Public Health Nutrition最新文献

{"title":"Feasibility and measurement error in using food supply data to estimate diet costs in Canada - ERRATUM.","authors":"Gabriella Luongo, Valerie Tarasuk, Yanqing Yi, Catherine L Mah","doi":"10.1017/S1368980024001113","DOIUrl":"10.1017/S1368980024001113","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11374555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conceptualising the relationships between food sovereignty, food security and oral health among global Indigenous Communities: a scoping review.","authors":"Brianna Faye Poirier, Gustavo Soares, Hannah Tait Neufeld, Joanne Hedges, Sneha Sethi, Lisa Jamieson","doi":"10.1017/S1368980024001198","DOIUrl":"10.1017/S1368980024001198","url":null,"abstract":"<p><strong>Objective: </strong>Invasive colonial influences and continuing neoliberal policies have a detrimental impact on Land, health, food and culture for Indigenous Communities. Food security and sovereignty have significant impacts on Indigenous well-being and, specifically, oral health. Aspects relating to food security, such as availability of nutritious foods, are a common risk factor of oral diseases. This scoping review aimed to collate existing evidence regarding the relationship between food sovereignty and/or food security and oral health for Indigenous Communities, globally.</p><p><strong>Design: </strong>Four databases were searched using keywords related to 'Food security' or 'Food sovereignty,' 'Indigenous Peoples' and 'Oral health.' Duplicates were removed, and two independent reviewers screened the titles and abstracts to identify articles for full-text review. Extracted data were summarised narratively, presenting a conceptual model which illustrates the findings and relationships between food security and/or food sovereignty and oral health.</p><p><strong>Results: </strong>The search identified 369 articles, with forty-one suitable for full-text review and a final nine that met inclusion criteria. The impact of food security and food sovereignty on oral health was discussed across different populations and sample sizes, ranging from eighteen Kichwa families in Brazil to 533 First Nations and Metis households in Canada. Pathways of influence between food sovereignty and/or food security are explored clinically, quantitatively and qualitatively across oral health outcomes, including early childhood caries, dental caries and oral health-related quality of life for Indigenous Communities.</p><p><strong>Conclusions: </strong>Innovative strategies underpinned by concepts of Indigenous food sovereignty are needed to promote oral health equity for Indigenous Communities. The nexus between oral health and Indigenous food sovereignty remains largely unexplored, but has immense potential for empowering Indigenous rights to self-determination of health that honour Indigenous ways of knowing, being and doing.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Triple burden of malnutrition among Vietnamese 0·5-11-year-old children in 2020-2021: results of SEANUTS II Vietnam.","authors":"Nga Thuy Tran, Van Khanh Tran, Duong Thanh Tran, Tu Tran Ngoc Nguyen, Son Duy Nguyen, Ha Thu Nguyen, Tu Song Nguyen, Tung Van Thanh Le, Phuong Thi Lan Nguyen, Hanh Thi Dang, Hoa Anh Le, Ilse Khouw","doi":"10.1017/S1368980024001186","DOIUrl":"https://doi.org/10.1017/S1368980024001186","url":null,"abstract":"<p><strong>Objective: </strong>SEANUTS II Vietnam aims to obtain an in-depth understanding of the nutritional status and nutrient intake of children between 0.5-11.9 years old.</p><p><strong>Design: </strong>Cross-sectional survey.</p><p><strong>Setting: </strong>A multistage cluster systematic random sampling method was implemented in different regions in Vietnam: North Mountainous, Central Highlands, Red River Delta, North Central and Coastal Area, Southeast and Mekong River Delta.</p><p><strong>Participants: </strong>4001 children between 6 months and 11.9 years of age.</p><p><strong>Results: </strong>Prevalence of stunting and underweight was higher in rural than in urban children, whereas overweight and obese rates were higher in urban areas. 