title: Household food insecurity and diet diversity after the major 2010 landslide disaster in Eastern Uganda: a cross-sectional survey.
abstract: In 2010, a landslide in Bududa, Eastern Uganda, killed about 350 people and nearly 1000 affected households were resettled in Kiryandongo, Western Uganda. A cross-sectional survey assessed household food insecurity and diet diversity among 1078 affected and controls. In Bududa, the affected had a lower adjusted mean score of food insecurity than controls - 9·2 (se 0·4) v. 12·3 (se 0·4) (P<0·01)--but higher diet diversity score (DDS) - 7·1 (se 0·1) v. 5·9 (se 0·1) (P<0·01). On controlling for disaster and covariates, recipients of relief food had higher food insecurity - 12·0 (se 0·6) v. 10·4 (se 0·3) (P=0·02)--whereas farmers had higher DDS - 6·6 (se 0·2) v. 5·6 (se 0·3) (P<0·01). Household size increased the likelihood of food insecurity (OR 1·15; 95% CI 1·00, 1·32; P<0·05) but reduced DDS (OR 0·93; 95% CI 0·87, <1·00; P=0·04). Low DDS was more likely in disaster affected (OR 4·22; 95% CI 2·65, 6·72; P<0·01) and farmers (OR 2·52; 95% CI 1·37, 4·64; P<0·01). In Kiryandongo, affected households had higher food insecurity - 12·3 (se 0·8) v. 2·6 (se 0·8) (P<0·01)--but lower DDS - 5·8 (se 0·3) v. 7·0 (se 0·3) (P=0·02). The latter reduced with increased age (OR 0·99; 95% CI 0·97, 1·00; P<0·05), lowest education (OR 0·54; 95% CI 0·31, 0·93; P=0·03), farmers (OR 0·59; 95 % CI 0·35, 0·98; P=0·04) and asset ownership (OR 0·56; 95% CI 0·39, 0·81; P<0·01). Addressing social protection could mitigate food insecurity.
authors.affiliation: 1Department of Human Nutrition and Home Economics,Kyambogo University,Kampala,Uganda.
authors.forename: Peter M
authors.initials: PM
authors.lastname: Rukundo
authors.affiliation: 3Norwegian Centre for Human Rights, Faculty of Law,University of Oslo,0130 Oslo,Norway.
authors.forename: Bård A
authors.initials: BA
authors.lastname: Andreassen
authors.affiliation: 4School of Food Technology, Nutrition and Bioengineering,Makerere University,PO Box 7062,Kampala,Uganda.
authors.forename: Joyce
authors.initials: J
authors.lastname: Kikafunda
authors.affiliation: 5School of Liberal and Performing Arts,Makerere University,PO Box 7062,Kampala,Uganda.
authors.forename: Byaruhanga
authors.initials: B
authors.lastname: Rukooko
authors.affiliation: 6Faculty of Applied Health Sciences,Oslo and Akershus University College of Applied Sciences,0130 Oslo,Norway.
authors.forename: Arne
authors.initials: A
authors.lastname: Oshaug
authors.affiliation: 2Department of Nutrition,Institute of Basic Medical Sciences,University of Oslo,PO Box 1046 Blindern,0317 Oslo,Norway.
authors.forename: Per Ole
authors.initials: PO
authors.lastname: Iversen
mesh_terms: D000367:Age Factors; D000383:Agriculture; D002648:Child; D003430:Cross-Sectional Studies; D004032:Diet / Q000009:adverse effects* / Q000208:ethnology / Q000523:psychology; D064891:Disaster Victims / Q000523:psychology; D004190:Disasters; D004522:Educational Status; D005191:Family Characteristics / Q000208:ethnology; D005260:Female; D063105:Food Assistance; D005523:Food Supply / Q000191:economics; D006801:Humans; D055876:Landslides; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys; D012959:Socioeconomic Factors; D013312:Stress, Physiological; D013315:Stress, Psychological / Q000191:economics / Q000208:ethnology / Q000209:etiology*; D014454:Uganda; D000078329:Workforce
keywords: DDS diet diversity score; Diet diversity; Household food insecurity; Landslides; Uganda