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

Background: Metabolic diseases such as hypertension and diabetes are increasingly recognized as not just medical issues, but as complex conditions influenced by various factors. Objectives: This study aimed to explore the association between food insecurity (FI) and hypertension and diabetes and how...

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Main Authors: Elias M. A. Militao, Olalekan A. Uthman, Elsa M. Salvador, Stig Vinberg, Gloria Macassa
Format: Article
Language:English
Published: Ubiquity Press 2024-12-01
Series:Annals of Global Health
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Online Access:https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4569
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author Elias M. A. Militao
Olalekan A. Uthman
Elsa M. Salvador
Stig Vinberg
Gloria Macassa
author_facet Elias M. A. Militao
Olalekan A. Uthman
Elsa M. Salvador
Stig Vinberg
Gloria Macassa
author_sort Elias M. A. Militao
collection DOAJ
description Background: Metabolic diseases such as hypertension and diabetes are increasingly recognized as not just medical issues, but as complex conditions influenced by various factors. Objectives: This study aimed to explore the association between food insecurity (FI) and hypertension and diabetes and how socioeconomic status influences this relationship. Methods: Based on a cross-sectional study of 1,820 participants conducted in Maputo City, FI was measured using a modified version of the US Department of Agriculture scale; metabolic diseases were assessed using self-reports of the actual diagnoses, and data were analyzed through multinomial regression and interaction terms. Results: The findings revealed significant links between FI, socioeconomic status, hypertension and diabetes. Socioeconomic status had a clear influence on the association between FI and hypertension but showed a nuanced influence on diabetes. Specifically, regarding diabetes, the heads of households with a higher socioeconomic position were more likely to have this health condition than their counterparts with a lower socioeconomic position. Conclusions: The study underscores the complex interplay between FI and socioeconomic status in influencing the risk of metabolic diseases. Addressing FI and improving socioeconomic status may be crucial steps in mitigating the risk of hypertension and diabetes among vulnerable populations, emphasizing the importance of a holistic approach to health promotion and disease prevention.
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issn 2214-9996
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publishDate 2024-12-01
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series Annals of Global Health
spelling doaj-art-3dc186840efb4f39937c640f0d07363d2025-01-08T07:52:56ZengUbiquity PressAnnals of Global Health2214-99962024-12-01901797910.5334/aogh.45694569Association between Food Insecurity, Socioeconomic Status of the Household Head, and Hypertension and Diabetes in Maputo CityElias M. A. Militao0https://orcid.org/0000-0003-1148-383XOlalekan A. Uthman1https://orcid.org/0000-0002-8567-3081Elsa M. Salvador2https://orcid.org/0000-0002-2929-5442Stig Vinberg3https://orcid.org/0000-0002-5935-5688Gloria Macassa4https://orcid.org/0000-0003-4415-7942Department of Health Sciences, Faculty of Humanities, Mid Sweden University, Holmgatan 10, 851 70 Sundsvall; Department of Social Work, Criminology and Public Health Sciences, Faculty of Occupational and Health Sciences, University of Gävle, Kungsbacksvägen 47, 80176 Gävle, Sweden; Department of Biological Sciences, Faculty of Sciences, Eduardo Mondlane University, 3453 Julius Nyerere Avenue, Maputo 257Warwick Centre for Global Health, Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK; Department of Global Health, Division of Epidemiology and Biostatistics, Faculty of Health Sciences, Stellenbosch University, Francie van Zijl Drive, Cape Town 7505Department of Biological Sciences, Faculty of Sciences, Eduardo Mondlane University, 3453 Julius Nyerere Avenue, Maputo 257Department of Health Sciences, Faculty of Humanities, Mid Sweden University, Kunskapens väg 8, SE-831 25 ÖstersundDepartment of Health Sciences, Faculty of Humanities, Mid Sweden University, Kunskapens väg 8, SE-831 25 Östersund; Department of Social Work, Criminology and Public Health Sciences, Faculty of Occupational and Health Sciences, University of Gävle, Kungsbacksvägen 47, 80176 Gävle, Sweden; EPI Unit–Instituto de Saúde Pública, Universidade do Porto, Rua das Taipas 135, 4050-600 PortoBackground: Metabolic diseases such as hypertension and diabetes are increasingly recognized as not just medical issues, but as complex conditions influenced by various factors. Objectives: This study aimed to explore the association between food insecurity (FI) and hypertension and diabetes and how socioeconomic status influences this relationship. Methods: Based on a cross-sectional study of 1,820 participants conducted in Maputo City, FI was measured using a modified version of the US Department of Agriculture scale; metabolic diseases were assessed using self-reports of the actual diagnoses, and data were analyzed through multinomial regression and interaction terms. Results: The findings revealed significant links between FI, socioeconomic status, hypertension and diabetes. Socioeconomic status had a clear influence on the association between FI and hypertension but showed a nuanced influence on diabetes. Specifically, regarding diabetes, the heads of households with a higher socioeconomic position were more likely to have this health condition than their counterparts with a lower socioeconomic position. Conclusions: The study underscores the complex interplay between FI and socioeconomic status in influencing the risk of metabolic diseases. Addressing FI and improving socioeconomic status may be crucial steps in mitigating the risk of hypertension and diabetes among vulnerable populations, emphasizing the importance of a holistic approach to health promotion and disease prevention.https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4569food insecuritysocioeconomic statusphysical health outcomeshypertension and diabetesheads of households
spellingShingle Elias M. A. Militao
Olalekan A. Uthman
Elsa M. Salvador
Stig Vinberg
Gloria Macassa
Association between Food Insecurity, Socioeconomic Status of the Household Head, and Hypertension and Diabetes in Maputo City
Annals of Global Health
food insecurity
socioeconomic status
physical health outcomes
hypertension and diabetes
heads of households
title Association between Food Insecurity, Socioeconomic Status of the Household Head, and Hypertension and Diabetes in Maputo City
title_full Association between Food Insecurity, Socioeconomic Status of the Household Head, and Hypertension and Diabetes in Maputo City
title_fullStr Association between Food Insecurity, Socioeconomic Status of the Household Head, and Hypertension and Diabetes in Maputo City
title_full_unstemmed Association between Food Insecurity, Socioeconomic Status of the Household Head, and Hypertension and Diabetes in Maputo City
title_short Association between Food Insecurity, Socioeconomic Status of the Household Head, and Hypertension and Diabetes in Maputo City
title_sort association between food insecurity socioeconomic status of the household head and hypertension and diabetes in maputo city
topic food insecurity
socioeconomic status
physical health outcomes
hypertension and diabetes
heads of households
url https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4569
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