Household food security and infant feeding practices in rural Bangladesh

Bibliographic Data

ID15090541
AuthorsAatekah Owais (0000-0002-9148-843X, Emory University), David G Kleinbaum (0000-0002-6544-2972, Emory University), Parminder S Suchdev (0000-0002-0350-3469, Emory University), ASG Faruque (0000-0001-5202-7385, International Centre for Diarrhoeal Disease Research), Sumon K Das (0009-0005-5064-2858, International Centre for Diarrhoeal Disease Research), Benjamin Schwartz (0000-0002-0072-344X, Los Angeles County Department of Public Health), Aryeh D Stein (0000-0003-1138-6458, Emory University, corresponding author)
Year2016
Volume19
Issue10
Pages1875-1881
Publication date2016-07-01
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980015003195
PMID26563771
OpenAlexW2226852890
LanguageEN
Citations received2
References cited25

Objective To determine the association between household food security and infant complementary feeding practices in rural Bangladesh. Design Prospective, cohort study using structured home interviews during pregnancy and 3 and 9 months after delivery. We used two indicators of household food security at 3-months’ follow-up: maternal Food Composition Score (FCS), calculated via the World Food Programme method, and an HHFS index created from an eleven-item food security questionnaire. Infant feeding practices were characterized using WHO definitions. Setting Two rural sub-districts of Kishoreganj, Bangladesh. Subjects Mother–child dyads ( n 2073) who completed the 9-months’ follow-up. Results Complementary feeding was initiated at age ≤4 months for 7 %, at 5–6 months for 49 % and at ≥7 months for 44 % of infants. Based on 24 h dietary recall, 98 % of infants were still breast-feeding at age 9 months, and 16 % received ≥4 food groups and ≥4 meals (minimally acceptable diet) in addition to breast milk. Mothers’ diet was more diverse than infants’. The odds of receiving a minimally acceptable diet for infants living in most food-secure households were three times those for infants living in least food-secure households (adjusted OR=3·0; 95 % CI 2·1, 4·3). Socio-economic status, maternal age, literacy, parity and infant sex were not associated with infant diet. Conclusions HHFS and maternal FCS were significant predictors of subsequent infant feeding practices. Nevertheless, even the more food-secure households had poor infant diet. Interventions aimed at improving infant nutritional status need to focus on both complementary food provision and education

Agriculture · Breast feeding · Breastfeeding · Cohort · Environmental health · Food security · Geography · Infant feeding · Infant formula · Logistic regression · Odds · Psychological intervention · Breastfeeding Practices and Influences · Child Nutrition and Water Access · Demography · Food Security and Health in Diverse Populations · Medicine · Nursing · Pediatrics

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