Nutr Res Pract.  2008 Mar;2(1):26-34.

Household food insecurity and coping strategies in a poor rural community in Malaysia

Affiliations
  • 1Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia. zalilah@medic.upm.edu.my

Abstract

This cross-sectional study assessed household food insecurity among low-income rural communities and examined its association with demographic and socioeconomic factors as well as coping strategies to minimize food insecurity. Demographic, socioeconomic, expenditure and coping strategy data were collected from 200 women of poor households in a rural community in Malaysia. Households were categorized as either food secure (n=84) or food insecure (n=116) using the Radimer/Cornell Hunger and Food Insecurity instrument. T-test, Chi-square and logistic regression were utilized for comparison of factors between food secure and food insecure households and determination of factors associated with household food insecurity, respectively. More of the food insecure households were living below the poverty line, had a larger household size, more children and school-going children and mothers as housewives. As food insecure households had more school-going children, reducing expenditures on the children's education is an important strategy to reduce household expenditures. Borrowing money to buy foods, receiving foods from family members, relatives and neighbors and reducing the number of meals seemed to cushion the food insecure households from experiencing food insufficiency. Most of the food insecure households adopted the strategy on cooking whatever is available at home for their meals. The logistic regression model indicates that food insecure households were likely to have more children (OR=1.71; p<0.05) and non-working mothers (OR=6.15; p<0.05), did not own any land (OR=3.18; p<0.05) and adopted the strategy of food preparation based on whatever is available at their homes (OR=4.33; p<0.05). However, mothers who reported to borrow money to purchase food (OR=0.84; p<0.05) and households with higher incomes of fathers (OR=0.99; p<0.05) were more likely to be food secure. Understanding the factors that contribute to household food insecurity is imperative so that effective strategies could be developed and implemented.

Keyword

Household food security; rural community; coping strategies

MeSH Terms

Child
Cooking
Cross-Sectional Studies
Family Characteristics
Fathers
Female
Food Supply
Health Expenditures
Humans
Hunger
Logistic Models
Malaysia
Meals
Mothers
Poverty
Rural Population
Socioeconomic Factors

