title: Relationship of household food insecurity to anaemia in children aged 6-59 months among families in rural Indonesia.
abstract: BACKGROUND
  Anaemia is a significant global public health problem in developing countries with adverse health effects on young children. Household food insecurity, which reflects a household's access, availability and utilisation of food, has not been  well characterised in relation to anaemia in children.
  
  
  OBJECTIVE
  To examine the relationship of household food insecurity with anaemia (Hb <11 g/dl) in children.
  
  
  METHODS
  In a cross-sectional study of 4940 rural households participating in the Indonesian Nutrition Surveillance  System, household food insecurity was measured using a modified 9-item food security questionnaire and related to anaemia in children aged 6-59 months.
  
  
  RESULTS
  The proportion of households with an anaemic child was 56·6%. In households with and without anaemic children,  the mean (SD) food insecurity score was 1·82 (1·72) vs 1·55 (1·54) (p<0·0001), respectively. In a multivariate logistic regression model, food insecurity score was related to anaemia in children (odds ratio 0·77, 95% confidence interval  0·63-0·95, p=0·01) when the highest quintile of food insecurity score was compared with the lowest quintile, adjusting for potential confounders.
  
  
  CONCLUSIONS
  A higher household food insecurity score is associated with greater prevalence  of anaemia in children in rural families in Indonesia.
authors: Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors: A A
authors: AA
authors: Campbell
authors: N
authors: N
authors: Akhter
authors: K
authors: K
authors: Sun
authors: S
authors: S
authors: De Pee
authors: K
authors: K
authors: Kraemer
authors: R
authors: R
authors: Moench-Pfanner
authors: J H
authors: JH
authors: Rah
authors: J
authors: J
authors: Badham
authors: M W
authors: MW
authors: Bloem
authors: R D
authors: RD
authors: Semba
mesh_terms: D000740:Anemia / Q000453:epidemiology*; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D004032:Diet / Q000009:adverse effects*; D005191:Family Characteristics; D005260:Female; D005523:Food Supply / Q000706:statistics & numerical data*; D006801:Humans; D007214:Indonesia; D007223:Infant; D008297:Male; D009752:Nutritional Status; D015995:Prevalence; D012424:Rural Population; D011795:Surveys and Questionnaires