DOI QR코드

DOI QR Code

Association between household food insecurity and nutritional outcomes among children in Northeastern of Peninsular Malaysia

  • Naser, Ihab Ali (Department of Community Medicine, School of Medical Sciences, Health Campus, University Sains Malaysia) ;
  • Jali, Rohana (Department of Community Medicine, School of Medical Sciences, Health Campus, University Sains Malaysia) ;
  • Wan Muda, Wan Manan (Program of Nutrition and Dietetics, School of Health Sciences, Health Campus, University Sains Malaysia) ;
  • Wan Nik, Wan Suriati (Program of Nutrition and Dietetics, School of Health Sciences, Health Campus, University Sains Malaysia) ;
  • Shariff, Zalilah Mohd (Program of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, University Putra Malaysia) ;
  • Abdullah, Mohamed Rusli (Department of Community Medicine, School of Medical Sciences, Health Campus, University Sains Malaysia)
  • 투고 : 2013.07.07
  • 심사 : 2014.03.11
  • 발행 : 2014.06.01

초록

BACKGROUND/OBJECTIVES: The purpose of the study was to investigate the relationship between household food insecurity and nutritional status of children in low-income households. A cross sectional study involved a survey of households (n = 223) receiving the financial assistance. SUBJECTS/METHODS: Eligible mothers that fulfilled the inclusion criteria such as non-pregnant, non-lactating mothers, aged 18 to 55 years with their youngest children aged 2 to 12 years, were purposively selected. The Radimer/Cornell hunger and food-insecurity instrument was administered and children's height and weight were measured. RESULTS: About 16.1% of the households were food secure, while 83.9% experienced some kind of food insecurity. Out of food insecure category, 29.6% households were food insecure, 19.3% women were individual food insecure and 35.0% fell into the child hunger category. Education of the mother (P = 0.047), household size (P = 0.024), number of children (P = 0.024), number of children going to school (P = 0.048), total monthly income (P < 0.001), income per capital (P < 0.001), number of household members contributing to the income (P = 0.018) and food expenditure (P = 0.006) were significant risk factors for household food insecurity. The prevalence of underweight, stunting and wasting in children were 61.0%, 61.4% and 30.6% respectively. Based on multinomial logistic regression, children in food-insecure households were 2.15 times more likely to be underweight and three times to be stunted than children in the food-secure households. CONCLUSIONS: The findings suggest that household food insecurity is associated with the nutritional status of the children in the rural area of Northeastern Peninsular Malaysia.

