Prevalence and Predictors of Food Insecurity in Urban Poor Fishery Households in Vietnam: A Cross-sectional Study
Keywords:
Bioecology theory, Family support, Food insecurity, Food literacy, Fishery households, Urban Poverty, VietnamAbstract
Food insecurity is a significant public health problem in Vietnam, and accompanied by poverty results in poor health and nutrition, particularly in vulnerable populations. Urban poor fishery households in coastal cities of Vietnam are striving for a living and are vulnerable to food insecurity. Guided by Bronfenbrenner’s Bioecological Theory, this cross-sectional study aimed to determine the prevalence of household food insecurity and identify multi-system factors predicting food insecurity in Vietnam’s urban poor fishery households. Through stratified random sampling, 420 eligible households from the two largest cities of a province in South Central Coastal Vietnam were recruited then responded to the structure questionnaires including the Food Insecurity Experience Scale, the Perceived Natural Disaster Influence instrument, the Chronic Health Condition form, the Social Network tool, the modified Social Support Questionnaire, the Short Food Literacy Questionnaire, and a scale of Transportation Quality, Access and Availability Assessment.
Results revealed that 36.2% of the households had food insecurity. A multivariate logistic regression analysis found that overall food literacy, homeownership, number of social networks, and family support together significantly predicted household food insecurity. Before developing a program promoting household food security, the role of food literacy needed to be examined in an age-specific population. The findings suggest approaches to enhance household food security through strengthening social welfare, social networks and family support.
References
1. Food and Agriculture Organization. The state of food insecurity in the world 2013: the multiple dimensions of food security [Internet]. Rome: FAO; 2013. [cited 2021 Mar 28]. Available from: http://www.fao.org/3/i3434e/i3434e.pdf
2. Food and Agriculture Organization; International Fund for Agriculture Development; United Nations Children’s Fund; World Food Program; World Health Organization. The state of food security and nutrition in the world 2019: safeguarding against economic slowdowns and downturns [Internet]. Rome: FAO; 2019 [cited 2021 Apr 10]. Available from: https://www.who.int/nutrition/publications/foodsecurity/state-food-security-nutrition-2019-en.pdf?ua=1
3. Food and Agriculture Organization. Hunger and food insecurity [Internet]. 2021 [cited 2021 May24]. Available from: http://www.fao.org/hunger/en/
4. World Bank. Prevalence of moderate or severe food insecurity in the population (%) – Vietnam [Internet]. 2018 [cited 2020 Apr 20]. Available from: https://data.worldbank. org/indicator/SN.ITK.MSFI.ZS?locations=VN
5. Ali D, Saha KK, Nguyen PH, Diressie MT, Ruel MT, Menon P, et al. Household food insecurity is associated with higher child undernutrition in Bangladesh, Ethiopia, and Vietnam, but the effect is not mediated by child dietary diversity. JN. 2013;143(12):2015-21. doi: 10.3945/jn.113.175182.
6. Vuong TN, Gallegos D, Ramsey R. Household food insecurity, diet, and weight status in a disadvantaged district of Ho Chi Minh City, Vietnam: a cross-sectional study. BMC Public Health. 2015;15(1):232. doi: 10.1186/s12889-015-1566-z.
7. Hoang XT, Truong TA, Luu TQ, Dinh TG, Dinh TTP. Food security in the context of Vietnam’s rural - urban linkages and climate change: a country report. London: IIED [Internet]. 2013 [cited 2021 Apr 20]. Available from: https://pubs. iied.org/10649iied
8. World Bank. Climbing the ladder: poverty reduction and shared prosperity in Vietnam. Hanoi: World Bank (Vietnam); 2018 [cited 2021 Apr 22]. Available from: http://documents1. worldbank.org/curated/en/206981522843253122/pdf/124916-WP-PULIC-P161323-VietnamPovertyUpdate ReportENG.pdf
9. Schwartz N, Tarasuk V, Buliung R, Wilson K. Mobility impairments and geographic variation in vulnerability to household food insecurity. Soc Sci Med [Internet]. 2019 [cited 2021 May 24];243:112636. Available from: https://doi.org/10.1016/j.socscimed.2019.112636
10. Bronfenbrenner U, Morris PA. The Bioecological Model of Human Development. In: Lerner RM, Damon W, editors. Handbook of child psychology: theoretical models of human development. Hoboken, NJ (US): John Wiley & Sons Inc; 2006. pp. 793-828.
11. Hamelin AM, Habicht JP, Beaudry M. Food Insecurity: consequences for the household and broader social implications. J Nutr. 1999;129(2):525S-8S. doi: 10.1093/jn/129.2.525S.
