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Instituto Nacional de Salud Pública

2005, Número 6

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salud publica mex 2005; 47 (6)


Validación de un instrumento para vigilar la inseguridad alimentaria en la Sierra de Manantlán, Jalisco

Melgar-Quiñonez H, Zubieta AC, Valdez E, Whitelaw B, Kaiser L

Idioma: Español
Referencias bibliográficas: 71
Paginas: 413-422
Archivo PDF: 168.04 Kb.


RESUMEN

Objetivo. Validar una versión de la Escala de Seguridad Alimentaria (FSS) en comunidades de la Sierra de Manatlán, Jalisco. Material y métodos. Usando grupos focales se modificó la FSS. Posteriormente se aplicó una encuesta a mujeres con niños preescolares. La FSS se validó correlacionándola con el inventario de alimentos del hogar y con la variedad de dieta de la entrevistada. La encuesta incluyó un cuestionario socio-económico. Resultados. El 44% de los hogares indicaron inseguridad alimentaria leve, 33% hambre moderada y 19.7% hambre severa. La inseguridad alimentaria estuvo inversamente correlacionada con el inventario de alimentos (r=-0.36**), alimentos de origen animal (r=-0.28**), lácteos (r=-0.25**), alimentos procesados (r=-0.37**), frutas (r=-0.21*) y verduras (r=-0.28**); *p‹0.05, **p‹ 0.01. La inseguridad alimentaria estuvo asociada a la baja variedad de dieta (r=-0.23; p=0.02). Estas asociaciones se mantuvieron en modelos multivariados. Conclusión. La FSS es un instrumento útil para vigilar la inseguridad alimentaria en zonas rurales de Jalisco.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Anderson SA. Core indicators of nutritional state for difficult-tosample populations. J Nutr 1990; 129:1559-1600.

  2. Campbell CC. Food Security: A nutritional outcome or a predictor variable? J Nutr 1991; 121: 408-415.

  3. Radimer KL, Olson CM, Greene JC, Campbell CC, Habicht JP. Understanding hunger and developing indicators to assess it in women and children. J Nutr Educ 1992; 24: 36S-45S.

  4. Melgar-Quiñonez HR, Zubieta AC, Moermond TC. Seguridad alimentaria en comunidades rurales de América Latina: Diagnóstico cualitativo. XIII Conferencia de la Sociedad Latinoamericana de Nutrición. Acapulco, México, 2003; Poster CNP 373.

  5. Ruel MT. Operationalizing dietary diversity: a review of measurement issues and research priorities. J Nutr 2003; 133:3911S-3926S.

  6. Hoddinott J, Yohannes Y. Dietary diversity as a household food security indicator. Food and Nutrition Technical Assistance Project, Academy for Educational Development, Washington, D.C. 2002; 43.

  7. Tarasuk VS, Beaton GH. Women’s dietary intakes in the context of household food insecurity. J Nutr 1998; 129: 672-679.

  8. Nord M, Andrews M, Carlson S. Household food security in the United States, 2003. Food Assistance and Nutrition Research report; U.S. Department of Agriculture, Food and Consumer Service. Washington, DC. 2004; No 42.

  9. Kendall A, Olson CM, Frongillo EA Jr. Validation of the Radimer/Cornell measures of hunger and food insecurity. J Nutr 1995; 125: 2793-2801.

  10. Frongillo EA Jr. Validation of measures of food insecurity and hunger. J Nutr 1999; 129: 506S-509S.

  11. Hamilton WL, Cook JT, Thompson WW, Buron L, Frongillo EA, Olson C et al. Household food security in the United States in 1995: Executive Summary. Washington, DC: U.S. Department of Agriculture, Food and Consumer Service, 1997.

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  14. Kleinman RE, Murphy JM, Little M, Pagano M, Wehler CA, Regal K et al. Hunger in children in the United States: Potential behavioral and emotional correlates. Pediatrics 1998; 101: E3.

  15. Kaiser, LL, Townsend MS, Melgar-Quiñonez HR, Fujii ML, Crawford, PB. Choice of instrument influences relations between food insecurity and obesity in Latino women. Am J Clin Nutr 2004; 80(5):1372-8.