키워드

참고문헌

  1. Honfoga BG, van den Boom GJ. Food-consumption patterns in central West Africa, 1961 to 2000, and challenges to combating malnutrition. Food Nutr Bull 2003;24:167-82.
  2. Food and Agriculture Organization (IT). The State of Food Insecurity in the World 2009. Economic Crises -- Impacts and Lessons Learned. Rome: Food and Agriculture Organization; 2009.
  3. Coleman-Jensen A, Nord M, Andrews M, Carlson S. Household Food Security in the United States in 2010. Economic Research Report No. 125. Washington, D.C.: U. S. Department of Agriculture, Economic Research Service; 2011.
  4. Kennedy E, Peters P. Household food security and child nutrition: the interaction of income and gender of household head. World Dev 1992;20:1077-85. https://doi.org/10.1016/0305-750X(92)90001-C
  5. Lino M. Income and spending of poor households with children. Fam Econ Nutr Rev 1996;9:2-13.
  6. Olson CM, Rauschenbach BS, Frongillo EA Jr, Kendall A. Factors contributing to household food insecurity in a rural upstate New York county. Fam Econ Nutr Rev 1997;10:2-17.
  7. Alaimo K, Briefel RR, Frongillo EA Jr, Olson CM. Food insufficiency exists in the United States: results from the third National Health and Nutrition Examination Survey (NHANES III). Am J Public Health 1998;88:419-26. https://doi.org/10.2105/AJPH.88.3.419
  8. Immink MD, Payongayong E. Risk analysis of poor health and growth failure of children in the central highlands of Guatemala. Soc Sci Med 1999;48:997-1009. https://doi.org/10.1016/S0277-9536(98)00383-9
  9. Kaiser LL, Melgar-Quinonez HR, Lamp CL, Johns MC, Sutherlin JM, Harwood JO. Food security and nutritional outcomes of preschoolage Mexican-American children. J Am Diet Assoc 2002;102:924-9. https://doi.org/10.1016/S0002-8223(02)90210-5
  10. Oh SY, Hong MJ. Food insecurity is associated with dietary intake and body size of Korean children from low-income families in urban areas. Eur J Clin Nutr 2003;57:1598-604. https://doi.org/10.1038/sj.ejcn.1601877
  11. Wasito E, Pritasari, Susilowati D, Iswarawanti DN, Schultink W, Gross R. Temporary stability of urban food and nutrition security: the East Jakarta study. Asia Pac J Clin Nutr 2001;10 Suppl:S29-33. https://doi.org/10.1046/j.1440-6047.2001.0100s1S29.x
  12. Frongillo EA Jr, de Onis M, Hanson KM. Socioeconomic and demographic factors are associated with worldwide patterns of stunting and wasting of children. J Nutr 1997;127:2302-9.
  13. Steyn NP, Nel JH, Nantel G, Kennedy G, Labadarios D. Food variety and dietary diversity scores in children: are they good indicators of dietary adequacy? Public Health Nutr 2006;9:644-50.
  14. Campbell CC. Food insecurity: a nutritional outcome or a predictor variable? J Nutr 1991;121:408-15.
  15. Kruger A, Lemke S, Phometsi M, Van't Riet H, Pienaar A, Kotze G. Poverty and household food security of black South African farm workers: the legacy of social inequalities. Public Health Nutr 2006;9:830-6.
  16. Hackett M, Melgar-Quinonez H, Alvarez MC. Household food insecurity associated with stunting and underweight among preschool children in Antioquia, Colombia. Rev Panam Salud Publica 2009; 25:506-10. https://doi.org/10.1590/S1020-49892009000600006
  17. Baig-Ansari N, Rahbar MH, Bhutta ZA, Badruddin SH. Child's gender and household food insecurity are associated with stunting among young Pakistani children residing in urban squatter settlements. Food Nutr Bull 2006;27:114-27.
  18. Sharif ZM, Ang M. Assessment of food insecurity among low income households in kuala lumpur using the radimer/cornell food insecurity instrument - a validation study. Malays J Nutr 2001;7: 15-32.
  19. Shariff ZM, Khor GL. Household food insecurity and coping strategies in a poor rural community in Malaysia. Nutr Res Pract 2008;2:26-34. https://doi.org/10.4162/nrp.2008.2.1.26
  20. Mohamadpour M, Sharif ZM, Keysami MA. Food insecurity, health and nutritional status among sample of palm-plantation households in Malaysia. J Health Popul Nutr 2012;30:291-302.
  21. Tweeten L, Mellor J, Reutlinger S, Pines J. Food Security Discussion Paper. Prepared for the U.S. Agency for International Development under Contract No. PDC-0080-I-00-1068-00. Delivery Order No. 4. Washington, D.C.: International Science and Technology Institute, Inc.; 1992. PN-ABK-883.
  22. Zulkifli A, Khairul Anuar A, Atiya AS. The nutritional status of children in resettlement villages in Kelantan. Southeast Asian J Trop Med Public Health 1999;30:122-8.
