Relationship of household food insecurity to anaemia in children aged 6-59 months among families in rural Indonesia

Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Annals of Tropical Paediatrics International Child Health (Impact Factor: 1.17). 11/2011; 31(4):321-30. DOI: 10.1179/1465328111Y.0000000038
Source: PubMed


Anaemia is a significant global public health problem in developing countries with adverse health effects on young children. Household food insecurity, which reflects a household's access, availability and utilisation of food, has not been well characterised in relation to anaemia in children.
To examine the relationship of household food insecurity with anaemia (Hb <11 g/dl) in children.
In a cross-sectional study of 4940 rural households participating in the Indonesian Nutrition Surveillance System, household food insecurity was measured using a modified 9-item food security questionnaire and related to anaemia in children aged 6-59 months.
The proportion of households with an anaemic child was 56·6%. In households with and without anaemic children, the mean (SD) food insecurity score was 1·82 (1·72) vs 1·55 (1·54) (p<0·0001), respectively. In a multivariate logistic regression model, food insecurity score was related to anaemia in children (odds ratio 0·77, 95% confidence interval 0·63-0·95, p=0·01) when the highest quintile of food insecurity score was compared with the lowest quintile, adjusting for potential confounders.
A higher household food insecurity score is associated with greater prevalence of anaemia in children in rural families in Indonesia.

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