Determinants of food insecurity among households with children in Villa el Salvador, Lima, Peru: the role of gender and employment, a cross-sectional study

Abstract Background From 2014–2019, Latin America and the Caribbean had the fastest growth of moderate-to-severe food insecurity than any other region, rising from 22.9% to 31.7%. While the prevalence of food insecurity is higher among women than men in every continent, Latin America has the largest...

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Main Authors: M. Patrizia Santos, Jessica D. Brewer, Miguel A. Lopez, Valerie A. Paz-Soldan, M. Pia Chaparro
Format: Article
Language:English
Published: BMC 2022-04-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-022-12889-4
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author M. Patrizia Santos
Jessica D. Brewer
Miguel A. Lopez
Valerie A. Paz-Soldan
M. Pia Chaparro
author_facet M. Patrizia Santos
Jessica D. Brewer
Miguel A. Lopez
Valerie A. Paz-Soldan
M. Pia Chaparro
author_sort M. Patrizia Santos
collection DOAJ
description Abstract Background From 2014–2019, Latin America and the Caribbean had the fastest growth of moderate-to-severe food insecurity than any other region, rising from 22.9% to 31.7%. While the prevalence of food insecurity is higher among women than men in every continent, Latin America has the largest food insecurity gender gap. Factors contributing to this gender inequity include underrepresentation of women in formal employment, heightened burden of dependent care on women, and unequal compensation of labor for women vs. men. The objective of this study was to investigate the association between the gender of the head of the household, employment status of household members, and food insecurity in households with children in a low-income district of Lima, Peru. Methods This cross-sectional study was carried out in Villa El Salvador, the fifth largest district in Metropolitan Lima, Peru, where over 20% of the population lives in poverty. Data were collected on a stratified random sample (n = 329) using a household questionnaire, including a validated food security tool (HFIAS). We ran multivariate logistic regression models predicting household food insecurity, with independent variables including gender of household head, education of household head, employment of household head, household-level employment status, age, and weekly food expenses per person. Results In fully adjusted models, woman-headed households had almost thrice the odds of being food insecure compared to man-headed households. Education also had a significant effect size: a household whose household head did not complete high school was 3.4 times more likely to be food insecure than if they had some post-secondary education. Woman-headed households had a significantly higher proportion of members not formally employed, compared to man-headed households, but employment status was not associated with food insecurity. Conclusions Gender of the household head was a major contributing factor to household food insecurity in Villa el Salvador. Gender dynamics affecting opportunities for employment, education, and non-remunerated work should inform national food security policies and interventions with the goal to not only lower food insecurity, but also reduce gender inequities in food insecurity and other nutritional outcomes.
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spelling doaj.art-3bb3587d52fa4b97acb4b0e731d19a332022-12-22T00:10:37ZengBMCBMC Public Health1471-24582022-04-012211810.1186/s12889-022-12889-4Determinants of food insecurity among households with children in Villa el Salvador, Lima, Peru: the role of gender and employment, a cross-sectional studyM. Patrizia Santos0Jessica D. Brewer1Miguel A. Lopez2Valerie A. Paz-Soldan3M. Pia Chaparro4Department of Epidemiology Tulane University School of Public Health and Tropical MedicineDepartment of Social, Behavioral and Population Sciences, Tulane University School of Public Health and Tropical MedicineDepartment of Social, Behavioral and Population Sciences, Tulane University School of Public Health and Tropical MedicineDepartment of International Health and Sustainable Development, Tulane University School of Public Health and Tropical MedicineDepartment of Social, Behavioral and Population Sciences, Tulane University School of Public Health and Tropical MedicineAbstract Background From 2014–2019, Latin America and the Caribbean had the fastest growth of moderate-to-severe food insecurity than any other region, rising from 22.9% to 31.7%. While the prevalence of food insecurity is higher among women than men in every continent, Latin America has the largest food insecurity gender gap. Factors contributing to this gender inequity include underrepresentation of women in formal employment, heightened burden of dependent care on women, and unequal compensation of labor for women vs. men. The objective of this study was to investigate the association between the gender of the head of the household, employment status of household members, and food insecurity in households with children in a low-income district of Lima, Peru. Methods This cross-sectional study was carried out in Villa El Salvador, the fifth largest district in Metropolitan Lima, Peru, where over 20% of the population lives in poverty. Data were collected on a stratified random sample (n = 329) using a household questionnaire, including a validated food security tool (HFIAS). We ran multivariate logistic regression models predicting household food insecurity, with independent variables including gender of household head, education of household head, employment of household head, household-level employment status, age, and weekly food expenses per person. Results In fully adjusted models, woman-headed households had almost thrice the odds of being food insecure compared to man-headed households. Education also had a significant effect size: a household whose household head did not complete high school was 3.4 times more likely to be food insecure than if they had some post-secondary education. Woman-headed households had a significantly higher proportion of members not formally employed, compared to man-headed households, but employment status was not associated with food insecurity. Conclusions Gender of the household head was a major contributing factor to household food insecurity in Villa el Salvador. Gender dynamics affecting opportunities for employment, education, and non-remunerated work should inform national food security policies and interventions with the goal to not only lower food insecurity, but also reduce gender inequities in food insecurity and other nutritional outcomes.https://doi.org/10.1186/s12889-022-12889-4Household food insecurityPeruGender Equity
spellingShingle M. Patrizia Santos
Jessica D. Brewer
Miguel A. Lopez
Valerie A. Paz-Soldan
M. Pia Chaparro
Determinants of food insecurity among households with children in Villa el Salvador, Lima, Peru: the role of gender and employment, a cross-sectional study
BMC Public Health
Household food insecurity
Peru
Gender Equity
title Determinants of food insecurity among households with children in Villa el Salvador, Lima, Peru: the role of gender and employment, a cross-sectional study
title_full Determinants of food insecurity among households with children in Villa el Salvador, Lima, Peru: the role of gender and employment, a cross-sectional study
title_fullStr Determinants of food insecurity among households with children in Villa el Salvador, Lima, Peru: the role of gender and employment, a cross-sectional study
title_full_unstemmed Determinants of food insecurity among households with children in Villa el Salvador, Lima, Peru: the role of gender and employment, a cross-sectional study
title_short Determinants of food insecurity among households with children in Villa el Salvador, Lima, Peru: the role of gender and employment, a cross-sectional study
title_sort determinants of food insecurity among households with children in villa el salvador lima peru the role of gender and employment a cross sectional study
topic Household food insecurity
Peru
Gender Equity
url https://doi.org/10.1186/s12889-022-12889-4
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