  23. Malaysia Prime Minister's Department, Economic Planning Unit. The Eighth Malaysia Plan, 2001-2005. Kuala Lumpur: Economic Planning Unit; 2001.
  24. Cheah WL, Wan Muda WA, Mohd Hussin ZA, Thon CC. Factors associated with undernutrition among children in a rural district of Kelantan, Malaysia. Asia Pac J Public Health 2012;24:330-42. https://doi.org/10.1177/1010539510380737
  25. Ministry of Health Malaysia. Annual Report 2000. Kuala Lumpur: Ministry of Health Malaysia; 2000.
  26. Quisumbing AR, Brown LR, Feldstein HS, Haddad L, Pena C. Women: the Key to Food Security. Washington, D.C.: The International Food Policy Research Institute; 1995.
  27. Saibul N, Shariff ZM, Lin KG, Kandiah M, Ghani NA, Rahman HA. Food variety score is associated with dual burden of malnutrition in Orang Asli (Malaysian indigenous peoples) households: implications for health promotion. Asia Pac J Clin Nutr 2009;18:412-22.
  28. Kendall A, Olson CM, Frongillo EA Jr. Validation of the Radimer/ Cornell measures of hunger and food insecurity. J Nutr 1995;125: 2793-801.
  29. Radimer KL, Olson CM, Greene JC, Campbell CC, Habicht J. Understanding hunger and developing indicators to assess it in women and children. J Nutr Educ 1992;24:36S-44S. https://doi.org/10.1016/S0022-3182(12)80137-3
  30. Kendall A, Olson CM, Frongillo EA Jr. Relationship of hunger and food insecurity to food availability and consumption. J Am Diet Assoc 1996;96:1019-24. https://doi.org/10.1016/S0002-8223(96)00271-4
  31. World Health Organization. Physical Status: the Use and Interpretation of Anthropometry. Technical Report Series No. 854. Geneva: World Health Organization; 1995.
  32. National Population and Family Development Board (MY). Malaysian Population and Family Survey 1994-2004. Kuala Lampur: National Population and Family Development Board; 2004.
  33. Bartfeld J, Wang L. Local-level Predictors of Household Food Insecurity. Institute for Research on Poverty Discussion Paper No. 1317-06. Madison (WI): University of Wisconsin; 2006.
  34. Osborne B, Stephens M Jr. The Relationship between Food Assistance, the Value of Food Acquired, and Household Food Security. Chicago (IL): Harris School of Public Policy Studies, University of Chicago; 2004.
  35. Shariff ZM, Khor GL. Obesity and household food insecurity: evidence from a sample of rural households in Malaysia. Eur J Clin Nutr 2005;59:1049-58. https://doi.org/10.1038/sj.ejcn.1602210
  36. Isanaka S, Mora-Plazas M, Lopez-Arana S, Baylin A, Villamor E. Food insecurity is highly prevalent and predicts underweight but not overweight in adults and school children from Bogota, Colombia. J Nutr 2007;137:2747-55.
  37. Tingay RS, Tan CJ, Tan NC, Tang S, Teoh PF, Wong R, Gulliford MC. Food insecurity and low income in an English inner city. J Public Health Med 2003;25:156-9. https://doi.org/10.1093/pubmed/fdg032
  38. Zerafati Shoae N, Omidvar N, Ghazi-Tabatabaie M, Houshiar Rad A, Fallah H, Mehrabi Y. Is the adapted Radimer/Cornell questionnaire valid to measure food insecurity of urban households in Tehran, Iran? Public Health Nutr 2007;10:855-61.
  39. Radimer KL, Allsopp R, Harvey PW, Firman DW, Watson EK. Food insufficiency in Queensland. Aust N Z J Public Health 1997;21: 303-10. https://doi.org/10.1111/j.1467-842X.1997.tb01704.x
  40. Hanson KL, Sobal J, Frongillo EA. Gender and marital status clarify associations between food insecurity and body weight. J Nutr 2007;137:1460-5.
  41. Mansor N. Women managers in Malaysia: their mobility and challenges. In: Adler N, Izraeli DN, editors. Competitive Frontiers: Women Managers in a Global Economy. Oxford: Wiley; 1994. p.101-13.
  42. Che Asiah T, Zulkifli A, Mohd Hashim MH, Halim S. The prevalence and risk factors of malnutrition among primary one school children in Tumpat and Bachok, Kelantan. Malays J Public Health Med 2004;4:66-71.
  43. Cho S, Dietrich M, Brown CJ, Clark CA, Block G. The effect of breakfast type on total daily energy intake and body mass index: results from the Third National Health and Nutrition Examination Survey (NHANES III). J Am Coll Nutr 2003;22:296-302. https://doi.org/10.1080/07315724.2003.10719307
  44. Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, Mathers C, Rivera J; Maternal and Child Undernutrition Study Group. Maternal and child undernutrition: global and regional exposures and health consequences. Lancet 2008;371:243-60. https://doi.org/10.1016/S0140-6736(07)61690-0
  45. United Nations Children's Fund; World Health Organization. Low Birthweight: Country, Regional and Global Estimates. New York (NY): United Nations Children's Fund; 2004.

