Logo-jrhs
J Res Health Sci. 2024;24(4): e00630.
doi: 10.34172/jrhs.2024.165
  Abstract View: 101
  PDF Download: 44

Original Article

Association Between Household Food Insecurity and Low Birth Weight: A Population-Based Case-Control Study

Zahra Amiri 1 ORCID logo, Masoumeh Sadeghi 1*, Amin Moradi 1, Maryam Paydar 2, Mehdi Norouzi 1, Ehsan Mosafarkhani 1,3 ORCID logo

1 Department of Epidemiology, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
2 Department of Environmental Health Engineering, School of Public Health, Mashhad University of Medical Sciences, Mashhad, Iran
3 Management and Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
*Corresponding Author: Masoumeh Sadeghi,, Email: SadeghiMS@mums.ac.ir

Abstract

Background: Low birth weight (LBW) is a major public health issue associated with increased neonatal morbidity and mortality. This study aimed to examine the association between household food insecurity and LBW in Mashhad, Iran.

Study Design: A population-based case-control study.

Methods: This study involved 6294 mothers (3247 cases and 3247 controls) who visited healthcare centers affiliated with Mashhad University of Medical Sciences for term births between March 2019 and March 2022. Cases included women who delivered neonates weighing<2500 g, while controls delivered babies≥2500 g. Food security was measured using the validated Household Food Insecurity Access Scale. Logistic regression models examined the associations between food insecurity and LBW. Geographic information system techniques mapped LBW distribution in Mashhad.

Results: Household food insecurity was significantly associated with higher odds of LBW (adjusted odds ratio [AOR]=1.25, 95% confidence interval [CI]: 1.03, 1.53). Other risk factors included younger maternal age (AOR=1.03, 95% CI: 1.01, 1.04), lower maternal education (AOR=0.55, 95% CI: 0.43, 0.71), cesarean delivery (AOR=1.70, 95% CI: 1.40, 2.06), and exposure to secondhand smoke (AOR=1.68, 95% CI: 1.02, 2.75). Gestational diabetes demonstrated a protective effect (AOR=0.37, 95% CI: 0.15, 0.91). Geographic mapping revealed that regions with higher food insecurity had elevated LBW prevalence.

Conclusion: These findings underscore the importance of addressing food insecurity among pregnant women to reduce the risk of LBW and improve newborn outcomes.


Please cite this article as follows: Amiri Z, Sadeghi M, Moradi A, Paydar M, Norouzi M, Mosafarkhani E. Association between household food insecurity and low birth weight: a population-based case-control study. J Res Health Sci. 2024; 24(4):e00630. doi:10.34172/jrhs.2024.165
First Name
 
Last Name
 
Email Address
 
Comments
 
Security code


Abstract View: 102

Your browser does not support the canvas element.


PDF Download: 44

Your browser does not support the canvas element.

Submitted: 19 Mar 2024
Revision: 28 May 2024
Accepted: 26 Aug 2024
ePublished: 30 Sep 2024
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - Firefox Plugin)