Status and determinants of intra-household food allocation in rural Nepal

Background/objectives Understanding of the patterns and predictors of intra-household food allocation could enable nutrition programmes to better target nutritionally vulnerable individuals. This study aims to characterise the status and determinants of intra-household food and nutrient allocation i...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:European journal of clinical nutrition 2018-11, Vol.72 (11), p.1524-1536
Hauptverfasser: Harris-Fry, Helen A., Paudel, Puskar, Shrestha, Niva, Harrisson, Tom, Beard, B. James, Jha, Sonali, Shrestha, Bhim P., Manandhar, Dharma S., Costello, Anthony M. D. L., Cortina-Borja, Mario, Saville, Naomi M.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1536
container_issue 11
container_start_page 1524
container_title European journal of clinical nutrition
container_volume 72
creator Harris-Fry, Helen A.
Paudel, Puskar
Shrestha, Niva
Harrisson, Tom
Beard, B. James
Jha, Sonali
Shrestha, Bhim P.
Manandhar, Dharma S.
Costello, Anthony M. D. L.
Cortina-Borja, Mario
Saville, Naomi M.
description Background/objectives Understanding of the patterns and predictors of intra-household food allocation could enable nutrition programmes to better target nutritionally vulnerable individuals. This study aims to characterise the status and determinants of intra-household food and nutrient allocation in Nepal. Subjects/methods Pregnant women, their mothers-in-law and male household heads from Dhanusha and Mahottari districts in Nepal responded to 24-h dietary recalls, thrice repeated on non-consecutive days ( n  = 150 households; 1278 individual recalls). Intra-household inequity was measured using ratios between household members in food intakes (food shares); food-energy intake proportions (‘food shares-to-energy shares’, FS:ES); calorie-requirement proportions (‘relative dietary energy adequacy ratios’, RDEARs) and mean probability of adequacy for 11 micronutrients (MPA ratios). Hypothesised determinants were collected during the recalls, and their associations with the outcomes were tested using multivariable mixed-effects linear regression models. Results Women’s diets (pregnant women and mothers-in-law) consisted of larger FS:ES of starchy foods, pulses, fruits and vegetables than male household heads, whereas men had larger FS:ES of animal-source foods. Pregnant women had the lowest MPA (37%) followed by their mothers-in-law (52%), and male household heads (57%). RDEARs between pregnant women and household heads were 31% higher (log-RDEAR coeff=0.27 (95% CI 0.12, 0.42), P  
doi_str_mv 10.1038/s41430-017-0063-0
format Article
fullrecord <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5924867</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A572600333</galeid><sourcerecordid>A572600333</sourcerecordid><originalsourceid>FETCH-LOGICAL-c595t-70de4092952eb39f3f2d303cffa50264330799888574dff95137b432878cc3073</originalsourceid><addsrcrecordid>eNp1kUuLFDEUhYMoTjv6A9xIgSBuSm9yk0plIwyDj4FBF-o6pKuSrhrSSZtUDfjvTehxHoKrLM6Xc--5h5CXFN5RwP595pQjtEBlC9BhC4_IhnLZtaLj8JhsQAneIoA8Ic9yvgIoomRPyQlTKPoOcEMuvi9mWXNjwtiMdrFpPwcTltxE18xhSaad4prtFP3YuBjHxngfB7PMMRS9SWsyvvlqD8Y_J0-c8dm-uHlPyc9PH3-cf2kvv32-OD-7bAehxNJKGC0HxZRgdovKoWMjAg7OGQGs44ggler7Xkg-OqcERbnlyHrZD0PR8JR8OPoe1u3ejoOtW3p9SPPepN86mlk_VMI86V281kIx3nfV4O2NQYq_VpsXvZ_zYL03wZasmioFvC-DoaCv_0Gv4ppCiacZrYsiF3hH7Yy3eg4ulrlDNdVnQrIOALFSb-5RkzV-mXL0az1lfgjSIzikmHOy7jYbBV1718fedeld1951XfTV_aPc_vhbdAHYEchFCjub7pL83_UPC4G1UA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2130793453</pqid></control><display><type>article</type><title>Status and determinants of intra-household food allocation in rural Nepal</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Harris-Fry, Helen A. ; Paudel, Puskar ; Shrestha, Niva ; Harrisson, Tom ; Beard, B. James ; Jha, Sonali ; Shrestha, Bhim P. ; Manandhar, Dharma S. ; Costello, Anthony M. D. L. ; Cortina-Borja, Mario ; Saville, Naomi M.