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首页> 外文期刊>Indian journal of public health. >Are household food security, nutrient adequacy, and childhood nutrition clustered together? A cross-sectional study in Bankura, West Bengal
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Are household food security, nutrient adequacy, and childhood nutrition clustered together? A cross-sectional study in Bankura, West Bengal

机译：家庭粮食安全，营养充足和儿童营养是否集中在一起？西孟加拉邦班库拉的横断面研究

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Background: Research on different measures of food security and their interrelation in order to identify vulnerable households are scarce in India. Objectives: The objective was to assess household food security (HHFS), nutrient adequacy, dietary diversity, and nutritional status of under-five children along with their interrelation in the slums of Bankura Municipality, West Bengal. Methods: A cross-sectional study was conducted during 2016–2017 among 240 households using two-stage 30-cluster random sampling. Information regarding socioeconomic characteristics, availability, and utilization of different poverty alleviation schemes was collected. HHFS was assessed by a validated HHFS scale-short form in Bengali and nutrient adequacy with 24-h recall method. The eldest under-five child in the family was measured for anthropometry using standard procedure and for dietary diversity with the Individual Dietary Diversity Score. Results: Overall, 74 (29.1%) households had “food security,” whereas 102 (44.3%) and 64 (26.6%) had, respectively, low and very low food security. Among 190 under-five children, 63 (35.3%) had single and 50 (25.5%) had multiple anthropometric failures. Overall, 89 (36.1%) households were deficient for both energy and protein and 111 (47.6%) had deficiency of either of these two. Indicators on the utilization of different poverty alleviation schemes were associated with low/very low food security. A “Composite Index of Food Scarcity” comprising of HHFS, nutrient adequacy, and dietary diversity was proposed which was found to have dose–response relationship with grades of anthropometric failure of under-five children. Conclusions: An index comprising of three indicators might help identify the vulnerable households in relation to food security more effectively than a single indicator.
机译：背景：为了识别印度的脆弱家庭，缺乏对粮食安全不同措施及其相互关系的研究。目标：目的是评估西孟加拉邦班库拉市贫民窟中五岁以下儿童的家庭粮食安全（HHFS），营养充足，饮食多样性和营养状况，以及他们之间的相互关系。方法：在2016年至2017年期间，采用两阶段30组随机抽样对240户家庭进行了横断面研究。收集了有关不同脱贫计划的社会经济特征，可获得性和利用情况的信息。 HHFS通过孟加拉语中经过验证的HHFS量表的简短形式和24小时召回方法评估营养充足性。使用标准程序测量了该家庭中年龄最大的五岁以下儿童的人体测量学，并通过“个人饮食多样性评分”对饮食多样性进行了测量。结果：总体上，有74个（29.1％）家庭拥有“粮食安全”，而有102个（44.3％）和64个（26.6％）的粮食安全水平分别很低和非常低。在190名五岁以下儿童中，有63名（35.3％）有单身，而50名（25.5％）有多次人体测量学失败。总体而言，有89（36.1％）户缺乏能量和蛋白质，而有111户（47.6％）缺乏这两种能量。利用不同的减贫计划的指标与粮食安全的低/非常低有关。提出了一个由HHFS，营养充足和饮食多样性组成的“食物短缺综合指数”，发现该指数与五岁以下儿童的人体测量学成绩等级具有剂量反应关系。结论：由三个指标组成的指数可能比单个指标更有效地识别与粮食安全有关的脆弱家庭。

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