scholarly journals Association between food insecurity and anemia among women of reproductive age

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.


2019 ◽  
Author(s):  
nigusie birhan tebeje ◽  
Gashaw Andargie Biks ◽  
Solomon Mekonnen Abebe ◽  
Melike Endris Yesuf

Abstract Abstract Introduction:- the association of household food insecurity with a physical health problem, quality of life, mental health problem and utilization of health service was reported by several studies. However, the association of household food insecurity with parent’s food preference to children is not assessed even though all of these factors may make parents to prefer inappropriate child food. Therefore this study was aimed to determine the association of food insecurity with parent's food preference. Methods and materials: - A community-based cross-sectional survey was conducted among 6215 households in Dabat district. Data were collected and supervised by experienced data collectors and supervisors working for the surveillance site after five days of training on the tool. Data were entered into the epi data template then transported to Stata 14 software for analysis. An ordinal logistic regression model was fitted to identify predictor for household food insecurity. Finding: About 21.77% of the households were food insecured in Dabat district. High wealth 61% (57-80%), and achieving college education 97%(74-99.6%) were associated with the less likelihood of household food insecurity. While mothers/caretakers preference to feed children always fruit and vegetable only 1.75(1.11-2.57) and, always milk and meat only 1.72(1.17-2.52) were associated were the more likelihood of experiencing the worst state of household food insecurity. Conclusion: -A significant number of households in Dabat had experienced household food insecurity associated with wealth status of the household, and, parents/caretakers specific type of food preference for their children. Therefore we recommend counseling services on the importance of feeding a child with a balanced diet in the improvement of household food security. Keywords: - food insecurity, household, Dabat, surveillance, Gondar and Ethiopia


2011 ◽  
Vol 14 (12) ◽  
pp. 2254-2259 ◽  
Author(s):  
Anna C Holland ◽  
Matthew C Kennedy ◽  
Stephen W Hwang

AbstractObjectiveTo compare the Household Food Insecurity Access Scale (HFIAS), the US Food Security Survey Module (US FSSM) and a modified version of the US FSSM in which references to buying food were changed to references to getting food, in terms of their classification of food security levels among homeless individuals, and to determine which of these instruments was most preferred by homeless individuals.DesignA cross-sectional survey.SettingRecruitment of participants took place at seven shelters and from three drop-in programmes that serve homeless individuals in Toronto, Canada.SubjectsFifty individuals who were ≥18 years of age, able to communicate in English and currently homeless.ResultsThe modified US FSSM assigned 20 % of participants to a lower ordinal food security category compared with the US FSSM, and only 8 % to a higher food security category. The HFIAS assigned 30 % of participants to a lower food security category compared with either the US FSSM or the modified US FSSM, and only 10–16 % of participants to a higher food security category. When asked to compare all three instruments, the majority of respondents (62 %) selected the HFIAS as the best instrument for people who are homeless.ConclusionsA majority of homeless individuals selected the HFIAS as the best food security instrument for people who are homeless. Our findings suggest that the HFIAS is a more appropriate instrument than the US FSSM for measuring food security in the homeless population.


2014 ◽  
Vol 144 (12) ◽  
pp. 2066-2072 ◽  
Author(s):  
Nils C Fischer ◽  
Teresa Shamah-Levy ◽  
Verónica Mundo-Rosas ◽  
Ignacio Méndez-Gómez-Humarán ◽  
Rafael Pérez-Escamilla

2016 ◽  
Vol 19 (17) ◽  
pp. 3185-3196 ◽  
Author(s):  
Robert Fungo ◽  
John Muyonga ◽  
Margaret Kabahenda ◽  
Archileo Kaaya ◽  
Clement A Okia ◽  
...  

AbstractObjectiveTo determine the contribution of forest foods to dietary intake and estimate their association with household food insecurity.DesignCross-sectional survey conducted among 279 households. Using a 7 d recall questionnaire, information on household food consumption was collected from women and used to determine the household dietary diversity score, food variety score and forest food consumption score (FFCS). Household Food Insecurity Access Scale (HFIAS) score was determined and Spearman rank correlation was used to establish the relationship between consumption of forest foods and HFIAS score. Women’s dietary intake was estimated from two 24 h recalls. The contribution of forest foods to women’s nutrient intakes was calculated and women’s nutrient intakes were compared with estimated average nutrient requirements.SettingRural forest-dependent households in twelve villages in eastern and southern Cameroon.SubjectsHousehold heads and their non-pregnant, non-lactating spouses.ResultsForty-seven unique forest foods were identified; of these, seventeen were consumed by 98 % of respondents over the course of one week and by 17 % of women during the two 24 h recall periods. Although forest foods contributed approximately half of women’s total daily energy intake, considerably greater contributions were made to vitamin A (93 %), Na (100 %), Fe (85 %), Zn (88 %) and Ca (89 %) intakes. Despite a highly biodiverse pool of foods, most households (83 %) suffered from high food insecurity based on the HFIAS. A significant inverse correlation was observed between the HFIAS score and the FFCS (r2=−0·169, P=0·0006), demonstrating that forest foods play an important role in ensuring food security in these forest-dependent communities.ConclusionsForest foods are widely consumed by forest-dependent communities. Given their rich nutrient content, they have potential to contribute to food and nutrition security.


2019 ◽  
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.


2020 ◽  
Author(s):  
Christiane Horwood ◽  
Haskins Lyn ◽  
Hinton Rachael ◽  
Connolly Catherine ◽  
Luthuli Silondile ◽  
...  

Abstract Background: There is a high burden of depression globally, including in South Africa. Maternal depression is associated with poverty, unstable income, food insecurity, and lack of partner support, and may lead to poor outcomes for mothers and children. In South Africa one-third of working women are in informal work, which is associated with socioeconomic vulnerability. Methods: A cross sectional survey explored work setting and conditions, food security and risk of depression among informal working women with young children (0-3years). Depression risk was assessed using the Edinburgh Postnatal Depression Score (EPDS) and Whooley score. Food insecurity was evaluated using USAID Household Food Insecurity Access Scale (HFIAS). Data was analysed using SPSS and Stata. Results: Interviews were conducted with 265 informal women workers. Types of work included domestic work, home-based work, informal employees and own account workers, most of whom were informal traders. Most participants (149/265; 56.2%) earned between US$70-200 per month, but some participants (79/265; 29.8%) earned less than US$70 per month, and few earned >US$200 per month (37/265; 14.0%). Many participants experienced mild (38/267; 14.3%), moderate (72/265; 27.2%) or severe (43/265; 16%) food insecurity. Severe food insecurity was significantly higher among participants with the lowest income compared to those with the highest income (p= 0.027). Women who received financial support from the baby’s father were less likely to be food insecure (p=0.03). Using EPDS scores, 22/265 (8.3%) women were designated as being at risk of depression. This was similar among postnatal women and women with older children. Household food insecurity was significantly associated with depression risk (p<0.001).Conclusions: Informal women workers were shown to be vulnerable with low incomes and high rates of food insecurity, thus increasing the risk for poor maternal health. However, levels of depression risk were low compared to previous estimates in South Africa, suggesting that informal workers may have high levels of resilience. Interventions to improve social protection, access to health services, and support for safe childcare in the workplace could improve the health and wellbeing of these mothers and support them to care for their children.


2019 ◽  
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.


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