SOCIAL CONTEXT AND MODER ATE-SEVERE FOOD AND NUTRITIONAL INSECURITY IN FAMILIES WITH CHILDREN AGED 0-59 MONTHS, PAR AÍBA, BR AZIL, 2017-2018

Abstract

Objective. To analyze the association between the social context (demographic, socioeconomic and social support factors) and moderate-severe food and nutritional insecurity in families with children aged 0-59 months enrolled in municipal kindergartens in the state of Paraíba, Brazil. Materials and methods. We conducted a cross-sectional study in Brazilian municipalities prioritized for the prevention of child-hood obesity. A questionnaire was used to collect information on the social context of the family (de-mographic profile of the child, socioeconomic situation and social support) as well as the Brazilian food insecurity scale. The association between the independent variables and moderate-severe food and nutrition insecurity was determined by applying Poisson regression to estimate crude and adjusted prevalence ratios and their respective 95% confidence intervals. Results. We included 382 families; 27.2% had mo-derate-severe food and nutrition insecurity. In addition, dysfunctional families with children under 24 months, from less affluent classes, beneficiaries of the Bolsa Família Program and without social support (material, emotional/informational and interaction) were more likely to present the outcome. Conclu-sions. Our results show that 27.2% of the families had moderate-severe food and nutritional insecurity, were beneficiaries of the Bolsa Família Program, dysfunctional and did not have social support. There-fore, the identification of these factors would be useful to improve family food and nutritional security.