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Open AccessArticle

Household Food Insecurity as a Predictor of Stunted Children and Overweight/Obese Mothers (SCOWT) in Urban Indonesia

1
Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, East Java, Indonesia
2
Department of Health Promotion and Education, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, East Java, Indonesia
3
Department of Food, Nutrition, Dietetics and Health, Kansas State University, Manhattan, KS 66506, USA
*
Author to whom correspondence should be addressed.
Nutrients 2018, 10(5), 535; https://doi.org/10.3390/nu10050535
Received: 9 February 2018 / Revised: 20 April 2018 / Accepted: 23 April 2018 / Published: 26 April 2018
(This article belongs to the Special Issue Nutrition and Vulnerable Groups)
(1) Background: The double burden of malnutrition has been increasing in countries experiencing the nutrition transition. This study aimed to determine the relationship between household food insecurity and the double burden of malnutrition, defined as within-household stunted child and an overweight/obese mother (SCOWT). (2) Methods: A cross-sectional survey was conducted in the urban city of Surabaya, Indonesia in April and May 2015. (3) Results: The prevalence of child stunting in urban Surabaya was 36.4%, maternal overweight/obesity was 70.2%, and SCOWT was 24.7%. Although many households were food secure (42%), there were high proportions of mild (22.9%), moderate (15.3%) and severe (19.7%) food insecurity. In a multivariate logistic regression, the household food insecurity access scale (HFIAS) category significantly correlated with child stunting and SCOWT. Compared to food secure households, mildly food insecure households had the greatest odds of SCOWT (adjusted odds ratio (aOR) = 2.789; 95% confidence interval (CI) = 1.540–5.083), followed by moderately food insecure (aOR = 2.530; 95% CI = 1.286–4.980) and severely food insecure households (aOR = 2.045; 95% CI = 1.087–3.848). (4) Conclusions: These results support the hypothesis that the double burden of malnutrition is related to food insecurity, and the HFIAS category is a predictor of SCOWT. View Full-Text
Keywords: food security; HFIAS; double burden of malnutrition; child stunting; Indonesia food security; HFIAS; double burden of malnutrition; child stunting; Indonesia
MDPI and ACS Style

Mahmudiono, T.; Nindya, T.S.; Andrias, D.R.; Megatsari, H.; Rosenkranz, R.R. Household Food Insecurity as a Predictor of Stunted Children and Overweight/Obese Mothers (SCOWT) in Urban Indonesia. Nutrients 2018, 10, 535.

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