scholarly journals Socioeconomic, demographic, and obstetric inequalities in food insecurity in pregnant women

2018 ◽  
Vol 18 (4) ◽  
pp. 815-824
Author(s):  
Renata Cordeiro Fernandes ◽  
Fernanda Manera ◽  
Larissa Boing ◽  
Doroteia Aparecida Höfelmann

Abstract Objectives: to estimate the prevalence of Food Insecurity (FI) in pregnant women and to identify its association with demographic, socioeconomic, obstetric, and anthropometric variables in female users of Family Health Units (FHUs) in the city of Colombo, state of Paraná, South Region of Brazil. Methods: a cross-sectional study of a representative sample of pregnant women from 17 FHUs in Colombo. We used the short version of the Brazilian Household Food Insecurity Measurement Scale (EBIA). In addition, we used Poisson Regression Models with robust, crude, and adjusted variance to investigate the association between FI and exposure variables. Results: 316 pregnant women participated in the study. The prevalence of FI was 45.1% (CI95% = 39.6-50.6). Adjusted analysis showed higher prevalence of FI in pregnant women with 30 years of age or older (PR = 1.66; IC95% = 1.02-2.69), with black skin or indigenous background (PR= 1.39; CI95%= 1.08-1.79), with 7 years of education or less (PR = 1.58; CI95% = 1.14-2.19), and with lower income (PR = 2.07; CI95% = 1.36-3.14). Conclusions: There was a high prevalence of FI among pregnant women, particularly among those of older age and with worse socioeconomic conditions, a group that should be considered a priority for actions aimed at promoting food security.

2021 ◽  
Vol 10 (1) ◽  
pp. e32810111226
Author(s):  
Gabriela Bohrer Bolsson ◽  
Jessica Klöckner Knorst ◽  
Marília Cunha Maroneze ◽  
Maísa Casarin ◽  
Patrícia Pasquali Dotto ◽  
...  

Objective: To assess factors associated with the average number of dental caries in pregnant women. Method: Basic research design: This cross-sectional study was performed between January 2017 and December 2018 in Santa Maria, Brazil. Clinical setting and participants: Multistage random sampling resulted in the recruitment of 256 pregnant women from public health centers across the city. Clinical exams and semi-structured questionnaires including demographic, socioeconomic and behavioral questions were performed by trained interviewers. Main outcome measure: The experience of dental caries was evaluated through the mean value of the Decay, Missing, and Filled Surface Index (DMFS) by 4 trained and calibrated examiners. Multilevel Poisson regression models were used to evaluate the influence of different variables on the average number of dental caries. Rate ratio (RR) and respective 95% confidence intervals were calculated (CI 95%). Results: The prevalence of untreated dental caries was 62.7% in the sample, while the mean DMFS index was 10.27 (± 10.92). Women who smoked during pregnancy had a higher mean DMFS (RR 1.41; 95% CI 1.25-1.57). Furthermore, pregnant women who had poor self-ratings of oral health had a higher average DMFS (RR 1.21; 95% CI 1.10-1.32). Conclusions: The results showed that older age, ethnicity, fewer years in education and the presence of dental plaque resulted in higher means of DMFS.


Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 358
Author(s):  
Bruna Leal Lima Maciel ◽  
Clélia de Oliveira Lyra ◽  
Jéssica Raissa Carlos Gomes ◽  
Priscilla Moura Rolim ◽  
Bartira Mendes Gorgulho ◽  
...  

Undergraduates may face challenges to assure food security, related to economic and mental distress, especially during the COVID-19 pandemic. This study aimed to assess food insecurity and its associated factors in undergraduates during the COVID-19 pandemic. An online cross-sectional study was conducted from August 2020 to February 2021 with 4775 undergraduates from all Brazilian regions. The questionnaire contained socio-economic variables, the validated Brazilian food insecurity scale, and the ESQUADA scale to assess diet quality. The median age of the students was 22.0 years, and 48.0% reported income decreasing with the pandemic. Food insecurity was present in 38.6% of the students, 4.5% with severe food insecurity and 7.7% moderate. Logistic regressions showed students with brown and black skin color/race presented the highest OR for food insecurity; both income and weight increase or reduction during the pandemic was also associated with a higher OR for food insecurity, and better diet quality was associated with decreased OR for food insecurity. Our study showed a considerable presence of food insecurity in undergraduates. Policy for this population must be directed to the most vulnerable: those with brown and black skin color/race, who changed income during the pandemic, and those presented with difficulties maintaining weight and with poor diet quality.


