Inequalities in food consumption the Colombian householdsResults from the National Survey of Nutritional Status

  1. Laura Inés González-Zapata
  2. Sandra L. Restrepo-Mesa
  3. Lorena Mancilla-López
  4. Diana Sepúlveda-Herrera
  5. Alejandro Estrada-Restrepo
Zeitschrift:
Hacia la promoción de la salud

ISSN: 2462-8425 0121-7577

Datum der Publikation: 2021

Ausgabe: 26

Nummer: 1

Seiten: 98-117

Art: Artikel

DOI: 10.17151/HPSAL.2021.26.1.9 DIALNET GOOGLE SCHOLAR

Andere Publikationen in: Hacia la promoción de la salud

Zusammenfassung

Abstract Introduction: adverse socioeconomic conditions may cause food intake characterized by inequality that derives in malnutrition increases. Objective. To identify inequalities in food consumption among the Colombian population according to socioeconomic status and the food security classification for households. Methods. The data were obtained from the 2005 National Survey of Nutritional Status, and the analysis used the first 24-hour recall n=39,413 Colombians. The statistical analysis took into account descriptive statistics and 95% confidence intervals. A multivariate analysis was performed through multinomial logistic regression models, with each of the food groups as a dependent variable. Finally, a latent class analysis was performed to understand the heterogeneity of the inequalities in food consumption in the households. Results. Low-socioeconomic status households showed higher consumption of cereals, tubers and plantains, non-alcoholic beverages, and fats. I contrast, higher socioeconomic status households showed higher consumption of dairy products, fruit, vegetables, and sugars/sweets. The food security classification found that food-secure households had a higher consumption of meat, dairy, vegetables, fruit, and sugars/sweets. Households classified as food-insecure showed a higher consumption of cereals, tubers and plantains, and non-alcoholic beverages. The consumption of tubers and plantains showed a clear social gradient, in higher socioeconomic status there was lower consumption probability of those products. Conclusion. There are inequalities in food consumption in Colombia according to socioeconomic status and the food security classification; therefore, people and families with the most unfavorable socioeconomic status have diets with less nutritional value.

