scholarly journals Magnitude of Child Food Insecurity, Its Association with Child Immunization and Huosehold wealth Status, and Coping Strategies In Dabat Demographic and Surveillance System North West Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-13 ◽  
Author(s):  
Nigusie Birhan Tebeje ◽  
Gashaw Andargie Biks ◽  
Solomon Mekonnen Abebe ◽  
Melike Endris Yesuf
Keyword(s):  
Food Insecurity ◽  
Coping Strategies ◽  
Coping Strategy ◽  
Household Wealth ◽  
Health Surveillance ◽  
Child Health Service ◽  
Cross Sectional Survey ◽  
Wealth Status ◽  
Cross Sectional ◽  
Surveillance Site

Background. The magnitude of food insecurity in Ethiopia ranges from 38.7% to 82.3% among the general population. Children under the age of five years were more prone to food insecurity and its serious consequences like anemia, low bone density, frequent episodes of common cold, stomachache, poor educational performance, and dental carries in developing countries like Ethiopia. However, there is no any research finding that documented the magnitude of child food insecurity, coping strategies, and associated factors in the study area. Therefore, the aim of this study was estimating the magnitude of child food insecurity, major coping strategies, and factors associated with child food insecurity in the study area. Methods. A community-based cross-sectional survey has been conducted in Dabat demographic and health surveillance site among 7152 mothers/caretakers of children under the age of five years. Data were collected by experienced data collectors working for the demographic and health surveillance site, and the collected data were entered into EpiData template and then transported to Stata 14 software for data cleaning and analysis. The ordinal logistic regression model was fitted to identify predictors for child food insecurity. Results. About 21.42% of children under the age of five years were food insecure in Dabat district of whom 57.8%, 38.6%, and 3.6% had experienced mild, moderate, and severe levels of child food insecurity, respectively. All most all 1391 (92%) of the mothers/caretakers of food insecure children had practiced food insecurity coping strategies. More than half (57%) of mothers/caretakers reduces the size of child meal as insecurity coping strategy. Child food insecurity was associated with household wealth status, parent’s education status, and maternal and child health service utilization and child feeding practices. Conclusion. A large segment of under-five children had experienced food insecurity in Dabat district, and the major coping strategy for child food insecurity was reducing meal size. Therefore, working on household wealth improvement and expansion of basic health services would improve child food security.

scholarly journals Acute food insecurity and short-term coping strategies of urban and rural households of Bangladesh during the lockdown period of COVID-19 pandemic of 2020: report of a cross-sectional survey

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e043365
Author(s):  
Subhasish Das ◽  
Md. Golam Rasul ◽  
Md Shabab Hossain ◽  
Ar-Rafi Khan ◽  
Md Ashraful Alam ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Coping Strategies ◽  
Rural Areas ◽  
Urban Areas ◽  
Multinomial Logistic Regression ◽  
Rural Households ◽  
P Value ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Food Insecure Households

IntroductionWe conducted a cross-sectional survey to assess the extent and to identify the determinants of food insecurity and coping strategies in urban and rural households of Bangladesh during the month-long, COVID-19 lockdown period.SettingSelected urban and rural areas of Bangladesh.Participants106 urban and 106 rural households.Outcome variables and methodHousehold food insecurity status and the types of coping strategies were the outcome variables for the analyses. Multinomial logistic regression analyses were done to identify the determinants.ResultsWe found that around 90% of the households were suffering from different grades of food insecurity. Severe food insecurity was higher in urban (42%) than rural (15%) households. The rural households with mild/moderate food insecurity adopted either financial (27%) or both financial and food compromised (32%) coping strategies, but 61% of urban mild/moderate food insecure households applied both forms of coping strategies. Similarly, nearly 90% of severely food insecure households implemented both types of coping strategies. Living in poorest households was significantly associated (p value <0.05) with mild/moderate (regression coefficient, β: 15.13, 95% CI 14.43 to 15.82), and severe food insecurity (β: 16.28, 95% CI 15.58 to 16.97). The statistically significant (p <0.05) determinants of both food compromised and financial coping strategies were living in urban areas (β: 1.8, 95% CI 0.44 to 3.09), living in poorest (β: 2.7, 95% CI 1 to 4.45), poorer (β: 2.6, 95% CI 0.75 to 4.4) and even in the richer (β: 1.6, 95% CI 0.2 to 2.9) households and age of the respondent (β: 0.1, 95% CI 0.02 to 0.21).ConclusionBoth urban and rural households suffered from moderate to severe food insecurity during the month-long lockdown period in Bangladesh. But, poorest, poorer and even the richer households adopted different coping strategies that might result in long-term economic and nutritional consequences.

