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Celeste-Villalvir A, Palar K, Then-Paulino A, Wallace DD, Jimenez-Paulino G, Fulcar MA, Acevedo R, Derose KP. Perceived Impacts of Urban Gardens and Peer Nutritional Counseling for People Living With HIV in the Dominican Republic. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2024; 56:478-488. [PMID: 38613552 PMCID: PMC11227956 DOI: 10.1016/j.jneb.2024.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Revised: 03/05/2024] [Accepted: 03/08/2024] [Indexed: 04/15/2024]
Abstract
OBJECTIVE Explore participants' perceptions of urban gardens and peer nutritional counseling intervention for people with HIV and food insecurity on antiretroviral therapy in the Dominican Republic. METHODS Semistructured endline interviews (n = 21) with intervention participants about their perceptions of diet, health, and quality of life. A codebook was applied to verbatim transcripts, and coded data were analyzed using matrices to identify themes. RESULTS Participants were mostly Dominican (86%; 14% Haitian); 57% were men; the mean age was 45 years. The most salient experiences described by intervention participants were improved dietary quality and diversity, improved food security, and saving money. Participants also emphasized improved social interactions, mental health, and emotional well-being. CONCLUSIONS AND IMPLICATIONS Urban gardens and peer nutritional counseling may improve participants' diet and psychosocial well-being. Nutrition programs with marginalized populations may need to improve access to healthy foods and build camaraderie and linkages to programs addressing structural factors.
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Affiliation(s)
| | - Kartika Palar
- Department of Medicine, University of California, San Francisco, San Francisco, CA
| | - Amarilis Then-Paulino
- Facultad de Ciencias de la Salud, Universidad Autónoma de Santo Domingo, Santo Domingo, Dominican Republic
| | - Deshira D Wallace
- Department of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - Gipsy Jimenez-Paulino
- Facultad de Ciencias de la Salud, Universidad Autónoma de Santo Domingo, Santo Domingo, Dominican Republic
| | - Maria Altagracia Fulcar
- World Food Programme, Country Office for the Dominican Republic, Santo Domingo, Dominican Republic
| | - Ramon Acevedo
- Consejo Nacional para el VIH y Sida, Santo Domingo, Dominican Republic
| | - Kathryn P Derose
- Department of Health Promotion and Policy, University of Massachusetts Amherst, Amherst, MA; Behavioral and Policy Sciences Department, RAND Corporation, Santa Monica, CA.
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2
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Novoa-Sanzana S, Moya-Osorio J, Morejón Terán Y, Ríos-Castillo I, Becerra Granados LM, Prada Gómez G, Ramos de Ixtacuy M, Fernández Condori RC, Nessier MC, Guerrero Gómez A, González-Céspedes L, Nava-González EJ, Pérez Ocampo L, Castillo-Albarracín AN, Durán-Agüero S. Food insecurity and sociodemographic factors in Latin America during the COVID-19 pandemic. Rev Panam Salud Publica 2024; 48:e21. [PMID: 38576847 PMCID: PMC10993803 DOI: 10.26633/rpsp.2024.21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 12/18/2023] [Indexed: 04/06/2024] Open
Abstract
Objective To understand the association of food insecurity with sociodemographic factors in a sample population in Latin America during the COVID-19 pandemic. Methods This was a multicenter cross-sectional study conducted in 10 countries in Latin America using an online survey through various digital platforms from October 14, 2020 to February 15, 2021. Statistical analysis of data was performed by applying descriptive statistics, chi-square test, and logistic regression analysis. Results Of a total of 6 357 surveys, 58.2% of respondents experienced food security, 29.3% were slightly food insecure, 9.2% were moderately food insecure, and 3.3% were severely food insecure. Concerning the association food insecurity and sociodemographic variables, there is a significant association in the variables studied, including area of residence, education level, occupation, number of persons in the household, household with children younger than 10 years of age, and socioeconomic level. Conclusions These findings indicate that sociodemographic factors associated with food insecurity during the COVID-19 pandemic in Latin America were rural residence; complete and incomplete basic and secondary schooling; occupation (homemaker, unemployed, and self-employed); low, medium-low, and medium socioeconomic level; household with more than four persons; and household with children younger than 10 years of age.
