ArticlePublic health nutrition2019
Household food insecurity is associated with low dietary diversity among pregnant and lactating women in rural Malawi.
Article in Public health nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Household food insecurity associated with gestacional and neonatal outcomes: a systematic review.BMC pregnancy and childbirth · 2020Pooled it
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- Magnitude of Additional Meal Consumption and Associated Factors Among Pregnant Women Attending Antenatal Care at Aleta Wondo Primary Hospital, Sidama Region, Ethiopia.TheScientificWorldJournal · 2026Article
- Assessment of Food Insecurity, Diet Quality, and Mental Health Status Among Syrian Refugee Mothers with Young Children.Healthcare (Basel, Switzerland) · 2025Article
- Determinants of Nurturing Care Behaviours in Malawi: An Ethnographic Study.Maternal & child nutrition · 2025Article
- Dietary Diversity in Pregnant Women and Its Association With Household Food Security in Rural Southern Angola.Maternal & child nutrition · 2025Article
- Determinants of household's dietary diversity during the COVID-19 pandemic: A community-based study in rural Southwestern Bangladesh.PloS one · 2025Article
- Minimum dietary diversity and its determinants among lactating mothers in five Sub-Saharan African countries: A multilevel analysis.PloS one · 2025Article
- Consumption of vitamin A-rich foods among lactating mothers in Girawa district, Eastern Ethiopia.BMC nutrition · 2024Article
- Dietary diversity and iron deficiency anemia among a cohort of singleton pregnancies: a cross-sectional study.BMC public health · 2024Article
- Article
- Inadequate dietary diversity practices and associated factors among pregnant adolescents in the West Arsi Zone, Central Ethiopia: a community-based cross-sectional study.Scientific reports · 2024Article
- Water insecurity is associated with greater food insecurity and lower dietary diversity: panel data from sub-Saharan Africa during the COVID-19 pandemic.Food security · 2024Article
- Article
- Dietary diversity and associated factors among pregnant women attending antenatal care at public hospitals in North Shewa, Oromia, Ethiopia, 2023.Frontiers in nutrition · 2024Article
- Correlates of minimum dietary diversity among pregnant women on antenatal care follow up at public health facility in Puntland, Somalia.Scientific reports · 2023Article
- Human milk immune factors, maternal nutritional status, and infant sex: The INSPIRE study.American journal of human biology : the official journal of the Human Biology Council · 2023Article
- Food security and diet quality in a racially diverse cohort of postpartum women in the USA.The British journal of nutrition · 2023Article
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Authors and funding
11 authors.
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Abstract
objectiveTo examine the association between household food insecurity and dietary diversity in the past 24h (dietary diversity score (DDS, range: 0-9); minimum dietary diversity (MDD, consumption of three or more food groups); consumption of nine separate food groups) among pregnant and lactating women in rural Malawi.
designCross-sectional study.
settingTwo rural districts in Central Malawi. SUBJECTS: Pregnant (n 589) and lactating (n 641) women.
resultsOf surveyed pregnant and lactating women, 66·7 and 68·6 %, respectively, experienced moderate or severe food insecurity and only 32·4 and 28·1 %, respectively, met MDD. Compared with food-secure pregnant women, those who reported severe food insecurity had a 0·36 lower DDS (P<0·05) and more than threefold higher risk (OR; 95 % CI) of not consuming meat/fish (3·19; CI 1·68, 6·03). The risk of not consuming eggs (3·77; 1·04, 13·7) was higher among moderately food-insecure pregnant women. Compared with food-secure lactating women, those who reported mild, moderate and severe food insecurity showed a 0·36, 0·44 and 0·62 lower DDS, respectively (all P<0·05). The risk of not achieving MDD was higher among moderately (1·95; 1·06, 3·59) and severely (2·82; 1·53, 5·22) food-insecure lactating women. The risk of not consuming meat/fish and eggs increased in a dose-response manner among lactating women experiencing mild (1·75; 1·01, 3·03 and 2·81; 1·09, 7·25), moderate (2·66; 1·47, 4·82 and 3·75; 1·40, 10·0) and severe (5·33; 2·63, 10·8 and 3·47; 1·19, 10·1) food insecurity.
conclusionsAddressing food insecurity during and after pregnancy needs to be considered when designing nutrition programmes aiming to increase dietary diversity in rural Malawi.
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