scholarly journals Association between food insecurity and anemia among women of reproductive age

PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e1945 ◽  
Author(s):  
Bishwajit Ghose ◽  
Shangfeng Tang ◽  
Sanni Yaya ◽  
Zhanchun Feng
Keyword(s):  
Logistic Regression ◽  
Food Insecurity ◽  
Hemoglobin Concentration ◽  
Reproductive Age ◽  
Household Food Insecurity ◽  
Women Of Reproductive Age ◽  
Cross Sectional Survey ◽  
Wealth Status ◽  
Cross Sectional ◽  
Household Food

Background:Food insecurity and hidden hunger (micronutrient deficiency) affect about two billion people globally. Household food insecurity (HFI) has been shown to be associated with one or multiple micronutrient (MMN) deficiencies among women and children. Chronic food insecurity leads to various deficiency disorders, among which anemia stands out as the most prevalent one. As a high malnutrition prevalent country, Bangladesh has one of the highest rates of anemia among all Asian countries. In this study, we wanted to investigate for any association exists between HFI and anemia among women of reproductive age in Bangladesh.Methodology:Information about demographics, socioeconomic and anemia status on 5,666 married women ageing between 13 and 40 years were collected from a nationally representative cross-sectional survey Bangladesh Demographic and Health Survey (BDHS 2011). Food security was measured by the Household Food Insecurity Access Scale (HFIAS). Capillary hemoglobin concentration (Hb) measured by HemoCue® was used as the biomarker of anemia. Data were analysed using cross-tabulation, chi-square tests and multiple logistic regression methods.Results:Anemia prevalence was 41.7%. Logistic regression showed statistically significant association with anemia and type of residency (p = 0.459; OR = 0.953, 95%CI = 0.840–1.082), wealth status (Poorest: p < 0.001; OR = 1.369, 95%CI = 1.176–1.594; and average: p = 0.030; 95%CI = 1.017–1.398), educational attainment (p < 0.001; OR = 1.276, 95%CI = 1.132–1.439) and household food insecurity (p < 0.001; 95%CI = 1.348–1.830). Women who reported food insecurity were about 1.6 times more likely to suffer from anemia compared to their food secure counterparts.Conclusion:HFI is a significant predictor of anemia among women of reproductive age in Bangladesh. Programs targeting HFI could prove beneficial for anemia reduction strategies. Gender aspects of food and nutrition insecurity should be taken into consideration in designing national anemia prevention frameworks.

scholarly journals Determinants of dietary diversity and its relationship with the nutritional status of pregnant women

2021 ◽  
Vol 10 ◽  
Author(s):  
Mahama Saaka ◽  
Sofo Mutaru ◽  
Shaibu Mohammed Osman
Keyword(s):  
Nutritional Status ◽  
Food Insecurity ◽  
Pregnant Women ◽  
Dietary Diversity ◽  
Household Wealth ◽  
Northern Region ◽  
Urban Setting ◽  
Northern Ghana ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract There is little information regarding factors that determine dietary diversity among pregnant women in Ghana. The present study, therefore, sought to assess the independent predictors of dietary diversity and its relationship with nutritional status of pregnant women in the Northern Region of Ghana. The present study was an analytical cross-sectional survey involving 423 pregnant women in different stages of gestation. The 24-h dietary recall method was used to assess minimum dietary diversity for women (MDD-W), and nutritional status was assessed using mid-upper arm circumference (MUAC) measurements. Binary logistic regression was performed to assess the association between maternal dietary diversity and maternal thinness and a P value of <0⋅05 was considered statistically significant. Of the 423 women, 79⋅9 % (95 % CI 76⋅1, 83⋅7) met the MDD-W and the prevalence of undernutrition among the pregnant women was 26⋅0 %. The analysis showed that women of low household wealth index were 48 % less likely (AOR 0⋅52, CI 0⋅31, 0⋅88) of meeting the MDD-W, whereas women from households of poor food insecurity were 88 % less likely (AOR 0⋅12, CI 0⋅05, 0⋅27) of achieving the MDD-W. Women of low household size were three times more likely of meeting the MDD-W (AOR 3⋅07, CI 1⋅13, 8⋅39). MDD-W was not associated with maternal underweight during pregnancy. In conclusion, the results of the present study showed that food insecurity and not low MDD-W, associated with mothers’ thinness (underweight) during pregnancy in peri-urban setting of Northern Ghana.

scholarly journals Seasonal food insecurity and perceived social support in rural Tanzania