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Affiliation(s)
- Stephanie Novoa-Sanzana
- Facultad de Ciencias Para el Cuidado de la SaludUniversidad San SebastiánSede Los LeonesProvidenciaChileFacultad de Ciencias Para el Cuidado de la Salud, Universidad San Sebastián, Sede Los Leones, Providencia, Chile.
| | - José Moya-Osorio
- Carrera de Nutrición y DietéticaDepartamento de Ciencias de la SaludFacultad de MedicinaPontificia Universidad Católica de ChileSantiagoChileCarrera de Nutrición y Dietética, Departamento de Ciencias de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
| | - Yadira Morejón Terán
- Centro de Investigación de Salud Pública y Epidemiología ClínicaFacultad de Ciencias de la Salud Eugenio EspejoUniversidad UTEQuitoEcuadorCentro de Investigación de Salud Pública y Epidemiología Clínica, Facultad de Ciencias de la Salud Eugenio Espejo, Universidad UTE, Quito, Ecuador.
| | - Israel Ríos-Castillo
- Food Security and NutritionUnited Nations Food and Agriculture OrganizationPanama CityPanamaFood Security and Nutrition, United Nations Food and Agriculture Organization, Panama City, Panama.
| | - Luis Miguel Becerra Granados
- Departamento de Alimentación y NutriciónPontificia Universidad Javeriana de CaliCaliColombiaDepartamento de Alimentación y Nutrición, Pontificia Universidad Javeriana de Cali, Cali, Colombia.
| | - Gloria Prada Gómez
- Retired consultantformerly of Universidad Industrial de SantanderBucaramangaColombiaRetired consultant, formerly of Universidad Industrial de Santander, Bucaramanga, Colombia.
| | - Mónica Ramos de Ixtacuy
- Unidad de NutriciónMinisterio de Salud Publica y Asistencia SocialTotonicapánGuatemalaUnidad de Nutrición, Ministerio de Salud Publica y Asistencia Social, Totonicapán, Guatemala.
| | - Roxana Carla Fernández Condori
- Nutrición y AlimentaciónUniversidad Del Sagrado CorazónLa MolinaPeruNutrición y Alimentación, Universidad Del Sagrado Corazón, La Molina, Peru.
| | - María Celeste Nessier
- Instituto de Investigaciones de la Facultad de Ciencias de la SaludUniversidad Católica de Santa FeSanta FeArgentinaInstituto de Investigaciones de la Facultad de Ciencias de la Salud, Universidad Católica de Santa Fe, Santa Fe, Argentina.
| | - Ana Guerrero Gómez
- ConsultantUniversidad Tecnológica de El SalvadorSan SalvadorEl SalvadorConsultant, Universidad Tecnológica de El Salvador, San Salvador, El Salvador.
| | - Laura González-Céspedes
- Universidad Nacional de AsunciónFacultad de Ciencias Químicas, Dirección de InvestigaciónDepartamento de NutriciónSan LorenzoParaguayUniversidad Nacional de Asunción, Facultad de Ciencias Químicas, Dirección de Investigación, Departamento de Nutrición, San Lorenzo, Paraguay.
| | - Edna J. Nava-González
- Facultad de Salud Pública y NutriciónUniversidad Autónoma de Nuevo LeónSan Nicolas de los GarzaMéxicoFacultad de Salud Pública y Nutrición, Universidad Autónoma de Nuevo León, San Nicolas de los Garza, México.
| | - Luisa Pérez Ocampo
- Carrera de Nutrición y DietéticaUniversidad Del DesarrolloSantiagoChileCarrera de Nutrición y Dietética, Universidad Del Desarrollo, Santiago, Chile.
| | | | - Samuel Durán-Agüero
- Facultad de Ciencias Para el Cuidado de la SaludUniversidad San SebastiánSede Los LeonesProvidenciaChileFacultad de Ciencias Para el Cuidado de la Salud, Universidad San Sebastián, Sede Los Leones, Providencia, Chile.
