Household food insecurity and early childhood development in Brazil: an analysis of children under 2 years of age

Oliveira, Klébya Hd de; Buccini, Gabriela; Hernandez, Daphne C.; Pérez‐Escamilla, Rafael; Gubert, Muriel Bauermann

doi:10.1017/s1368980021002305

Cited by 9 publications

(8 citation statements)

References 60 publications

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“…It was found that children from severe HFI households were more at risk of being stunted than those from food-secure households. This result was consistent with similar studies in Thailand, Ethiopia, Bangladesh, Malaysia, Brazil, Rwanda, and India [ 14 , 15 , 47 , 48 , 49 , 50 , 51 ]. Other similar studies found no association between these two factors [ 52 , 53 , 54 ].…”

Section: Discussionsupporting

confidence: 93%

Dietary Diversity, Household Food Insecurity and Stunting among Children Aged 12 to 59 Months in N’Djamena—Chad

et al. 2023

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Background: Household food insecurity is increasingly recognized as a global health problem, particularly in sub-Saharan Africa. This study aimed to contextualize the associations between household food insecurity, dietary diversity and stunting in N’Djamena. Methods: This study is a community-based cross-sectional study, and the SMART (Standardized Monitoring and Assessment of Relief and Transitions) methodology was used to calculate the sample size. A total of 881 households were selected for the survey. A 24-h recall evaluated the dietary diversity score (DDS), the Household Food Insecurity Access Scale (HFIAS) made it possible to assess household food insecurity (HFI), and stunting among children aged 12 to 59 months was assessed by anthropometric measurements. Logistic regression was constructed to determine the association between household food insecurity, dietary diversity, and stunting. The study was conducted from January to March 2022. Results: The prevalence of severe food insecurity was 16.6%, and that of stunting was 25.3%. The mean DDS was 6.5 ± 1.6. Severe food insecurity (OR 2.505, CI: 1.670–3.756) was significantly associated with stunting. The association between DDS and stunting was not significant. Conclusions: This study’s prevalence of household food insecurity and stunting was very high. Household food insecurity and household size were significantly associated with stunting.

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Section: Discussionsupporting

confidence: 93%

Dietary Diversity, Household Food Insecurity and Stunting among Children Aged 12 to 59 Months in N’Djamena—Chad

et al. 2023

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“…A lack of nutritious food during a child's growing period harms their physical and mental well-being [15] and makes them more vulnerable to infectious diseases [16]. In addition, it leads to behavioural problems, poor academic performance and low intellectual outcomes once the children become school-age [17].…”

Section: Introductionmentioning

confidence: 99%

Household food security, dietary patterns and nutritional status of young children in a Nigerian community: Situation of post-COVID-19 lockdown

Olodu¹,

Adeomi²,

Fagbulu³

et al. 2022

AJFAND

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The emergence of the novel Coronavirus in late 2019 led to disruptions in the food, economic and health systems. There are projections that the pandemic will worsen hunger and malnutrition in families with young children and women of reproductive age in Low- and Middle-Income Countries (LMICs). Therefore, this study investigated household food security status, dietary patterns and nutritional status of children in a Nigerian community during the COVID-19 pandemic. A total sample of 200 mother-child pairs was selected from a Nigerian community using a multi-stage sampling technique. A semi-structured interviewer-administered questionnaire, which had four sections, was used for data collection. A food security survey questionnaire was used to assess household food security, and a food frequency questionnaire was used to capture child food patterns. Dietary diversity was assessed using 24-hour dietary recall, and nutritional status was measured using anthropometric parameters. Data were analysed using descriptive and inferential statistics. The level of significance was set at p<0.05. Almost half (48.5%) of the mothers were aged between 24 and 35 years, with a mean age of 31.63 +6.3 years. The majority of the children (69%) were between 24 and 60 months-old, with a mean age of 29.80 +15.48 months. Most participants (73.7%) were food insecure. Cereals, roots and tubers (79.5%), and sugar and junk (61.4 %) were the most frequently consumed food groups by children, while dairy products (15.8 %), vegetables (18.1%), and fruits (19.3 %) were the least frequently consumed. The majority had a low dietary diversity score (61.4%), and the prevalence of stunting, wasting and underweight was 41.3%, 27.2% and 3.3%, respectively. There was a statistically significant (p=0.013) relationship between maternal age and child dietary diversity. This study reveals that most households with mothers and children 6-59 months-old were food insecure. More than half of the children had low dietary diversity, and the consequences of poor diet quality are becoming evident as wasting and stunting are high. Therefore, an urgent public health intervention is needed to improve food security in vulnerable households. Key words: Household food security, Dietary pattern, Nutritional Status, COVID-19