2007 ◽  
Vol 10 (6) ◽  
pp. 544-551 ◽  
Author(s):  
Craig Hadley ◽  
Monique Borgerhoff Mulder ◽  
Emily Fitzherbert
Keyword(s):  
Social Support ◽  
Food Security ◽  
Dietary Intake ◽  
Food Insecurity ◽  
Ethnic Group ◽  
Perceived Social Support ◽  
Household Wealth ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Rural Tanzania

AbstractObjectivesTo examine whether the occurrence of seasonal food insecurity was related to ethnicity, household wealth and perceived social support, and to assess whether social support was more efficacious in protecting against food insecurity in wealthier households. Secondary objectives were to assess the association between past food insecurity, current dietary intake and perceived health.Design, setting and subjectsA sample of 208 randomly selected mothers from two ethnic groups living in the same villages in rural Tanzania participated in a cross-sectional survey.ResultsFood insecurity was highly prevalent in this area, particularly among the poorer ethnic group. Half of ethnically Sukuma households fell into the most food-secure category, compared with only 20% of ethnically Pimbwe households. Among both groups, measures of household wealth and social support were strongly associated with food security. Interestingly, social support appeared to be more effective among the wealthier ethnic group/community. Past food insecurity was also related to current indicators of dietary intake and women's self-perceptions of health.ConclusionGreater social support is associated with food security, suggesting that it may protect against the occurrence of seasonal food insecurity. Social support also interacts with wealth to offer greater protection against food insecurity, suggesting that increasing wealth at the community level may influence food insecurity through both direct and indirect means. Seasonal food insecurity also appears to have lasting effects that likely create and reinforce poverty.

scholarly journals Household food insecurity, copying strategies and its associated with parents food preference to children in Dabat Demographic and health surveillance system; North West Ethiopia, April 2019

2019 ◽  
Author(s):  
nigusie birhan tebeje ◽  
Gashaw Andargie Biks ◽  
Solomon Mekonnen Abebe ◽  
Melike Endris Yesuf
Keyword(s):  
Food Insecurity ◽  
Health Problem ◽  
Food Preference ◽  
College Education ◽  
Household Food Security ◽  
Household Food Insecurity ◽  
Cross Sectional Survey ◽  
Wealth Status ◽  
Cross Sectional ◽  
Household Food

Abstract Abstract Introduction:- the association of household food insecurity with a physical health problem, quality of life, mental health problem and utilization of health service was reported by several studies. However, the association of household food insecurity with parent’s food preference to children is not assessed even though all of these factors may make parents to prefer inappropriate child food. Therefore this study was aimed to determine the association of food insecurity with parent's food preference. Methods and materials: - A community-based cross-sectional survey was conducted among 6215 households in Dabat district. Data were collected and supervised by experienced data collectors and supervisors working for the surveillance site after five days of training on the tool. Data were entered into the epi data template then transported to Stata 14 software for analysis. An ordinal logistic regression model was fitted to identify predictor for household food insecurity. Finding: About 21.77% of the households were food insecured in Dabat district. High wealth 61% (57-80%), and achieving college education 97%(74-99.6%) were associated with the less likelihood of household food insecurity. While mothers/caretakers preference to feed children always fruit and vegetable only 1.75(1.11-2.57) and, always milk and meat only 1.72(1.17-2.52) were associated were the more likelihood of experiencing the worst state of household food insecurity. Conclusion: -A significant number of households in Dabat had experienced household food insecurity associated with wealth status of the household, and, parents/caretakers specific type of food preference for their children. Therefore we recommend counseling services on the importance of feeding a child with a balanced diet in the improvement of household food security. Keywords: - food insecurity, household, Dabat, surveillance, Gondar and Ethiopia

scholarly journals The effects of locus of control on procrastination among undergraduates: the coping strategy as a mediator

2021 ◽  
Vol 11 (73) (1) ◽  
pp. 91-103
Author(s):  
Poh Chua Siah ◽  
Hui Qin Ang ◽  
Siew Man Chan ◽  
Ee Leng Wong
Keyword(s):  
Locus Of Control ◽  
Coping Strategies ◽  
Undergraduate Students ◽  
Coping Strategy ◽  
Sampling Method ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Internal Locus Of Control ◽  
Effective Strategies ◽  
And Coping

Procrastination is a common issue among undergraduate students. Studies have found that locus of control and coping strategies are associated with procrastination, and the relationships between locus of control and coping strategies. However, no study has examined the relationships among these three factors. This study aims to use the personality-coping-outcome theory as a framework to examine whether the coping strategy is a mediator for the effects of locus of control on procrastination. One hundred and fifty undergraduates were recruited by using the purposive sampling method. A cross-sectional survey was used to collect data. The results showed that those participants with a higher internal locus of control are less likely to procrastinate when the problem-solving coping strategy is adopted. These findings suggested that a firm belief of controlling over one life episode does not necessarily change the procrastination. Programs can be designed to improve undergraduates’ understanding of adopting effective strategies to cope with their procrastination.

