Evidence map›Paper›PMID 33883156›Full record

ArticleBMJ open2021

Impact of COVID-19 on household food insecurity and interlinkages with child feeding practices and coping strategies in Uttar Pradesh, India: a longitudinal community-based study.

Phuong Hong Nguyen, Shivani Kachwaha, Anjali Pant, Lan M Tran, Sebanti Ghosh, Praveen Kumar Sharma, Vishal Dev Shastri, Jessica Escobar-Alegria, Rasmi Avula, Purnima Menon

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
24.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 97 citations in OpenAlex.

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  17. COVID-19 induced shocks and its implications for human capital development.International journal for equity in health · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Phuong Hong NguyenPoverty, Health and Nutrition Division, International Food Policy Research Institute, Washington, District of Columbia, USA P.H.Nguyen@cgiar.org.ORCID 0000-0003-3418-1674
Shivani KachwahaPoverty, Health and Nutrition Division, International Food Policy Research Institute, New Delhi, India.
Anjali PantPoverty, Health and Nutrition Division, International Food Policy Research Institute, New Delhi, India.
Lan M TranAlive & Thrive, FHI Solutions, Hanoi, Vietnam.
Sebanti GhoshAlive & Thrive, FHI Solutions, New Delhi, India.
Praveen Kumar SharmaAlive & Thrive, FHI Solutions, New Delhi, India.
Vishal Dev ShastriAlive & Thrive, FHI Solutions, New Delhi, India.ORCID 0000-0002-5586-491X
Jessica Escobar-AlegriaAlive & Thrive, FHI Solutions, Washington, District of Columbia, USA.
Rasmi AvulaPoverty, Health and Nutrition Division, International Food Policy Research Institute, New Delhi, India.
Purnima MenonPoverty, Health and Nutrition Division, International Food Policy Research Institute, New Delhi, India.
Family Health International 360 · USInternational Food Policy Research Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe COVID-19 pandemic has profound negative impacts on people's lives, but little is known on its effect on household food insecurity (HFI) in poor setting resources. This study assessed changes in HFI during the pandemic and examined the interlinkages between HFI with child feeding practices and coping strategies.

designA longitudinal survey in December 2019 (in-person) and August 2020 (by phone).

settingCommunity-based individuals from 26 blocks in 2 districts in Uttar Pradesh, India.

participantsMothers with children <2 years (n=569). MAIN OUTCOMES AND ANALYSES: We measured HFI by using the HFI 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.

resultsHFI increased sharply from 21% in December 2019 to 80% in August 2020, with 62% households changing the status from food secure to insecure over this period. Children in newly or consistently food-insecure households were less likely to consume a diverse diet (adjusted OR, AOR 0.57, 95% CI 0.34 to 0.95 and AOR 0.51, 95% CI 0.23 to 1.12, respectively) compared with those in food-secure households. Households with consistent food insecurity were more likely to engage in coping strategies such as reducing other essential non-food expenditures (AOR 2.2, 95% CI 1.09 to 4.24), borrowing money to buy food (AOR 4.3, 95% CI 2.31 to 7.95) or selling jewellery (AOR 5.0, 95% CI 1.74 to 14.27) to obtain foods. Similar findings were observed for newly food-insecure households.

conclusionsThe COVID-19 pandemic and its lockdown measures posed a significant risk to HFI which in turn had implications for child feeding practices and coping strategies. Our findings highlight the need for further investment in targeted social protection strategies and safety nets as part of multisectoral solutions to improve HFI during and after COVID-19.

Indexed as

COVID-19Food InsecurityAdaptation, PsychologicalChildCommunicable Disease ControlCross-Sectional StudiesFamily CharacteristicsFemaleFood SupplyHumansIndiaLongitudinal StudiesPandemicsSARS-CoV-2COVID-19nutritionpublic health

Identifiers

PMID33883156
PMCPMC8061560
OpenAlexW3155276266

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.