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Food insecurity and self-rated health in rural Nicaraguan women of reproductive age: a cross-sectional study
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Internationell mödra- och barnhälsovård (IMCH).
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Internationell mödra- och barnhälsovård (IMCH), Internationell barnhälsa och nutrition.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Internationell mödra- och barnhälsovård (IMCH). Pan American Health Organization, Tegucigalpa, Honduras.
Asociación para el Desarrollo Económico y Social de El Espino (APRODESE), Cinco Pinos, Nicaragua.
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2018 (engelsk)Inngår i: International Journal for Equity in Health, ISSN 1475-9276, E-ISSN 1475-9276, Vol. 17, nr 1, artikkel-id 146Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: Access to food is a basic necessity, and food insecurity may impair the individual's well-being and health. Self-rated health measurements have frequently been used to assess population health. Little is known, however, as to whether food security is associated with self-rated health in low- and middle-income settings. This study aims at analyzing the association between food security and self-rated health among non-pregnant women of reproductive age in a rural Nicaraguan setting.

METHODS: Data was taken from the 2014 update of a health and demographic surveillance system in the municipalities of Los Cuatro Santos in northwestern Nicaragua. Fieldworkers interviewed women about their self-rated health using a 5-point Likert scale. Food insecurity was assessed by the household food insecurity access (HFIAS) scale. A multilevel Poisson random-intercept model was used to calculate the prevalence ratio.

RESULTS: The survey included 5866 women. In total, 89% were food insecure, and 48% had poor self-rated health. Food insecurity was associated with poor self-rated health, and remained so after adjustment for potential confounders and accounting for community dependency.

CONCLUSION: In this Nicaraguan resource-limited setting, there was an association between food insecurity and poor self-rated health. Food insecurity is a facet of poverty and measures an important missing capability directly related to health.

sted, utgiver, år, opplag, sider
2018. Vol. 17, nr 1, artikkel-id 146
Emneord [en]
Capability approach, Food insecurity, Nicaragua, Self-rated health
HSV kategori
Identifikatorer
URN: urn:nbn:se:uu:diva-364658DOI: 10.1186/s12939-018-0854-5ISI: 000460024900001PubMedID: 30227875OAI: oai:DiVA.org:uu-364658DiVA, id: diva2:1259752
Tilgjengelig fra: 2018-10-30 Laget: 2018-10-30 Sist oppdatert: 2019-03-18bibliografisk kontrollert

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