피인용 문헌

  1. Household food insecurity and child health vol.13, pp.2, 2016, https://doi.org/10.1111/mcn.12301
  2. Stunting, wasting and associated factors among children aged 6–24 months in Dabat health and demographic surveillance system site: A community based cross-sectional study in Ethiopia vol.17, pp.1, 2017, https://doi.org/10.1186/s12887-017-0848-2
  3. Physical and Sociocultural Facilitators and Barriers to Access and Utilization of a Nutrition Program in Rural Malawi: A Qualitative Study pp.1543-5237, 2018, https://doi.org/10.1080/03670244.2018.1518221
  4. Household food insecurity, diet quality, and weight status among indigenous women (Mah Meri) in Peninsular Malaysia vol.12, pp.2, 2018, https://doi.org/10.4162/nrp.2018.12.2.135
  5. Comparison of dietary behavior and consumption of processed beverage depend on food insecurity status of adolescents in vientiane, Lao PDR vol.51, pp.6, 2018, https://doi.org/10.4163/jnh.2018.51.6.580
  6. Prevalence and correlates of food insecurity among Lebanese households with children aged 4–18 years: findings from a national cross-sectional study vol.22, pp.2, 2019, https://doi.org/10.1017/S1368980018003245
  7. Household food (in)security and nutritional status of urban poor children aged 6 to 23 months in Kenya vol.15, pp.1, 2014, https://doi.org/10.1186/s12889-015-2403-0
  8. Household Food Insecurity May Predict Underweightand Wasting among Children Aged 24-59 Months vol.55, pp.5, 2014, https://doi.org/10.1080/03670244.2016.1207069
  9. Household Food Insecurity Is Associated with Nutritional Status among Iranian Children vol.55, pp.5, 2014, https://doi.org/10.1080/03670244.2016.1212710
  10. Household food insecurity and its association with school absenteeism among primary school adolescents in Jimma zone, Ethiopia vol.16, pp.1, 2014, https://doi.org/10.1186/s12889-016-3479-x
  11. Factors Influencing the Prevalence of Stunting Among Children Aged Below Five Years in Bangladesh vol.38, pp.3, 2017, https://doi.org/10.1177/0379572117710103
  12. Predictors of Stunting in Children Aged 6 to 59 Months: A Case-Control Study in Southwest Uganda vol.38, pp.4, 2014, https://doi.org/10.1177/0379572117731666
  13. Impact of maternal education, employment and family size on nutritional status of children vol.33, pp.6, 2014, https://doi.org/10.12669/pjms.336.13689
  14. Nutritional Status and Basic Hygiene Practices of Rural School Age Children of Savar Region, Dhaka, Bangladesh vol.7, pp.1, 2018, https://doi.org/10.5195/cajgh.2018.282
  15. PERBEDAAN PRAKTIK PEMBERIAN MAKAN DAN STATUS KETAHANAN PANGAN RUMAH TANGGA PADA BALITA STATUS GIZI KURANG DAN NORMAL vol.3, pp.1, 2014, https://doi.org/10.20473/amnt.v3i1.2019.63-70
  16. Exploring Food Access and Sociodemographic Correlates of Food Consumption and Food Insecurity in Zanzibari Households vol.16, pp.9, 2014, https://doi.org/10.3390/ijerph16091557
  17. The relationship between forest cover and diet quality: a case study of rural southern Malawi vol.11, pp.3, 2014, https://doi.org/10.1007/s12571-019-00923-0
  18. Moderate and severe household food insecurity predicts stunting and severe stunting among Rwanda children aged 6-59 months residing in Gicumbi district vol.15, pp.3, 2014, https://doi.org/10.1111/mcn.12767
  19. Food Security in the District of iLembe, KwaZulu-Natal: A Comparison of Coping Strategies between Urban and Rural Households vol.58, pp.4, 2014, https://doi.org/10.1080/03670244.2019.1602528
  20. Pengembangan Indeks Ketahanan Pangan Rumah Tangga dan Kaitannya dengan Tingkat Kecukupan Zat Gizi dan Status Gizi Anak Balita vol.3, pp.4, 2014, https://doi.org/10.20473/amnt.v3i4.2019.201-211
  21. Determinants of Household Food Insecurity and Its Association with Child Malnutrition in Sub-Saharan Africa: A Review of the Literature vol.7, pp.3, 2019, https://doi.org/10.12944/crnfsj.7.3.02
  22. Association between food insecurity and obesity in an agricultural community of women from El Jadida, Morocco vol.8, pp.3, 2014, https://doi.org/10.3934/medsci.2021016
  23. A Community-Based Survey of Household Food Insecurity and Associated Sociodemographic Factors among 2-6 Years Old Children in the Southeast of Iran vol.13, pp.2, 2021, https://doi.org/10.3390/nu13020574
  24. A Food Insecurity Systematic Review: Experience from Malaysia vol.13, pp.3, 2014, https://doi.org/10.3390/nu13030945
  25. Association of Food Insecurity and Weight Status of Women in Tuba Island, Malaysia vol.9, pp.2, 2021, https://doi.org/10.12944/crnfsj.9.2.08