Socioeconomic, demographic, and obstetric inequalities in food insecurity in pregnant women

• Main Authors: Renata Cordeiro Fernandes, Fernanda Manera, Larissa Boing, Doroteia Aparecida Höfelmann
• Format: Article
• Language: English
• Published: Instituto Materno Infantil de Pernambuco
• Series: Revista Brasileira de Saúde Materno Infantil
• Subjects: Food security; Pregnancy; Social inequality; Cross-sectional studies
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292018000400815&lng=en&tlng=en

Abstract Objectives: to estimate the prevalence of Food Insecurity (FI) in pregnant women and to identify its association with demographic, socioeconomic, obstetric, and anthropometric variables in female users of Family Health Units (FHUs) in the city of Colombo, state of Paraná, South Region of Brazil. Methods: a cross-sectional study of a representative sample of pregnant women from 17 FHUs in Colombo. We used the short version of the Brazilian Household Food Insecurity Measurement Scale (EBIA). In addition, we used Poisson Regression Models with robust, crude, and adjusted variance to investigate the association between FI and exposure variables. Results: 316 pregnant women participated in the study. The prevalence of FI was 45.1% (CI95% = 39.6-50.6). Adjusted analysis showed higher prevalence of FI in pregnant women with 30 years of age or older (PR = 1.66; IC95% = 1.02-2.69), with black skin or indigenous background (PR= 1.39; CI95%= 1.08-1.79), with 7 years of education or less (PR = 1.58; CI95% = 1.14-2.19), and with lower income (PR = 2.07; CI95% = 1.36-3.14). Conclusions: There was a high prevalence of FI among pregnant women, particularly among those of older age and with worse socioeconomic conditions, a group that should be considered a priority for actions aimed at promoting food security.