</creator><creatorcontrib>Harris-Fry, Helen A. ; Paudel, Puskar ; Shrestha, Niva ; Harrisson, Tom ; Beard, B. James ; Jha, Sonali ; Shrestha, Bhim P. ; Manandhar, Dharma S. ; Costello, Anthony M. D. L. ; Cortina-Borja, Mario ; Saville, Naomi M.</creatorcontrib><description>Background/objectives Understanding of the patterns and predictors of intra-household food allocation could enable nutrition programmes to better target nutritionally vulnerable individuals. This study aims to characterise the status and determinants of intra-household food and nutrient allocation in Nepal. Subjects/methods Pregnant women, their mothers-in-law and male household heads from Dhanusha and Mahottari districts in Nepal responded to 24-h dietary recalls, thrice repeated on non-consecutive days ( n  = 150 households; 1278 individual recalls). Intra-household inequity was measured using ratios between household members in food intakes (food shares); food-energy intake proportions (‘food shares-to-energy shares’, FS:ES); calorie-requirement proportions (‘relative dietary energy adequacy ratios’, RDEARs) and mean probability of adequacy for 11 micronutrients (MPA ratios). Hypothesised determinants were collected during the recalls, and their associations with the outcomes were tested using multivariable mixed-effects linear regression models. Results Women’s diets (pregnant women and mothers-in-law) consisted of larger FS:ES of starchy foods, pulses, fruits and vegetables than male household heads, whereas men had larger FS:ES of animal-source foods. Pregnant women had the lowest MPA (37%) followed by their mothers-in-law (52%), and male household heads (57%). RDEARs between pregnant women and household heads were 31% higher (log-RDEAR coeff=0.27 (95% CI 0.12, 0.42), P  &lt; 0.001) when pregnant women earned more or the same as their spouse, and log-MPA ratios between pregnant women and mothers-in-law were positively associated with household-level calorie intakes (coeff=0.43 (0.23, 0.63), P  &lt; 0.001, per 1000 kcal). Conclusions Pregnant women receive inequitably lower shares of food and nutrients, but this could be improved by increasing pregnant women’s cash earnings and household food security.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/s41430-017-0063-0</identifier><identifier>PMID: 29358603</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308/174 ; 692/699/1702/295 ; Adequacy ; Adolescent ; Adult ; Animal-based foods ; Clinical Nutrition ; Diet ; Energy Intake ; Epidemiology ; Family Characteristics ; Family Relations ; Feeding Behavior ; Female ; Food ; Food and nutrition ; Food intake ; Food security ; Food sources ; Food Supply ; Households ; Humans ; Income ; Internal Medicine ; Male ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Micronutrients ; Micronutrients - administration &amp; dosage ; Middle Aged ; Nepal ; Nutrient status ; Nutrients ; Nutrition ; Nutritional Requirements ; Nutritional Status ; Pregnancy ; Pregnant women ; Public Health ; Regression analysis ; Regression models ; Rural Population ; Sex Factors ; Statistical analysis ; Stock prices ; Young Adult</subject><ispartof>European journal of clinical nutrition, 2018-11, Vol.72 (11), p.1524-1536</ispartof><rights>The Author(s) 2018</rights><rights>COPYRIGHT 2018 Nature Publishing Group</rights><rights>2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c595t-70de4092952eb39f3f2d303cffa50264330799888574dff95137b432878cc3073</citedby><cites>FETCH-LOGICAL-c595t-70de4092952eb39f3f2d303cffa50264330799888574dff95137b432878cc3073</cites><orcidid>0000-0003-2367-908X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41430-017-0063-0$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41430-017-0063-0$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29358603$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Harris-Fry, Helen A.</creatorcontrib><creatorcontrib>Paudel, Puskar</creatorcontrib><creatorcontrib>Shrestha, Niva</creatorcontrib><creatorcontrib>Harrisson, Tom</creatorcontrib><creatorcontrib>Beard, B. James</creatorcontrib><creatorcontrib>Jha, Sonali</creatorcontrib><creatorcontrib>Shrestha, Bhim P.