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

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.


2020 ◽  
Vol 80 (2) ◽  
pp. 410-423 ◽  
Author(s):  
J. C. Lima Melro ◽  
S. A. Fonseca ◽  
J. M. Silva Júnior ◽  
S. P. B. Franco ◽  
M. A. Souza ◽  
...  

Abstract This study aimed to assess diagnosis of Unique Health System (SUS) users profile with regard to herbal medicine. This is a cross-sectional study with observational data collection conducted in the city of Marechal Deodoro, through a semi-structured questionnaire with questions related to socioeconomic data, use, and knowledge of medicinal plants and herbal medicines and satisfaction with the use of medicinal herbs (MH) and interactions of phytotherapeutic drugs (PD). Among the topics, 86.89% of users used herbal medicines often, especially lemon balm (Melissa officinalis L.). It was also observed that the plants are generally used as a sedative (21.74%) and as tea (87.84%). 82.32% of respondents claim to have acquired the knowledge of herbal medicine through a family member and 85.36% make use of medicinal plants without having received any information on the use of MH and PD. 61% of the plants described that coincided with the form of use and therapeutic properties found in the literature. With regard to satisfaction by treatment with MH and PD, it was found that 56.67% are satisfied. Therefore, it is necessary to pay attention to this aspect of usage, in order to avoid possible drug interactions or adverse reactions resulting from the incorrect use.


2008 ◽  
Vol 11 (4) ◽  
pp. 379-386 ◽  
Author(s):  
Yewelsew Abebe ◽  
Alemtsehay Bogale ◽  
K Michael Hambidge ◽  
Barbara J Stoecker ◽  
Isabel Arbide ◽  
...  

AbstractObjectiveTo assess the prevalence of zinc inadequacy based on dietary intakes and plasma zinc concentrations and, simultaneously, the prevalence of inadequate intakes of energy, protein, calcium and iron.DesignA cross-sectional study of a convenience sample of subsistence farming households in Sidama, Southern Ethiopia.SubjectsDietary intakes were calculated from 1-day weighed food records and 40 repeats from 99 pregnant women in the third trimester using analysed values of major staple foods for zinc, iron, calcium and phytate. The distribution of observed intakes was adjusted for usual intakes and the prevalence of inadequacy estimated using the estimated average requirement (EAR) cutpoint method. Prevalence of inadequacy for zinc, protein and iron intakes were compared with those based on biochemical measures.ResultsPrevalence of zinc inadequacy was very high: 99% for US FNB EAR and 100% for IZiNCG EAR compared to 72% based on low plasma zinc concentrations. Corresponding prevalence estimates for iron were much lower: 4% for inadequate intakes based on US FNB EAR vs. 8.7% for iron deficiency anaemia (haemoglobin < 110 g l−1; ferritin < 12 μg l−1) and 32.3% for low storage iron. Prevalence of inadequacy for protein was 100% for adjusted intakes and 91% for serum albumin < 32 g l−1. For calcium, 74% were at risk for inadequate intakes.ConclusionThe high prevalence of inadequate intakes of zinc and protein was reasonably consistent with those based on biochemical measures. Such dietary deficits could be overcome by regular consumption of cellular animal protein. In contrast, both dietary and biochemical measures of iron inadequacy were low.


1994 ◽  
Vol 5 (2) ◽  
pp. 117-123 ◽  
Author(s):  
H A Cossa ◽  
S Gloyd ◽  
R G Vaz ◽  
E Folgosa ◽  
E Simbine ◽  
...  

A cross-sectional study was conducted among displaced pregnant women in Mozambique to determine the prevalence and correlates of HIV infection and syphilis. Between September 1992 and February 1993, 1728 consecutive antenatal attendees of 14 rural clinics in Zambézia were interviewed, examined, and tested for HIV and syphilis antibodies. The seroprevalence of syphilis and HIV were 12.2% and 2.9%, respectively. Reported sexual abuse was frequent (8.4%) but sex for money was uncommon. A positive MHA-TP result was significantly associated with unmarried status, history of past STD, HIV infection, and current genital ulcers, vaginal discharge, or genital warts. Significant correlates of HIV seropositivity included anal intercourse, history of past STD, and syphilis. In summary, displaced pregnant women had a high prevalence of syphilis but a relatively low HIV seroprevalence suggesting recent introduction of HIV infection in this area or slow spread of the epidemic. A syphilils screening and treatment programme is warranted to prevent perinatal transmission and to reduce the incidence of chancres as a cofactor for HIV transmission.


