Hasanah Alfiah, Kharisma Bayu, Remi Sutyastie S, Adam Asep Muhammad, Siregar Adiatma Y M
Center for Economics and Development Studies, Department of Economics, Faculty of Economics and Business, Universitas Padjadjaran, Bandung, Indonesia.
BMC Public Health. 2024 Apr 24;24(1):1155. doi: 10.1186/s12889-024-18530-w.
This study investigates the impact of low food diversity on the health status of children using the Dietary Diversity Score (DDS) and Dietary Serving Score (DSS) in a sub-district with the highest percentage of poor households. The economic burden of low food diversity was observed by analysing the cost of illness in the children with low food diversity.
Data from 329 children were collected. We determined the impact of DDS and DSS and other factors on the health status of children aged 2-14 years, using a probit model. The cost of illness (e.g., typhus, stomach ulcers, coughs, flu, and fever) due to low food diversity was calculated from medical registration fees, medical action costs, transportation costs, and other costs.
The results shows that a 1% point increase in DDS or DSS potentially decreases children's health complaints by 10% and 8%, respectively. Given the current 26% prevalence of health complaints among children with low DDS, the annual economic burden reaches US$75.72 per child per household. In addition, the current 41% prevalence of children with low DDS resulted in an annual cost to the government of US$153.45 per child.
The effect of inadequate dietary diversity on children's health is potentially high and contributes to the economic burden on households and the government.
本研究使用饮食多样性评分（DDS）和饮食份数评分（DSS），在贫困家庭比例最高的一个街道调查低食物多样性对儿童健康状况的影响。通过分析食物多样性低的儿童的疾病成本，观察低食物多样性的经济负担。
收集了329名儿童的数据。我们使用概率模型确定DDS、DSS及其他因素对2至14岁儿童健康状况的影响。根据医疗挂号费、医疗行动成本、交通成本及其他成本，计算因食物多样性低导致的疾病成本（如斑疹伤寒、胃溃疡、咳嗽、流感和发烧）。
结果显示，DDS或DSS每增加1个百分点，儿童的健康问题可能分别减少10%和8%。鉴于目前DDS低的儿童中健康问题的患病率为26%，每户儿童每年的经济负担达到75.72美元。此外，目前DDS低的儿童患病率为41%，导致政府每年为每名儿童花费153.45美元。
饮食多样性不足对儿童健康的影响可能很大，并导致家庭和政府的经济负担。
