Individual and household influences on food security and dietary diversity in seven Dominican batey communities
| Autor: | Conor M McWade, Douglas C. Heimburger, Fei Ye, Troy D. Moon, Sarah V. Suiter, Sheau-Chiann Chen |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Employment Male Rural Population Health (social science) Adolescent Urban Population 030231 tropical medicine Dietary diversity Food Supply Food group Young Adult 03 medical and health sciences 0302 clinical medicine Residence Characteristics Surveys and Questionnaires Environmental health Odds Ratio Humans 030212 general & internal medicine Poverty Aged Transients and Migrants Family Characteristics Food security business.industry Dominican Republic Public Health Environmental and Occupational Health Agriculture General Medicine Gift Giving Middle Aged Haiti Diet Food insecurity Cross-Sectional Studies Logistic Models Geography Income Female Ordered logit business Nutritive Value Diversity (business) |
| Zdroj: | International Health. 11:272-282 |
| ISSN: | 1876-3405 1876-3413 |
| Popis: | Background To identify individual and household characteristics associated with food security and dietary diversity in seven Haitian–Dominican bateyes. Methods A cross-sectional sample of 667 households were surveyed. Novel household food security scores were calculated from components of the Household Food Insecurity Assessment Scale, while the Food and Agricultural Organization’s Household Dietary Diversity Score was utilized to calculate individual dietary diversity scores. Multivariable analyses were performed using ordinal logistic regression models to estimate the association between these scores and the covariate variables. Secondary dietary diversity analyses were performed after removing non-nutritious food groups. Results Food security was significantly associated with being above the poverty line (OR 3.14, 95% CI 1.92 to 5.14), living in a rural batey (OR 1.44, 95% CI 1.02 to 2.03), receiving gifts and/or donations (OR 1.76, 95% CI 1.03 to 3.00) and having a salaried job (i.e., not being paid hourly; OR 1.67, 95% CI 1.05 to 2.64). Dietary diversity was significantly associated with living in a semi-urban batey (OR 1.70, 95% CI 1.26 to 2.30), living with a partner (OR 1.47, 95% CI 1.08 to 2.00), growing at least some of one’s own food (OR 1.62, 95% CI 1.17 to 2.23), and receiving gifts and/or donations (OR 1.72, 95% CI 1.08 to 2.73). Conclusions Food insecurity and low dietary diversity are highly prevalent in Haitian–Dominican bateyes. The inclusion of sweets and non-milk beverages in dietary diversity calculations appear to skew scores towards higher levels of diversity, despite limited nutritional gains. |
| Databáze: | OpenAIRE |
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