Correlates of Household Food Insecurity and Low Dietary Diversity in Rural Cambodia

柬埔寨农村家庭食物无保障与低膳食多样性的相关性

Christine M McDonald ； Judy McLean ； Hou Kroeun ； Aminuzzaman Talukder ； Larry D Lynd ； Timothy J Green

《Asia Pacific Journal of Clinical Nutrition》 24卷4期 (2015/12) Pp. 720-730

https://doi.org/10.6133/apjcn.2015.24.4.14

摘要

本研究的目的是确定柬埔寨农村家庭食物无保障与低膳食多样性之间的相关性。经过培训的调查员在柬埔寨波萝勉省的四个农村地区调查了900个家庭。分别采用家庭食物无保障评估量表（HFIAS）和家庭膳食多样性评分（HDDS）来评估家庭食物无保障和膳食的多样性。构建多因素logistic回归模型，以确定家庭食物无保障和低膳食多样性之间的独立相关性（HDDS ≤ 3）。HFIAS和HDDS得分（均数±标准差）分别为5.3 ± 3.9 和4.7 ± 1.6。轻度、中度和重度食物无保障的发生率分别为33%、37%和12%，23%的家庭HDDS得分≤ 3。多因素分析发现：社会经济状况的多项指标和农业土地所有权与家庭食物无保障状况相关，然而校正家庭收入之后，农业土地所有权与家庭食物无保障状况之间的显著相关性消失。类似地，农业和宅基地所有权最初与低膳食多样性有关，然而收入减轻了这些关联。电力和蔬菜生产是唯一与家庭食物无保障和膳食多样性相关的两个其它指标。在柬埔寨农村地区，任何程度的家庭食物无保障发生率都很高，膳食多样性普遍偏低。改善食物无保障和膳食多样性的措施应该包括创收活动，并有针对性地偏向最贫困的家庭。

關鍵字

家庭食物安全 ； 膳食多样性 ； 柬埔寨

並列摘要

The objective of this study was to identify correlates of household food insecurity and poor dietary diversity in rural Cambodia. Trained interviewers administered a survey to 900 households in four rural districts of Prey Veng Province, Cambodia. The Household Food Insecurity Access Scale (HFIAS) and Household Dietary Diversity Score (HDDS) were used to assess household food insecurity and dietary diversity. Multivariate logistic regression models were constructed to identify independent correlates of household food insecurity and poor dietary diversity (HDDS ≤ 3). The mean ± SD HFIAS and HDDS scores were 5.3 ± 3.9 and 4.7 ± 1.6, respectively. The respective prevalence of mild, moderate, and severe food insecurity were 33%, 37%, and 12%; and 23% of households had an HDDS ≤ 3. In multivariate analyses, several indicators of socioeconomic status, and ownership of agricultural land were associated with household food security status, although the latter association lost its significance in models that adjusted for household income. Similarly, although ownership of agricultural and homestead land was initially associated with poorer dietary diversity, income mitigated these associations. The presence of electricity and vegetable production were the only other variables that were significantly associated with both outcomes. In this rural area of Cambodia, the prevalence of any degree of household food insecurity was very high and dietary diversity was generally low. Interventions to improve food security and dietary diversity should encompass income-generating activities and be targeted toward the poorest households.

並列關鍵字

household food security ； dietary diversity ； Cambodia