12.0% of the children had anemia and especially children 0.5-1-year-old were affected (38.6%). Low serum retinol was found in 6.2% of children ≥ 4 years old. Prevalence of vitamin D insufficiency was 31.1% while 60.8% had low serum zinc. For nutrient intake, overall, 80.1% of the children did not meet the estimated energy requirements. For calcium intake, ∼60% of the younger children did not meet the RNI while it was 92.6% in children >7 years old. For vitamin D intake, 95.0% of the children did not meet RNI.</p><p><strong>Conclusions: </strong>SEANUTS II Vietnam indicated that overnutrition was more prevalent than undernutrition in urban areas, while undernutrition was found more in rural areas. The high prevalence of low serum zinc, vitamin D insufficiency and the inadequate intakes of calcium and vitamin D are of concern. Nutrition strategies for Vietnamese children should consider three sides of malnutrition and focus on approaches for the prevention malnutrition.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inequality in iron and folic acid consumption and dietary diversity in pregnant women following exposure to maternal nutrition interventions in three low- and middle-income countries.","authors":"Deepali Godha, Sandra Remancus, Tina Sanghvi","doi":"10.1017/S1368980024001150","DOIUrl":"10.1017/S1368980024001150","url":null,"abstract":"<p><strong>Objective: </strong>Research is available on improved coverage and practices from several large-scale maternal nutrition programmes, but not much is known on change in inequalities. This study analyses wealth and education inequality using Erreygers and Concentration indices for four indicators: adequate iron and folic acid (IFA) consumption, women's dietary diversity, and counselling on IFA and dietary diversity.</p><p><strong>Design: </strong>A pre-test-post-test, control group design.</p><p><strong>Setting: </strong>Maternal nutrition intervention programmes conducted in Bangladesh, Burkina Faso and Ethiopia during 2015-2022.</p><p><strong>Participants: </strong>Recently delivered women (RDW) and pregnant women (PW).</p><p><strong>Results: </strong>Statistically significant reductions in education inequality were observed for adequate IFA consumption, counselling on IFA and dietary diversity in intervention areas of Bangladesh and for adequate IFA consumption in intervention areas of Burkina Faso.A significant decrease in wealth inequality was observed for adequate IFA consumption in the intervention areas of Bangladesh, whereas a significant increase was observed in the non-intervention areas for counselling on IFA in Ethiopia and for dietary diversity in Burkina Faso.</p><p><strong>Conclusion: </strong>The results can be attributed to the extensive delivery system at community level in Bangladesh and being predominantly facility-based in Burkina Faso and Ethiopia. COVID-19 disruptions (in Burkina Faso and Ethiopia) and indicator choice also had a role in the results.The main takeaways for nutrition programmes are as follows: (a) assessing inequality issues through formative studies during designing, (b) monitoring inequality indicators during implementation, (c) diligently addressing inequality through targeted interventions, setting aside resources and motivating frontline workers to reduce disparities and (d) making inequality analysis a routine part of impact evaluations.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141088322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of and changes in the cardiometabolic measures of Japanese workers grouped according to their vegetables and salt intake through workplace cafeteria meals.","authors":"Yoshiro Shirai, Masae Sakuma, Yusuke Ushida, Takayuki Imoto, Keisuke Suga, Kunio Matsui, Mieko Nakamura","doi":"10.1017/S1368980024001162","DOIUrl":"https://doi.org/10.1017/S1368980024001162","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to objectively evaluate the diet consumed in a workplace cafeteria to group Japanese workers according to vegetables and salt intake and estimate the association of these groups with changes in cardiometabolic measurements.</p><p><strong>Design: </strong>This longitudinal observational study estimated the food and nutrient intake of Japanese workers from data recorded in the cafeteria system of their workplace. The primary outcomes included cardiometabolic measures obtained via regular health check-ups conducted at the workplace. The participants were divided into four groups according to high or low vegetables and salt intake based on their respective medians and the association of each group with cardiometabolic measurement changes was estimated using robust regression with MM-estimation.