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Azañedo D, Hernández-Vásquez A, Visconti-Lopez FJ, Turpo Cayo EY. Frequency, inequalities and spatial distribution of oral health services utilization in Peruvian children under twelve years of age: a population-based comparative analysis of the years 2017 and 2021. BMC Oral Health 2023; 23:778. [PMID: 37872527 PMCID: PMC10594705 DOI: 10.1186/s12903-023-03528-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Accepted: 10/11/2023] [Indexed: 10/25/2023] Open
Abstract
BACKGROUND Oral diseases pose a significant public health challenge among Peruvian children. However, oral health services utilization among them is marked by inequalities, which may have been exacerbated by the COVID-19 pandemic. The objective was to compare the frequency, inequalities, determinants of inequality, and spatial distribution in oral health services utilization in Peruvian children under 12 years of age in 2017 and 2021. METHODS Comparative secondary data analysis from the Demographic and Family Health Survey (ENDES) for the years 2017 (38,787 minors) and 2021 (36,729 minors). Age-adjusted prevalence ratios (PR) with 95% confidence intervals (CI) were calculated to assess the change in oral health services utilization in the last 12 months between the years 2017 and 2021, stratifying by demographic and socioeconomic covariates. Inequality was assessed by decomposing the Erreygers Concentration Index (ECI) and calculating the percentage contribution to inequality of the independent variables. Spatial analysis was performed using spatial autocorrelation methods, Hot Spot Analysis, Cluster and Outlier analysis, Inverse Distance Weighting, ordinary Kriging, and Kulldorff analysis. RESULTS The probability of Peruvian children under 12 years of age using oral health services in the last 12 months was reduced by 45% in 2021 compared to 2017. The ECI identified a significant reduction in oral health services utilization inequalities at the national level (Diff: -0.0963; p < 0.001). The main contributor to inequality was higher tutor education level (55.2% in 2017 and 82.7% in 2021). In the comparison of spatial distribution, there was a greater dispersion of the conglomerates in which the use of oral health services is concentrated in 2021. CONCLUSIONS The frequency of oral health services utilization in the Peruvian children under 12 years of age was halved between 2017 and 2021. This problem is transversal to the entire population at the demographic and socioeconomic level. The key factor contributing to inequalities in the utilization of oral health services was the higher educational attainment of caregivers or guardians. Despite the improvement observed in inequalities and spatial distribution of the concentration of oral health services utilization, it is necessary to keep monitoring these patterns to guide decision-making.
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Affiliation(s)
| | - Akram Hernández-Vásquez
- Centro de Excelencia en Investigaciones Económicas y Sociales en Salud, Vicerrectorado de Investigación, Universidad San Ignacio de Loyola, Lima, Peru.
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Mahmood T, Kumar R, Ali TM, Naeem N, Pongpanich S. Determinants of the food insecurity at household level in Pakistan: A multilevel model approach. PLoS One 2023; 18:e0291343. [PMID: 37797055 PMCID: PMC10553256 DOI: 10.1371/journal.pone.0291343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Accepted: 08/27/2023] [Indexed: 10/07/2023] Open
Abstract
Food insecurity is a major concern for the developing world and around 37% of the population of Pakistan is food insecure. This paper utilizes the Food Insecurity Experience Scale (FIES) to assess the population prevalence of food insecurity and to identify their risk factors and determinants at the household level in Pakistan. This study employs a multi-level random coefficient model, using the Pakistan Panel Household Survey (PPHS-2010) dataset; representative data from 4,130 households. Factors like; income of the household, gender, education, household size, land ownership, and shocks of food insecurity allow the incidence of idiosyncratic shocks (injuries and/or casualties) at the community level, which affects the food insecurity situation of the community, rather differently were included. The study confirms a statistically significant inverse relationship between household income, household size, and household head education with food insecurity and a positive association of shocks and inflation with food insecurity at the household level. Specifically, with increasing per capita income of the household, food insecurity declines (coefficient: -0.083, statistically significant at 1%) and food insecurity increases with shocks (coefficient: 0.058, statistically significant at 1% significance level). The study also reveals a significant heterogeneity at a one percent significance level in the determinants of food insecurity at the district, community, and household levels. The income of the household, household head gender and education level, household size, household assets, shocks, injuries, and inflationary pressure are important determinants of food insecurity in Pakistan.