  16. Olson CM. Nutrition and health outcomes associated with food insecurity and hunger. J Nutr 1999; 129: 521S-524S.

  17. Townsend MS, Love B, Achteberg C, Murphy S. Food insecurity is related to overweight in women. J Nutr 2001; 131: 1738-1745.

  18. Dietz WH. Does hunger cause obesity? Pediatrics 1995; 95: 766-767.

  19. Perez-Escamilla R, Segall-Correa AM, Kurdian-Maranha L, Archanjo-Sampaio MF, Marýn-Leon L, Panigassi G. An Adapted Version of the U.S. Department of Agriculture Food Insecurity Module Is a Valid Tool for Assessing Household Food Insecurity in Campinas, Brazil. J Nutr 2004;134:1923-1928.

  20. Parás P, Pérez-Escamilla R. El rostro de la pobreza: la inseguridad alimentaria en el Distrito Federal. Revista Este País, 2004;158 (Mayo):45-50.

  21. Melgar-Quiñonez HR, Kaiser LL, Martin AC, Metz D, Olivares A. Inseguridad alimentaria en latinos de California: observaciones de grupos focales. Salud Pública Méx 2003;45:198-204.

  22. Kaiser LL, Melgar-Quiñonez HR, Townsend MS, Nicholson Y, Fujii ML, Martin AC et al. Food insecurity and food supplies in Latino households with young children. J Nutr Educ Behav. 2003; 35:148-153.

  23. Kaiser LL, Valdez-Curiel E, Melgar-Quiñonez H, Zubieta AC, Poster: Development of a tool to monitor food insecurity in the Sierra de Manantlán, Mexico. American Public Health Association 131st Annual Meeting. San Francisco, California. 2003.

  24. Perez-Escamilla R, Himmelgreen DA, Ferris A. Community nutritional problems among Latino children in Hartford, Connecticut. Storrs and Hartford, CT; 1997.

  25. Melgar-Quiñonez HR, Zubieta AC, Kaiser LL, Valdez E, Moermond TC. Seguridad alimentaria y disponibilidad de alimentos en hogares del área rural. XIII Conferencia de la Sociedad Latinoamericana de Nutrición. Acapulco, México, 2003; Poster CNP 374.

  26. Kaiser LL, Melgar-Quiñonez H, Lamp C, Sutherlin J, Johns M, Harwood J. Food Security and Nutritional Outcomes of Latino Preschoolers. J Am Diet Assoc 2002; 102(7):924-929.

  27. Frongillo EA, Jr. The use of scaling and indexing to measure the severity of food insecurity. En: Conference on Food Security Measurement and Research. Food and Consumer Service. U.S. Department of Agriculture and National Center for Health Statistics,

  28. Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Washington, DC, 1994.

  29. Bickel G, Nord M, Price C, Hamilton W, Cook J. Guide to measuring household food security. Alexandria VA: U.S. Department of Agriculture, Food and Nutrition Service, 2000.

  30. Beto JA, Sheth G, Rewers P. Assessing food purchase behavior among low-income black and Hispanic clients using a self-reported shelf inventory. J Am Diet Assoc 1997; 97: 69-70.

  31. Ortega MI, Valencia ME. Measuring the intakes of foods and nutrients of marginal populations in North-west Mexico. Public Health Nutr 2002; 5:907-910.

  32. Cristofar SP, Basiotis PP. Dietary intakes and selected characteristics of women ages 19-50 years and their children ages 1-5 years by reported perception of food sufficiency. J Nutr Educ 1992; 24:53-58.

  33. Johnson M, Melgar-Quinonez HR, Zubieta AC. Food security and household food supplies in rural Ecuador. Poter presentation at the Experimental Biology Meeting. FASEB J 2005; 19 (5) Abstract 595.3: A 1023.

  34. Montoya-Puerta EC, Alvarez-Uribe MC, Estrada-Restrepo A, Melgar-Quiñonez HR. Validation of a household food security scalein Antioquia, Colombia. Oral presentation at the Experimental Biology Meeting. FASEB J 2005; 19 (5) Abstract 748.6: A 1350.