scholarly journals Depression and coping strategies used among adolescents with cystic fibrosis

2021 ◽  
Vol 8 (12) ◽  
pp. 1932
Author(s):  
Surya Kant Tiwari ◽  
Rimple Sharma ◽  
Poonam Joshi ◽  
Sushil Kumar Kabra
Keyword(s):  
Cystic Fibrosis ◽  
Coping Strategies ◽  
Coping Strategy ◽  
Tertiary Care ◽  
Care Facility ◽  
Severe Depression ◽  
Sampling Technique ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Tertiary Care Facility

Background: Cystic fibrosis (CF), an autosomal recessive monogenic chronic disorder affects the lungs, pancreas, and other exocrine glands, and manifests as recurrent respiratory infections, malabsorption, and a myriad of complications pertaining to other systems like hepatobiliary, endocrine and reproductive systems.  Objectives were to assess the level of depression among adolescents with CF, to assess the coping strategies used by adolescents with CF and to find an association between selected sociodemographic and clinical variables with depression.Methods: In a cross-sectional survey, 30 adolescents with CF in the age group of 12-18 years, attending the specialty clinic of a selected tertiary care facility were enrolled using a purposive sampling technique. Tools consisting of sociodemographic and clinical profile, patient health questionnaire (PHQ)-9, and ways of coping with CF were used for data collection.Results: Most of the adolescents with CF (66.7%) had depression of varying severity with 36.7% having moderate-severe to severe depression. The frequently used coping strategies by the adolescents with CF were hopefulness (76.66±11.29), followed by optimistic acceptance (70.23±13.04).  The individual coping strategy with the highest mean score was “having confidence on doctor and treatment” (3.83±0.37), while ‘I cry, eat, drink or take drugs’ had the lowest score (1.6±1.00).Conclusion: Depression is a common problem among adolescents with CF requiring regular screening and referral to experts for enhancing their coping strategy of optimistic acceptance. 

scholarly journals Prepared and highly committed despite the risk of COVID-19 infection: a cross-sectional survey of primary care physicians’ concerns and coping strategies in Singapore

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Jerrald Lau ◽  
David Hsien-Yung Tan ◽  
Gretel Jianlin Wong ◽  
Yii-Jen Lew ◽  
Ying-Xian Chua ◽  
...  
Keyword(s):  
Primary Care ◽  
Coping Strategies ◽  
Stress Management ◽  
Primary Care Physicians ◽  
Well Being ◽  
Pandemic Preparedness ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Accessible Information ◽  
And Coping

Abstract Background Primary care physicians (PCPs) are first points-of-contact between suspected cases and the healthcare system in the current COVID-19 pandemic. This study examines PCPs’ concerns, impact on personal lives and work, and level of pandemic preparedness in the context of COVID-19 in Singapore. We also examine factors and coping strategies that PCPs have used to manage stress during the outbreak. Methods Two hundred and sixteen PCPs actively practicing in either a public or private clinic were cluster sampled via email invitation from three primary care organizations in Singapore from 6th to 29th March 2020. Participants completed a cross-sectional online questionnaire consisting of items on work- and non-work-related concerns, impact on personal and work life, perceived pandemic preparedness, stress-reduction factors, and personal coping strategies related to COVID-19. Results A total of 158 questionnaires were usable for analyses. PCPs perceived themselves to be at high risk of COVID-19 infection (89.9%), and a source of risk (74.7%) and concern (71.5%) to loved ones. PCPs reported acceptance of these risks (91.1%) and the need to care for COVID-19 patients (85.4%). Overall perceived pandemic preparedness was extremely high (75.9 to 89.9%). PCPs prioritized availability of personal protective equipment, strict infection prevention guidelines, accessible information about COVID-19, and well-being of their colleagues and family as the most effective stress management factors. Conclusions PCPs continue to serve willingly on the frontlines of this pandemic despite the high perception of risk to themselves and loved ones. Healthcare organizations should continue to support PCPs by managing both their psychosocial (e.g. stress management) and professional (e.g. pandemic preparedness) needs.

scholarly journals Child Nutrition Among Circular Migrant Families Working in the Brick Kilns of Bihar, India (P10-052-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Reshma Roshania ◽  
Rakesh Giri ◽  
Melissa Fox Young ◽  
G Sai Mala ◽  
Amy Webb Girard ◽  
...  
Keyword(s):  
Immunization Coverage ◽  
Wealth Index ◽  
Household Wealth ◽  
Nutrition Status ◽  
Cluster Sampling ◽  
Z Score ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Brick Kilns ◽  
Migrant Families

