Household Food Insecurity, Underweight Status and Associated Characteristics among Women of Reproductive age Group in Aysaita district, Affar Regional State, Ethiopia
No Thumbnail Available
Date
2016-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Background: Ethiopia has experienced rapid, sustained improvement in undernutrition during the
past 15 years. However, undernutrition among children and women remains an urgent concern,
requiring greater multi-sectoral efforts. Poor nutritional status of children and women has been a
serious problem in Ethiopia for many years. Rural women are more likely to be undernourished
than urban women, and those residing in the Affar region are the most likely to be undernourished
(43.5%) of any region.
Objective: To assess the prevalence and identify risk factors associated with both household food
insecurity and underweight status among women in the reproductive age (15–49 years of age) group,
in Aysaita district of Affar regional state, eastern Ethiopia.
Method and Materials: A community based cross-sectional study was conducted among nonpregnant
women on May 2015. The Household-Food-Insecurity-Access-Scale (HFIAS) classified food
insecurity and anthropometric data classified underweight. Further survey questions assessed dietary
diversity and socio-demographics. Multiple binary regression models was used to quantify the
association between household food security and nutritional outcomes among women of
reproductive age, while accounting for other covariates potentially associated with the outcome
variables of interest.
Results: the mean Household Food Insecurity Access Scores (HFIAS) were 7.0 (3.6 ±SD), out of 27
classifying 26.1% as mild, 30.2% as moderate and 14.1% as having severe food insecurity. Underweight
prevalence (BMI <18.5) was 41% among non-pregnant participants (n=490), with frequencies of mild,
moderate and severe underweight of 34.5%, 3.9% and 2.7% respectively. Multiple logistic regression
predicting underweight (vs. non-underweight) found that participants with moderately food insecure were
more than 2 times odds of being underweight compared with those food secure(AOR=2.66, 95% CI; 1.27,
5.58), while severely food insecure were more than 6 times odds of being underweight compared with those
food secure (OR 6.99, 95% CI; 2.66 to 18.38). Women with ≥2 under five years old children had more than
9 times odds of being underweight compared with those who had no (OR 9.27, 95% CI; 3.35, 25.59).
Conclusion: High levels of underweight were associated with women’s age, categorized HFIAS food
insecurity, marital status, parity, vocation and increasing number of <5 y of children. The factors with
strongest effect for household food insecurity were education, parity, vocation and having ≥2 under
five children in a family.
Description
Keywords
Household Food Insecurity, Underweight Status