Household food access and child malnutrition: results from the eight-country MAL-ED study

详细信息    查看全文

• 作者：Stephanie Psaki (1) (2)
  Zulfiqar A Bhutta (3)
  Tahmeed Ahmed (4)
  Shamsir Ahmed (4)
  Pascal Bessong (5)
  Munirul Islam (4)
  Sushil John (6)
  Margaret Kosek (2)
  Aldo Lima (9)
  Cebisa Nesamvuni (5)
  Prakash Shrestha (7)
  Erling Svensen (8)
  Monica McGrath (1) (2)
  Stephanie Richard (1) (2)
  Jessica Seidman (1) (2)
  Laura Caulfield (2)
  Mark Miller (1)
  William Checkley (1) (10) (2)
  
• 刊名：Population Health Metrics
• 出版年：2012
• 出版时间：December 2012
• 年：2012
• 卷：10
• 期：1
• 全文大小：275KB
• 参考文献：1. Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M: Maternal and child undernutrition: global and regional exposures and health consequences. / Lancet 2008,371(9608):243-60. CrossRef
  2. Caulfield LE, de Onis M, Blossner M, Black RE: Undernutrition as an underlying cause of child deaths associated with diarrhea, pneumonia, malaria, and measles. / Am J Clin Nutr 2004,80(1):193-98.
  3. Victora CG, Adair L, Fall C, Hallal PC, Martorell R, Richter L: Maternal and child undernutrition: consequences for adult health and human capital. / Lancet 2008,371(9609):340-57. CrossRef
  4. Scrimshaw NS: Historical concepts of interactions, synergism and antagonism between nutrition and infection. / J Nutr 2003,133(1):316S-321S.
  5. Campbell DI, Elia M, Lunn PG: Growth faltering in rural Gambian infants is associated with impaired small intestinal barrier function, leading to endotoxemia and systemic inflammation. / J Nutr 2003,133(5):1332-338.
  6. Checkley W, Gilman RH, Black RE, Epstein LD, Cabrera L, Sterling CR: Effect of water and sanitation on childhood health in a poor Peruvian peri-urban community. / Lancet 2004,363(9403):112-18. CrossRef
  7. Cook JT: Clinical implications of household food security: definitions, monitoring, and policy. / Nutr Clin Care 2002,5(4):152-67. CrossRef
  8. 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, 27:114-7.
  9. / World Food Summit Plan of Action. Rome, Italy: FAO Corporate Document Repository; 1996:13-7. Available at: http://www.fao.org/DOCREP/003/W3613E/W3613E00.HTM
  10. Sen AK: / Poverty and famines: An essay on entitlement and deprivation. Clarendon Press; 1981.
  11. Barrett CB: Measuring food insecurity. / Science 2010,327(5967):825-28. CrossRef
  12. Carlsen MH, Lillegaard IT, Karlsen A, Blomhoff R, Drevon CA, Andersen LF: Evaluation of energy and dietary intake estimates from a food frequency questionnaire using independent energy expenditure measurement and weighed food records. / Nutr J 2010, 9:37. CrossRef
  13. Webb P, Coates J, Frongillo EA, Rogers BL, Swindale A, Bilinsky P: Measuring household food insecurity: why it's so important and yet so difficult to do. / J Nutr 2006,136(5):1404S-1408S.
  14. Coates J, Frongillo EA, Rogers BL, Webb P, Wilde PE, Houser R: Commonalities in the experience of household food insecurity across cultures: what are measures missing? / J Nutr 2006,136(5):1438S-1448S.
  15. Hadley C, Maes K: A new global monitoring system for food insecurity? / Lancet 2009,374(9697):1223-224. CrossRef
  16. / Demographic and Health Surveys, USAID. Information available at: http://www.measuredhs.com/
  17. Coates J, Swindale A, Bilinsky P: / Household Food Insecurity Access Scale for Measurement of Food Access: Indicator Guide. Version 3. Food and Nutrition Technical Assistance Program & USAID. 2007. Available at: http://www.fantaproject.org/publications/hfias_intro.shtml
  18. Swindale A, Bilinsky P: Development of a universally applicable household food insecurity measurement tool: process, current status, and outstanding issues. / J Nutr 2006,136(5):1449S-1452S.
  19. Frongillo EA, Nanama S: Development and validation of an experience-based measure of household food insecurity within and across seasons in northern Burkina Faso. / J Nutr 2006,136(5):1409S-1419S.
  20. Melgar-Quinonez HR, Zubieta AC, MkNelly B, Nteziyaremye A, Gerardo MF, Dunford C: Household food insecurity and food expenditure in Bolivia, Burkina Faso, And the Philippines. / J Nutr 2006,136(5):1431S-1437S.
  21. World Health Organization: / Child Growth Standards: Anthropometry Macros. 2011. Available at: http://www.who.int/childgrowth/software/en/index.html
  22. World Health Organization Statistical Information System (WHOSIS): / Indicator definitions and metadata. 2011. Available at: http://www.who.int/whosis/indicators/en/
  23. Olusanya BO, Wirz SL, Renner JK: Prevalence, pattern and risk factors for undernutrition in early infancy using the WHO Multicentre Growth Reference: a community-based study. / Paediatr Perinat Epidemiol 2010,24(6):572-83. CrossRef
  24. Singh MB, Fotedar R, Lakshminarayana J, Anand PK: Studies on the nutritional status of children aged 0- years in a drought-affected desert area of western Rajasthan, India. / Public Health Nutr 2006,9(8):961-67. CrossRef
  25. Victora CG: The association between wasting and stunting: an international perspective. / J Nutr 1992,122(5):1105-110.
  26. Deitchler M, Ballard T, Swindale A, Coates J: / Validation of a Measure of Household Hunger for Cross-Cultural Use. 2010.
  27. Carmines E, Zeller RA: / Reliability and Validity Assessment. Sage: Beverly Hills, CA; 1979.
  28. Cronbach LJ, Meehl PE: Construct validity in psychological tests. / Psychol Bull 1955,52(4):281-02. CrossRef
  29. 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(12):2302-309.
  
• 作者单位：Stephanie Psaki (1) (2)
  Zulfiqar A Bhutta (3)
  Tahmeed Ahmed (4)
  Shamsir Ahmed (4)
  Pascal Bessong (5)
  Munirul Islam (4)
  Sushil John (6)
  Margaret Kosek (2)
  Aldo Lima (9)
  Cebisa Nesamvuni (5)
  Prakash Shrestha (7)
  Erling Svensen (8)
  Monica McGrath (1) (2)
  Stephanie Richard (1) (2)
  Jessica Seidman (1) (2)
  Laura Caulfield (2)
  Mark Miller (1)
  William Checkley (1) (10) (2)
  
  1. Fogarty International Center, National Institutes of Health, Bethesda, USA
  2. Program in Global Disease Epidemiology and Control and Division of Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA
  3. Division of Women and Child Health, Aga Khan University, Karachi, Pakistan
  4. International Centers for Diarrheal Disease Research, Matlab, Bangladesh
  5. University of Venda, Thohoyandou, South Africa
  6. Christian Medical College, Vellore, India
  9. Federal University of Ceara, Fortaleza, Brazil
  7. Institute of Medicine, Kathmandu, Nepal
  8. University of Bergen, Bergen, Norway
  10. Division of Pulmonary and Critical Care, School of Medicine, Johns Hopkins University, Suite 9121 1800 Orleans Street, 21212, Baltimore, MD, USA
  

文摘

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: 0-7) 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--.008). A likelihood ratio test for heterogeneity revealed that this relationship was consistent across countries (p--.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.