</p><p><strong>Setting: </strong>A Japanese automobile manufacturing factory.</p><p><strong>Subjects: </strong>The study included 1,140 men and women workers with available cafeteria and health check-up data.</p><p><strong>Results: </strong>An inverse marginal association was observed between changes in triglyceride levels and high vegetables and low salt intake (β: -9.93, 95% confidence interval [CI]: -20.45, 0.59, p: 0.065) with reference to low vegetables and high salt intake. This association was stronger in participants who used the cafeteria more frequently (>71 days; β: -13.55, 95% CI: -25.51, -1.60, p: 0.027).</p><p><strong>Conclusions: </strong>The participants in the higher vegetables and lower salt intake group were more likely to exhibit decreased triglyceride levels. These findings encourage using workplace cafeteria meals to promote the health of workers.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141088320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food insecurity and suicidal behaviours among Bangladeshi university students: a multi-institutional cross-sectional study.","authors":"Nitai Roy, Md Aktarujjaman, Aysha Siddiky, Kakali Mollick, Sultan Mahmud Imran, Mohammed A Mamun","doi":"10.1017/S1368980024001137","DOIUrl":"10.1017/S1368980024001137","url":null,"abstract":"<p><strong>Objective: </strong>Suicidal behaviours among students pose a significant public health concern, with mental health problems being well-established risk factors. However, the association between food insecurity (FIS) and suicidal behaviours remains understudied, particularly in Bangladesh. This study aimed to investigate the relationship between FIS and suicidal behaviours among Bangladeshi university students.</p><p><strong>Design: </strong>A cross-sectional survey using convenience sampling was conducted between August 2022 and September 2022. Information related to socio-demographics, mental health problems, FIS and related events and suicidal behaviours were collected. Chi-squared tests and multivariable logistic regression models, both unadjusted and adjusted, were employed to examine the relationship between FIS and suicidal behaviour.</p><p><strong>Setting: </strong>Six public universities in Bangladesh.</p><p><strong>Participants: </strong>This study included 1480 students from diverse academic disciplines.</p><p><strong>Results: </strong>A substantial proportion of respondents experienced FIS, with 75·5 % reporting low or very low food security. Students experiencing FIS had a significantly higher prevalence of suicidal ideation, plans and attempts compared with food-secure students (18·6 % <i>v</i>. 2·8 %, 8·7 % <i>v</i>. 0·8 % and 5·4 % <i>v</i>. 0·3 %, respectively; all <i>P</i> < 0·001). In addition, students who have personal debt and participate in food assistance programmes had a higher risk of suicidal behaviours.</p><p><strong>Conclusions: </strong>This study highlights the association between FIS and suicidal behaviours among university students. Targeted mental health screening, evaluation and interventions within universities may be crucial for addressing the needs of high-risk students facing FIS.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increased difficulty accessing food and income change during the COVID-19 pandemic among youth living in the eThekwini district, South Africa.","authors":"Julie Jesson, Bongiwe Zulu, Kalysha Closson, C Andrew Basham, Mags Beksinska, Erica Dong, Campion Zharima, Rishav Singh, Tatiana Pakhomova, Janan Dietrich, Angela Kaida","doi":"10.1017/S1368980024001174","DOIUrl":"10.1017/S1368980024001174","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the effect of income change on difficulty accessing food since the COVID-19 pandemic for South African youth and evaluate whether this effect was modified by receiving social grants.</p><p><strong>Design: </strong>A cross-sectional, online survey was conducted between December 2021 and May 2022. Primary outcome was increased difficulty accessing food since the COVID-19 pandemic. Income change was categorised as 'Decreased a lot', 'Decreased slightly' and 'Unchanged or increased'. Multivariable logistic regressions were used, with an interaction term between social grant receipt and income change.