ArticleThe Journal of nutrition2021
Food Crop Diversity, Women's Income-Earning Activities, and Distance to Markets in Relation to Maternal Dietary Quality in Tanzania.
Article in The Journal of nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed.
- Obesity in Tanzanian Youth (15-35 Years): From Nutrition Transition to Policy Action-A Scoping Review.Nutrients · 2025Article
- Association of socio-economic environment and women's empowerment with daily fruit and vegetable intake in Latin American cities: a multilevel study.BMC public health · 2025Article
- The Association Between an Individual's Local Food Environment and Diet Quality among Postpartum Women Living in Rural Bangladesh.Current developments in nutrition · 2025Article
- Food purchase diversity is associated with market food diversity and diets of children and their mothers but not fathers in rural Tanzania: Results from the EFFECTS baseline survey.Maternal & child nutrition · 2025Article
- Community perspectives on maternal dietary diversity in rural Kenya, Mozambique and The Gambia: A PRECISE Network qualitative study.PLOS global public health · 2025Article
- The interplay and correlates of agricultural (Farm) and non-agricultural activities to food diversity - linkages to health expenditure.Asian journal of agriculture and rural development · 2025Article
- Article
- Changes in urbanicity and household availability of and proximity to food vendors from 2004 to 2020 in a rural district of northwestern Bangladesh.Health & place · 2024Article
- Dietary diversity and its determinants among women of reproductive age residing in the urban area of Nouakchott, Mauritania.BMC public health · 2024Article
- Dietary quality and risk of heart failure in men.The American journal of clinical nutrition · 2022Article
- Does online food shopping boost dietary diversity? Application of an endogenous switching model with a count outcome variable.Agricultural and food economics · 2022Article
- Impact of COVID-19 on Nutrition, Food Security, and Dietary Diversity and Quality in Burkina Faso, Ethiopia and Nigeria.The American journal of tropical medicine and hygiene · 2021Article
- Food Systems as Drivers of Optimal Nutrition and Health: Complexities and Opportunities for Research and Implementation.Current developments in nutrition · 2021Article
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Authors and funding
12 authors.
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Abstract
backgroundWomen's dietary diversity and quality are limited in low- and middle-income countries (LMICs). Nutrition-sensitive interventions that promote food crop diversity and women's access to income could improve diets and address the double burden of malnutrition in LMICs.
objectivesWe examined the associations among food crop diversity and women's income-earning activities with women's diet quality, as well as effect modification by access to markets, in the context of small-holder food production in rural Tanzania.
methodsData from a cross-sectional study of 880 women from Rufiji, Tanzania, were analyzed. Women's dietary intake was assessed using a food frequency questionnaire. The prime diet quality score (PDQS; 21 food groups; range, 0-42), a unique diet-quality metric for women that captures the healthy and unhealthy aspects of diet, was computed. Generalized estimating equation linear models were used to evaluate the associations of food crop diversity and women's income-earning activities with PDQS, while controlling for socio-economic factors.
resultsMaternal overweight (24.3%) and obesity (13.1%) were high. The median PDQS was 19 (IQR, 17-21). Households produced 2.0 food crops (SD ± 1.0) yearly. Food crop diversity was positively associated with PDQS (P < 0.001), but the association was strengthened by proximity to markets (P for interaction = 0.02). For women living close (<1.1 km) to markets, producing 1 additional food crop was associated with a 0.67 (95% CI, 0.22-1.12) increase in PDQS, versus a 0.40 (95% CI, 0.24-0.57) increase for women living farther away. The PDQS increased with women's salaried employment (estimate, 0.96; 95% CI, 0.26-1.67).
conclusionsHousehold food production may interact with access to markets for sales and purchases, while nonfarm income also improves women's diet quality in rural Tanzania. Programs to improve women's diet quality should consider improving market access and women's access to income (source of empowerment), in addition to diversifying production.
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