Bibliographische Referenzen

  • González, L,Estrada, A,Álvarez, L,Álvarez, C,Serra, L. (2011). Exceso de peso, aspectos económicos, políticos y sociales en el mundo: un análisis ecológico. Cad Saude Pública. 27. 1746
  • (2014). WHO Global status report on noncommunicable diseases 2014. WHO.
  • (2017). FAO/OPS/OMS Panorama de la Seguridad Alimentaria y Nutricional en América Latina y el Caribe. Sistemas alimentarios sostenibles para poner fin al hambre y la malnutrición. FAO/OPS/OMS. Santiago.
  • (2020). Departamento Administrativo Nacional de Estadísticas -DANE-. Boletín técnico. Pobreza monetaria en Colombia, año 2019.
  • Whitehead, M. (1991). The concepts and principles of equity and health. Health Promot Int. 6. 217
  • Lee, H,Kim, D,Lee, S,Fawcett, J. (2020). The concepts of health inequality, disparities and equity in the era of population health. Appl Nurs Res. 56.
  • Brunner, EJ,Welch, AA. (2018). Public Health Nutrition. John Wiley. United Kingdom.
  • Cristine Pessoa, M,Loures Mendes, L,Teixeira Caiaffa, W,Carvalho Malta, D,Velásquez Meléndez, G. (2014). Availability of food stores and consumption of fruit, legumes and vegetables in a Brazilian urban area. Nutr Hosp. 31. 1438
  • (2006). Instituto Colombiano de Bienestar Familiar Encuesta Nacional de la Situación Nutricional en Colombia 2005. Instituto Colombiano de Bienestar Familiar. Bogotá D.C..
  • (2011). Instituto Colombiano de Bienestar Familiar Encuesta Nacional de la Situación Nutricional en Colombia 2010. Instituto Colombiano de Bienestar Familiar. Bogotá D.C..
  • Sharkey, J,Dean, W,Johnson, C. (2011). Association of household and community characteristics with adult and child food insecurity among Mexican-Origin households in Colonias along the Texas-Mexico border. Int J Equity Health. 10. 19
  • Álvares, L,Amaral, T. (2014). Food insecurity and associated factors in the Portuguese population. Food Nutrition Bull. 35. 395-402
  • Mello, J,Gans, K,Risica, P,Kirtania, U,Strolla, L,Fournier, L. (2010). How is food insecurity associated with dietary behaviors? An analysis with low-income, ethnically diverse participants in a nutrition intervention study. J Am Diet Assoc. 110. 1906
  • (2006). Instituto Colombiano de Bienestar Familiar Encuesta Nacional de la Situación Nutricional en Colombia 2005. Instituto Colombiano de Bienestar Familiar. Bogotá D.C..
  • Manjarrés, L. (2007). Métodos para precisar la recolección de la ingesta en estudios poblacionales. Perspec Nutr Humana. 9. 155
  • (2016). Departamento Nacional de Planeación. Declaración de importancia estratégica del sistema de identificación de potenciales beneficiarios (SISBEN IV). 60
  • Álvarez, M,Estrada, A,Montoya, E,Melgar, H. (2006). Validación de la escala de seguridad alimentaria doméstica en Antioquia, Colombia. Salud Pública México. 48. 474
  • Agresti, A. (2013). Categorical data analysis. Wiley and Sons. New Jersey.
  • Kleinbaum, DG,Klein, M. (2010). Logistic regression. A self-learning text. Springer. New York.
  • Nylund Gibson, K,Choi, A. (2018). Ten Frequently Asked Questions about latent class analysis. Transl Issues Psychol Sci. 4. 460
  • Drew, A,Jeffrey, B. (2011). poLCA: An R package for polytomous variable latent class analysis. J Stat Softw. 42. 1-29
  • Bragança, A,Dias de Aguiar, D,Aparecida, E. (2009). Padrão de consumo de alimentos no Brasil. Rev Econ Sociol Rural. 47. 335
  • Giacomo, D,Miguel, M,Calçada, M,Vieira, C,Wolf, A,Passarelli, C. (2004). Consumo Alimentar de famílias de baixa renda no município de Piracicaba/SP. Saúde Rev Piracicaba. 6. 63-70
  • Bermúdez, O,Palma, P. (2008). Consumo de Alimentos y Patrones Dietéticos de la Población de Nicaragua.
  • Álvarez, LS,Mancilla, L,González, LI. (2010). Perfil Alimentario y Nutricional de Medellín 2010. Alcaldía de Medellín. Medellín.
  • Prada, G,Herrán, O,Ortiz, R. (2008). Patrón alimentario y acceso a los alimentos en familias desplazadas en el municipio de Girón, Santander, Colombia. Rev Panam Salud Publica. 23. 257
  • Fisher, J,Johnson, DS,Smeeding, TM. (2015). Inequality of income and consumption in the U.S.: measuring the trends in inequality from 1984 to 2011 for the same individuals. Review of Income and Wealth. 61. 630
  • Darmon, N,Drewnowski, A. (2015). Contribution of food prices and diet cost to socioeconomic disparities in diet quality and health: a systematic review and analysis. Nutrition Reviews. 73. 643
  • de Mestral, C,Chatelan, A,Marques Vidal, P,Stringhini, S,Bochud, M. (2019). The contribution of diet quality to socioeconomic inequalities in obesity: a population-based study of swiss adults. Nutrients. 11.
  • Miller, V,Yusuf, S,Chow, CK,Dehghan, M,Corsi, DJ,Lock, K. (2016). Availability, affordability, and consumption of fruits and vegetables in 18 countries across income levels: findings from the Prospective Urban Rural Epidemiology (PURE) study. Lancet Glob Health. 4. 695-703
  • Kovalskys, I,Rigotti, A,Koletzko, B,Fisberg, M,Gómez, G,Herrera-Cuenca, M. (2019). Latin American consumption of major food groups: Results from the ELANS study. PLoS ONE. 14.
  • Valencia Valero, RG,Ortiz Hernández, L. (2014). Disponibilidad de alimentos en los hogares mexicanos de acuerdo con el grado de inseguridad alimentaria. Salud Pública Mex. 56. 154
  • Haddad, L,Achadi, E,Bendech, MA,Ahuja, A,Bhatia, K,Bhutta, Z. (2015). The Global Nutrition Report 2014: actions and accountability to accelerate the world’s progress on nutrition. J Nutr. 145. 663
  • Mancilla López, LP,Molina Marín, G. (2018). Algunos planteamientos teóricos frente a los programas de transferencias condicionadas y el derecho a la alimentación. Hacia promoc. Salud. 23. 137
  • Morón, C,Alonso, L,Crovetto, M. (2005). Cambios en la estructura del con sumo de alimentos y nutrientes de América Latina 1979-1981 a 1999-2001. Organización de las Naciones Unidas para la Agricultura y la Alimentación (FAO). Santiago de Chile.
  • Mancilla, L,Conde, A. (2011). Observatorio de Seguridad Alimentaria y Nutricional: componentes y lineamientos para su implementación. Universidad de Antioquia. Medellín.
  • Marmot, M,Bell, R. (2019). Social determinants and non-communicable diseases: time for integrated action. BMJ. 364. 251
  • Braveman, P,Gottlieb, L. (2014). The social determinants of health: it’s time to consider the causes of the causes. Public Health Rep. 129. 19-31
  • Rodríguez Takeuchi, L,Imai, KS. (2013). Food price surges and poverty in urban Colombia: New evidence from household survey data. Food Policy. 43. 227
  • Poblacion, AP,Cook, JT,Marín León, L,Segall Corrêa, AM,Silveira, JA,Konstantyner, T,Taddei, JA. (2016). Food insecurity and the negative impact on Brazilian children’s health-why does food security matter for our future prosperity? Brazilian National Survey (PNDS 2006/07). Food Nutr Bull. 37. 585