  35. Zubieta AC, Melgar-Quinonez HR, Dunford C. Relationship between household food security and food expenditure in Bolivia. Oral presentation at the Experimental Biology Meeting. FASEB J 2005; 19 (5) Abstract 748.7: A 1350.

  36. Pérez-Escamilla R, Parás P, Dolkar T, Melgar-Quiñonez H. The USDA food security module is a valid tool for assessing household food insecurity in Mexico City. Oral presentation at the Experimental Biology Meeting. FASEB J 2005; 19 (5) Abstract 748.4: A 1350.

  37. Anderson SA. Core indicators of nutritional state for difficult-tosample populations. J Nutr 1990; 129:1559-1600.

  38. Campbell CC. Food Security: A nutritional outcome or a predictor variable? J Nutr 1991; 121: 408-415.

  39. Radimer KL, Olson CM, Greene JC, Campbell CC, Habicht JP. Understanding hunger and developing indicators to assess it in women and children. J Nutr Educ 1992; 24: 36S-45S.

  40. Melgar-Quiñonez HR, Zubieta AC, Moermond TC. Seguridad alimentaria en comunidades rurales de América Latina: Diagnóstico cualitativo. XIII Conferencia de la Sociedad Latinoamericana de Nutrición. Acapulco, México, 2003; Poster CNP 373.

  41. Ruel MT. Operationalizing dietary diversity: a review of measurement issues and research priorities. J Nutr 2003; 133:3911S-3926S.

  42. Hoddinott J, Yohannes Y. Dietary diversity as a household food security indicator. Food and Nutrition Technical Assistance Project, Academy for Educational Development, Washington, D.C. 2002; 43.

  43. Tarasuk VS, Beaton GH. Women’s dietary intakes in the context of household food insecurity. J Nutr 1998; 129: 672-679.

  44. Nord M, Andrews M, Carlson S. Household food security in the United States, 2003. Food Assistance and Nutrition Research report; U.S. Department of Agriculture, Food and Consumer Service. Washington, DC. 2004; No 42.

  45. Kendall A, Olson CM, Frongillo EA Jr. Validation of the Radimer/Cornell measures of hunger and food insecurity. J Nutr 1995; 125: 2793-2801.

  46. Frongillo EA Jr. Validation of measures of food insecurity and hunger. J Nutr 1999; 129: 506S-509S.

  47. Hamilton WL, Cook JT, Thompson WW, Buron L, Frongillo EA, Olson C et al. Household food security in the United States in 1995: Executive Summary. Washington, DC: U.S. Department of Agriculture, Food and Consumer Service, 1997.

  48. Rose D, Oliviera V. Validation of a self-reported measure of household food insufficiency with nutrient intake data. Washington, DC: US Department of Agriculture, 1997; 1-13.

  49. Kendall A, Olson CM, Frongillo EA Jr. Relationship of hunger and food security to food availability and consumption. J Am Diet Assoc 1996; 6: 1019-1024.

  50. Kleinman RE, Murphy JM, Little M, Pagano M, Wehler CA, Regal K et al. Hunger in children in the United States: Potential behavioral and emotional correlates. Pediatrics 1998; 101: E3.

  51. Kaiser, LL, Townsend MS, Melgar-Quiñonez HR, Fujii ML, Crawford, PB. Choice of instrument influences relations between food insecurity and obesity in Latino women. Am J Clin Nutr 2004; 80(5):1372-8.

  52. Olson CM. Nutrition and health outcomes associated with food insecurity and hunger. J Nutr 1999; 129: 521S-524S.

  53. Townsend MS, Love B, Achteberg C, Murphy S. Food insecurity is related to overweight in women. J Nutr 2001; 131: 1738-1745.

  54. Dietz WH. Does hunger cause obesity? Pediatrics 1995; 95: 766-767.

  55. Perez-Escamilla R, Segall-Correa AM, Kurdian-Maranha L, Archanjo-Sampaio MF, Marýn-Leon L, Panigassi G. An Adapted Version of the U.S. Department of Agriculture Food Insecurity Module Is a Valid Tool for Assessing Household Food Insecurity in Campinas, Brazil. J Nutr 2004;134:1923-1928.