</creatorcontrib><creatorcontrib>Manandhar, Dharma S.</creatorcontrib><creatorcontrib>Costello, Anthony M. D. L.</creatorcontrib><creatorcontrib>Cortina-Borja, Mario</creatorcontrib><creatorcontrib>Saville, Naomi M.</creatorcontrib><title>Status and determinants of intra-household food allocation in rural Nepal</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Background/objectives Understanding of the patterns and predictors of intra-household food allocation could enable nutrition programmes to better target nutritionally vulnerable individuals. This study aims to characterise the status and determinants of intra-household food and nutrient allocation in Nepal. Subjects/methods Pregnant women, their mothers-in-law and male household heads from Dhanusha and Mahottari districts in Nepal responded to 24-h dietary recalls, thrice repeated on non-consecutive days ( n  = 150 households; 1278 individual recalls). Intra-household inequity was measured using ratios between household members in food intakes (food shares); food-energy intake proportions (‘food shares-to-energy shares’, FS:ES); calorie-requirement proportions (‘relative dietary energy adequacy ratios’, RDEARs) and mean probability of adequacy for 11 micronutrients (MPA ratios). Hypothesised determinants were collected during the recalls, and their associations with the outcomes were tested using multivariable mixed-effects linear regression models. Results Women’s diets (pregnant women and mothers-in-law) consisted of larger FS:ES of starchy foods, pulses, fruits and vegetables than male household heads, whereas men had larger FS:ES of animal-source foods. Pregnant women had the lowest MPA (37%) followed by their mothers-in-law (52%), and male household heads (57%). RDEARs between pregnant women and household heads were 31% higher (log-RDEAR coeff=0.27 (95% CI 0.12, 0.42), P  &lt; 0.001) when pregnant women earned more or the same as their spouse, and log-MPA ratios between pregnant women and mothers-in-law were positively associated with household-level calorie intakes (coeff=0.43 (0.23, 0.63), P  &lt; 0.001, per 1000 kcal). Conclusions Pregnant women receive inequitably lower shares of food and nutrients, but this could be improved by increasing pregnant women’s cash earnings and household food security.</description><subject>692/308/174</subject><subject>692/699/1702/295</subject><subject>Adequacy</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Animal-based foods</subject><subject>Clinical Nutrition</subject><subject>Diet</subject><subject>Energy Intake</subject><subject>Epidemiology</subject><subject>Family Characteristics</subject><subject>Family Relations</subject><subject>Feeding Behavior</subject><subject>Female</subject><subject>Food</subject><subject>Food and nutrition</subject><subject>Food intake</subject><subject>Food security</subject><subject>Food sources</subject><subject>Food Supply</subject><subject>Households</subject><subject>Humans</subject><subject>Income</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Metabolic Diseases</subject><subject>Micronutrients</subject><subject>Micronutrients - administration &amp; dosage</subject><subject>Middle Aged</subject><subject>Nepal</subject><subject>Nutrient status</subject><subject>Nutrients</subject><subject>Nutrition</subject><subject>Nutritional Requirements</subject><subject>Nutritional Status</subject><subject>Pregnancy</subject><subject>Pregnant women</subject><subject>Public Health</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Rural Population</subject><subject>Sex Factors</subject><subject>Statistical analysis</subject><subject>Stock prices</subject><subject>Young Adult</subject><issn>0954-3007</issn><issn>1476-5640</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kUuLFDEUhYMoTjv6A9xIgSBuSm9yk0plIwyDj4FBF-o6pKuSrhrSSZtUDfjvTehxHoKrLM6Xc--5h5CXFN5RwP595pQjtEBlC9BhC4_IhnLZtaLj8JhsQAneIoA8Ic9yvgIoomRPyQlTKPoOcEMuvi9mWXNjwtiMdrFpPwcTltxE18xhSaad4prtFP3YuBjHxngfB7PMMRS9SWsyvvlqD8Y_J0-c8dm-uHlPyc9PH3-cf2kvv32-OD-7bAehxNJKGC0HxZRgdovKoWMjAg7OGQGs44ggler7Xkg-OqcERbnlyHrZD0PR8JR8OPoe1u3ejoOtW3p9SPPepN86mlk_VMI86V281kIx3nfV4O2NQYq_VpsXvZ_zYL03wZasmioFvC-DoaCv_0Gv4ppCiacZrYsiF3hH7Yy3eg4ulrlDNdVnQrIOALFSb-5RkzV-mXL0az1lfgjSIzikmHOy7jYbBV1718fedeld1951XfTV_aPc_vhbdAHYEchFCjub7pL83_UPC4G1UA</recordid><startdate>20181101</startdate><enddate>20181101</enddate><creator>Harris-Fry, Helen A.