Dietary Diversity and Vegetable and Fruit Consumption of Households in a Resource-Poor Peri-Urban South Africa Community Differ by Food Security Status

Ecol Food Nutr. 2017 Jan-Feb;56(1):62-80. doi: 10.1080/03670244.2016.1261024. Epub 2016 Dec 15.

Abstract

Sociodemographic, living standard measure, consumption of vegetables and fruit, and dietary diversity in relation to household food security were assessed. Using a hunger score, households were categorized as food secure (n = 125) or food insecure (n = 273). Food secure respondents had a higher mean dietary diversity score (3.98; 95%CI [3.79, 4.18] versus 3.65; 95% [CI 3.53, 3.77]), were more likely to eat vitamin A-rich foods (OR 1.15; 95% CI [1.05, 1.26]), a more varied diet (DDS ≥ 4, OR 1.90; 95% CI [1.19, 3.13]), and vegetables daily (OR 3.37; 95% CI [2.00, 5.76]). Cost limited daily vegetable/fruit consumption in food insecure households. Respondents with ≥ 8 years of schooling were more likely (OR 2.07; 95% CI [1.22, 3.53]) and households receiving social grants were less likely (OR 0.37; 95% CI [0.19, 0.72]) to be food secure. Results highlight the association between dietary diversity and household food security.

Keywords: Dietary diversity; South Africa; food security; vegetables and fruit.

Publication types

  • Comparative Study

MeSH terms

  • Caregivers / education
  • Cross-Sectional Studies
  • Diet / adverse effects
  • Diet / ethnology
  • Diet / psychology
  • Diet, Healthy* / economics
  • Diet, Healthy* / ethnology
  • Educational Status
  • Family Characteristics* / ethnology
  • Food Supply / economics
  • Fruit* / economics
  • Humans
  • Hunger / ethnology
  • Malnutrition / epidemiology
  • Malnutrition / etiology
  • Malnutrition / prevention & control
  • Nutrition Surveys
  • Patient Compliance* / ethnology
  • Poverty Areas*
  • Risk Factors
  • Schools
  • Socioeconomic Factors
  • South Africa / epidemiology
  • Suburban Health* / economics
  • Suburban Health* / ethnology
  • Vegetables* / economics