  56. Parás P, Pérez-Escamilla R. El rostro de la pobreza: la inseguridad alimentaria en el Distrito Federal. Revista Este País, 2004;158 (Mayo):45-50.

  57. Melgar-Quiñonez HR, Kaiser LL, Martin AC, Metz D, Olivares A. Inseguridad alimentaria en latinos de California: observaciones de grupos focales. Salud Pública Méx 2003;45:198-204.

  58. Kaiser LL, Melgar-Quiñonez HR, Townsend MS, Nicholson Y, Fujii ML, Martin AC et al. Food insecurity and food supplies in Latino households with young children. J Nutr Educ Behav. 2003; 35:148-153.

  59. Kaiser LL, Valdez-Curiel E, Melgar-Quiñonez H, Zubieta AC, Poster: Development of a tool to monitor food insecurity in the Sierra de Manantlán, Mexico. American Public Health Association 131st Annual Meeting. San Francisco, California. 2003.

  60. Perez-Escamilla R, Himmelgreen DA, Ferris A. Community nutritional problems among Latino children in Hartford, Connecticut. Storrs and Hartford, CT; 1997.

  61. Melgar-Quiñonez HR, Zubieta AC, Kaiser LL, Valdez E, Moermond TC. Seguridad alimentaria y disponibilidad de alimentos en hogares del área rural. XIII Conferencia de la Sociedad Latinoamericana de Nutrición. Acapulco, México, 2003; Poster CNP 374.

  62. Kaiser LL, Melgar-Quiñonez H, Lamp C, Sutherlin J, Johns M, Harwood J. Food Security and Nutritional Outcomes of Latino Preschoolers. J Am Diet Assoc 2002; 102(7):924-929.

  63. Frongillo EA, Jr. The use of scaling and indexing to measure the severity of food insecurity. En: Conference on Food Security Measurement and Research. Food and Consumer Service. U.S. Department of Agriculture and National Center for Health Statistics, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Washington, DC, 1994.

  64. Bickel G, Nord M, Price C, Hamilton W, Cook J. Guide to measuring household food security. Alexandria VA: U.S. Department of Agriculture, Food and Nutrition Service, 2000.

  65. Beto JA, Sheth G, Rewers P. Assessing food purchase behavior among low-income black and Hispanic clients using a self-reported shelf inventory. J Am Diet Assoc 1997; 97: 69-70.

  66. Ortega MI, Valencia ME. Measuring the intakes of foods and nutrients of marginal populations in North-west Mexico. Public Health Nutr 2002; 5:907-910.

  67. Cristofar SP, Basiotis PP. Dietary intakes and selected characteristics of women ages 19-50 years and their children ages 1-5 years by reported perception of food sufficiency. J Nutr Educ 1992; 24:53-58.

  68. Johnson M, Melgar-Quinonez HR, Zubieta AC. Food security and household food supplies in rural Ecuador. Poter presentation at the Experimental Biology Meeting. FASEB J 2005; 19 (5) Abstract 595.3: A 1023.

  69. Montoya-Puerta EC, Alvarez-Uribe MC, Estrada-Restrepo A, Melgar-Quiñonez HR. Validation of a household food security scalein Antioquia, Colombia. Oral presentation at the Experimental Biology Meeting. FASEB J 2005; 19 (5) Abstract 748.6: A 1350.

  70. Zubieta AC, Melgar-Quinonez HR, Dunford C. Relationship between household food security and food expenditure in Bolivia. Oral presentation at the Experimental Biology Meeting. FASEB J 2005; 19 (5) Abstract 748.7: A 1350.

  71. Pérez-Escamilla R, Parás P, Dolkar T, Melgar-Quiñonez H. The USDA food security module is a valid tool for assessing household food insecurity in Mexico City. Oral presentation at the Experimental Biology Meeting. FASEB J 2005; 19 (5) Abstract 748.4: A 1350.




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