Food and Water Insecurity and Functional Disability in Adults

JAMA Network Open, Journal Year: 2025, Volume and Issue: 8(3), P. e251271 - e251271

Published: March 20, 2025

Importance Evidence from diverse global populations suggests that household food insecurity (HFI) is associated with adult disability, but the association between water (HWI) and disability remains understudied. Examinations of joint dual HFI HWI are lacking. Objective To explore independent associations functional in Ecuadorian adults. Design, Setting, Participants This cross-sectional study used data 2018 National Health Nutrition Survey, a nationally representative, population-based survey conducted Ecuador. The included adults (aged 18-99 years) information on sociodemographic characteristics, security, status. Data were collected 2 waves survey, November to January 2019 June July 2019. Statistical analysis was performed May December 2024. Exposures HFI, WFI, or both. Main outcomes Measures primary outcome self-reported assessed using Washington Group Short Set Functioning, tool uses set 6 questions measure activity limitations. Results Among 42 071 participants (mean [SE] age, 48.0 [0.1] years; 31 683 male [75.3%]; 1840 African descendant [4.4%], 5184 Indigenous [12.3%], 35 047 Mestizo ethnic majority group [83.3%]), most lived urban areas (26 164 [62.2%]). Exposure only an increased risk for any (adjusted relative [aRR], 1.44; 95% CI, 1.37-1.52), as well sensory (aRR, 1.43; 1.35-1.52), physical 1.56, 1.42-1.72), cognitive 1.78; 1.61-1.98) disabilities. exposure 1.12; 1.06-1.20), 1.17; 1.09-1.25), 1.15; 1.05-1.26), 1.03-1.34) greater increase than alone 1.61; 1.50-1.72), 1.65; 1.52-1.79), 1.72; 1.59-1.87), 2.01; 1.76-2.29) Conclusion Relevance In this study, specific disabilities compared contributions alone. These findings highlight importance addressing jointly rather independently when conducting research other health designing policies programs protect at-risk their households.

Language: Английский

Influences of Maternal, Child, and Household Factors on Diarrhea Management in Ecuador

Children, Journal Year: 2025, Volume and Issue: 12(4), P. 473 - 473

Published: April 7, 2025

Background: Acute diarrheal disease remains a leading cause of childhood morbidity and mortality, particularly among children under five. Despite being preventable treatable, cultural, socioeconomic, familial factors influence home management. This study examined how these shape diarrhea care in Ecuador. Objective: To analyze maternal, child, household characteristics associated with management five years age using data from the 2018 Ecuadorian National Health Nutrition Survey (ENSANUT). Methods: cross-sectional applied logistic regression models to assess various on practices. Results: Maternal education, ethnicity, child’s age, size, urban or rural residence significantly influenced Households 4–6 persons (OR = 1.584, p < 0.05) 7–9 2.006, had higher odds receiving medical care. However, sex, birth order, maternal marital status, socioeconomic status were not significant predictors. Conclusions: Although most received some form healthcare, disparities persisted, education level, residence. These findings highlight need for targeted health literacy programs, culturally tailored interventions, improved water-security initiatives enhance reduce inequities

Language: Английский