Reference

1. Adams EJ, Grummer-Strawn L, Chavez G. Food insecurity is associated with increased risk of obesity in Californian women. J Nutr. 2003. 133:1070–1074.
Article
2. Alaimo K, Olson CM, Frongillo EA. Family food insufficiency but not low family income is positively associated with dysthymia and suicide symptoms in adolescents. J Nutr. 2002. 132:719–725.
Article
3. Alaimo K, Olson CM, Frongillo EA. Food insufficiency and American school-aged children's cognitive academic and psychosocial development. Pediatrics. 2001. 108:44–53.
Article
4. Baer RD, Madrigal L. Intra-household allocation of resources in larger and smaller Mexican households. Soc Sci Med. 1993. 36:305–310.
Article
5. Basiotis PP, Lino M. Food insufficiency and prevalence of overweight among adult women. 2002. Accessed on 2/28/2006. http://www.who.int/nut/obs.html/.
6. Bickel G, Nord M, Price C, Hamilton W, Cook J. Guide to measuring household food security, revised 2000. 2000. Alexandria VA: US Department of Agriculture, Food and Nutrition Service.
7. Briefel RR, Woteki CE. Development of Food Sufficiency Questions for Third National Health and Nutrition Examination Survey. Journal of Nutrition Education. 1992. 24:24–28.
8. Cristofar SP, Basiotis PP. Dietary intakes and selected characteristics of women ages 19-50 years and their children ages 1-5 years by reported perception of food sufficiency. J Nutr Educ. 1992. 24:53–58.
Article
9. Davies S. Adaptable livelihoods. Coping with food insecurity in the Malian Sahel. 1996. London. UK: MacMillan Press.
10. De Garine I. Coping strategies in case of hunger in the most vulnerable groups among the Massa and Mussey of Northern Cameroon. GeoJournal. 1993. 30:159–166.
Article
11. Derrickson JP, Sakai M, Anderson J. Interpretations of balanced meal household food security indicator. J Nutr Educ. 2001. 33:155–160.
12. Dixon LB, Winkleby MA, Radimer KL. Dietary intakes and serum nutrients differ between adults from food-insufficient and food-sufficient families: Third National Health and Nutrition Examination Survey, 1988-1994. J Nutr. 2001. 131:1232–1246.
Article
13. Dore AR, Adair LS, Popkin BM. Low income Russian families adopt effective behavioral strategies to maintain dietary stability in times of economic crisis. J Nutr. 2003. 133:3469–3475.
Article
14. Eele G. Indicators for food security and nutrition monitoring: A review of experience from Southern Africa. Food Policy. 1994. 19:314–328.
Article
15. Fartahun M, Berhane Y, Wall S, Byass P, Hogberg U. Women's involvement in household decision making and strengthening social capital are crucial factors for child survival in Ethiopia. Acta Paediatr. 2007. 96:582–589.
16. Frakenberger T, Coyle PE. Integrating household food security into farming systems research/extension. Journal of Farming Systems Research and Extension. 1993. 4:35–65.
17. Gittlesohn J, Mookherji S, Pelto G. Operationalizing household food security in Nepal. Food Nutr Bull. 1998. 19:210–220.
18. Gonzalez W, Jimenez A, Madrigal G, Munoz LM, Frongillo EA. Development and validation of measure of household food insecurity in urban Costa Rica confirms proposed generic questionnaire. J Nutr. 2008. 138:587–592.
Article
19. Gulliford MS, Mahabir D, Rocke B. Food insecurity, food choices and body mass index in adults: nutrition transition in Trinidad and Tobago. International Journal Epidemiology. 2003. 32:508–516.
Article
20. Hindin MJ. Women's input in household decision and their nutritional status in three resource-constrained settings. Public Health Nutr. 2006. 9:485–493.
Article
21. Kaiser LL, Melgar-Quinonez HR, Lamp CL, Johns MC, Sutherlin JM, Harwood JO. Food security and nutritional outcomes of preschool-age Mexican-American. J Am Diet Assoc. 2002. 102:924–929.
22. Kendall A, Olson CM, Frongillo EA. Relationship of hunger and food insecurity to food availability and consumption. J Am Diet Assoc. 1996. 96:1019–1024.
Article
23. Khor GL, Zalilah MS. Dual forms of malnutrition in the same households in Malaysia - a case study among Malay rural households. Asia Pac J Clin Nutr. 2003. 12:427–438.
24. Lee JS, Frongillo EA. Nutritional and health consequences are associated with food insecurity among U.S. elderly persons. J Nutr. 2001. 131:1503–1509.
Article
25. Life Science Research Office. Federation of American Societies for Experimental Biology. Core indicators of nutritional state for difficult to sample populations. J Nutr. 1990. 120:1559–1600.
26. Lino M. Income and spending of poor households with children. Family Economics and Nutrition Review. 1996. 9:2–13.
27. Lorenzana P, Sanjur D. Abbreviated measures of food insufficiency validly estimate the food security level of poor households: measuring household food security. J Nutr. 1999. 129:687–692.
Article
28. Malaysian Department of Statistics. Report on the household expenditure survey 1998/1999. 2000. Kuala Lumpur. Malaysia: Department of Statistics.
29. Maxwell D, Ahiadeke C, Levin C, Armar-Klemesu M, Zakariah A, Lamptey GM. Alternative food security indicators - revisiting the frequency and severity of coping strategies. Food Policy. 1999. 24:411–429.
Article
