Food insecurity and health status in deprived populations, 2014: a multicentre survey in seven of the social and medical healthcare centres (CASOs) run by Doctors of the World, France

Laurence, Sophie; Durand, E.; Thomas, E. M.; Chappuis, Marielle; Corty, J.-F.

doi:10.1016/j.puhe.2016.11.004

Cited by 5 publications

(5 citation statements)

References 7 publications

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“…This finding signifies not only the importance of nutrition to overall health, but also likely reflects lower socioeconomic status and decreased household resource availability in general. [13][14][15][16][17] In high-risk populations, such as this cohort, clinics may want to incorporate ongoing nutritional assistance in the medical treatment plan as a reduction in household food insecurity has been shown to improve outcomes in SSA settings. [18][19][20] Food insecurity, health care utilization, and health outcomes are inextricably linked 17 ; a highly effective intervention would need to address not only food resource availability but also economic disparities to improve long-term health outcomes.…”

Section: Discussionmentioning

confidence: 99%

Characterizing Pediatric Non–Malarial Fever and Identifying the At-Risk Child in Rural Malawi

Kortz

Blair

Scarr

et al. 2018

Global Pediatric Health

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Objective. To characterize children with non–malarial fever at risk of nonrecovery or worsening in rural Malawi. Methods. This is a subgroup analysis of patients ≤14 years of age from a prospective cohort study in non–malarial fever subjects (temperature ≥37.5°C, or fever within 48 hours, and malaria negative) in southern Malawi cared for at a mobile clinic during the 2016 dry (August to September) or wet (November to December) season. Data collection included chart review and questionnaires; 14-day follow-up was conducted. We conducted univariate descriptive statistics on cohort characteristics, bivariate analyses to examine associations between characteristics and outcomes, and multivariate logistic regressions to explore factors associated with nonrecovery. Results. A total of 2893 patients were screened, 401 were enrolled, 286 of these were children, and 280 children completed follow-up. Eighty-seven percent reported symptom resolution, 12.9% reported no improvement, and there were no deaths or hospitalizations. No improvement was associated with dry season presentation (42.6% vs 75.0%, P < .0003), >2 days of symptoms (51.6% vs 72.2%, P = .03), and food insecurity (62.3% vs 86.1%, P = .007). Dry season subjects had a 4.35 times greater likelihood of nonimprovement (95% confidence interval [CI] = 1.96-11.11). Household food insecurity and being >2 hours from a permanent clinic were associated with no improvement (adjusted odds ratio [AOR] = 4.61, 95% CI = 1.81-14.29; and AOR = 2.38, 95% CI = 1.11-5.36, respectively). Conclusion. Outcomes were generally excellent in this rural, outpatient pediatric cohort, though risk factors for nonrecovery included food insecurity, access to a standing clinic, and seasonality. Ideally, this study will inform clinic- and policy-level changes aimed at ameliorating the modifiable risk factors in Malawi and throughout rural Africa.

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Section: Discussionmentioning

confidence: 99%

Characterizing Pediatric Non–Malarial Fever and Identifying the At-Risk Child in Rural Malawi

Kortz

Blair

Scarr

et al. 2018

Global Pediatric Health

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“…The food security status of a household may affect the health status of household members. Several studies have revealed linkages between adverse health outcomes and food insecurity among children [53][54][55]. Studies relating to the health effects of food insecurity in adults tend to be scarce because studies generally concentrate on the relationship between food insecurity and self-reported diseases.…”

Section: Food Security Status and Health-related Issues Within Househmentioning

confidence: 99%

Does Urban and Peri-Urban Agriculture Contribute to Household Food Security? An Assessment of the Food Security Status of Households in Tongaat, eThekwini Municipality

