The Impact of COVID-19 on Household Food Insecurity and Interlinkages With Child Feeding Practices and Coping Strategies in Uttar Pradesh, India
The Impact of COVID-19 on Household Food Insecurity and Interlinkages With Child Feeding Practices and Coping Strategies in Uttar Pradesh, India
复制标题
COVID-19 对印度北方邦家庭粮食不安全的影响以及与儿童喂养实践和应对策略的相互联系
DOI：
10.1093/cdn/nzab029_029
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发表时间：
2021
影响因子：
4.8
通讯作者：
P. Menon
中科院分区：
文献类型：
--
作者：
S. Kachwaha;P. Nguyen;A. Pant;L. Tran;Sebanti Ghosh;P. Sharma;Vishal Dev Shashtri;Jessica L. Escobar;R. Avula;P. Menon
目标
冠状病毒 (COVID-19) 大流行对人们的生活产生了深远的负面影响，但人们对 COVID-19 对资源贫乏的家庭粮食不安全 (HFI) 的影响知之甚少。本研究旨在评估大流行期间 HFI 的变化，并研究印度北方邦 HFI 与儿童喂养做法和应对策略之间的相互联系。
方法
我们于 2019 年 12 月（现场）和 2020 年 8 月（通过电话）对 569 名孩子 <2 岁的母亲进行了纵向定量调查。我们使用家庭粮食不安全获取量表测量了 HFI，并使用 Wilcoxon 配对符号秩检验检查了大流行期间 HFI 的变化。然后，我们使用多变量回归模型根据 HFI 状态评估儿童喂养实践和应对策略。
结果
HFI 从 COVID-19 之前和期间的 21% 急剧增加至 80%，其中 62% 的家庭将粮食安全状态转变为不安全状态，17% 的家庭仍然粮食不安全。与粮食安全家庭的儿童相比，新近持续粮食不安全家庭的儿童不太可能消费多样化饮食（调整后的比值比，AOR：0.56，P = 0.03 和 AOR：0.45，P = 0.04）。粮食不安全的家庭更有可能采取应对策略来获取食物，包括减少其他必要的非粮食支出（AOR：1.7-2.2）、借钱购买食物（AOR：3.6-4.3）、出售珠宝（AOR：3.0-5.0）以及支出储蓄或出售其他资产（AOR∼2.0），所有P < 0.05。
结论
COVID-19 对 HFI 产生了重大负面影响，进而对儿童喂养方式和应对策略产生影响。我们的研究结果强调，需要进一步投资有针对性的社会保护战略和安全网，作为多部门解决方案的一部分，以改善 COVID-19 期间和之后的 HFI。
资金来源
比尔及梅琳达·盖茨基金会通过 POSHAN，由国际粮食政策研究所领导；以及由 FHI Solutions 领导的 Alive & Thrive。
Objectives
The Coronavirus (COVID-19) pandemic has profound negative impacts on people’s lives, but little is known on the effect of COVID-19 on household food insecurity (HFI) in poor setting resources. This study aimed to assess the changes in HFI during the pandemic and examine the interlinkages between HFI with child feeding practices and coping strategies in Uttar Pradesh, India.
Methods
We conducted a longitudinal quantitative survey with 569 mothers with children <2y in December 2019 (in-person) and August 2020 (by phone). We measured HFI by using the Household Food Insecurity Access Scale and examined the changes in HFI during the pandemic using the Wilcoxon matched-pairs signed-rank tests. We then assessed child feeding practices and coping strategies by HFI status using multivariable regression models.
Results
HFI increased sharply from 21% to 80% before and during COVID-19, with 62% households changing the status from food security to insecurity and 17% remaining food insecure. Children belonging to newly and consistently food-insecure households were less likely to consume a diversified diet (adjusted odds ratio, AOR: 0.56, P = 0.03 and AOR: 0.45, P = 0.04, respectively) compared to those in food-secure households. Households with food insecurity were more likely to engage in coping strategies for obtaining foods including reducing other essential non-food expenditures (AOR: 1.7–2.2), borrowing money to buy food (AOR: 3.6–4.3), selling jewelry (AOR: 3.0–5.0), and spending savings or selling other assets (AOR∼2.0), all P < 0.05.
Conclusions
COVID-19 had a significant negative impact on HFI, which in turn had implications for child feeding practices and coping strategies. Our findings highlighted the need for further investment in targeted social protection strategies and safety nets as part of multisectoral solutions to improve HFI during and post-COVID-19.
Funding Sources
Bill & Melinda Gates Foundation through POSHAN, led by International Food Policy Research Institute; and Alive & Thrive, led by FHI Solutions.