30. Maxwell DG. Measuring food insecurity: the frequency and severity of coping strategies. Food Policy. 1996. 21:291–303.
Article
31. Maxwell S, Frakenberger T. A Technical Review. Household food security: Concepts, indicators, measurements. 1992. New York and Rome: UNICEF and IFAD.
32. Myntti C. Social determinants of child health in Yemen. Soc Sci Med. 1993. 37:233–240.
Article
33. Discussion paper on household and individual food insecurity. Office of Nutrition Policy and Promotion at Health Canada. 2002. Accessed on 4/14/2006. http://www.hc-sc.gc.ca/hpfb-dgpsa/onpp.
34. Oh SY, Hong MJ. Food insecurity is associated with dietary intake and body size of Korean children from low-income families in urban areas. Eur J Clin Nutr. 2003. 57:1598–1604.
Article
35. Olson CM. Nutrition and health outcomes associated with food insecurity. J Nutr. 1999. 129:521S–524S.
36. Olson CM, Rauschenbach BS, Frongillo EA, Kendall A. Factors contributing to household food insecurity in rural upstate New York. Family Economics and Nutrition Review. 1997. 10:2–17.
37. Perez-Escamilla R, Segall-Correa AM, Maranha LK, Archanjo Sampaio MF, Marin-Leon L, Panigassi G. An adapted version of the UD Department of Agriculture Food Insecurity Module is a valid instrument for assessing household food insecurity in Campinas, Brazil. J Nutr. 2008. 134:1923–1928.
38. Pfeiffer J, Gloyd S, Ramirez LL. Intra-household resource allocation and child growth in Mozambique: an ethnographic case-control study. Soc Sci Med. 2001. 53:83–97.
Article
39. Piaseu N. Factors affecting food insecurity among urban poor in Thailand. South African Journal of Clinical Nutrition. 2006. 18:156–160.
Article
40. Quisumbing AR, Brown CR, Feldstein HS, Haddad L, Penn C. Women: the key to food security. Food Nutr Bull. 1996. 17:79–81.
Article
41. Radimer KL, Olson CM, Campbell CC. Development of indicators to assess hunger. J Nutr. 1990. 129:1544–1548.
Article
42. Radimer KL, Olson CM, Greene JC, Campbell CC, Habicht JP. Understanding hunger and developing indicators to assess it in women and children. Journal of Nutrition Education. 1992. 24:36–45.
Article
43. Reid LL. JCPR Working Paper 137. The consequences of food insecurity for child well-being: An analysis of children's school achievement, psychological well-being and health. 2000. Chicago. USA: IL: Joint Center for Poverty Research.
44. Rose D. Economic determinants and dietary consequences of food insecurity in the United States. J Nutr. 1999. 129:517–520.
Article
45. Rose D, Oliveira V. Nutrient intakes of individuals from food-insufficient households in the United States. Am J Public Health. 1997. 87:1956–1961.
Article
46. Rose D, Basiotis PP, Klein BW. Improving federal efforts to assess hunger and food insecurity. Food Review. 1995. January-April. 18–23.
47. Siefert K, Heflin CM, Corcoran ME, Williams DR. Food insufficiency and the physical and mental health of low-income women. Women Health. 2001. 32:159–177.
Article
48. Studdert LJ, Frongillo EA, Valois P. Household food insecurity was prevalent in Java during Indonesia's economic crisis. J Nutr. 2001. 131:2685–2691.
Article
49. Tarasuk VS, Beaton GH. Women's dietary intakes in the context of household food insecurity. J Nutr. 1999. 129:672–679.
Article
50. Watts M, Bohle H. Hunger, famine and the space of vulnerability. GeoJournal. 1993. 30:117–126.
Article
51. Wehler CA, Scott RI, Anderson JJ. Development and testing process of the Community Childhood Hunger Identification Project scaled hunger measure and its application for a general population survey. 1994. Washington DC: Department of Health and Human Services.
52. Welch KJ, Mock N, Netrebenko O. Measuring hunger in the Russian Federation using the Radimer/Cornell hunger scale. Bull World Health Organ. 1998. 76:143–148.
53. Whitaker RC, Phillips SM, Orzol SM. Food insecurity and the risks of depression and anxiety in mothers and behavioral problems in their preschool-aged children. Pediatrics. 2006. 118:859–868.
54. World Bank. Poverty and Hunger: Issues and options for food security in developing countries. 1986. Washington. USA: World Bank.
55. Zamaliah MM, Kandiah M, Khor GL, Tee ES. Socioeconomic profile and nutritional status of children in rubber smallholdings. Asia Pac J Clin Nutr. 2002. 11:133–141.
Article
56. Zalilah MS, Tham BL. Food security and child nutritional status among Orang Asli (Temuan) households in Hulu Langat, Selangor. Med J Malaysia. 2002. 57:36–50.
57. Zalilah MS, Ang M. Assessment of food insecurity among low income households in Kuala Lumpur using the Radimer/Cornell food insecurity instrument - A validation study. Malaysian Journal of Nutrition. 2001. 7:15–32.
58. Zalilah MS. Growth status determinants of school age children from primarily low-income households in the urban area of Kuala Lumpur, Malaysia: A focus on intra-household factors. 1998. Michigan State University of USA;PH.D Dissertation.
59. Zalilah MS, Khor GL. Obesity and household food insecurity: evidence from a sample of rural households in Malaysia. Eur J Clin Nutr. 2005. 59:1049–1058.
Article
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