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Reducing amount and frequency of meal as a major coping strategy for food insecurity

机译：减少进餐量和进餐频率是解决粮食不安全问题的主要应对策略

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Background Food insecurity is a global problem affecting many people worldwide, including approximately 220 million people in sub-Saharan Africa. Ethiopia is among the countries severely affected by hunger. However, evidence on how populations within Ethiopia cope with hunger and food insecurity is limited. This study aimed to identify household coping mechanisms in response to food insecurity at a Dabat Health and Demographic Surveillance System site. Methods This study used data from a re-census collected between October 2014 and December 2014.15,159 household members in thirteen kebeles of the Dabat Health and Demographic surveillance system were included. The outcome variables of the study were food insecurity and coping strategies. Household Food Insecurity Access Scale (HFIAS) was used to assess food insecurity. If food insecurity was found, families were asked about coping mechanisms used. Binary logistic regression analysis was applied to identify socio-demographic determinants of reducing amount and frequency of meal as a coping mechanism in response to food insecurity. Result Of the 15,159 households surveyed, 6671 (44.01%) reported the presence of a food insecurity in their household. Decreasing meal frequency and portions (3733 (55.96%)), borrowing money and food (2542 (38.11%)), and receiving food and money aid (1779 (26.67%)) were among the major coping strategies used by the households. Urban dwellers (AOR 2.07: 95% CI 1.74, 2.46), mid-altitude (weyina-dega ) and high-land (dega) dwellers (AOR 2.46: 95% CI 2.08, 2.92 and AOR 1.22 95% CI 1.08, 1.38 respectively), and not married persons (AOR 1.60: 95% CI 1.07, 2.39) were more likely to consume less when faced with a food insecurity (using reducing amount and frequency of meal as a coping strategy). Conclusion Households in the study area experienced a very high rate of food insecurity . Decreasing meal frequency and portions was the primary coping mechanism used by the households. Due to the severe insecurity of food in their household, many people chose to reduce the amount and frequency of their meal in order to prolong the small amount of food in their house. This finding indicates a high risk for undernourishment which can exacerbate the burden of malnutrition and related diseases in the region.
机译：背景信息粮食不安全是一个全球性问题，影响了全世界许多人，其中包括撒哈拉以南非洲大约2.2亿人。埃塞俄比亚是受饥饿严重影响的国家之一。但是，关于埃塞俄比亚人口如何应付饥饿和粮食不安全的证据有限。这项研究旨在确定达巴特卫生和人口监视系统站点应对粮食不安全的家庭应对机制。方法：本研究使用了2014年10月至2014年12月期间进行的一次普查数据。纳入了15个达巴特卫生与人口统计学监测系统的骨干中的15159名家庭成员。该研究的结果变量是粮食不安全和应对策略。家庭粮食不安全获取量表（HFIAS）用于评估粮食不安全。如果发现粮食不安全，则向家庭询问所使用的应对机制。应用二元逻辑回归分析来确定减少膳食量和进餐频率的社会人口统计学决定因素，作为应对粮食不安全状况的应对机制。结果在接受调查的15159户家庭中，有6671户（44.01％）报告说他们的家庭中存在粮食不安全状况。家庭使用的主要应对策略包括减少进餐频率和进餐次数（3733（55.96％）），借钱和进餐（2542（38.11％））以及获得食物和金钱援助（1779（26.67％））。城市居民（AOR 2.07：95％CI 1.74，2.46），中海拔居民（weyina-dega）和高地（dega）居民（AOR 2.46：95％CI 2.08，2.92和AOR 1.22 95％CI 1.08，1.38 ），而非未婚人士（AOR 1.60：95％CI 1.07，2.39）在面临粮食不安全状况时（使用减少用餐量和进餐频率作为应对策略）更有可能减少消费。结论研究区的家庭的粮食不安全率很高。减少进餐频率和份量是家庭使用的主要应对机制。由于家庭食物的严重不安全状况，许多人选择减少进餐次数和进餐频率，以延长家里的少量食物。这一发现表明营养不良的风险很高，可能加剧该地区营养不良和相关疾病的负担。

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