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Affiliation(s)
- Tahir Mahmood
- Faculty of Business Administration, Sukkur IBA University, Sukkur, Pakistan
| | - Ramesh Kumar
- Department of Public Health, Health Services Academy, Islamabad, Pakistan
- College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand
| | - Tariq Mehmood Ali
- Department of Public Health, Health Services Academy, Islamabad, Pakistan
| | - Nawal Naeem
- Department of Public Health, Health Services Academy, Islamabad, Pakistan
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Mejía Toro C, Carriedo A, Pérez Tamayo EM, Crosbie E. Barriers to Overcoming Child Hunger and Malnutrition: Applying a Human Rights Approach to Improve Policy and Action. Int J Public Health 2023; 68:1605969. [PMID: 37711158 PMCID: PMC10498992 DOI: 10.3389/ijph.2023.1605969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 08/06/2023] [Indexed: 09/16/2023] Open
Abstract
Objective: Analyze key barriers to achieving children's right to food under Colombia's food and nutrition security policies and programs. Methods: A literature review was conducted along with 17 semi-structured expert interviews. The law framework on the right to food was applied to analyze findings. Results: Four key barriers were found. First, a reductionist approach prevails in the political narrative. This focuses on ensuring personal food access overlooking societal and environmental impacts. Second, the implementation of policies and programs is passed on to third parties, preventing civic participation and accountability. Third, there are insufficient national data sources and indicators to monitor the impact of interventions and funding. Fourth, program implementation is unequal and inadequate, which inadvertently supports illicit economies that thrive on conditions of hunger and poverty. Conclusion: Children's food and nutrition are reliant on organizations that focus on personal food supply without strengthening civic participation. Strengthening participation requires a human rights approach. International organizations can help the government to engage communities in policy and program improvement and oversight.
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Affiliation(s)
- Carolina Mejía Toro
- Department of Noncommunicable Diseases and Mental Health, Pan American Health Organization/World Health Organization, Washington, DC, United States
- Bureau for Humanitarian Assistance, United States Agency for International Development, Washington, DC, United States
- World Public Health Nutrition Association, Peacehaven, United Kingdom
| | - Angela Carriedo
- World Public Health Nutrition Association, Peacehaven, United Kingdom
- Department of Health, University of Bath, Bath, United Kingdom
| | | | - Eric Crosbie
- School of Public Health, University of Nevada, Reno, Reno, NV, United States
- Ozmen Institute for Global Studies, University of Nevada Reno, Reno, NV, United States
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Barrientos-De la Rosa C, Duran-Aguero S, Mardones MJ, Morejón Y, García-Milla P, Albornoz P, Torres X, Landaeta-Díaz L. Comparison of Consumption of Pulses in Two Seasons of the Year in Chile. Nutrients 2023; 15:nu15112635. [PMID: 37299598 DOI: 10.3390/nu15112635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Revised: 05/27/2023] [Accepted: 05/31/2023] [Indexed: 06/12/2023] Open
Abstract
BACKGROUND In Chile, the consumption of legumes at least two times per week is promoted. However, there is a low consumption of legumes. Therefore, our objective is to describe legume consumption in two different seasonal periods. METHODS Serial cross-sectional study: surveys were distributed during summer and winter using different digital platforms. Frequency of consumption, purchase access, and preparation type were investigated. RESULTS In total, 3280 adults were surveyed in summer and 3339 in winter. The mean age was 33 years. Totals of 97.7% and 97.5% of the population reported consuming legumes in both periods; consumption increased to 3 times per week during winter. In both periods, the main reason for their preference is that they are delicious and nutritious, followed by their use as a meat substitute; the main barriers to their consumption in both periods are that they are expensive (29% in summer and 27.8% in winter) and difficult to prepare. CONCLUSION A good consumption of legumes was observed, but with a higher frequency of consumption during winter, with an intake of ≥1 per day; additionally, differences were found in purchases according to season, although no differences were found in the method of preparation.