2019 ◽  
Author(s):  
Cássia Medino Soares ◽  
Camila Saueressig ◽  
Bruna Alves ◽  
Carolina Bortolin Beskow ◽  
Paulo Roberto Taborda de Souza Filho ◽  
...  

Abstract Background In areas of greater social vulnerability, there are high levels of food insecurity, infectious diseases and diseases secondary to malnutrition. However, in Brazil, there are few studies with recyclers from waste sorting units, resulting in a lack of health promotion programs for this population. This study aimed to describe the prevalence of food insecurity in recyclers from waste sorting units in the south of Brazil. Methods Cross-sectional study conducted from May of 2017 to April of 2018 with adult individuals from two waste sorting units in the city of Porto Alegre, southern Brazil. Clinical and nutritional evaluations were performed in the work environment, and three questionnaires were applied: the Brazilian Scale of Food Insecurity, the Alcohol, Smoking and Substance Involvement Screening Test, and the International Questionnaire of Physical Activity. Results One hundred and twenty-three subjects were evaluated, mean age 35 years, 66% female. A 74% rate of food insecurity was detected. About 57% of the participants presented overweight or obesity and 48% presented increased waist circumference. Conclusion Subjects presented high levels of Food Insecurity and immediate need of intervention for tobacco and alcohol abuse. There is a need for multidisciplinary interventions to prevent the situations found and the implementation of public policies addressing health promotion acts in the population of recyclers.


2021 ◽  
Vol 12 (2) ◽  
pp. 156
Author(s):  
Nurmela Setia Ningsih ◽  
Betty Yosephin Simanjuntak ◽  
Miratul Haya

<p>Pregnant women are one of the vulnerable groups. During pregnancy, there is an increase in the need for nutrients to meet the needs of the mother and fetus as well as preparation for labor. It is very important to pay attention to the recommended weight gain during pregnancy to prevent the occurrence of low birth weight. The purpose of this study was to determine the relationship between energy, carbohydrate, fat, and protein intake on weight gain of pregnant women in the city of Bengkulu. The design of this study was a cross-sectional study with a total sample of 47 pregnant women who had received an education of the first thousand days of life when registering to become a prospective bride at the Religious Affairs Office. As many as 53.2% of mothers had good weight gain and had a relationship between energy intake (p-value 0,032), carbohydrate intake (p-value 0,024), protein intake (p-value 0,039), and fat intake (p-value 0,023). Energy and macronutrients have a relationship with the weight gain of pregnant women in the group of preconception couples who have received education about the first 1000 days of life. It is hoped that pregnant women will be able to control their weight during pregnancy and apply the knowledge that has been obtained through education while preconception age.<strong></strong></p>


2018 ◽  
Vol 4 (2) ◽  
pp. 17-19
Author(s):  
Nabin Rayamajhi ◽  
Satyendra Kumar Mishra ◽  
Narayan Gautam ◽  
Nilesh Raj Doshi

INTRODUCTION: In South Asian Region, the prevalence of anemia among pregnant women has been estimated to be 75% which is highest in the world. Hence, this study was drafted to evaluate the prevalence of anemia in pregnant women in western part of NepalMATERIALS AND METHODS: It was a hospital based cross-sectional study. A total of 200 pregnant ladies aged 15-45 years giving consent for the study were included and their detailed medical history, clinical examination and lab investigations focusing on hematological parameters were documented. Data were entered in excel sheet and analysed by SPSS (17.0).RESULTS: The prevalence of anemia in pregnant women was 48% with increased prevalence as the pregnancy proceeds and reaching its highest during third trimester of pregnancy. Young adults with age ranging from 15-30 years had highest prevalence of anemia. Mild anemia (Hb: 9-10.9 g/dl) was the commonest entity.CONCLUSION: With this high prevalence, screening for anemia during pregnancy should be done. Moreover, exogenous supplementation of iron capsules or diet rich in iron can be advised to those anaemic pregnant women.Journal of Universal College of Medical Sciences (2016)Vol.04 No.02 Issue 14, page: 17-19 


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