Shahraki Soudabeh Hamedi, Amirkhizi Farshad, Amirkhizi Behzad, Hamedi Sousan
a Department of Epidemiology and Biostatistics, Faculty of Public Health , Tehran University of Medical Sciences , Tehran , Iran.
b Department of Nutrition, Faculty of Public Health , Zabol University of Medical Sciences , Zabol , Iran.
Ecol Food Nutr. 2016 Sep-Oct;55(5):473-90. doi: 10.1080/03670244.2016.1212710. Epub 2016 Aug 5.
This cross-sectional study was conducted to determine household food security status and sociodemographic factors influencing it and to examine whether food insecurity of household is a risk factor for underweight, stunting, and thinness in primary school children of Sistan and Baluchestan Province in southeastern Iran. A sample of 610 students aged 7-11 years was selected by a multistage cluster random sampling method during December 2013-May 2014. Using U.S. Department of Agriculture Food Security questionnaire, 42.3% of households showed some degree of food insecurity. Food insecurity was positively associated with household size (p = .002) and number of children per household (p = .001) and negatively associated with mother's and father's education level (p = .005 and p = .042, respectively), father's occupation status, and household income (p < .0001). Children living in food insecure with severe hunger households were 10.13, 10.07, and 4.54 times as likely to be underweight, stunted, and thin, respectively, as counterparts from food secure households. The findings showed food insecurity was prevalent and associated with sociodemographic factors among households with schoolchildren in southeastern Iran. Nutritional status of children was also associated with food security status of their households.
本横断面研究旨在确定家庭粮食安全状况及其影响因素,并检验家庭粮食不安全是否是伊朗东南部锡斯坦-俾路支斯坦省小学生体重不足、发育迟缓及消瘦的危险因素。2013年12月至2014年5月期间,采用多阶段整群随机抽样方法选取了610名7至11岁的学生作为样本。使用美国农业部粮食安全调查问卷,42.3%的家庭表现出一定程度的粮食不安全。粮食不安全与家庭规模(p = 0.002)、每户子女数量(p = 0.001)呈正相关,与母亲和父亲的教育水平(分别为p = 0.005和p = 0.042)、父亲的职业状况及家庭收入(p < 0.0001)呈负相关。与粮食安全家庭的儿童相比,生活在严重饥饿的粮食不安全家庭中的儿童体重不足、发育迟缓及消瘦的可能性分别高出10.13倍、10.07倍和4.54倍。研究结果表明,在伊朗东南部有学龄儿童的家庭中,粮食不安全情况普遍存在且与社会人口学因素相关。儿童的营养状况也与家庭的粮食安全状况相关。