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“…This secondary data analysis is based on cross-sectional survey data examining household food insecurity and other factors associated with ECD. The data were collected from CHCs in Brasília, Brazil, between March 2017 and March 2018 [ 27 ]. The study protocol was approved by the Human Research Ethics Committee of the Faculty of Health Sciences of the University of Brasília and Health Sciences Teaching and Research Foundation (FEPECS) Ethics Committee (protocol 1.178.564).…”

Section: Methodsmentioning

confidence: 99%

“…A two-stage representative sampling approach was used. In the first stage, 20 of the 131 CHCs that monitor child growth and development in Brasília were randomly selected for participation [ 27 ]. In the second stage, the number of children to be included from each of the 20 CHCs was estimated based on self-weighted sampling stratified into two age groups (0–12 and 12–24 months).…”

Section: Methodsmentioning

confidence: 99%

“…Eligible mothers were administered a survey with close-ended questions related to the child and mother’s demographic, socioeconomic, and biomedical profiles. Standard tools adapted for use with a Brazilian population were used to assess household food insecurity [ 27 ]. Quality control was conducted with a random 20% of participants who were contacted by telephone to answer three random survey questions within 4 weeks of participation.…”

Section: Methodsmentioning

confidence: 99%

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Socio-demographic, maternal, and infant characteristics associated with early childhood development delays among children of young mothers in Brasília, Brazil

et al. 2022

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Background Holistic attention to adolescent health is needed to sustain the benefits of investment in early childhood development. Any such interventions must make sure to address the needs of adolescent and young adult parents. This study explored the social and demographic maternal variables associated with risk of early childhood development (ECD) delay for children of young mothers in Brazil. Methods Cross-sectional secondary data analysis was done using data from young mothers (aged 13–24) and their children (aged 0–2), collected from community health centers in Brasília, Brazil, between 2017–2018. The Denver Developmental Screening Test II was used to assess risk of ECD delay outcomes. Descriptive analyses were conducted across the full sample and sub-groups of adolescent (13–19) and young adult (20–24) mothers. Multivariable logistic regressions based on theory modelling approach were conducted for the full sample to examine the associations between maternal age and risk of ECD delay, adjusted for a battery of household, maternal, pregnancy, and infant variables. Results Risk of ECD delay was found in 17.39% (N = 76) of the children who participated (N = 437). No significant differences in risk of ECD delay were found for children of adolescent mothers compared to children of young adult mothers. Across the full sample, 60.36% (N = 236) of mothers were living in poverty, 73.17% (N = 319) had 9 or more years of education, and 86.14% (N = 373) were not working outside the home at time of data collection. Furthermore, 90.11% (N = 392) did not identify as head of their household and 73.68% (N = 322) were primiparous. Socially-mediated factors such as lower maternal educational attainment, unemployment, and lack of household support were associated with increased risk of ECD delays for children under age 2. Adjusted logistic regression identified multiparity as an independent maternal factor associated with increased risk of ECD delay (AOR = 2.51; 95% CI, 1.23–5.13). Conclusions Multiparity was the only independent maternal factor associated with ECD delay among children under 2 years old. Other socio-demographic factors relevant to young mothers may influence ECD delays. Ensuring sustained, concurrent attention to children’s and young parent’s developmental needs may improve multi-generational health outcomes.

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Household food insecurity and early childhood development in Brazil: an analysis of children under 2 years of age

Cited by 9 publications

References 60 publications

Dietary Diversity, Household Food Insecurity and Stunting among Children Aged 12 to 59 Months in N’Djamena—Chad

Dietary Diversity, Household Food Insecurity and Stunting among Children Aged 12 to 59 Months in N’Djamena—Chad

Household food security, dietary patterns and nutritional status of young children in a Nigerian community: Situation of post-COVID-19 lockdown

Socio-demographic, maternal, and infant characteristics associated with early childhood development delays among children of young mothers in Brasília, Brazil

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