</creator><creator>Paudel, Puskar</creator><creator>Shrestha, Niva</creator><creator>Harrisson, Tom</creator><creator>Beard, B. James</creator><creator>Jha, Sonali</creator><creator>Shrestha, Bhim P.</creator><creator>Manandhar, Dharma S.</creator><creator>Costello, Anthony M. D. L.</creator><creator>Cortina-Borja, Mario</creator><creator>Saville, Naomi M.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2367-908X</orcidid></search><sort><creationdate>20181101</creationdate><title>Status and determinants of intra-household food allocation in rural Nepal</title><author>Harris-Fry, Helen A. ; Paudel, Puskar ; Shrestha, Niva ; Harrisson, Tom ; Beard, B. James ; Jha, Sonali ; Shrestha, Bhim P. ; Manandhar, Dharma S. ; Costello, Anthony M. D. L. ; Cortina-Borja, Mario ; Saville, Naomi M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c595t-70de4092952eb39f3f2d303cffa50264330799888574dff95137b432878cc3073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>692/308/174</topic><topic>692/699/1702/295</topic><topic>Adequacy</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Animal-based foods</topic><topic>Clinical Nutrition</topic><topic>Diet</topic><topic>Energy Intake</topic><topic>Epidemiology</topic><topic>Family Characteristics</topic><topic>Family Relations</topic><topic>Feeding Behavior</topic><topic>Female</topic><topic>Food</topic><topic>Food and nutrition</topic><topic>Food intake</topic><topic>Food security</topic><topic>Food sources</topic><topic>Food Supply</topic><topic>Households</topic><topic>Humans</topic><topic>Income</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Metabolic Diseases</topic><topic>Micronutrients</topic><topic>Micronutrients - administration &amp; dosage</topic><topic>Middle Aged</topic><topic>Nepal</topic><topic>Nutrient status</topic><topic>Nutrients</topic><topic>Nutrition</topic><topic>Nutritional Requirements</topic><topic>Nutritional Status</topic><topic>Pregnancy</topic><topic>Pregnant women</topic><topic>Public Health</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Rural Population</topic><topic>Sex Factors</topic><topic>Statistical analysis</topic><topic>Stock prices</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Harris-Fry, Helen A.</creatorcontrib><creatorcontrib>Paudel, Puskar</creatorcontrib><creatorcontrib>Shrestha, Niva</creatorcontrib><creatorcontrib>Harrisson, Tom</creatorcontrib><creatorcontrib>Beard, B. James</creatorcontrib><creatorcontrib>Jha, Sonali</creatorcontrib><creatorcontrib>Shrestha, Bhim P.</creatorcontrib><creatorcontrib>Manandhar, Dharma S.</creatorcontrib><creatorcontrib>Costello, Anthony M. D. L.</creatorcontrib><creatorcontrib>Cortina-Borja, Mario</creatorcontrib><creatorcontrib>Saville, Naomi M.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health &amp; Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health &amp; Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Applied &amp; Life Sciences</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Harris-Fry, Helen A.</au><au>Paudel, Puskar</au><au>Shrestha, Niva</au><au>Harrisson, Tom</au><au>Beard, B. James</au><au>Jha, Sonali</au><au>Shrestha, Bhim P.</au><au>Manandhar, Dharma S.</au><au>Costello, Anthony M. D. L.