12. Anand S, Jagadeesh K, Adelina C, Koduganti J. Urban food insecurity and its determinants: a baseline study of Bengaluru. Environ Urban. 2019;31(2):421-42. doi:10. 1177/0956247819861899.
13. Agidew A-mA, Singh KN. Determinants of food insecurity in the rural farm households in South Wollo Zone of Ethiopia: the case of the Teleyayen sub-watershed. Agric Food Econ. 2018;6(1):10. doi:10.1186/s40100-018-0106-4.
14. Fafard St-Germain AA, Tarasuk V. High vulnerability to household food insecurity in a sample of Canadian renter households in government-subsidized housing. Can J Public Health. 2017;108(2):e129-e34. doi:10.17269/cjph.108.5879.
15. Birhane T, Shiferaw S, Hagos S, Mohindra KS. Urban food insecurity in the context of high food prices: a community based cross sectional study in Addis Ababa, Ethiopia. BMC Public Health. 2014;14:680. doi:10. 1186/1471-2458-14-680.
16. Derose KP, Payán DD, Fulcar MA, Terrero S, Acevedo R, Farías H, et al. Factors contributing to food insecurity among women living with HIV in the Dominican Republic: a qualitative study. PloS One. 2017;12(7):e0181568. doi: 10.1371/journal.pone.0181568.
17. Butcher LM, Ryan MM, O’Sullivan TA, Lo J, Devine A. What drives food insecurity in Western Australia? How the perceptions of people at risk differ to those of stakeholders. Nutrients. 2018;10(8):1059. doi:10.3390/nu10081059
18. Tarasuk V, Fafard St-Germain A-A, Mitchell A. Geographic and socio-demographic predictors of household food insecurity in Canada, 2011–12. BMC Public Health. 2019;19(1):12. doi: 10.1186/s12889-018-6344-2.
19. Smith MD, Kassa W, Winters P. Assessing food insecurity in Latin America and the Caribbean using FAO’s Food Insecurity Experience Scale. Food Policy. 2017;71:48-61. doi: http://dx.doi.org/10.1016/j.foodpol.2017.07.005.
20. Abdullah, Zhou D, Shah T, Ali S, Ahmad W, Din IU, et al. Factors affecting household food security in rural northern hinterland of Pakistan. J Saudi Soc Agric Sci. 2017. doi:10.1016/j.jssas.2017.05.003.
21. Joshi A, Arora A, Amadi-Mgbenka C, Mittal N, Sharma S, Malhotra B, et al. Burden of household food insecurity in urban slum settings. PLoS One. 2019;14(4):e0214461. doi:10.1371/journal.pone.0214461.
22. Seivwright AN, Callis Z, Flatau P. Food insecurity and socioeconomic disadvantage in Australia. Int J Environ Res Public Health. 2020;17(2). doi:10.3390/ijerph17020559.
23. Khorramrouz F, Doustmohammadian A, Eslami O, Khadem-Rezaiyan M, Pourmohammadi P, Amini M, et al. Relationship between household food insecurity and food and nutrition literacy among children of 9–12 years of age: a cross-sectional study in a city of Iran. BMC Res. Notes. 2020;13(1):433. doi:10.1186/s13104-020-05280-2.
24. Krause CG, Beer-Borst S, Sommerhalder K, Hayoz S, Abel T. A short food literacy questionnaire (SFLQ) for adults: findings from a Swiss validation study. Appetite. 2018;120:275-80. doi:10.1016/j.appet.2017.08.039.
25. King C. Informal assistance to urban families and the risk of household food insecurity. Soc Sci Med. 2017;189:105-13. doi:http://dx.doi.org/10.1016/j.socscimed.2017.07.030
26. Park S, Kim K. Food acquisition through private and public social networks and its relationship with household food security among various socioeconomic statuses in South Korea. Nutrients. 2018;10(2):121. doi: 10.3390/nu10020121.
27. General Statistics Office of Vietnam. Average population by province, sex and residence by cities, provincies, average population and year [Internet]. 2018 [cited 2021 May 24] (in Vietnamese). Available from: https://www.gso.gov.vn/en/px-web/?pxid=E0203-07&theme=Population% 20and%20Employment
28. Decision No.59/2015/QD-TTg dated November 19, 2015 by Prime Minister of Socialist Republic of Vietnam [Internet]. 2015 Sep 19 [cited 2021 May 24] (in Vietnamese). Available from: https://vanbanphapluat.co/decision-no-59-2015-qd-ttg-promulgating-multidimensionalpoverty-levels-applicable
29. Brooke P, Bullock R. Validation of a 6 item cognitive impairment test with a view to primary care usage. Int J Geriatr Psychiatry. 1999;14(11):936 - 40. Available from: https://doi.org/10.1002/(SICI)1099-1166(199911) 14:11%3C936:AID-GPS39%3E3.0.CO;2-1
30. Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scale for use in cross-cultural health care research: a clear and user-friendly guideline. J Eval Clin Pract. 2011;17(2)268-74. doi: 10.1111/ j.1365-2753.2010.01434.x.
