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The Impact of Household Food Insecur...

Chakraborty, Rishika,

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The Impact of Household Food Insecurity on Children and Adolescents: Evidence From Two Middle-Income Countries /

Record Type:	Electronic resources : Monograph/item
Title/Author:	The Impact of Household Food Insecurity on Children and Adolescents: Evidence From Two Middle-Income Countries // Rishika Chakraborty.
Author:	Chakraborty, Rishika,
Description:	1 electronic resource (202 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 85-07, Section: B.
Contained By:	Dissertations Abstracts International85-07B.
Subject:	Environmental health. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30819491
ISBN:	9798381378504

The Impact of Household Food Insecurity on Children and Adolescents: Evidence From Two Middle-Income Countries /
Chakraborty, Rishika,

The Impact of Household Food Insecurity on Children and Adolescents: Evidence From Two Middle-Income Countries /Rishika Chakraborty. - 1 electronic resource (202 pages)

Source: Dissertations Abstracts International, Volume: 85-07, Section: B.

Background: Household food insecurity (HFI) has been previously associated with adverse health and nutritional consequences in children and adolescents. However, these relationships were predominantly reported in high-income countries, while its impact on child and adolescent populations in low-and middle-income countries being critically understudied. This study assessed the relationship between HFI and health outcomes in children and adolescents from two middle-income countries, Ecuador, and South Africa.Methods: Cross-sectional data from 2018 Ecuadorian National Health and Nutrition Survey (ENSANUT), and longitudinal data (2011-2015) from HIV Prevention Trials Network (HPTN) - 068 in rural South Africa were used. HFI was measured using Food Insecurity Experience Scale in ENSANUT and the Household Hunger Scale in HPTN-068. The 2018 ENSANUT had data for 20,510 children under five years and 23,621 children 5-17 years. Log-binomial regressions were constructed to estimate the associations of HFI with caregiver-reported diarrhea, and respiratory illness (RI), and measured stunting in children under five years while log-binomial, linear, and multinomial logistic regressions assessed the relationship between HFI and sedentary behavior (SB), physical activity (PA), stunting, and BMI-for-age in older children. HPTN-068 had complete data on 1779 adolescent girls and young women (AGYW). Group Based Trajectory Modelling estimated HFI trajectories while logistic, modified Poisson, and log-binomial regressions with generalized estimating equations assessed the relationship between HFI trajectories and incident anxiety and depressive symptoms, and hope, respectively.Results: About 20% Ecuadorian households had moderate-severe HFI. HFI was associated with a higher prevalence of diarrhea and RI, but not stunting, in Ecuadorian children under five years. HFI was not associated with PA, SB, nor anthropometric indicators in Ecuadorian children aged 5 to 17 years. About 20% of South African households had chronic HFI. HFI trajectories were not associated with incident anxiety and depressive symptoms nor hope in South African AGYW. Conclusion: HFI is a burden in Ecuadorian and South African households. HFI appears to be detrimental for early childhood health, while older children and adolescents may be more resilient to the negative health consequences of HFI in these two country settings. Longitudinal studies investigating pathways between HFI and health in older children are warranted.

English

ISBN: 9798381378504Subjects--Topical Terms:

543032
Environmental health.
Subjects--Index Terms:

Children and adolescents

The Impact of Household Food Insecurity on Children and Adolescents: Evidence From Two Middle-Income Countries /
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520 $a Background: Household food insecurity (HFI) has been previously associated with adverse health and nutritional consequences in children and adolescents. However, these relationships were predominantly reported in high-income countries, while its impact on child and adolescent populations in low-and middle-income countries being critically understudied. This study assessed the relationship between HFI and health outcomes in children and adolescents from two middle-income countries, Ecuador, and South Africa.Methods: Cross-sectional data from 2018 Ecuadorian National Health and Nutrition Survey (ENSANUT), and longitudinal data (2011-2015) from HIV Prevention Trials Network (HPTN) - 068 in rural South Africa were used. HFI was measured using Food Insecurity Experience Scale in ENSANUT and the Household Hunger Scale in HPTN-068. The 2018 ENSANUT had data for 20,510 children under five years and 23,621 children 5-17 years. Log-binomial regressions were constructed to estimate the associations of HFI with caregiver-reported diarrhea, and respiratory illness (RI), and measured stunting in children under five years while log-binomial, linear, and multinomial logistic regressions assessed the relationship between HFI and sedentary behavior (SB), physical activity (PA), stunting, and BMI-for-age in older children. HPTN-068 had complete data on 1779 adolescent girls and young women (AGYW). Group Based Trajectory Modelling estimated HFI trajectories while logistic, modified Poisson, and log-binomial regressions with generalized estimating equations assessed the relationship between HFI trajectories and incident anxiety and depressive symptoms, and hope, respectively.Results: About 20% Ecuadorian households had moderate-severe HFI. HFI was associated with a higher prevalence of diarrhea and RI, but not stunting, in Ecuadorian children under five years. HFI was not associated with PA, SB, nor anthropometric indicators in Ecuadorian children aged 5 to 17 years. About 20% of South African households had chronic HFI. HFI trajectories were not associated with incident anxiety and depressive symptoms nor hope in South African AGYW. Conclusion: HFI is a burden in Ecuadorian and South African households. HFI appears to be detrimental for early childhood health, while older children and adolescents may be more resilient to the negative health consequences of HFI in these two country settings. Longitudinal studies investigating pathways between HFI and health in older children are warranted.
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