Ben-Davies Maureen E, Kinlaw Alan, Estrada Del Campo Yaniré, Bentley Margaret E, Siega-Riz Anna Maria
1 Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine, The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
3 Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Public Health Nutr. 2014 Jan;17(1):5-13. doi: 10.1017/S1368980013002048. Epub 2013 Aug 5.
To identify factors associated with the presence and severity of food insecurity among a sample of Honduran caregivers of young children.
Cross-sectional study in which the dependent variable, household food insecurity, was measured using a fourteen-item questionnaire developed and validated in a population of similar cultural context. A predictive modelling strategy used backwards elimination in logistic regression and multinomial logit regression models to compute odds ratios and 95% confidence intervals for food insecurity.
Rural Honduras in the department of Intibucá, between March and April 2009.
Two-hundred and ninety-eight Honduran caregivers of children aged 6-18 months.
Ninety-three per cent of households were classified as having some degree of food insecurity (mild, moderate or severe). After controlling for caregiver age and marital status, compared with caregivers with more than primary-school education, those with less than primary-school education had 3·47 (95% CI 1·34, 8·99) times the odds of severe food insecurity and 2·29 (95% CI 1·00, 5·25) times the odds of moderate food insecurity. Our results also found that child anthropometric status was not associated with the presence or severity of food insecurity.
These results show that among the sociodemographic factors assessed, food insecurity in rural Honduras is associated with maternal education. Understanding key factors associated with food insecurity that are unique to Honduras can inform the design of interventions to effectively mitigate the negative impact of food insecurity on children.
确定洪都拉斯幼儿照料者样本中与粮食不安全状况的存在及严重程度相关的因素。
横断面研究，其中作为因变量的家庭粮食不安全状况通过在具有相似文化背景人群中开发并验证的一份包含14个条目的问卷进行测量。一种预测建模策略在逻辑回归和多项logit回归模型中使用向后剔除法来计算粮食不安全状况的比值比及95%置信区间。
2009年3月至4月间，洪都拉斯因蒂布卡省的农村地区。
298名6至18个月大儿童的洪都拉斯照料者。
93%的家庭被归类为存在某种程度的粮食不安全（轻度、中度或重度）。在对照料者年龄和婚姻状况进行控制后，与受过小学以上教育的照料者相比，小学以下教育程度的照料者出现严重粮食不安全的几率是前者的3.47倍（95%置信区间1.34, 8.99），出现中度粮食不安全的几率是前者的2.29倍（95%置信区间1.00, 5.25）。我们的结果还发现儿童人体测量状况与粮食不安全状况的存在或严重程度无关。
这些结果表明，在所评估的社会人口学因素中，洪都拉斯农村地区的粮食不安全状况与母亲教育程度有关。了解洪都拉斯特有的与粮食不安全相关的关键因素可为有效减轻粮食不安全对儿童负面影响的干预措施设计提供参考。