31. Polit DF, Beck CT. The content validity index: are you sure you know what’s being reported? Critique and recommendations. Res Nurs Health. 2006; 29(5): 489-97. doi:10.1002/nur.20147.
32. Wambogo EA, Ghattas H, Leonard KL, Sahyoun NR. Validity of the Food Insecurity Experience Scale for use in Sub-Saharan Africa and characteristics of food-insecure individuals. Curr Dev Nutr. 2018; 2(9): nzy062. doi:10.1093/cdn/nzy062
33. Hanson KL, Olson CM. Chronic health conditions and depressive symptoms strongly predict persistent food insecurity among rural low-income families. J Health Care Poor Underserved. 2012; 23:1174-88. doi: 10.1353/hpu.2012.0116.
34. Windsor TD, Rioseco P, Fiori KL, Curtis RG, Booth H. Structural and functional social network attributes moderate the association of self-rated health with mental health in midlife and older adults. Int Psychogeriatr. 2016; 28(1):49-61. doi: 10.1017/S1041610215001143.
35. Kanan P, Piaseu N, Malathum P, Belza B. Predictors of diabetes self-management in older adults with poorly controlled type 2 diabetes mellitus. PRIJNR [Internet]. 2019 Sep.16 [cited 2021 Apr. 23];23(4):357-6. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/158994
36. Antonucci TC, Akiyama H. Social networks in adult life and a preliminary examination of the Convoy Model. J Gerontol. 1987;42(5):519-27. doi:10.1093/geronj/42.5.519.
37. Piaseu N. Factors affecting food insecurity among urban poor in Thailand. South Afr J Clin Nutr. 2005;18(2): 156-61. doi:10.1080/16070658.2005.11734058.
38. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The Multidimensional Scale of Perceived Social support. J Pers Assess. 1988;52(1):30-41.
39. Korlagunta K, Hermann J, Parker S, Payton M. Factors within multiple socio-ecological model levels of influence affecting older SNAP participants’ ability to grocery shop and prepare food. J Ext. 2014;52(1). [cited 2021 Apr 20]. Available from https://archives.joe.org/joe/2014 february/rb3.php
40. Nguyen HMT. Food insecurity and nutional status in urban poor fishery households in Vietnam: a mixed-methods study [dissertation]. Bangkok (Thailand): Mahidol University; 2020. 391p.
2. Food and Agriculture Organization; International Fund for Agriculture Development; United Nations Children’s Fund; World Food Program; World Health Organization. The state of food security and nutrition in the world 2019: safeguarding against economic slowdowns and downturns [Internet]. Rome: FAO; 2019 [cited 2021 Apr 10]. Available from: https://www.who.int/nutrition/publications/foodsecurity/state-food-security-nutrition-2019-en.pdf?ua=1
3. Food and Agriculture Organization. Hunger and food insecurity [Internet]. 2021 [cited 2021 May24]. Available from: http://www.fao.org/hunger/en/
4. World Bank. Prevalence of moderate or severe food insecurity in the population (%) – Vietnam [Internet]. 2018 [cited 2020 Apr 20]. Available from: https://data.worldbank. org/indicator/SN.ITK.MSFI.ZS?locations=VN
5. Ali D, Saha KK, Nguyen PH, Diressie MT, Ruel MT, Menon P, et al. Household food insecurity is associated with higher child undernutrition in Bangladesh, Ethiopia, and Vietnam, but the effect is not mediated by child dietary diversity. JN. 2013;143(12):2015-21. doi: 10.3945/jn.113.175182.
6. Vuong TN, Gallegos D, Ramsey R. Household food insecurity, diet, and weight status in a disadvantaged district of Ho Chi Minh City, Vietnam: a cross-sectional study. BMC Public Health. 2015;15(1):232. doi: 10.1186/s12889-015-1566-z.
