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首页> 美国卫生研究院文献>Journal of Health Population and Nutrition >Food Insecurity Health and Nutritional Status among Sample of Palm-plantation Households in Malaysia
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Food Insecurity Health and Nutritional Status among Sample of Palm-plantation Households in Malaysia

机译：马来西亚棕榈种植户样本中的食品安全健康和营养状况

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Food insecurity is a worldwide problem and has been shown to contribute to poor health and nutritional outcomes. In Malaysia, poor dietary intake, overweight and obesity, diabetes mellitus, and hypercholesterolaemia have been reported to be more prevalent in females compared to males and in Indians compared to other ethnic groups. A cross-sectional study was designed to investigate the relationship between food insecurity and health and nutritional status among 169 Indian women (19-49 years old, non-pregnant, and non-lactating) from randomly-selected palm-plantation households in Negeri Sembilan, Malaysia. Subjects were interviewed for socioeconomic and demographic data, and information on household food security and dietary intake. They were examined for weight, height, waist-circumference, blood pressure and lipids, and plasma glucose levels. For analysis of data, descriptive statistics, ANOVA, and logistic regression were used. Majority (85.2%) of the households showed food insecurity as assessed using the Radimer/Cornell Hunger and Food Insecurity Instrument. The food-secure women had significantly higher mean years of education and lower mean number of children than food-insecure groups (p<0.05). There was a significant decrease in the mean household income and income per capita as food insecurity worsened (p<0.05). Women who reported food security had significantly higher mean diet diversity score (11.60±4.13) than child hunger (9.23±3.36). The group of subjects with higher intake of meat/fish/poultry/legumes (crude odds ratio [OR]=0.53, confidence interval [CI]=0.29-0.95) and higher diet diversity score (crude OR=0.87, CI=0.78-0.97) was more likely to have <3 health risks. Diet diversity score remained a significant protective factor against heath risks even after adjusting for other variables. The present study showed that food insecurity is indirectly associated with poor health and nutritional status. Therefore, appropriate community-based interventions should be designed and implemented to address the problems of food insecurity and possible health and nutritional outcomes.
机译：粮食不安全是一个世界性的问题，并已证明可导致不良的健康和营养状况。在马来西亚，据报道，与男性和印度人相比，与其他种族相比，女性的饮食摄入差，超重和肥胖，糖尿病和高胆固醇血症更为普遍。设计了一项横断面研究，以调查在森美兰州随机选择的棕榈种植家庭中的169名印度妇女（19-49岁，未怀孕和未哺乳）的粮食不安全状况与健康和营养状况之间的关系。 ，马来西亚。采访对象以获取社会经济和人口统计学数据，以及有关家庭粮食安全和饮食摄入的信息。检查他们的体重，身高，腰围，血压和脂质以及血浆葡萄糖水平。对于数据分析，使用描述性统计，ANOVA和逻辑回归。根据《 Radimer / Cornell饥饿和粮食不安全工具》评估，大多数家庭（85.2％）表现出粮食不安全。与粮食不安全群体相比，那些有粮食安全的妇女的平均受教育年限和平均子女数要低得多（p <0.05）。随着粮食不安全状况恶化，平均家庭收入和人均收入显着下降（p <0.05）。报告粮食安全的妇女的平均饮食多样性得分（11.60±4.13）明显高于儿童饥饿（9.23±3.36）。肉/鱼/禽/豆类食物摄入量较高（粗品优势比[OR] = 0.53，置信区间[CI] = 0.29-0.95）和饮食多样性评分较高（粗品OR = 0.87，CI = 0.78- 0.97）更可能具有<3健康风险。饮食多样性评分仍然是抵抗健康风险的重要保护因素，即使在调整了其他变量之后也是如此。本研究表明，粮食不安全与健康和营养状况差间接相关。因此，应设计和实施适当的基于社区的干预措施，以解决粮食不安全以及可能的健康和营养成果问题。

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