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Household food insecurity and dietary diversity as correlates of maternal and child undernutrition in rural Cambodia.
Eur J Clin Nutr. 2015 Feb; 69(2):242-6.EJ

Abstract

OBJECTIVES

To assess household food insecurity and dietary diversity as correlates of maternal and child anthropometric status and anemia in rural Cambodia.

METHODS

Trained interviewers administered a survey to 900 households in four rural districts of Prey Veng, Cambodia. The Household Food Insecurity Access Scale (HFIAS) and Household Dietary Diversity Score (HDDS) were used to assess household food insecurity and dietary diversity. The height, weight and hemoglobin concentration of the mother and youngest child under 5 years in each household were measured. Multivariate logistic regression models were constructed to assess the association between household food insecurity and dietary diversity, and child stunting and wasting, maternal thinness, maternal and child anemia.

RESULTS

The mean (s.d.) HFIAS and HDDS scores were 5.3 (3.9) and 4.7 (1.6), respectively. The respective prevalences of mild, moderate and severe food insecurity were 33, 37 and 12%. Maternal thinness, child stunting and child wasting were present in 14.6, 25.4 and 8.1% of respondents, respectively. The risk of maternal thinness, but not child stunting or wasting, increased as the severity of household food insecurity increased. Household food insecurity was also positively associated with maternal, but not child, anemia. Household dietary diversity status was not significantly associated with any of the outcomes we assessed.

CONCLUSIONS

Efforts to improve household food security are important as a means of promoting maternal nutritional status; however, additional research is needed to better understand the role of other factors that are driving the burden of child undernutrition in Cambodia.

Authors+Show Affiliations

Famine Early Warning Systems Network, Washington, DC, USA.Faculty of Land and Food Systems, University of British Columbia, Vancouver, BC, Canada.Helen Keller International, Asia Pacific Regional Office, Phnom Penh, Cambodia.Helen Keller International, Asia Pacific Regional Office, Phnom Penh, Cambodia.Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada.Faculty of Land and Food Systems, University of British Columbia, Vancouver, BC, Canada.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25117993

Citation

McDonald, C M., et al. "Household Food Insecurity and Dietary Diversity as Correlates of Maternal and Child Undernutrition in Rural Cambodia." European Journal of Clinical Nutrition, vol. 69, no. 2, 2015, pp. 242-6.
McDonald CM, McLean J, Kroeun H, et al. Household food insecurity and dietary diversity as correlates of maternal and child undernutrition in rural Cambodia. Eur J Clin Nutr. 2015;69(2):242-6.
McDonald, C. M., McLean, J., Kroeun, H., Talukder, A., Lynd, L. D., & Green, T. J. (2015). Household food insecurity and dietary diversity as correlates of maternal and child undernutrition in rural Cambodia. European Journal of Clinical Nutrition, 69(2), 242-6. https://doi.org/10.1038/ejcn.2014.161
McDonald CM, et al. Household Food Insecurity and Dietary Diversity as Correlates of Maternal and Child Undernutrition in Rural Cambodia. Eur J Clin Nutr. 2015;69(2):242-6. PubMed PMID: 25117993.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Household food insecurity and dietary diversity as correlates of maternal and child undernutrition in rural Cambodia. AU - McDonald,C M, AU - McLean,J, AU - Kroeun,H, AU - Talukder,A, AU - Lynd,L D, AU - Green,T J, Y1 - 2014/08/13/ PY - 2014/02/15/received PY - 2014/06/16/revised PY - 2014/07/09/accepted PY - 2014/8/14/entrez PY - 2014/8/15/pubmed PY - 2015/9/29/medline SP - 242 EP - 6 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 69 IS - 2 N2 - OBJECTIVES: To assess household food insecurity and dietary diversity as correlates of maternal and child anthropometric status and anemia in rural Cambodia. METHODS: Trained interviewers administered a survey to 900 households in four rural districts of Prey Veng, Cambodia. The Household Food Insecurity Access Scale (HFIAS) and Household Dietary Diversity Score (HDDS) were used to assess household food insecurity and dietary diversity. The height, weight and hemoglobin concentration of the mother and youngest child under 5 years in each household were measured. Multivariate logistic regression models were constructed to assess the association between household food insecurity and dietary diversity, and child stunting and wasting, maternal thinness, maternal and child anemia. RESULTS: The mean (s.d.) HFIAS and HDDS scores were 5.3 (3.9) and 4.7 (1.6), respectively. The respective prevalences of mild, moderate and severe food insecurity were 33, 37 and 12%. Maternal thinness, child stunting and child wasting were present in 14.6, 25.4 and 8.1% of respondents, respectively. The risk of maternal thinness, but not child stunting or wasting, increased as the severity of household food insecurity increased. Household food insecurity was also positively associated with maternal, but not child, anemia. Household dietary diversity status was not significantly associated with any of the outcomes we assessed. CONCLUSIONS: Efforts to improve household food security are important as a means of promoting maternal nutritional status; however, additional research is needed to better understand the role of other factors that are driving the burden of child undernutrition in Cambodia. SN - 1476-5640 UR - https://www.unboundmedicine.com/medline/citation/25117993/Household_food_insecurity_and_dietary_diversity_as_correlates_of_maternal_and_child_undernutrition_in_rural_Cambodia_ L2 - https://doi.org/10.1038/ejcn.2014.161 DB - PRIME DP - Unbound Medicine ER -