Abstract Objectives The objective of this study was to estimate the prevalence of child malnutrition and the determinants of nutrition status among circular migrant families working in the brick industry in Bihar, India, focusing on differences by origin. Methods We used a stratified, cluster sampling design consisting of a cross-sectional survey in 552 randomly selected brick kilns (clusters) throughout Bihar. Circular migration was defined as residence outside the home block for at least 60 days for employment plus at least one home return in the previous year. Per kiln, three circular migrant households with children 0–35 months of age were randomly selected. We collected kiln, household and child-level data including anthropometric measurements for each selected child (n = 1198). Descriptive, bivariate and logistic regression analyses were conducted in SAS. The primary outcomes were stunting (<-2 SD height-for-age z score) and wasting (<-2 SD weight-for-height z score). The primary exposure of interest was intrastate vs. interstate origin; covariates included household wealth index, parity of the mother, and child age and gender. Results Prevalence of stunting was lower among interstate migrants (47%) compared to intrastate migrants (55%, aOR: 0.66, 95%CI: 0.50–0.88). Wasting was higher among interstate migrants (43%) compared to intrastate migrants (34%, aOR:1.51, 95%CI: 1.17–1.94). Among children 6–23 months, 13% had a minimum acceptable diet; MAD was higher among interstate migrants (17%), compared to intrastate migrants (10%) (P = 0.014). Full immunization coverage among circular migrants was 39%, lower than the overall state (62%, NFHS IV). Open defecation was reported by over 90% of circular migrants. Conclusions Our results are likely to inform the ongoing policy discourse on circular migrants’ access to health and nutrition benefits. State of origin emerged as an important predictor of nutrition status, operating differently for acute and chronic malnutrition; we will further explore pathways of nutrition by origin in future analyses. Funding Sources Bill & Melinda Gates Foundation.

scholarly journals Utilization of key preventive measures for pregnancy complications and malaria among women in Jimma Zone, Ethiopia

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Mariame Ouedraogo ◽  
Jaameeta Kurji ◽  
Lakew Abebe ◽  
Ronald Labonté ◽  
Sudhakar Morankar ◽  
...  
Keyword(s):  
Health Services ◽  
Pregnant Women ◽  
Malaria Infection ◽  
Preventive Measures ◽  
Health Sector ◽  
Maternal Health Services ◽  
Cross Sectional Survey ◽  
Wealth Status ◽  
Cross Sectional ◽  
Jimma Zone

Abstract Background In Ethiopia, malaria infections and other complications during pregnancy contribute to the high burden of maternal morbidity and mortality. Preventive measures are available, however little is known about the factors influencing the uptake of maternal health services and interventions by pregnant women in Ethiopia. Methods We analyzed data from a community-based cross-sectional survey conducted in 2016 in three rural districts of Jimma Zone, Ethiopia, with 3784 women who had a pregnancy outcome in the year preceding the survey. We used multivariable logistic regression models accounting for clustering to identify the determinants of antenatal care (ANC) attendance and insecticide-treated net (ITN) ownership and use, and the prevalence and predictors of malaria infection among pregnant women. Results Eighty-four percent of interviewed women reported receiving at least one ANC visit during their last pregnancy, while 47% reported attending four or more ANC visits. Common reasons for not attending ANC included women’s lack of awareness of its importance (48%), distance to health facility (23%) and unavailability of transportation (14%). Important determinants of ANC attendance included higher education level and wealth status, woman’s ability to make healthcare decisions, and pregnancy intendedness. An estimated 48% of women reported owning an ITN during their last pregnancy. Of these, 55% reported to have always slept under it during their last pregnancy. Analysis revealed that the odds of owning and using ITNs were respectively 2.07 (95% CI: 1.62–2.63) and 1.73 (95% CI: 1.32–2.27) times higher among women who attended at least one ANC visit. The self-reported prevalence of malaria infection during pregnancy was low (1.4%) across the three districts. We found that young, uneducated, and unemployed women presented higher odds of malaria infection during their last pregnancy. Conclusion ANC and ITN uptake during pregnancy in Jimma Zone fall below the respective targets of 95 and 90% set in the Ethiopian Health Sector Transformation Plan for 2020, suggesting that more intensive programmatic efforts still need to be directed towards improving access to these health services. Reaching ANC non-users and ITN ownership and use as part of ANC services could be emphasized to address these gaps.

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