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Association between Food Insecurity, Socioeconomic Status of the Household Head, and Hypertension and Diabetes in Maputo City Cover

Association between Food Insecurity, Socioeconomic Status of the Household Head, and Hypertension and Diabetes in Maputo City

Open Access
|Dec 2024

Figures & Tables

Table 1

Characteristics of the studied sample, Maputo City Household Survey, 2022.

NONE* (N = 1,385)HYPERTENSION (N = 364)DIABETES (N = 71)TOTAL (N = 1,820)P VALUE (X2)
Age of participant, years32.9 (9.1)33.8 (8.8)33.1 (9.9)33.1 (9.0)0.197
Food insecurity
 Food secure
 Food insecure

355 (25.6%)
1,030 (74.4%)

23 (6.3%)
341 (93.7%)

8 (11.3%)
63 (88.7%)

386 (21.2%)
1,434 (78.8%)
<0.001
Municipal district
KaMaxaquene
 KaMubukwana
 KaMavota
 Nlhamankulu

377 (27.2%)
331 (23.9%)
323 (23.3%)
354 (25.6%)

64 (17.6%)
109 (29.9%)
111 (30.5%)
80 (22.0%)

25 (35.2%)
18 (25.4%)
12 (16.9%)
16 (22.5%)

466 (25.6%)
458 (25.2%)
446 (24.5%)
450 (24.7%)

<0.001
Sex of participant
 Male
 Female

500 (36.1%)
885 (63.9%)

132 (36.3%)
232 (63.7%)

24 (33.8%)
47 (66.2%)

656 (36.0%)
1,164 (64.0%)

0.921
Head of household
 Male
 Female
 Household size
 Number of children

1,018 (73.5%)
367 (26.5%)
4.7 (1.0)
2.0 (0.8)

235 (64.6%)
129 (35.4%)
4.8 (0.8)
2.2 (0.7)

50 (70.4%)
21 (29.6%)
4.8 (0.9)
2.1 (0.9)

1,303 (71.6%)
517 (28.4%)
4.7 (0.9)
2.0 (0.8)

0.003

0.056
<0.001
Marital status
 Single/separated
 Married/marital union

434 (31.3%)
951 (68.7%)

147 (40.4%)
217 (59.6%)

27 (38.0%)
44 (62.0%)

608 (33.4%)
1,212 (66.6%)

0.003
Food diversity
 Low
 Medium
 High

618 (44.6%)
487 (35.2%)
280 (20.2%)

287 (78.8%)
59 (16.2%)
18 (4.9%)

49 (69.0%)
17 (23.9%)
5 (7.0%)

954 (52.4%)
563 (30.9%)
303 (16.6%)

<0.001
Work
 Unpaid work
 Paid work

637 (46.0%)
748 (54.0%)

214 (58.8%)
150 (41.2%)

42 (59.2%)
29 (40.8)

893 (49.1%)
927 (50.9%)

<0.001
Education
 Primary/secondary
 High school/university

519 (37.5%)
866 (62.5%)

261 (71.7%)
103 (28.3%)

44 (62.0%)
27 (38.0%)

824 (45.3%)
996 (54.7%)

<0.001
Income
 Low income
 Middle income
 High income

385 (27.8%)
536 (38.7%)
464 (33.5%)

241 (66.2%)
80 (22.0%)
43 (11.8%)

29 (40.8%)
25 (35.2%)
17 (23.9%)

655 (36.0%)
641 (35.2%)
524 (28.8%)

<0.001

[i] *No metabolic disease.

Table 2

Association between food insecurity and self‑reported hypertension and diabetes by socio‑demographic characteristics, Maputo City Household Survey, 2022.

METABOLIC INDEXABSTANDARD ERRORWALDDFP VALUEODDS RATIO[95% CI]
HypertensionIntercept−2.6670.47531.5631<,001
Food insecurity1.1130.17938.8861<0.0013.0452.1464.320
Food diversity−0.1110.1850.36010.5480.8950.6221.287
Income−0.2370.1552.32610.1270.7890.5821.070
Work0.2110.1501.98710.1591.2350.9211.657
Education−0.6410.17912.8071<0.0010.5270.3710.748
Age of participant0.1750.0785.00210.0251.1921.0221.389
FI × Income0.4790.2354.15210.0421.6151.0182.561
FI × Work−0.3330.3590.86110.3530.7170.3551.448
FI × Education0.2760.4420.38810.5331.3170.5543.135
Municipal district0.0330.0580.32810.5671.0340.9231.157
DiabetesIntercept−4.4910.82329.7631<0.001
Food insecurity1.2480.30716.5631<0.0013.4821.9096.351
Food diversity−0.5640.3123.27610.0700.5690.3091.048
Income0.8170.24710.9731<0.0012.2651.3963.674
Work−0.1490.2710.30310.5820.8620.5071.465
Education−0.4940.2952.79510.0950.6100.3421.089
Age of participant−0.0660.1380.23210.6300.9360.7151.225
FI × Income−0.1440.4530.10010.7510.8660.3562.106
FI × Work0.1230.6280.03910.8441.1310.3303.878
FI × Education0.9370.8581.19210.2752.5520.47513.715
Municipal district−0.2540.1016.31610.0120.7760.6360.946

[i] A The reference category is: no metabolic disease.

Figure 1

Adjusted prediction of the influence of educational attainment on the association between food insecurity (FI) and metabolic diseases.

Figure 2

Adjusted prediction of the influence of income on the association between food insecurity (FI) and metabolic diseases.

Figure 3

Adjusted prediction of the influence of employment status on the association between food insecurity (FI) and metabolic diseases.

DOI: https://doi.org/10.5334/aogh.4569 | Journal eISSN: 2214-9996
Language: English
Submitted on: Oct 1, 2024
Accepted on: Nov 16, 2024
Published on: Dec 10, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 Elias M. A. Militao, Olalekan A. Uthman, Elsa M. Salvador, Stig Vinberg, Gloria Macassa, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.