Documenting the Food Insecurity Experiences and Nutritional Status of Women in India: Study Protocol
Abstract
:1. Background
2. Methods/Design
2.1. Sample and Recruitment
2.2. Data Collection
- 1.
- Socioeconomic variables: this section includes close-ended questions about household type, household composition, household size, education attainment, employment, and agricultural activity.
- 2.
- Food security: a four-item version of the short-form six-item United States Department of Agriculture, Household Food Security Survey Module, developed by Blumberg and Bialostosky [38] will be used. This validated scale assesses whether participants are able to afford enough food to eat, includes questions around quantities of food eaten, the frequency of meals and food affordability. The four items that will be included in this study are:
- (a)
- The food that [I/We] bought just didn’t last, and [I/We] didn’t have money to get more. Was that often, sometimes, or never true for you in the last month?
- (b)
- [I/We] couldn’t afford to eat balanced meals. Was that often, sometimes, or never true for you in the last month?
- (c)
- In the last month, did you (or other adults in your household) ever cut the size of your meals or skip meals because there wasn’t enough money for food? Was that almost every week, some weeks but not every week, in only 1 or 2 weeks, or never?
- (d)
- In the last month, were you ever hungry but didn’t eat because you couldn’t afford enough food? (Yes, No).
- 3.
- Anthropomorphic measurements allow for easy and non-invasive determination of nutritional status. Two individual measures of women from households will be included in this study. Measurements will be taken by trained research assistants.
- (a)
- Body mass index (BMI), employing height and weight measures, has been found to be related to an individual’s food consumption patterns [40] and health outcomes [41,42]. Food insecurity in women often presents as high BMI [43], with some studies suggesting that the prevalence of overweight among women increases as food insecurity increases [44,45]. Participants will be weighed, without shoes, on a portable Tanita digital scale to the nearest 0.1 kg. Height will be taken with a portable Seca 213 stadiometer to the nearest 0.5 cm. All measurements will be taken twice, and the average used for calculation. BMI will be calculated as weight (kg) divided by height (m) squared (kg/m2). Criteria used to define overweight will be those adopted by India which considers obesity when BMI ≥ 25 kg/m2 [46].
- (b)
- Waist-to-hip ratio has been identified as a predictor of poor health outcomes, particularly cardiovascular disease [47]. Waist circumference (cm) will be taken with a Seca tape measure at the point midway between the costal margin and iliac crest in the mid-axillary line, with the subject standing and breathing normally [48]. Hip circumference (cm) will be measured at the widest point around the greater trochanter. The waist-to-hip ratio will be calculated as the waist measurement divided by the hip measurement. Given that Asian populations have been found to have an increased risk at lower waist circumference than Europeans, the lower recommended waist circumference and waist-hip ratios of 80 cm and 0.80 will be used for the women in this study [49]. Waist and hip measurements are being employed in this study as they provide more accurate information about accumulation and distribution of fat in the body than BMI alone [50].
- 4.
- The 24-h diet recall is a structured interview that will be used to capture detailed dietary information regarding all foods and beverages consumed by the respondent, including the quantities and methods of preparation within the designated 24-h period. Women are typically responsible for food preparation and best suited to provide information pertaining to the dietary diversity of their households [51]. As such, women will be the focus of the 24-h diet recall data collection. 24-h diet recall will follow the multi-pass method with reference photos, which have been shown to allow for a more comprehensive recall [52].
3. Data Analysis
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
Declarations
Consent for Publication
Abbreviations
BMI | Body Mass Index |
FAO | Food and Agriculture Organization |
ICESCR | International Covenant on Economic, Social and Cultural Rights |
UDHR | Universal Declaration of Human Rights |
UN | United Nations |
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Domains Explored in Interviews | Example Items to be Explored |
---|---|
Socioeconomic variables | Household type, composition, and size |
Education attainment | |
Employment | |
Agricultural activity | |
Food security | Not enough money for food |
Could not afford to eat balanced meals | |
Cut the size of meals | |
Experience hunger | |
Meals per day | |
Food storage | |
Food costs | |
Anthropomorphic measurements | Height (cm) |
Weight (kg) | |
Waist circumference (cm) | |
Hip circumference (cm) | |
24-h recall | All foods consumed in the past 24-h period |
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McKay, F.H.; John, P.; Sims, A.; Kaur, G.; Kaushal, J. Documenting the Food Insecurity Experiences and Nutritional Status of Women in India: Study Protocol. Int. J. Environ. Res. Public Health 2020, 17, 3769. https://doi.org/10.3390/ijerph17113769
McKay FH, John P, Sims A, Kaur G, Kaushal J. Documenting the Food Insecurity Experiences and Nutritional Status of Women in India: Study Protocol. International Journal of Environmental Research and Public Health. 2020; 17(11):3769. https://doi.org/10.3390/ijerph17113769
Chicago/Turabian StyleMcKay, Fiona H, Preethi John, Alice Sims, Gaganjot Kaur, and Jyotsna Kaushal. 2020. "Documenting the Food Insecurity Experiences and Nutritional Status of Women in India: Study Protocol" International Journal of Environmental Research and Public Health 17, no. 11: 3769. https://doi.org/10.3390/ijerph17113769