Martínez-Torres J, Gutierrez-Lesmes O A, Rangel Navia H, Córdoba-Castro J, Anaya-Baldovino J I, Celis-Parra D M
Grupo El Cuidar, Programa de Enfermería, Facultad de Salud, Universidad de Pamplona, Pamplona, Colombia.
Escuela de Salud Pública, Universidad de los Llanos, Villavicencio, Colombia.
Semergen. 2022 Sep;48(6):369-376. doi: 10.1016/j.semerg.2022.03.010. Epub 2022 May 13.
Food insecurity is the inability of households to acquire safe, nutritionally adequate food that meets physiological needs for leading a healthy and active life.
To describe the levels of food insecurity and associated factors in pregnant women in Colombia.
Cross-sectional-analytical study; is a secondary analysis of the 2015 Nutritional Situation Survey of Colombia. 1393 pregnant women between 12 and 48 years old were examined. Food insecurity was assessed using the Latin American and Caribbean Food Security Scale. Sociodemographic, anthropometric and micronutrient characteristics were evaluated. The description of food insecurity distribution was made for each of the selected variables, through absolute and percentage frequencies. To estimate the association between the different variables and food insecurity, we used multivariate Poisson regression models.
60.4% (CI95% 55.6%-64,7%) of pregnant women resided in homes with some degree of food insecurity; severe: 9.4% (CI95% 7.4%-11.9%), moderate: 17.6% (CI95% 13.5%-22.8%) and light: 33.2% (CI95% 28.9%-37.8%); we found that Black/Mulatto/Afro-descendant pregnant women (PR 1.22 CI95% 1.01-1.47), belong to quartile 1 of wealth (PR 2.23 CI95% 1.41-3.68), and residing in the región Atlántica (PR 1.34 CI95% 1.08-1.67), was associated with some food insecurity level.
A high proportion of pregnant women living in households with some food insecurity level. The pregnant women of low socioeconomic levels and those belonging to the black/mulatto/Afro-descendant ethnic group showed to be the main characteristics associated with residing in households with some degree of food insecurity.
粮食不安全是指家庭无法获得安全、营养充足的食物，以满足维持健康和积极生活的生理需求。
描述哥伦比亚孕妇的粮食不安全水平及相关因素。
横断面分析研究；是对2015年哥伦比亚营养状况调查的二次分析。对1393名年龄在12至48岁之间的孕妇进行了检查。使用拉丁美洲和加勒比粮食安全量表评估粮食不安全状况。对社会人口统计学、人体测量学和微量营养素特征进行了评估。通过绝对频率和百分比频率，对每个选定变量进行了粮食不安全分布描述。为了估计不同变量与粮食不安全之间的关联，我们使用了多变量泊松回归模型。
60.4%（95%置信区间55.6%-64.7%）的孕妇居住在存在一定程度粮食不安全的家庭中；严重粮食不安全：9.4%（95%置信区间7.4%-11.9%），中度：17.6%（95%置信区间13.5%-22.8%），轻度：33.2%（95%置信区间28.9%-37.8%）；我们发现，黑人/混血儿/非裔后代孕妇（相对风险1.22，95%置信区间1.01-1.47）、属于财富四分位数1（相对风险2.23，95%置信区间1.41-3.68）以及居住在大西洋地区（相对风险1.34，95%置信区间1.08-1.67）与一定程度的粮食不安全水平相关。
很大比例的孕妇居住在存在一定程度粮食不安全的家庭中。社会经济水平较低的孕妇以及属于黑人/混血儿/非裔后代种族群体的孕妇，显示出与居住在存在一定程度粮食不安全家庭相关的主要特征。
