Academic Journal
Household food access and child malnutrition: results from the eight-country MAL-ED study
| العنوان: | Household food access and child malnutrition: results from the eight-country MAL-ED study |
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| المؤلفون: | Psaki, Stephanie, Bhutta, Zulfiqar A., Ahmed, Tahmeed, Ahmed, Shamsir, Bessong, Pascal, Islam, Munirul, John, Sushil, Kosek, Margaret, Lima, Aldo, Nesamvuni, Cebisa, Shrestha, Prakash S., Svensen, Erling, McGrath, Monica, Richard, Stephanie, Seidman, Jessica, Caulfield, Laura, Miller, Mark, Checkley, William, MALED Network Investigators |
| المصدر: | Population Health Metrics ; 10 ; 24 |
| بيانات النشر: | BioMed Central Ltd. |
| سنة النشر: | 2012 |
| المجموعة: | University of Bergen: Bergen Open Research Archive (BORA-UiB) |
| الوصف: | Background Stunting results from decreased food intake, poor diet quality, and a high burden of early childhood infections, and contributes to significant morbidity and mortality worldwide. Although food insecurity is an important determinant of child nutrition, including stunting, development of universal measures has been challenging due to cumbersome nutritional questionnaires and concerns about lack of comparability across populations. We investigate the relationship between household food access, one component of food security, and indicators of nutritional status in early childhood across eight country sites. Methods We administered a socioeconomic survey to 800 households in research sites in eight countries, including a recently validated nine-item food access insecurity questionnaire, and obtained anthropometric measurements from children aged 24 to 60 months. We used multivariable regression models to assess the relationship between household food access insecurity and anthropometry in children, and we assessed the invariance of that relationship across country sites. Results Average age of study children was 41 months. Mean food access insecurity score (range: 0–27) was 5.8, and varied from 2.4 in Nepal to 8.3 in Pakistan. Across sites, the prevalence of stunting (42%) was much higher than the prevalence of wasting (6%). In pooled regression analyses, a 10-point increase in food access insecurity score was associated with a 0.20 SD decrease in height-for-age Z score (95% CI 0.05 to 0.34 SD; p = 0.008). A likelihood ratio test for heterogeneity revealed that this relationship was consistent across countries (p = 0.17). Conclusions Our study provides evidence of the validity of using a simple household food access insecurity score to investigate the etiology of childhood growth faltering across diverse geographic settings. Such a measure could be used to direct interventions by identifying children at risk of illness and death related to malnutrition. ; publishedVersion |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf; text/xml; application/msword |
| اللغة: | English |
| تدمد: | 1478-7954 |
| Relation: | urn:issn:1478-7954; https://hdl.handle.net/1956/6450; https://doi.org/10.1186/1478-7954-10-24; cristin:1019548 |
| DOI: | 10.1186/1478-7954-10-24 |
| الاتاحة: | https://hdl.handle.net/1956/6450 https://doi.org/10.1186/1478-7954-10-24 |
| Rights: | Attribution CC BY ; http://creativecommons.org/licenses/by/2.0/ ; Copyright 2012 Psaki et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| رقم الانضمام: | edsbas.BF1D35EB |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 14787954 |
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| DOI: | 10.1186/1478-7954-10-24 |