dc.contributor
Institut Català de la Salut
dc.contributor
[Martin‐Cañavate R] Centro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid, Madrid, Spain. Escuela Internacional de Doctorado, Universidad Nacional de Educación a Distancia, Madrid, Madrid, Spain. [Trigo E, Aguado I, Marques T, Molina I] Unitat de Medicina Tropical, Servei de Malalties Infeccioses, Vall d’Hebron Hospital Universitari, Barcelona, Spain. PROSICS Barcelona, Barcelona, Spain. [Romay‐Barja M] Centro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid, Madrid, Spain. [Faria LM] Fundo Apoio Social ‐Local Development Institute, Avenida Pedro de Castro Vandunem, Luanda, Luanda, Angola. [Silva Gerardo A] Faculdade de Medicina da Universidade Mandume Ya Ndemufayo, Bairro Comercial, Lubango, Huíla, Angola
dc.contributor
Vall d'Hebron Barcelona Hospital Campus
dc.contributor.author
Faria, Lourdes Maria
dc.contributor.author
Silva Gerardo, Ana
dc.contributor.author
Aguado, Isabel
dc.contributor.author
MARQUES, TAYNÁ
dc.contributor.author
Martin-Cañavate, Rocio
dc.contributor.author
Trigo Esteban, Elena
dc.contributor.author
Romay-Barja, Maria
dc.contributor.author
Molina Romero, Israel
dc.date.accessioned
2025-10-31T04:46:25Z
dc.date.available
2025-10-31T04:46:25Z
dc.date.issued
2025-10-30T09:26:08Z
dc.date.issued
2025-10-30T09:26:08Z
dc.identifier
Martin-Cañavate R, Trigo E, Romay-Barja M, Faria LM, Silva Gerardo A, Aguado I, et al. Dietary Diversity in Pregnant Women and Its Association With Household Food Security in Rural Southern Angola. Matern Child Nutr. 2025 Oct;21(4):e70051.
dc.identifier
http://hdl.handle.net/11351/13976
dc.identifier
10.1111/mcn.70051
dc.identifier
001500381100001
dc.identifier.uri
http://hdl.handle.net/11351/13976
dc.description.abstract
Angola; Food insecurity experience scale; Household dietary diversity score
dc.description.abstract
Angola; Escala de experiencia de inseguridad alimentaria; Puntuación de diversidad dietética en el hogar
dc.description.abstract
Angola; Escala d'experiència d'inseguretat alimentària; Puntuació de diversitat dietètica a la llar
dc.description.abstract
Dietary diversity in pregnant women is key for maternal health and newborn growth and development. Food insecurity is one of the determinants of poor quality diets and can be measured by several indicators, but evidence of its association with dietary diversity in pregnant women is limited. We assessed the effect of food insecurity measured by the Food Insecurity Experience Scale (FIES) and by the household dietary diversity score (HDDS) on pregnant women's dietary diversity score in four rural areas of South Angola, using the baseline survey data of the MuCCUA trial ("Mother and Child Chronic Undernutrition in Angola" study). We constructed separate estimation models for each food insecurity indicator and adjusted for confounders on the overall sample and by "commune". Among 1379 pregnant women, only 6.7% met the minimum dietary diversity for women, 78.3% of the households experienced moderate/severe food insecurity as measured by FIES and 73.8% showed food insecurity reflected by a low HDDS. Significant negative effects were found between food insecurity measured by low HDDS and pregnant women's dietary diversity after adjusting for confounders, in all the models. Experiencing moderate/severe food insecurity as measured by FIES (FIESmodsev) also had a negative effect on pregnant women's dietary diversity overall, but the effect was only maintained in two communes. Results were similar for severe food insecurity (FIESsev) but effect was lost after adjusting for confounders in three communes. Although low HDDS, FIESmodsev and FIESsev showed similar prevalences of food insecurity, their impact on pregnant women's dietary diversity was different in terms of strength and significance. Addressing food insecurity should be considered when designing multifaceted interventions for improving dietary diversity in pregnant women. Trial registration: Clinical Trials NCT05571280. Registered 7 October 2022.
dc.description.abstract
This study was supported by Directorate‐General for Development and Cooperation‐ EuropeAid (FED/2020/418‐106).
dc.format
application/pdf
dc.relation
Maternal & Child Nutrition;21(4)
dc.relation
https://doi.org/10.1111/mcn.70051
dc.rights
Attribution 4.0 International
dc.rights
http://creativecommons.org/licenses/by/4.0/
dc.rights
info:eu-repo/semantics/openAccess
dc.subject
Seguretat alimentària
dc.subject
Població rural
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HEALTH CARE::Population Characteristics::Population::Rural Population
dc.subject
PHENOMENA AND PROCESSES::Reproductive and Urinary Physiological Phenomena::Reproductive Physiological Phenomena::Reproduction::Pregnancy
dc.subject
PHENOMENA AND PROCESSES::Physiological Phenomena::Diet, Food, and Nutrition::Food
dc.subject
PHENOMENA AND PROCESSES::Physiological Phenomena::Diet, Food, and Nutrition::Nutritional Physiological Phenomena::Diet
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PUBLIC HEALTH::Nutrition, Public Health::Nutrition Programs and Policies::Food and Nutrition Security
dc.subject
ATENCIÓN DE SALUD::Características de la Población::Población::población rural
dc.subject
FENÓMENOS Y PROCESOS::fenómenos fisiológicos reproductivos y urinarios::fenómenos fisiológicos de la reproducción::reproducción::embarazo
dc.subject
FENÓMENOS Y PROCESOS::fenómenos fisiológicos::dieta, alimentación y nutrición::alimentos
dc.subject
FENÓMENOS Y PROCESOS::fenómenos fisiológicos::dieta, alimentación y nutrición::fenómenos fisiológicos nutricionales::dieta
dc.subject
SALUD PÚBLICA::nutrición en salud pública::programas y políticas de nutrición::seguridad alimentaria y nutricional
dc.title
Dietary Diversity in Pregnant Women and Its Association With Household Food Security in Rural Southern Angola
dc.type
info:eu-repo/semantics/article
dc.type
info:eu-repo/semantics/publishedVersion
