Household water insecurity is strongly associated with food insecurity: evidence from 27 sites in low- and middle-income countries.

Simple item page
dc.contributor.authorBrewis, A
dc.contributor.authorWorkman, C
dc.contributor.authorWutich, A
dc.contributor.authorJepson, W
dc.contributor.authorYoung, S
dc.contributor.authorThe HWISE Research Coordination Network
dc.date.accessioned2022-08-31T09:01:50Z
dc.date.available2022-08-31T09:01:50Z
dc.date.issued2020
dc.descriptionScholarly articleen_US
dc.description.abstractObjectives: Food and water insecurity have both been demonstrated as acute and chronic stressors and undermine human health and development. A basic untested proposition is that they chronically coexist, and that household water insecurity is a fundamental driver of household food insecurity. Methods: We provide a preliminary assessment of their association using cross-sectional data from 27 sites with highly diverse forms of water insecurity in 21 low- and middle-income countries across Africa, Asia, the Middle East, and the Americas (N = 6691 households). Household food insecurity and its subdomains (food quantity, food quality, and anxiety around food) were estimated using the Household Food Insecurity Access Scale; water insecurity and subdomains (quantity, quality, and opportunity costs) were estimated based on similar self-reported data. Results: In multilevel generalized linear mixed-effect modeling (GLMM), composite water insecurity scores were associated with higher scores for all subdomains of food insecurity. Rural households were better buffered against water insecurity effects on food quantity and urban ones for food quality. Similarly, higher scores for all subdomains of water insecurity were associated with greater household food insecurity. Conclusions: Considering the diversity of sites included in the modeling, the patterning supports a basic theory: household water insecurity chronically coexists with household food insecurity. Water insecurity is a more plausible driver of food insecurity than the converse. These findings directly challenge development practices in which household food security interventions are often enacted discretely from water security ones.en_US
dc.description.sponsorshipNIH, IMMANAen_US
dc.identifier.citationBrewis A, Workman C, Wutich A, Jepson W, Young S, and the HWISE-RCN*. Household water insecurity is strongly associated with food insecurity: evidence from 27 sites in low- and middle-income countries. American Journal of Human Biology, 2020; 32(1):e23309en_US
dc.identifier.otherdoi: 10.1002/ajhb.23309
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/11189
dc.language.isoenen_US
dc.publisherAmerican Journal of Human Biologyen_US
dc.subjectHousehold water insecurityen_US
dc.subjectFood insecurityen_US
dc.subjectWater insecurityen_US
dc.subjectFood qualityen_US
dc.subjectHuman healthen_US
dc.subjectResearch Subject Categories::MEDICINE::Social medicineen_US
dc.titleHousehold water insecurity is strongly associated with food insecurity: evidence from 27 sites in low- and middle-income countries.en_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Abstract Brewis et al HWISE 2020.docx
Size:
13.31 KB
Format:
Microsoft Word XML
Description:
Abstract
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Community Health and Primary Care- Scholarly Publications