol 11 (9) ◽

pp. e045434

Author(s):

Matiwos Soboka ◽

Markos Tesfaye ◽

Kristina Adorjan ◽

Wolfgang Krahl ◽

Elias Tesfaye ◽

...

Keyword(s):

Mental Health ◽

Cohort Study ◽

Food Insecurity ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Mental Distress ◽

Early Assessment ◽

Southwest Ethiopia ◽

Effect Of Food

ObjectiveThe objective of this study is to investigate the effect of food insecurity on the mental health of patients with tuberculosis (TB) in Ethiopia.DesignA prospective cohort study.SettingHealth centres and hospitals located in Jimma zone, Southwest Ethiopia.ParticipantsPatients with TB who had recently been diagnosed with TB and started directly observed treatment in the selected 26 health institutions from October 2017 to October 2018. A total of 268 patients were followed for 6 months and data were collected at recruitment and two follow-up visits (at 2 and 6 months). Patients with multidrug-resistant TB were not included in the study.Main outcome measuresMental distress was measured by the Self-Reporting Questionnaire-20 while food insecurity was assessed by using the Household Food Insecurity Access Scale.ResultsA total of 268 patients were recruited and there was no lost to follow-up. The prevalence of food insecurity at baseline, first and second follow-up was 49.3%, 45.9% and 39.6%, respectively. Of these, 28.0% of them reported severe food insecurity at baseline which declined to 23.5% at the end of the sixth month. Likewise, the prevalence of mental distress at baseline was 61.2% but declined to 22.0% at the second follow-up. At baseline, 77.3% of patients with mental distress reported severe food insecurity but declined to 46.0% at second follow-up. In the final model, severe food insecurity (OR 4.7, 95% CI 2.4 to 9.4) and being a government employee (adjusted odds ratio (aOR) 0.3, 95% CI 0.1 to 0.9) were associated with mental distress.ConclusionIn this study, food insecurity was associated with mental distress over the course of follow-up. Likewise, there is a high prevalence of food insecurity and mental distress among patients with TB on treatment. Therefore, early assessment and interventions for food insecurity may improve the mental health of patients with TB on treatment.

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Food insecurity and associated factors among HIV-infected individuals receiving highly active antiretroviral therapy in Jimma zone Southwest Ethiopia

Nutrition Journal ◽

10.1186/1475-2891-11-51 ◽

2012 ◽

Vol 11 (1) ◽

Cited By ~ 28

Author(s):

Ayele Tiyou ◽

Tefera Belachew ◽

Fisehaye Alemseged ◽

Sibhatu Biadgilign

Keyword(s):

Antiretroviral Therapy ◽

Food Insecurity ◽

Highly Active Antiretroviral Therapy ◽

Associated Factors ◽

Southwest Ethiopia ◽

Highly Active ◽

Jimma Zone

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Dietary Practice and Nutritional Status Among Pregnant Women Attending Antenatal Care at Mettu Karl Referral Hospital, Southwest Ethiopia

The Open Public Health Journal ◽

10.2174/1874944502013010538 ◽

2020 ◽

Vol 13 (1) ◽

pp. 538-546

Author(s):

Shuayib Shemsu ◽

Alemayehu Argaw ◽

Beakal Zinab

Keyword(s):

Nutritional Status ◽

Antenatal Care ◽

Food Insecurity ◽

Pregnant Women ◽

Family Size ◽

Iron Supplementation ◽

Dietary Practices ◽

Southwest Ethiopia ◽

Dietary Practice ◽

Under Nutrition

Background: Sufficient maternal nutrition is paramount to ensure maternal and fetal wellbeing. It further determines the health of the offspring throughout the lifecycle and prevents adverse health outcomes of the upcoming generation. Therefore, dietary practice and nutritional status of pregnant women and contributing factors among pregnant women visiting antenatal care services at Mettu Karl Hospital, Southwest Ethiopia, were assessed. Methods: Facility-based cross-sectional study was conducted from March to April 2018. A systematic random sampling technique was employed to select 378 study participants. Data were collected via face to face interviews using semi-structured questionnaires. Women Dietary Diversity Score (WDDS) was measured using a qualitative 24- hr dietary recall and nutritional status was assessed by Mid-upper arm circumference measurements. Analyses were done using the statistical package of social science (SPSS version 20). Results: The prevalence of sub-optimal dietary practices was 22% and under-nutrition was 17.5%. Family size >5 [AOR=8.2, 95%CI: 12.383, 46.217] and severe food insecurity [AOR=3.661, 95%CI, 1.289, 10.394] were significantly associated with sub-optimal dietary practices. Being non married woman[AOR= 3.188, 95% CI: 1.219, 8.336], lack of formal education[AOR=9.405, 95%CI: 1.079, 81.943], lack of iron supplementation [AOR=3.189, 95%CI: 1.513, 6.720], WDDS <6 [AOR= 4.057, 95% CI: 2.157, 7.634], not taking additional meal (3+) [AOR=2.267, 95%CI: 1.211, 4.244], skipping meals [AOR=3.856, 95%CI: 1.099, 13.530) were significantly associated with under-nutrition. Conclusion and Recommendations: The present study revealed that there is a burden of suboptimal dietary practice and undernutrition among the studied participants. Predictors identified for suboptimal dietary practice were the family size and household food insecurity. Similarly, undernutrition was predicted by marital status, educational status, iron supplementation, additional meal intake, and meal skipping. Strategies should be designed at different levels by concerned bodies considering dietary practice and nutritional intake of pregnant women, with possible identified factors.

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