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Affiliation(s)
- Claudia Barrientos-De la Rosa
- Carrera Nutrición y Dietética, Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Providencia 7500975, Chile
| | - Samuel Duran-Aguero
- Escuela de Nutrición y Dietética, Facultad de Ciencias Para el Cuidado de la Salud, Universidad San Sebastián, Santiago 7511111, Chile
| | - María José Mardones
- Escuela de Nutrición y Dietética, Facultad de Ciencias Para el Cuidado de la Salud, Universidad San Sebastián, Santiago 7511111, Chile
| | - Yadira Morejón
- Centro de Investigación de Salud Pública y Epidemiología Clínica (CISPEC), Facultad de Ciencias de la Salud Eugenio Espejo (FCSEE), Universidad UTE, Quito 170150, Ecuador
| | - Paula García-Milla
- Carrera Nutrición y Dietética, Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Providencia 7500975, Chile
- Centro Integrativo de Biología y Química Aplicada (CIBQA), Universidad Bernardo O'Higgins, General Gana 1702, Santiago 8370854, Chile
| | | | - Ximena Torres
- Carrera Nutrición y Dietética, Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Providencia 7500975, Chile
| | - Leslie Landaeta-Díaz
- Facultad de Salud y Ciencias Sociales, Universidad de Las Américas, Santiago 7500975, Chile
- Núcleo en Ciencias Ambientales y Alimentarias (NCAA), Universidad de las Américas, Santiago 7500975, Chile
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Hernández-Vásquez A, Vargas-Fernández R. Changes in the Prevalence of Overweight and Obesity among Peruvian Children under Five Years before and during the COVID-19 Pandemic: Findings from a Nationwide Population-Based Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12390. [PMID: 36231690 PMCID: PMC9565992 DOI: 10.3390/ijerph191912390] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Revised: 09/21/2022] [Accepted: 09/26/2022] [Indexed: 06/16/2023]
Abstract
This study aimed to identify changes in the prevalence of childhood (children under five years of age) overweight and obesity in Peru as a whole and at the departmental level, before and during the coronavirus disease (COVID-19) pandemic. We performed a secondary data analysis of two Demographic and Family Health Surveys (2019 and 2021) in Peru. The outcome was childhood overweight and obesity, defined as a weight-for-height score greater than 2 standard deviations. Poisson log generalized linear regression models adjusted for sex and/or age in months of the child were fitted to obtain the prevalence ratios of the changes in childhood overweight and obesity from 2019 to 2021. The analysis included 41,533 (2019: 20,414; 2021: 21,119) participants. The prevalence of childhood overweight and obesity was 6.4% in 2019 and 7.8% in 2021. Female children, aged 2, 3 and 4 years, and mothers who self-identified as non-native, had secondary and higher education, belonged to the middle and richer wealth quintile and resided in an urban area, in a village, in a small city and in the coastal region showed the largest increases in the prevalence of childhood overweight and obesity in 2021 compared to 2019. The departments of Pasco, Apurímac, Junín, Cusco, Lambayeque and La Libertad presented the largest increases in the prevalence of these nutritional disorders. During the pandemic, an increase in the prevalence of childhood overweight and obesity was observed, with demographic and socioeconomic factors accounting for the largest increases in the prevalence rates. A restructuring of overweight and obesity control strategies is required to curb this steady increase.
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Affiliation(s)
- Akram Hernández-Vásquez
- Centro de Excelencia en Investigaciones Económicas y Sociales en Salud, Vicerrectorado de Investigación, Universidad San Ignacio de Loyola, Lima 15024, Peru
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