7. Hoang XT, Truong TA, Luu TQ, Dinh TG, Dinh TTP. Food security in the context of Vietnam’s rural - urban linkages and climate change: a country report. London: IIED [Internet]. 2013 [cited 2021 Apr 20]. Available from: https://pubs. iied.org/10649iied
8. World Bank. Climbing the ladder: poverty reduction and shared prosperity in Vietnam. Hanoi: World Bank (Vietnam); 2018 [cited 2021 Apr 22]. Available from: http://documents1. worldbank.org/curated/en/206981522843253122/pdf/124916-WP-PULIC-P161323-VietnamPovertyUpdate ReportENG.pdf
9. Schwartz N, Tarasuk V, Buliung R, Wilson K. Mobility impairments and geographic variation in vulnerability to household food insecurity. Soc Sci Med [Internet]. 2019 [cited 2021 May 24];243:112636. Available from: https://doi.org/10.1016/j.socscimed.2019.112636
10. Bronfenbrenner U, Morris PA. The Bioecological Model of Human Development. In: Lerner RM, Damon W, editors. Handbook of child psychology: theoretical models of human development. Hoboken, NJ (US): John Wiley & Sons Inc; 2006. pp. 793-828.
11. Hamelin AM, Habicht JP, Beaudry M. Food Insecurity: consequences for the household and broader social implications. J Nutr. 1999;129(2):525S-8S. doi: 10.1093/jn/129.2.525S.
12. Anand S, Jagadeesh K, Adelina C, Koduganti J. Urban food insecurity and its determinants: a baseline study of Bengaluru. Environ Urban. 2019;31(2):421-42. doi:10. 1177/0956247819861899.
13. Agidew A-mA, Singh KN. Determinants of food insecurity in the rural farm households in South Wollo Zone of Ethiopia: the case of the Teleyayen sub-watershed. Agric Food Econ. 2018;6(1):10. doi:10.1186/s40100-018-0106-4.
14. Fafard St-Germain AA, Tarasuk V. High vulnerability to household food insecurity in a sample of Canadian renter households in government-subsidized housing. Can J Public Health. 2017;108(2):e129-e34. doi:10.17269/cjph.108.5879.
15. Birhane T, Shiferaw S, Hagos S, Mohindra KS. Urban food insecurity in the context of high food prices: a community based cross sectional study in Addis Ababa, Ethiopia. BMC Public Health. 2014;14:680. doi:10. 1186/1471-2458-14-680.
16. Derose KP, Payán DD, Fulcar MA, Terrero S, Acevedo R, Farías H, et al. Factors contributing to food insecurity among women living with HIV in the Dominican Republic: a qualitative study. PloS One. 2017;12(7):e0181568. doi: 10.1371/journal.pone.0181568.
17. Butcher LM, Ryan MM, O’Sullivan TA, Lo J, Devine A. What drives food insecurity in Western Australia? How the perceptions of people at risk differ to those of stakeholders. Nutrients. 2018;10(8):1059. doi:10.3390/nu10081059
18. Tarasuk V, Fafard St-Germain A-A, Mitchell A. Geographic and socio-demographic predictors of household food insecurity in Canada, 2011–12. BMC Public Health. 2019;19(1):12. doi: 10.1186/s12889-018-6344-2.
19. Smith MD, Kassa W, Winters P. Assessing food insecurity in Latin America and the Caribbean using FAO’s Food Insecurity Experience Scale. Food Policy. 2017;71:48-61. doi: http://dx.doi.org/10.1016/j.foodpol.2017.07.005.
20. Abdullah, Zhou D, Shah T, Ali S, Ahmad W, Din IU, et al. Factors affecting household food security in rural northern hinterland of Pakistan. J Saudi Soc Agric Sci. 2017. doi:10.1016/j.jssas.2017.05.003.
21. Joshi A, Arora A, Amadi-Mgbenka C, Mittal N, Sharma S, Malhotra B, et al. Burden of household food insecurity in urban slum settings. PLoS One. 2019;14(4):e0214461. doi:10.1371/journal.pone.0214461.
22. Seivwright AN, Callis Z, Flatau P. Food insecurity and socioeconomic disadvantage in Australia. Int J Environ Res Public Health. 2020;17(2). doi:10.3390/ijerph17020559.
23. Khorramrouz F, Doustmohammadian A, Eslami O, Khadem-Rezaiyan M, Pourmohammadi P, Amini M, et al. Relationship between household food insecurity and food and nutrition literacy among children of 9–12 years of age: a cross-sectional study in a city of Iran. BMC Res. Notes. 2020;13(1):433. doi:10.1186/s13104-020-05280-2.
24. Krause CG, Beer-Borst S, Sommerhalder K, Hayoz S, Abel T. A short food literacy questionnaire (SFLQ) for adults: findings from a Swiss validation study. Appetite. 2018;120:275-80. doi:10.1016/j.appet.2017.08.039.
