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Socio-economic determinants of household food security and women’s dietary diversity in rural Bangladesh: a cross-sectional study
BACKGROUND: There has been limited decline in undernutrition rates in South Asia compared with the rest of Asia and one reason for this may be low levels of household food security. However, the evidence base on the determinants of household food security is limited. To develop policies intended to...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5026026/ https://www.ncbi.nlm.nih.gov/pubmed/26825273 http://dx.doi.org/10.1186/s41043-015-0022-0 |
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author | Harris-Fry, Helen Azad, Kishwar Kuddus, Abdul Shaha, Sanjit Nahar, Badrun Hossen, Munir Younes, Leila Costello, Anthony Fottrell, Edward |
author_facet | Harris-Fry, Helen Azad, Kishwar Kuddus, Abdul Shaha, Sanjit Nahar, Badrun Hossen, Munir Younes, Leila Costello, Anthony Fottrell, Edward |
author_sort | Harris-Fry, Helen |
collection | PubMed |
description | BACKGROUND: There has been limited decline in undernutrition rates in South Asia compared with the rest of Asia and one reason for this may be low levels of household food security. However, the evidence base on the determinants of household food security is limited. To develop policies intended to improve household food security, improved knowledge of the determinants of household food security is required. METHODS: Household data were collected in 2011 from a randomly selected sample of 2,809 women of reproductive age. The sample was drawn from nine unions in three districts of rural Bangladesh. Multinomial logistic regression was conducted to measure the relationship between selected determinants of household food security and months of adequate household food provisioning, and a linear regression to measure the association between the same determinants and women’s dietary diversity score. RESULTS: The analyses found that land ownership, adjusted relative risk ratio (RRR) 0.28 (CI 0.18, 0.42); relative wealth (middle tertile 0.49 (0.29, 0.84) and top tertile 0.18 (0.10, 0.33)); women’s literacy 0.64 (0.46, 0.90); access to media 0.49 (0.33, 0.72); and women’s freedom to access the market 0.56 (0.36, 0.85) all significantly reduced the risk of food insecurity. Larger households increased the risk of food insecurity, adjusted RRR 1.46 (CI 1.02, 2.09). Households with vegetable gardens 0.20 (0.11, 0.31), rich households 0.46 (0.24, 0.68) and literate women 0.37 (0.20, 0.54) were significantly more likely to have better dietary diversity scores. CONCLUSION: Household food insecurity remains a key public health problem in Bangladesh, with households suffering food shortages for an average of one quarter of the year. Simple survey and analytical methods are able to identify numerous interlinked factors associated with household food security, but wealth and literacy were the only two determinants associated with both improved food security and dietary diversity. We cannot conclude whether improvements in all determinants are necessarily needed to improve household food security, but new and existing policies that relate to these determinants should be designed and monitored with the knowledge that they could substantially influence the food security and nutritional status of the population. |
format | Online Article Text |
id | pubmed-5026026 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-50260262016-09-22 Socio-economic determinants of household food security and women’s dietary diversity in rural Bangladesh: a cross-sectional study Harris-Fry, Helen Azad, Kishwar Kuddus, Abdul Shaha, Sanjit Nahar, Badrun Hossen, Munir Younes, Leila Costello, Anthony Fottrell, Edward J Health Popul Nutr Research Article BACKGROUND: There has been limited decline in undernutrition rates in South Asia compared with the rest of Asia and one reason for this may be low levels of household food security. However, the evidence base on the determinants of household food security is limited. To develop policies intended to improve household food security, improved knowledge of the determinants of household food security is required. METHODS: Household data were collected in 2011 from a randomly selected sample of 2,809 women of reproductive age. The sample was drawn from nine unions in three districts of rural Bangladesh. Multinomial logistic regression was conducted to measure the relationship between selected determinants of household food security and months of adequate household food provisioning, and a linear regression to measure the association between the same determinants and women’s dietary diversity score. RESULTS: The analyses found that land ownership, adjusted relative risk ratio (RRR) 0.28 (CI 0.18, 0.42); relative wealth (middle tertile 0.49 (0.29, 0.84) and top tertile 0.18 (0.10, 0.33)); women’s literacy 0.64 (0.46, 0.90); access to media 0.49 (0.33, 0.72); and women’s freedom to access the market 0.56 (0.36, 0.85) all significantly reduced the risk of food insecurity. Larger households increased the risk of food insecurity, adjusted RRR 1.46 (CI 1.02, 2.09). Households with vegetable gardens 0.20 (0.11, 0.31), rich households 0.46 (0.24, 0.68) and literate women 0.37 (0.20, 0.54) were significantly more likely to have better dietary diversity scores. CONCLUSION: Household food insecurity remains a key public health problem in Bangladesh, with households suffering food shortages for an average of one quarter of the year. Simple survey and analytical methods are able to identify numerous interlinked factors associated with household food security, but wealth and literacy were the only two determinants associated with both improved food security and dietary diversity. We cannot conclude whether improvements in all determinants are necessarily needed to improve household food security, but new and existing policies that relate to these determinants should be designed and monitored with the knowledge that they could substantially influence the food security and nutritional status of the population. BioMed Central 2015-07-10 /pmc/articles/PMC5026026/ /pubmed/26825273 http://dx.doi.org/10.1186/s41043-015-0022-0 Text en © Harris-Fry et al. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Harris-Fry, Helen Azad, Kishwar Kuddus, Abdul Shaha, Sanjit Nahar, Badrun Hossen, Munir Younes, Leila Costello, Anthony Fottrell, Edward Socio-economic determinants of household food security and women’s dietary diversity in rural Bangladesh: a cross-sectional study |
title | Socio-economic determinants of household food security and women’s dietary diversity in rural Bangladesh: a cross-sectional study |
title_full | Socio-economic determinants of household food security and women’s dietary diversity in rural Bangladesh: a cross-sectional study |
title_fullStr | Socio-economic determinants of household food security and women’s dietary diversity in rural Bangladesh: a cross-sectional study |
title_full_unstemmed | Socio-economic determinants of household food security and women’s dietary diversity in rural Bangladesh: a cross-sectional study |
title_short | Socio-economic determinants of household food security and women’s dietary diversity in rural Bangladesh: a cross-sectional study |
title_sort | socio-economic determinants of household food security and women’s dietary diversity in rural bangladesh: a cross-sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5026026/ https://www.ncbi.nlm.nih.gov/pubmed/26825273 http://dx.doi.org/10.1186/s41043-015-0022-0 |
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