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Association between household food security and infant feeding practices in urban informal settlements in Nairobi Kenya

机译：肯尼亚内罗毕城市非正式住区中家庭粮食安全与婴儿喂养做法之间的联系

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Studies in urban informal settlements show widespread inappropriate infant and young child feeding (IYCF) practices and high rates of food insecurity. This study assessed the association between household food security and IYCF practices in two urban informal settlements in Nairobi, Kenya. The study adopted a longitudinal design that involved a census sample of 1110 children less than 12 months of age and their mothers aged between 12 and 49 years. A questionnaire was used to collect information on: IYCF practices and household food security. Logistic regression was used to determine the association between food insecurity and IYFC practices. The findings showed high household food insecurity; only 19.5% of the households were food secure based on Household Insecurity Access Score. Infant feeding practices were inappropriate: 76% attained minimum meal frequency; 41% of the children attained a minimum dietary diversity; and 27% attained minimum acceptable diet. With the exception of the minimum meal frequency, infants living in food secure households were significantly more likely to achieve appropriate infant feeding practices than those in food insecure households: minimum meal frequency (adjusted odds ratio (AOR) = 1.26, P=0.530); minimum dietary diversity (AOR = 1.84, P=0.046) and minimum acceptable diet (AOR = 2.35, P=0.008). The study adds to the existing body of knowledge by demonstrating an association between household food security and infant feeding practices in low-income settings. The findings imply that interventions aimed at improving infant feeding practices and ultimately nutritional status need to also focus on improving household food security.
机译：在城市非正式定居点进行的研究表明，广泛存在不适当的婴幼儿喂养方式和高粮食不安全状况。这项研究评估了肯尼亚内罗毕的两个城市非正规住区的家庭粮食安全与国际粮食年的做法之间的联系。该研究采用了一项纵向设计，其中包括对1110名12个月以下儿童和12至49岁母亲的人口普查样本。问卷被用来收集有关以下方面的信息：国际年的做法和家庭粮食安全。 Logistic回归用于确定粮食不安全状况与国际YFC做法之间的关联。调查结果表明，家庭粮食不安全程度很高；根据家庭不安全获取分数，只有19.5％的家庭有粮食安全。婴儿喂养方法不当：76％的儿童达到最低进餐频率； 41％的儿童达到了最低饮食多样化； 27％的人达到了最低可接受的饮食标准。除了最低进餐频率外，与没有粮食安全的家庭相比，有粮食安全家庭的婴儿更可能采取适当的婴儿喂养方式：最低进餐频率（经调整的优势比（AOR）= 1.26，P = 0.530）；最低饮食多样性（AOR = 1.84，P = 0.046）和最低可接受饮食（AOR = 2.35，P = 0.008）。这项研究通过证明低收入环境下家庭粮食安全与婴儿喂养方式之间的联系，增加了现有知识。研究结果表明，旨在改善婴儿喂养方式并最终改善营养状况的干预措施也必须侧重于改善家庭粮食安全。

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