25. King C. Informal assistance to urban families and the risk of household food insecurity. Soc Sci Med. 2017;189:105-13. doi:http://dx.doi.org/10.1016/j.socscimed.2017.07.030
26. Park S, Kim K. Food acquisition through private and public social networks and its relationship with household food security among various socioeconomic statuses in South Korea. Nutrients. 2018;10(2):121. doi: 10.3390/nu10020121.
27. General Statistics Office of Vietnam. Average population by province, sex and residence by cities, provincies, average population and year [Internet]. 2018 [cited 2021 May 24] (in Vietnamese). Available from: https://www.gso.gov.vn/en/px-web/?pxid=E0203-07&theme=Population% 20and%20Employment
28. Decision No.59/2015/QD-TTg dated November 19, 2015 by Prime Minister of Socialist Republic of Vietnam [Internet]. 2015 Sep 19 [cited 2021 May 24] (in Vietnamese). Available from: https://vanbanphapluat.co/decision-no-59-2015-qd-ttg-promulgating-multidimensionalpoverty-levels-applicable
29. Brooke P, Bullock R. Validation of a 6 item cognitive impairment test with a view to primary care usage. Int J Geriatr Psychiatry. 1999;14(11):936 - 40. Available from: https://doi.org/10.1002/(SICI)1099-1166(199911) 14:11%3C936:AID-GPS39%3E3.0.CO;2-1
30. Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scale for use in cross-cultural health care research: a clear and user-friendly guideline. J Eval Clin Pract. 2011;17(2)268-74. doi: 10.1111/ j.1365-2753.2010.01434.x.
31. Polit DF, Beck CT. The content validity index: are you sure you know what’s being reported? Critique and recommendations. Res Nurs Health. 2006; 29(5): 489-97. doi:10.1002/nur.20147.
32. Wambogo EA, Ghattas H, Leonard KL, Sahyoun NR. Validity of the Food Insecurity Experience Scale for use in Sub-Saharan Africa and characteristics of food-insecure individuals. Curr Dev Nutr. 2018; 2(9): nzy062. doi:10.1093/cdn/nzy062
33. Hanson KL, Olson CM. Chronic health conditions and depressive symptoms strongly predict persistent food insecurity among rural low-income families. J Health Care Poor Underserved. 2012; 23:1174-88. doi: 10.1353/hpu.2012.0116.
34. Windsor TD, Rioseco P, Fiori KL, Curtis RG, Booth H. Structural and functional social network attributes moderate the association of self-rated health with mental health in midlife and older adults. Int Psychogeriatr. 2016; 28(1):49-61. doi: 10.1017/S1041610215001143.
35. Kanan P, Piaseu N, Malathum P, Belza B. Predictors of diabetes self-management in older adults with poorly controlled type 2 diabetes mellitus. PRIJNR [Internet]. 2019 Sep.16 [cited 2021 Apr. 23];23(4):357-6. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/158994
36. Antonucci TC, Akiyama H. Social networks in adult life and a preliminary examination of the Convoy Model. J Gerontol. 1987;42(5):519-27. doi:10.1093/geronj/42.5.519.
37. Piaseu N. Factors affecting food insecurity among urban poor in Thailand. South Afr J Clin Nutr. 2005;18(2): 156-61. doi:10.1080/16070658.2005.11734058.
38. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The Multidimensional Scale of Perceived Social support. J Pers Assess. 1988;52(1):30-41.
39. Korlagunta K, Hermann J, Parker S, Payton M. Factors within multiple socio-ecological model levels of influence affecting older SNAP participants’ ability to grocery shop and prepare food. J Ext. 2014;52(1). [cited 2021 Apr 20]. Available from https://archives.joe.org/joe/2014 february/rb3.php
40. Nguyen HMT. Food insecurity and nutional status in urban poor fishery households in Vietnam: a mixed-methods study [dissertation]. Bangkok (Thailand): Mahidol University; 2020. 391p.
Downloads
Published
2021-12-09
How to Cite
1.
Nguyen Hoang My Thuyen, Piaseu N, Leelacharus S, Tangcharoensathien V. Prevalence and Predictors of Food Insecurity in Urban Poor Fishery Households in Vietnam: A Cross-sectional Study. PRIJNR [Internet]. 2021 Dec. 9 [cited 2024 Nov. 22];26(1):21-36. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/255272
Issue
Section
Original paper
License
Copyright: The Pacific Rim International Journal of Nursing Research, Thailand Nursing & Midwifery Council has exclusive rights to publish, reproduce and distribute the manuscript and all contents therein.
.png)
