Department of Health Studies, College of Human Sciences, University of South Africa, Addis Ababa, Ethiopia.
Department of Nutrition, Faculty of Medicine, University of Oslo, P.O. Box 1046 Blindern, 0316, Oslo, Norway.
BMC Public Health. 2021 Jul 7;21(1):1336. doi: 10.1186/s12889-021-11392-6.
Existing evidence on the association between food insecurity and childhood obesity is mixed. In addition, literature from developing countries in general and Ethiopia in particular on the nexus and impact of household and child food insecurity on childhood obesity in the context of urbanization remains limited. The objective of this study was to explore the association between household and child food insecurity and childhood obesity in an urban setting of Ethiopia.
An observational population based cross-sectional study was conducted in five sub-cities of Addis Ababa. Multi-stage sampling techniques were employed to identify the study unit from the selected sub-cities. Multivariable logistic regression models with robust estimation of standard errors were utilized to determine the associations. Interactions by age and sex in the associations explored were tested.
A total of 632 children and adolescents-parent dyads were included in the study. About 29.4% of those in food secure households and 25% of those in food insecure households were overweight/obese. Similarly, 29.8% of food secure children and 22% of food insecure children were overweight/obese. Household and child food insecurity status were not significantly associated with child and adolescent overweight or obesity in the final adjusted models.
Household and childhood food insecurity status were not associated with child and adolescent overweight/obesity in the study setting. Interventions aimed at combating overweight and obesity in the study setting should target children and adolescents irrespective of their food security status.
现有关于食物不安全与儿童肥胖之间关联的证据参差不齐。此外，关于家庭和儿童食物不安全与城市化背景下儿童肥胖之间关系和影响的文献，一般来自发展中国家，特别是埃塞俄比亚的此类文献仍然有限。本研究旨在探索埃塞俄比亚城市环境中家庭和儿童食物不安全与儿童肥胖之间的关联。
在亚的斯亚贝巴的五个分区进行了一项基于观察的、以人群为基础的横断面研究。采用多阶段抽样技术，从选定的分区中确定研究单位。利用稳健估计标准误差的多变量逻辑回归模型来确定关联。对所探讨关联中的年龄和性别交互作用进行了检验。
共有 632 个儿童和青少年-父母对子参与了研究。在食物安全家庭中，约有 29.4%的人超重/肥胖，而在食物不安全家庭中，这一比例为 25%。同样，29.8%的食物安全儿童和 22%的食物不安全儿童超重/肥胖。在最终调整后的模型中，家庭和儿童食物不安全状况与儿童和青少年超重或肥胖均无显著关联。
在研究环境中，家庭和儿童食物不安全状况与儿童和青少年超重/肥胖之间无关联。在研究环境中，旨在控制超重和肥胖的干预措施应针对儿童和青少年，无论其食物安全状况如何。