</p><p><strong>Setting: </strong>eThekwini district, South Africa.</p><p><strong>Participants: </strong>Youth aged 16-24 years.</p><p><strong>Results: </strong>Among 1,620 participants, median age was 22 years (IQR 19-24); 861 (53 %) were women; 476 (29 %) reported increased difficulty accessing food; 297 (18 %) reported that income decreased a lot, of whom 149 (50 %) did not receive social grants. Experiencing a large income decrease was highly associated with increased difficulty accessing food during the COVID-19 pandemic (adjusted OR [aOR] 3·63, 95 % CI 2·70, 4·88). The aOR for the effect of a large income decrease on difficulty accessing food, compared to no income change, were 1·49 (95 % CI 0·98, 2·28) among participants receiving social grants, and 6·63 (95 % CI 4·39, 9·99) among participants not receiving social grants.</p><p><strong>Conclusions: </strong>While social grant support made a great difference in lowering the effect of income decrease on difficulty accessing food, it was insufficient to fully protect youth from those difficulties. In post-pandemic recovery efforts, there is a critical need to support youth through economic empowerment programming and food schemes.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between plant-based diet quality and chronic kidney disease in Australian adults.","authors":"Jordan Stanford, Anita Stefoska-Needham, Kelly Lambert, Marijka J Batterham, Karen Charlton","doi":"10.1017/S1368980024001095","DOIUrl":"10.1017/S1368980024001095","url":null,"abstract":"<p><strong>Objective: </strong>To examine associations between three different plant-based diet quality indices, chronic kidney disease (CKD) prevalence and related risk factors in a nationally representative sample of the Australian population.</p><p><strong>Design: </strong>Cross-sectional analysis. Three plant-based diet scores were calculated using data from two 24-h recalls: an overall plant-based diet index (PDI), a healthy PDI (hPDI) and an unhealthy PDI (uPDI). Consumption of plant and animal ingredients from 'core' and 'discretionary' products was also differentiated. Associations between the three PDI scores and CKD prevalence, BMI, waist circumference (WC), blood pressure (BP) measures, blood cholesterol, apo B, fasting TAG, blood glucose levels (BGL) and HbA1c were examined.</p><p><strong>Setting: </strong>Australian Health Survey 2011-2013.</p><p><strong>Participants: </strong><i>n</i> 2060 adults aged ≥ 18 years (males: <i>n</i> 928; females: <i>n</i> 1132).</p><p><strong>Results: </strong>A higher uPDI score was associated with a 3·7 % higher odds of moderate-severe CKD (OR: 1·037 (1·0057-1·0697); <i>P</i> = 0·021)). A higher uPDI score was also associated with increased TAG (<i>P</i> = 0·032) and BGL (<i>P</i> < 0·001), but lower total- and LDL-cholesterol (<i>P</i> = 0·035 and <i>P</i> = 0·009, respectively). In contrast, a higher overall PDI score was inversely associated with WC (<i>P</i> < 0·001) and systolic BP (<i>P</i> = 0·044), while higher scores for both the overall PDI and hPDI were inversely associated with BMI (<i>P</i> < 0·001 and <i>P</i> = 0·019, respectively).</p><p><strong>Conclusions: </strong>A higher uPDI score reflecting greater intakes of refined grains, salty plant-based foods and added sugars were associated with increased CKD prevalence, TAG and BGL. In the Australian population, attention to diet quality remains paramount, even in those with higher intakes of plant foods and who wish to reduce the risk of CKD.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11374545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of front-of-package nutrition labelling systems on objective understanding and purchase intention in Panama: results from a multi-arm parallel-group randomised controlled trial.","authors":"Fabio S Gomes, Israel Ríos-Castillo, Leon Ramon Leal Correa, Bethy Cruzado, Carlos Felipe Urquizar Rojas, Gastón Ares Devincenzi, Elka González-Madden, Jorge Victoria","doi":"10.1017/S1368980024001009","DOIUrl":"10.1017/S1368980024001009","url":null,"abstract":"<p><strong>Objective: </strong>To assess the effect of different front-of-package labelling (FOPL) schemes on the objective understanding of the nutritional content and intention to purchase products, in Panama.