</au><au>Cortina-Borja, Mario</au><au>Saville, Naomi M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Status and determinants of intra-household food allocation in rural Nepal</atitle><jtitle>European journal of clinical nutrition</jtitle><stitle>Eur J Clin Nutr</stitle><addtitle>Eur J Clin Nutr</addtitle><date>2018-11-01</date><risdate>2018</risdate><volume>72</volume><issue>11</issue><spage>1524</spage><epage>1536</epage><pages>1524-1536</pages><issn>0954-3007</issn><eissn>1476-5640</eissn><abstract>Background/objectives Understanding of the patterns and predictors of intra-household food allocation could enable nutrition programmes to better target nutritionally vulnerable individuals. This study aims to characterise the status and determinants of intra-household food and nutrient allocation in Nepal. Subjects/methods Pregnant women, their mothers-in-law and male household heads from Dhanusha and Mahottari districts in Nepal responded to 24-h dietary recalls, thrice repeated on non-consecutive days ( n  = 150 households; 1278 individual recalls). Intra-household inequity was measured using ratios between household members in food intakes (food shares); food-energy intake proportions (‘food shares-to-energy shares’, FS:ES); calorie-requirement proportions (‘relative dietary energy adequacy ratios’, RDEARs) and mean probability of adequacy for 11 micronutrients (MPA ratios). Hypothesised determinants were collected during the recalls, and their associations with the outcomes were tested using multivariable mixed-effects linear regression models. Results Women’s diets (pregnant women and mothers-in-law) consisted of larger FS:ES of starchy foods, pulses, fruits and vegetables than male household heads, whereas men had larger FS:ES of animal-source foods. Pregnant women had the lowest MPA (37%) followed by their mothers-in-law (52%), and male household heads (57%). RDEARs between pregnant women and household heads were 31% higher (log-RDEAR coeff=0.27 (95% CI 0.12, 0.42), P  &lt; 0.001) when pregnant women earned more or the same as their spouse, and log-MPA ratios between pregnant women and mothers-in-law were positively associated with household-level calorie intakes (coeff=0.43 (0.23, 0.63), P  &lt; 0.001, per 1000 kcal). Conclusions Pregnant women receive inequitably lower shares of food and nutrients, but this could be improved by increasing pregnant women’s cash earnings and household food security.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>29358603</pmid><doi>10.1038/s41430-017-0063-0</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-2367-908X</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0954-3007
ispartof European journal of clinical nutrition, 2018-11, Vol.72 (11), p.1524-1536
issn 0954-3007
1476-5640
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5924867
source MEDLINE; SpringerLink Journals
subjects 692/308/174
692/699/1702/295
Adequacy
Adolescent
Adult
Animal-based foods
Clinical Nutrition
Diet
Energy Intake
Epidemiology
Family Characteristics
Family Relations
Feeding Behavior
Female
Food
Food and nutrition
Food intake
Food security
Food sources
Food Supply
Households
Humans
Income
Internal Medicine
Male
Medicine
Medicine & Public Health
Metabolic Diseases
Micronutrients
Micronutrients - administration & dosage
Middle Aged
Nepal
Nutrient status
Nutrients
Nutrition
Nutritional Requirements
Nutritional Status
Pregnancy
Pregnant women
Public Health
Regression analysis
Regression models
Rural Population
Sex Factors
Statistical analysis
Stock prices
Young Adult
title Status and determinants of intra-household food allocation in rural Nepal
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-20T13%3A46%3A13IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Status%20and%20determinants%20of%20intra-household%20food%20allocation%20in%20rural%20Nepal&rft.jtitle=European%20journal%20of%20clinical%20nutrition&rft.au=Harris-Fry,%20Helen%20A.&rft.date=2018-11-01&rft.volume=72&rft.issue=11&rft.spage=1524&rft.epage=1536&rft.pages=1524-1536&rft.issn=0954-3007&rft.eissn=1476-5640&rft_id=info:doi/10.1038/s41430-017-0063-0&rft_dat=%3Cgale_pubme%3EA572600333%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2130793453&rft_id=info:pmid/29358603&rft_galeid=A572600333&rfr_iscdi=true