Khumalo

Sibanda

2019

Sustainability

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Regardless of the steady increase in the economic growth of South Africa, poverty levels and food insecurity have not declined as one would have anticipated. Urban and peri-urban agriculture (UPA) presents an opportunity as a livelihood strategy to alleviate poverty and ensure household food security within the urban and peri-urban spheres. However, less research has been done in this area to discover the contribution of UPA on households’ food security. This paper assesses the food security status of households that practised any form of UPA activities (later on referred to the rest of this paper as UPA practising households) and those that did not (later on referred to the rest of this paper as non-UPA practising households) within the Tongaat peri-urban area of eThekwini Municipality. The specific objectives of the paper are to estimate the household food security status of the UPA practising households vis-à-vis the non-UPA practising households and to elicit the reasons associated with the practice of UPA activities. Two hundred and eight (208) households (that is 109 and 99 UPA and non-UPA practising households respectively) were selected using a stratified random sampling procedure. The Household Dietary Diversity Score (HDDS) and Household Food Insecurity Access Score (HFIAS) measures were employed to estimate a household’s food security status. A probit regression analysis was used to elicit the reasons associated with the practice of UPA activities by households. A non-parametric independent samples test (Mann-Whitney U) was used to compare whether there were significant differences between the two groups. A Pearson Chi-Square test reveals that the employment status, access to arable land, land tenure (ownership rights or arable land) and household monthly income variables were statistically significantly associated with the food security status (in terms of HDDS) of households. The results from the HDDS tool, show that a greater proportion (54%) of the UPA practising households consumed >6 food groups (deemed to be food secure in terms of dietary access) as compared to their counterparts, the non-UPA practising households (40%) in the same food group. However, the Mann-Whitney U test (U = 5292, p = 0.808) show that there was no significant difference from this data in terms of the dietary diversity (HDDS) of the two groups. The HFIAS measure reveal that a greater proportion (about 72%) of the UPA practising households indicated that they never or rarely worried about food shortages (deemed to be food secure in terms of food access) as compared to their counterparts—the non-UPA practising households (about 61%) that never or rarely worried about food shortages. The Mann-Whitney U test (U = 4118.5, p = 0.001) show that there was a significant difference in terms of food access (HFIAS) of the two groups. Overall, the results show that although UPA practising households seemed to be better off in terms of food access as compared to the non-UPA households, the results are inconclusive or show no evidence that a significant difference existed concerning dietary diversity of the two groups. The probit regression analysis shows that the variable arable land size (p = 0.000) has a positive correlation with the practice of any UPA activity. In order for UPA to enhance the household food security status (particularly in terms of dietary diversity) within the peri-urban spheres, an integrated approach (with agricultural land support from government and city planners) together with the diversification of high-value UPA activities by households is paramount.

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“…Fourteen out of thirty-three studies focused on adults. Seven studies (Martin-Fernandez et al , 2014; Pilot et al , 2014; Bocquier et al , 2015; Pryor et al , 2016; Laurence et al , 2017; Vuillermoz et al , 2017; Martin-Fernandez et al , 2018) were held in France. The reported food insecurity levels in French adults ranged from 6.3 (Martin-Fernandez et al , 2014) to 77.7% (Laurence et al , 2017).…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies (Martin-Fernandez et al , 2014; Pilot et al , 2014; Bocquier et al , 2015; Pryor et al , 2016; Laurence et al , 2017; Vuillermoz et al , 2017; Martin-Fernandez et al , 2018) were held in France. The reported food insecurity levels in French adults ranged from 6.3 (Martin-Fernandez et al , 2014) to 77.7% (Laurence et al , 2017). Five studies (Alvares and Amaral, 2014; Gregório et al , 2014; Gregório et al , 2018; Maia et al , 2019a; Melo et al , 2019) took place in Portugal and the reported levels of food insecurity levels varied from 11 (Maia et al , 2019a) to 50.7% (Gregório et al , 2014).…”

Section: Resultsmentioning

confidence: 99%

“… For simplicity reasons the studies by Shankar-Krishnan et al (2018), Esturk et al (2014), Endeweld et al (2018), Ganhao-Arranhado et al (2018), Laurence et al (2017), Theodoridis et al (2018), Grammatikopoulou et al (2019), Dalma et al (2018), Pilot et al (2014), Baptista et al (2018) and Zamora‐Sarabia et al (2019) are not presented in this table because the sample size is less than 500 participants…”

Section: Figurementioning

confidence: 99%

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Food security research in selected Southern European and Eastern Mediterranean countries: a narrative review

Michalis

Costarelli

2020

NFS

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Purpose The paper aims to investigate food security research in Southern Europe and selected Eastern Mediterranean countries. Design/methodology/approach An electronic literature search was conducted using Medline/PubMed and Scopus, to identify articles and reviews that were published in the English language, between January 2014 and December 2019. Thirty-three publications met the criteria for review. Findings Depending on the population sample and the measurement tool, reported food insecurity differed significantly between and within countries. In Portugal, food insecurity ranged from 11 to 70%; in France, from 6.3 to 77.7%; and in Greece, from 17.3 to 82%. Research limitations/implications Research investigating food insecurity issues and its true prevalence across southern European and Eastern Mediterranean countries are relatively limited. Originality/value Food insecurity levels in the above countries vary significantly, and the different methodologies often used render the results difficult to compare.

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Food insecurity and health status in deprived populations, 2014: a multicentre survey in seven of the social and medical healthcare centres (CASOs) run by Doctors of the World, France

Cited by 5 publications

References 7 publications

Characterizing Pediatric Non–Malarial Fever and Identifying the At-Risk Child in Rural Malawi

Characterizing Pediatric Non–Malarial Fever and Identifying the At-Risk Child in Rural Malawi

Does Urban and Peri-Urban Agriculture Contribute to Household Food Security? An Assessment of the Food Security Status of Households in Tongaat, eThekwini Municipality

Food security research in selected Southern European and Eastern Mediterranean countries: a narrative review

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