</p><p><strong>Design: </strong>Single-blinded multi-arm parallel-group randomised controlled trial.</p><p><strong>Setting: </strong>Supermarkets across Panama. Participants were exposed to two-dimensional images of fifteen mock-up products presented at random and balanced orders. Participants assigned to the intervention groups were exposed to mock-ups featuring one FOPL scheme: black octagonal warning labels (OWL), traffic-light labelling (TFL) or guideline daily amounts (GDA). The control group was not exposed to any FOPL scheme.</p><p><strong>Participants: </strong>Adult supermarket shoppers (<i>n</i> 1200). Participants were blinded to group assignment.</p><p><strong>Results: </strong>A similar number of participants were randomised and analysed in each group: OWL (<i>n</i> 300), TFL (<i>n</i> 300), GDA (<i>n</i> 300) and control (<i>n</i> 300). The odds of choosing to purchase the least harmful or none of the options more often was the highest in the OWL group. Compared with the control group, these odds were two times higher in the OWL group (OR 2·13, 95 % CI 1·60, 2·84) and 57 % higher in the TFL (1·57, 1·40-2·56), with no changes in the GDA (0·97, 0·73-1·29). OWL also resulted in the highest odds for correctly identifying the least harmful option and for correctly identifying a product with excessive amounts of sugars, sodium and/or saturated fats.</p><p><strong>Conclusions: </strong>OWL performed best in helping shoppers to correctly identify when a product contained excessive amounts of nutrients of concern, to correctly identify the least harmful option and to decide to purchase the least harmful or none of the options, more often.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11502521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dietary diversity moderates household economic inequalities in the double burden of malnutrition in Tanzania.","authors":"Sanmei Chen, Yoko Shimpuku, Takanori Honda, Dorkasi L Mwakawanga, Beatrice Mwilike","doi":"10.1017/S136898002400106X","DOIUrl":"10.1017/S136898002400106X","url":null,"abstract":"<p><strong>Objective: </strong>Improved food availability and a growing economy in Tanzania may insufficiently decrease pre-existing nutritional deficiencies and simultaneously increase overweight within the same individual, household or population, causing a double burden of malnutrition (DBM). We investigated economic inequalities in DBM at the household level, expressed as a stunted child with a mother with overweight/obesity, and the moderating role of dietary diversity in these inequalities.</p><p><strong>Design: </strong>We used cross-sectional data from the 2015-2016 Tanzania Demographic and Health Survey.</p><p><strong>Setting: </strong>A nationally representative survey.</p><p><strong>Participants: </strong>Totally, 2867 children (aged 6-23 months) and their mothers (aged 15-49 years). The mother-child pairs were categorised into two groups based on dietary diversity score: achieving and not achieving minimum dietary diversity.</p><p><strong>Results: </strong>The prevalence of DBM was 5·6 % (sd = 0·6) and significantly varied by region (ranging from 0·6 % to 12·2 %). Significant interaction was observed between dietary diversity and household wealth index (<i>P</i>_{for interaction} < 0·001). The prevalence of DBM monotonically increased with greater household wealth among mother-child pairs who did not achieve minimum dietary diversity (<i>P</i>_{for trend} < 0·001; however, this association was attenuated in those who achieved minimum dietary diversity (<i>P</i>_{for trend} = 0·16), particularly for the richest households (<i>P</i> = 0·44). Analysing household wealth index score as a continuous variable yielded similar results (OR (95 % CI): 2·10 (1·36, 3·25) for non-achievers of minimum dietary diversity, 1·38 (0·76, 2·54) for achievers).</p><p><strong>Conclusions: </strong>Greater household wealth was associated with higher odds of DBM in Tanzania; however, the negative impact of household economic status on DBM was mitigated by minimum dietary diversity.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11374552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}