Poverty, household food insecurity and nutrition: coping strategies in an informal settlement in the Vaal Triangle, South Africa

Public Health. 2006 Sep;120(9):795-804. doi: 10.1016/j.puhe.2006.02.009. Epub 2006 Jul 7.

Abstract

Objectives: The objective of this study was to determine household food security and coping strategies of an informal settlement in the Vaal Triangle.

Study design: A survey study design was used.

Methods: Pre-tested socio-demographic questionnaires were administered to 357 randomly selected caregivers and 149 children aged 9-13 years old. A validated quantified food frequency questionnaire (QFFQ) and 24-h recall were used to measure dietary intake and food consumption patterns and the Cornell hunger scale to determine coping strategies. Data were statistically analysed for means and standard deviations.

Results: The results indicated that the majority of caregivers (68.8%) had an income of <R500 (77 US dollars) per month, 70.5% (n=190) indicated a frequent shortage of money and 58.3% spent less than R100 (15 US dollars) per week on food. The coping strategies used were: limiting the variety of foods served (74.7%), limiting portion sizes (80%), skipping of meals (68.4%) and maternal buffering (75.8%).

Conclusions: It can be concluded that this is a poverty-stricken community with household food insecurity where the caregivers changed their food consumption patterns to cope, resulting in compromised nutrition.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological*
  • Adolescent
  • Child
  • Family Characteristics
  • Feeding Behavior
  • Female
  • Food Supply*
  • Humans
  • Hunger*
  • Male
  • Nutritional Status / physiology*
  • Poverty*
  • Residence Characteristics
  • South Africa
  • Surveys and Questionnaires