Abstract
The objective of this article is to evaluate factors associated with food and nutritional insecurity in families with children under 5 years of age living in areas covered by the Family Health Strategy. Cross-sectional study involving 406 families from two municipalities in the Metropolitan Region of João Pessoa, Paraíba. The Brazilian Food Insecurity Scale was used to assess the families' food and nutritional security. The determinants of moderate/severe food insecurity were analyzed using the Decision Tree. Food and nutritional insecurity reached 71.4% of families. Moderate/severe food insecurity (32%) was primarily associated with the benefit of the Family Allowance (Bolsa Família) Program, and also with family composition consisting of children under 2 years of age, lower socioeconomic status, and family dysfunction. The results showed high prevalence of food and nutritional insecurity whose more serious levels suggest the importance of interventions aimed at improving the Family Allowance Program for the conditions of households with children under 2 years of age, socioeconomic situation of families, and functionality of families.
Highlights
Resumo O objetivo deste artigo é avaliar fatores associados à insegurança alimentar e nutricional de famílias com crianças menores de 5 anos de idade residentes em áreas de abrangência da Estratégia Saúde da Família
Para a insegurança alimentar moderada/grave, a prevalência registrada na atual pesquisa (32%) é superior à observada nacionalmente (7,8%) e no estado da Paraíba (13,0%)[4], e semelhante à encontrada em pesquisas de âmbito local desenvolvidas com famílias das três regiões de saúde reconhecidamente de baixa condição socioeconômica de Campinas-SP (35,0%)[27], de crianças assitidas em creches públicas municipais de Campina Grande-PB (31,6%)[6] e de classe socioeconômica baixa atendidas pela Estratégia Saúde da Família (ESF) da Regional Sudeste de Teresina-PI (29,4%)[28]
Os efeitos positivos desses programas na Segurança Alimentar e Nutricional (SAN) e no acesso à saúde são sugeridos na literatura
Summary
Insegurança alimentar e nutricional de famílias usuárias da Estratégia Saúde da Família em dois municípios paraibanos, Brasil. Food and nutritional insecurity of families using the Family Health Strategy in two municipalities in Paraíba, Brazil. Eduarda Emanuela Silva dos Santos (http://orcid.org/0000-0002-3369-8930) 1 Maria Mônica de Oliveira (http://orcid.org/0000-0002-2775-4318) 1 Ítalo de Macedo Bernardino (http://orcid.org/0000-0003-4750-5666) 1 Dixis Figueroa Pedraza (http://orcid.org/0000-0002-5394-828X) 1
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