Association of Household Food Security Status and Dietary Diversity among Children during COVID-19
Abstract
The aim of this study is to identify food security status and its association with dietary diversity among children from low-income households (B40) during COVID-19. A cross-sectional study was conducted among 174 mothers and their children (<2 years old) residing in Selangor urban area. The data collection was collected through sociodemographic questionnaire to assess maternal and children’s sociodemographic characteristics, Household Food Insecurity Scale (HFIAS) to assess household food insecurity status, and Minimum Dietary Diversity (MDD)-Children 6‒23 months to assess dietary diversity score for children. The data was analyzed descriptively and a Chi-square test was used to find the relationship between food insecurity and dietary diversity. Findings showed that 105 participants (62.6%) was food insecure, there was 52.9% had low dietary diversity. There was no association between food insecure and dietary variety among B40 mothers living in urban area in Selangor. However, this study found that maternal education level (p=0.006), years of education (p=0.014) and the number of household income recipient (p=0.018) are significantly associated with the food insecurity. This study has provided the prevalence of food insecurity among B40 living in urban area and it is suggested that further research involving diverse household income of participants and research areas should be done to provide better insights on food insecurity and dietary diversity among children in Malaysia.
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References
Abdullah A, Zhou D, Shah T, Ali S, Ahmad W, Din I, Ilyas A. 2017. Factors affecting household food security in rural northern hinterland of Pakistan. J Saudi Soc Agric Sci 18(2):201‒210. https://doi.org/10.1016/j.jssas.2017.05.003
Adams EL, Caccavale LJ, Smith D, Bean MK. 2020. Food insecurity, the home food environment, and parent feeding practices in the era of COVID-19. Obesity 28(11):2056‒2063.
Ajao KO, Ojofeitimi EO, Adebayo AA, Fatusi AO, Afolabi OT. 2010. Influence of family size, household food security status, and childcare practices on the nutritional status of under-five children in Ile-Ife, Nigeria. Afr J Reprod Health 14(4 Spec no.):117–126.
Ali D, Saha KK, Nguyen PH, Diressie MT, Ruel MT, Menon P, Rawat R. 2013. Household food insecurity is associated with higher child undernutrition in Bangladesh, Ethiopia, and Vietnam, but the effect is not mediated by child dietary diversity. J Nutr 143(12):2015‒2021.
Birhane T, Shiferaw S, Hagos S, Mohindra KS. 2014. Urban food insecurity in the context of high food prices: A community-based cross-sectional study in Addis Ababa, Ethiopia. BMC Public Health 14:680.
Coates J, Swindale A, Bilinsky P. 2007. Household Food Insecurity Access Scale (HFIAS) for Measurement of Food Access: Indicator Guide v3. Washington (USA): Food and Nutrition Technical Assistance Project (FANTA)
[DOSM] Department of Statistics Malaysia. 2020. Household income & basic amenities survey report 2019. https://v1.dosm.gov.my/v1/index.php?r=column/cthemeByCat&cat=120&bul_id=TU00TmRhQ1N5TUxHVWN0T2VjbXJYZz09&menu_id=amVoWU54UTl0a21NWmdhMjFMMWcyZz09 [Accessed 20th June 2023].
Elias SMS, Ibrahim NS, Sutantri S. 2023. Food Insecurity and Coping Strategies amongst undergraduate students during the COVID-19 pandemic in Malaysia. Malays J Med Health Sci 19(2).
[FAO] Food and Agriculture Organization 2021. The state of food xecurity and nutrition in the world 2021; The world is at a critical juncture. https://www.fao.org/state-of-food-security-nutrition [Accessed 24th June 2022].
