title: Risk factors associated with the presence and severity of food insecurity in rural Honduras.
abstract: OBJECTIVE
  To identify factors associated with the presence and severity of food insecurity among a sample of Honduran caregivers of young children.
  
  
  METHODS
  Cross-sectional study in which the dependent variable, household food insecurity, was measured using a fourteen-item questionnaire developed and validated in a population of similar cultural context. A predictive modelling strategy used backwards elimination in logistic regression and multinomial logit regression models to compute odds ratios and 95% confidence intervals for food insecurity.
  
  
  METHODS
  Rural Honduras in the department of Intibucá, between March and April 2009.
  
  
  METHODS
  Two-hundred and ninety-eight Honduran caregivers of children aged 6-18 months.
  
  
  RESULTS
  Ninety-three per cent of households were classified as having some degree of food insecurity (mild, moderate or severe). After controlling for caregiver age and marital status, compared with caregivers with more than primary-school education, those with less than primary-school education had 3·47 (95% CI 1·34, 8·99) times the odds of severe food insecurity and 2·29 (95% CI 1·00, 5·25) times the odds of moderate food insecurity. Our results also found that child anthropometric status was not associated with the presence or severity of food insecurity.
  
  
  CONCLUSIONS
  These results show that among the sociodemographic factors assessed, food insecurity in rural Honduras is associated with maternal education. Understanding key factors associated with food insecurity that are unique to Honduras can inform the design of interventions to effectively mitigate the negative impact of food insecurity on children.
authors.affiliation: 1 Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine, The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
authors.forename: Maureen E
authors.initials: ME
authors.lastname: Ben-Davies
authors.affiliation: 3 Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Alan
authors.initials: A
authors.lastname: Kinlaw
authors.affiliation: 4 Department of Nutrition, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Yaniré
authors.initials: Y
authors.lastname: Estrada Del Campo
authors.affiliation: 4 Department of Nutrition, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Margaret E
authors.initials: ME
authors.lastname: Bentley
authors.affiliation: 3 Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Anna Maria
authors.initials: AM
authors.lastname: Siega-Riz
mesh_terms: D000328:Adult; D000886:Anthropometry; D017028:Caregivers; D003430:Cross-Sectional Studies; D005191:Family Characteristics; D005260:Female; D005523:Food Supply; D006721:Honduras; D006801:Humans; D007223:Infant; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D009752:Nutritional Status; D012307:Risk Factors; D012424:Rural Population; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
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