Household water security is a mediator of household food security in a nationally representative sample of Mexico
Abstract Objective: Explore the relationship between water insecurity (WI) and food security and their covariates in Mexican households. Design: A cross-sectional study with nationally representative data from the National Health and Nutrition Survey-Continuous 2021 (in Spanish, ENSANUT-Continua...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-01-01
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| Series: | Public Health Nutrition |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S1368980024002684/type/journal_article |
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| author | Teresa Shamah-Levy Ignacio Méndez-Gómez-Humarán Verónica Mundo-Rosas Alicia Muñoz-Espinosa Hugo Melgar-Quiñonez Sera Lewise Young |
| author_facet | Teresa Shamah-Levy Ignacio Méndez-Gómez-Humarán Verónica Mundo-Rosas Alicia Muñoz-Espinosa Hugo Melgar-Quiñonez Sera Lewise Young |
| author_sort | Teresa Shamah-Levy |
| collection | DOAJ |
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Abstract
Objective:
Explore the relationship between water insecurity (WI) and food security and their covariates in Mexican households.
Design:
A cross-sectional study with nationally representative data from the National Health and Nutrition Survey-Continuous 2021 (in Spanish, ENSANUT-Continua 2021), collected data from 12 619 households.
Setting:
WI was measured using the Household Water Insecurity Experiences (HWISE) Scale in Spanish and adapted to the Mexican context. Food security was measured using the Latin American and Caribbean Food Security Scale. A generalised path model was used to produce two simultaneous logistical regression equations – WI (HWISE ≥ 12) and moderate-to-severe food insecurity (FI) – to understand key covariates as well as the contribution of WI to FI.
Participants:
The head of the household, an adult of >18 years of age, consented to participate in the survey.
Results:
Households experiencing WI were more likely to experience moderate-to-severe FI (OR = 2·35; 95 % CI: 2·02, 2·72). The odds of WI were lower in households with medium (OR = 0·74; 95 % CI: 0·61, 0·9) to high (OR = 0·45; 95 % CI: 0·37, 0·55) asset scores. WI also depended on the region of Mexico. FI is more prevalent in indigenous people (OR = 1·29; 95 % CI: 1·05, 1·59) and rural households (OR = 0·42; 95 % CI: 1·16, 1·73). Notably, wealth and household size did not contribute directly to FI but did so indirectly through the mediating factor of WI.
Conclusions:
Our study shows that there are structural factors that form part of the varied determinants of WI, which in turn is closely linked to FI.
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| format | Article |
| id | doaj-art-c5c2c927304842e19abc892f55968dc3 |
| institution | Kabale University |
| issn | 1368-9800 1475-2727 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj-art-c5c2c927304842e19abc892f55968dc32025-01-31T08:12:59ZengCambridge University PressPublic Health Nutrition1368-98001475-27272025-01-012810.1017/S1368980024002684Household water security is a mediator of household food security in a nationally representative sample of MexicoTeresa Shamah-Levy0https://orcid.org/0000-0002-1357-720XIgnacio Méndez-Gómez-Humarán1https://orcid.org/0000-0002-3908-0867Verónica Mundo-Rosas2Alicia Muñoz-Espinosa3https://orcid.org/0000-0002-9875-2133Hugo Melgar-Quiñonez4Sera Lewise Young5https://orcid.org/0000-0002-1763-1218Center for Evaluation and Surveys, National Institute of Public Health of Mexico, Cuernavaca, MexicoCenter For Research in Mathematics, Aguascalientes, MexicoCenter for Evaluation and Surveys, National Institute of Public Health of Mexico, Cuernavaca, MexicoCenter for Evaluation and Surveys, National Institute of Public Health of Mexico, Cuernavaca, MexicoInstitute for Global Food Security, McGill University, Montreal, QC, CanadaDepartment of Anthropology and Institute for Policy Research, Northwestern University, Evanston, IL, USA Abstract Objective: Explore the relationship between water insecurity (WI) and food security and their covariates in Mexican households. Design: A cross-sectional study with nationally representative data from the National Health and Nutrition Survey-Continuous 2021 (in Spanish, ENSANUT-Continua 2021), collected data from 12 619 households. Setting: WI was measured using the Household Water Insecurity Experiences (HWISE) Scale in Spanish and adapted to the Mexican context. Food security was measured using the Latin American and Caribbean Food Security Scale. A generalised path model was used to produce two simultaneous logistical regression equations – WI (HWISE ≥ 12) and moderate-to-severe food insecurity (FI) – to understand key covariates as well as the contribution of WI to FI. Participants: The head of the household, an adult of >18 years of age, consented to participate in the survey. Results: Households experiencing WI were more likely to experience moderate-to-severe FI (OR = 2·35; 95 % CI: 2·02, 2·72). The odds of WI were lower in households with medium (OR = 0·74; 95 % CI: 0·61, 0·9) to high (OR = 0·45; 95 % CI: 0·37, 0·55) asset scores. WI also depended on the region of Mexico. FI is more prevalent in indigenous people (OR = 1·29; 95 % CI: 1·05, 1·59) and rural households (OR = 0·42; 95 % CI: 1·16, 1·73). Notably, wealth and household size did not contribute directly to FI but did so indirectly through the mediating factor of WI. Conclusions: Our study shows that there are structural factors that form part of the varied determinants of WI, which in turn is closely linked to FI. https://www.cambridge.org/core/product/identifier/S1368980024002684/type/journal_articleWater insecurityFood insecurityNational surveyMexicoNationally representative |
| spellingShingle | Teresa Shamah-Levy Ignacio Méndez-Gómez-Humarán Verónica Mundo-Rosas Alicia Muñoz-Espinosa Hugo Melgar-Quiñonez Sera Lewise Young Household water security is a mediator of household food security in a nationally representative sample of Mexico Public Health Nutrition Water insecurity Food insecurity National survey Mexico Nationally representative |
| title | Household water security is a mediator of household food security in a nationally representative sample of Mexico |
| title_full | Household water security is a mediator of household food security in a nationally representative sample of Mexico |
| title_fullStr | Household water security is a mediator of household food security in a nationally representative sample of Mexico |
| title_full_unstemmed | Household water security is a mediator of household food security in a nationally representative sample of Mexico |
| title_short | Household water security is a mediator of household food security in a nationally representative sample of Mexico |
| title_sort | household water security is a mediator of household food security in a nationally representative sample of mexico |
| topic | Water insecurity Food insecurity National survey Mexico Nationally representative |
| url | https://www.cambridge.org/core/product/identifier/S1368980024002684/type/journal_article |
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