Hasan MM, Kader A, Asif CAA, Talukder A. 2023. Seasonal variation in the association between household food insecurity and child undernutrition in Bangladesh: Mediating role of child dietary diversity. Matern Child Nutr Nutrition 19(2):e13465. https://doi.org/10.1111/mcn.13465
Hao Q. 2022. Relationship between household income, region and household healthcare expenditure-empirical research based on the data of China Family Tracking Survey (CFPS). BCP Business and Management 27:222‒235. https://doi.org/10.54691/bcpbm.v27i.1967
Hussein FM, Ahmed AY, Muhammed OS. 2018. Household food insecurity access scale and dietary diversity score as a proxy indicator of nutritional status among people living with HIV/AIDS, Bahir Dar, Ethiopia, 2017. Plos One 13(6):e0199511. https://doi.org/10.1371/journal.pone.0199511
Grimaccia E, Naccarato A. 2018. Food insecurity individual experience: A comparison of Economic and Social Characteristics of the most vulnerable gtroups in the world. Soc Indic Res 143:391‒410. https://doi.org/10.1007/S11205-018-1975-3
Iftikhar A, Bari A, Bano I, Masood Q. 2017. Impact of maternal education, employment, and family size on nutritional status of children. Pakistan J Med 33:1401‒1405. https://doi.org/10.12669/pjms.336.13689
Khan Z, Ali A. 2023. Global Food Insecurity and Its Association with Malnutrition. Emerging Challenges in Agriculture and Food Science Volume 8. United Kingdom (UK): BP International.
Kittiprapas S. 2022. Socioeconomic impacts of the COVID-19 pandemic on the vulnerable households: Empirical evidence from slum areas of Bangkok city. Cogent Soc Sci 8(1):1‒26. https://doi.org/10.1080/23311886.2022.2074111
Koyratty N, Mbuya MN, Jones AD, Schuster RC, Kordas K, Li CS, Tavengwa NV, Majo FD, Chasekwa B, Ntozini R, Humphrey JH. 2022. Implementation and maintenance of infant dietary diversity in Zimbabwe: contribution of food and water insecurity. BMC Nutrition 8(1):136.
Loopstra R, Tarasuk V. 2013. The severity of household food insecurity is sensitive to changes in household income and employment status among low-income families. J Nutr 1438:1316‒1323. https://doi.org/10.3945/jn.113.175414
Olsen C, St George, DMM. 2004. Cross-sectional study design and data analysis. College Entrance Examination Board 26(03):2006.
Pachter LM, Coll CG, Perez-Brena NJ, Lopez LM, Halgunseth LC, Mistry RS, Stein GL, Carlo G. 2020. Assessing the impact of COVID-19 on children and youth. Dela J Public Health 6(2):40.
Palansamy Y. 2021. Covid-19: 580,000 M40 households fall into B40 category, absolute poverty rises to 8.4pc, says PM. Kuala Lumpur: Malay Mail. https://www.malaymail.com/news/malaysia/2021/09/21/covid-19-580000-m40-households-fall-into-b40-category-absolute-poverty-rise/2007310 [Accessed 5th June 2023]
Salleh NW, Hamid SBA, Nor NM, Shuhaimi FA, Zaman MK, Ismail NH. 2021. Diet quality and growth Sstatus of children aged two to six years at Tuba Island, Langkawi, Malaysia. J Gizi Pangan 16(3):159‒168. https://doi.org/10.25182/jgp.2021.16.3.159-168
Syafiq A, Fikawati S, Gemily SC. 2022. Household food security during the COVID-19 pandemic in urban and semi-urban areas in Indonesia. J Health Popul Nutr 41(1):4.
Shariff ZM, Ang M. 2001. Assessment of food insecurity among low income households in Kuala Lumpur using the Radimer/Cornell food insecurity instrument–a validation study. Malays J Nutr 7(1 & 2):15‒32.
Shariff ZM, Khor GL. 2008. Household food insecurity and coping strategies in a poor rural community in Malaysia. Nutr Res Pract 2(1):26‒34.
Suryana S, Utama LJ, Fitri Y, Yunianto AE, Diana R, Bustami B. 2023. Household food insecurity and children dietary diversity during the COVID-19 outbreak. Aceh Nutri J 8(2):155‒164. https://doi.org/ 10.30867/action.v8i2.713
Tan ST, Tan CX, Tan SS. 2022. Food security during the COVID-19 home confinement: A cross-sectional study focusing on adults in Malaysia. Hum Nutr Metab 27(200142):1‒4
[UNICEF] The United Nations Children’s Fund. 2020. Addressing Malaysia’s nutrition crisis post-COVID-19: Time for nutrition-focused social protection. Policy Brief. https://www.unicef.org/malaysia/reports/addressing-malaysias-nutrition-crisis-post-covid-19 [Accessed 10th July 2023]
[WHO] World Health Organization. 2021. Indicators for assessing infant and young child feeding practices: Definitions and measurement methods. https://www.who.int/publications/i/item/9789241596664 [Accessed 3rd June 2023].
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