Diet and food insecurity among mothers, infants, and young children in Peru before and during COVID-19: A panel survey.
Diet and food insecurity among mothers, infants, and young children in Peru before and during COVID-19: A panel survey.
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DOI：
10.1111/mcn.13343
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发表时间：
2022-07
影响因子：
3.4
通讯作者：
Rousham, Emily K.
中科院分区：
文献类型：
--
作者：
Pradeilles, Rebecca;Pareja, Rossina;Creed-Kanashiro, Hilary M.;Griffiths, Paula L.;Holdsworth, Michelle;Verdezoto, Nervo;Eymard-Duvernay, Sabrina;Landais, Edwige;Stanley, Megan;Rousham, Emily K.
2019冠状病毒病大流行可能会通过增加家庭粮食不安全、缺乏医疗服务和更差的饮食质量来影响饮食和营养。本研究的主要目的是评估疫情对秘鲁低收入城市地区母亲及其婴幼儿（IYC）饮食结果的影响。我们进行了一项小组研究，其中一项调查在大流行前进行（n = 244），另一项调查在COVID-19爆发后9个月进行（n = 254）。我们在两次调查中评估了母乳喂养和补充喂养指标以及母亲的饮食多样性。在COVID-19期间，我们评估了家庭粮食不安全的经历以及疫情对生计、接受财务或粮食援助以及接受医疗服务的经济影响。几乎所有受访者（98.0%）都报告了疫情造成的不利经济影响，46.9%的家庭面临中度或严重的家庭粮食不安全风险。接受政府粮食援助的家庭比例在两次调查之间几乎翻了一番（36.5%-59.5%）。然而，母亲或IYC的饮食指标并没有恶化。积极变化包括6个月以下纯母乳喂养率增加（24.2%-39.0%，p < 0.008）以及IYC（33.1%-18.1%，p = 0.001）和母亲（34.0%-14.6%，p < 0.001）的甜食消费量减少。母亲（97%）和IYC（78%）中含糖饮料消费的流行率仍然很高。总而言之，我们发现饮食指标在COVID-19大流行9个月后并未显著恶化。然而，若干指标仍然不够理想，应在今后的干预措施中加以针对。我们旨在评估COVID-19大流行是否影响了秘鲁两个低收入城市地区的母亲和婴幼儿（IYC）的饮食。我们发现，与大流行前的数据相比，孕产妇和IYC饮食指标在大流行9个月后并没有显著恶化。在大流行期间，很大比例的家庭接受了粮食援助或政府的现金转移，这可能有助于稳定饮食指标。然而，甜食消费（尽管在大流行期间有所减少）和含糖饮料等指标在这两个时期仍然很高，应在未来的干预措施中加以针对。 几乎所有受访者（98.0%）均表示疫情对其家庭造成负面经济影响。在大流行期间，几乎一半的家庭（46.9%）面临中度或严重的家庭粮食不安全风险。疫情期间，66. 9%的家庭获得现金转移，59. 4%的家庭获得政府的粮食援助。大流行9个月后，积极的变化包括6个月以下纯母乳喂养的流行率增加，母亲和婴幼儿食用甜食的比例下降，婴幼儿和妇女的饮食指标稳定。在母亲和IYC的两个时间段内，含糖饮料和不健康食品的消费量仍然很高，应在未来的干预措施中加以针对。
The COVID‐19 pandemic may impact diet and nutrition through increased household food insecurity, lack of access to health services, and poorer quality diets. The primary aim of this study is to assess the impact of the pandemic on dietary outcomes of mothers and their infants and young children (IYC) in low‐income urban areas of Peru. We conducted a panel study, with one survey prepandemic (n = 244) and one survey 9 months after the onset of COVID‐19 (n = 254). We assessed breastfeeding and complementary feeding indicators and maternal dietary diversity in both surveys. During COVID‐19, we assessed household food insecurity experience and economic impacts of the pandemic on livelihoods; receipt of financial or food assistance, and uptake of health services. Almost all respondents (98.0%) reported adverse economic impacts due to the pandemic and 46.9% of households were at risk of moderate or severe household food insecurity. The proportion of households receiving government food assistance nearly doubled between the two surveys (36.5%–59.5%). Dietary indicators, however, did not worsen in mothers or IYC. Positive changes included an increase in exclusive breastfeeding <6 months (24.2%–39.0%, p < 0.008) and a decrease in sweet food consumption by IYC (33.1%–18.1%, p = 0.001) and mothers (34.0%–14.6%, p < 0.001). The prevalence of sugar‐sweetened beverage consumption remained high in both mothers (97%) and IYC (78%). In sum, we found dietary indicators had not significantly worsened 9 months into the COVID‐19 pandemic. However, several indicators remain suboptimal and should be targeted in future interventions. We aimed to assess whether the COVID‐19 pandemic influenced diets of mothers and infants and young children (IYC) in two low‐income urban areas of Peru. We found that, compared to prepandemic data, maternal and IYC dietary indicators had not significantly worsened nine months into the pandemic. A high proportion of households received food assistance or government cash transfers during the pandemic which may have contributed to the stability of dietary indicators. However, indicators such as sweet food consumption (despite reducing during the pandemic) and sugar‐sweetened beverages remained high across the two time periods and should be targeted in future interventions. Almost all respondents (98.0%) reported negative economic impacts on their households from the pandemic. During the pandemic, almost half of households (46.9%) were at risk of moderate or severe household food insecurity. During the pandemic, 66.9% of households received cash transfers, and 59.4% received food assistance from the government. Nine months into the pandemic, positive changes included an increased prevalence of exclusive breastfeeding <6 months, a decreased proportion of mothers and infants and young children (IYC) consuming sweet foods, and stable dietary indicators for IYC and women. Consumption of sugar‐sweetened beverages and unhealthy foods remained high across the two time periods for mothers and IYC and should be targeted in future interventions.
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影响因子：
6.9
作者：
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通讯作者：
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10.1016/j.clnu.2021.08.015
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通讯作者：
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DOI：
10.1016/s2213-8587(21)00089-9
发表时间：
2021-06
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影响因子：
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通讯作者：
Jebb SA