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Socio-Economic Risk Factors of Household Food Insecurity and Their Population Attributable Risk: A Population-Based Study Publisher



Asadilari M1, 2 ; Jahromi LM3 ; Montazeri A4 ; Rezaee N5 ; Mehrizi AAH6 ; Shamsbeyranvand M5, 7 ; Vaezmahdavi MR8 ; Abbasighahramanloo A1 ; Khazaeepool M9 ; Ghanbari A5, 10 ; Gholami A11, 12
Authors

Source: Medical Journal of the Islamic Republic of Iran Published:2019


Abstract

Background: Food insecurity as a major public health problem has associations with a wide range of adverse consequences on health and quality of life. The aim of this study is to determine the prevalence of food insecurity among Iranian households, its key socioeconomic risk factors and population attributable risk via a large-scale cross-sectional study in the capital of Iran. Methods: This cross-sectional study was performed among 30,809 households with complete questionnaires of food security, during 2011. The univariate test was used to investigate the association between economic status and covariates with household food insecurity. Multiple logistic regression model was used to assess the independent effect of economic status on household food insecurity. Results: Totally, 37.8% (95% CI: 37.25, 38.34%) of the households were food insecure. There were significant associations between economic status and household food insecurity after adjustment for other variables (p-value < 0.001). The extent of household food insecurity that could be attributed to the economic status in the 1st and 2nd quintiles (poorest and poor households), compared with the 5th quintile (richest households), was estimated to be 48.43% and 60.12%, respectively. Conclusion: Food insecurity is relatively prevalent among households in Tehran. Economic status was identified as the most significant determinant of household food security, as 62.7% of poorest households were food insecure. Therefore, there is a crucial need to address food insecurity as a priority in food policies. © Iran University of Medical Sciences.
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