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Revista Facultad Nacional de Salud Pública
Print version ISSN 0120-386X
Abstract
CATANO-MONTOYA, Yan Carlos; ARANGO-ALZATE, Catalina María and MEJIA-MERINO, Cristina. The food situation of people without household utilities connection in the upper section of commune 3 in the city of Medellin. Rev. Fac. Nac. Salud Pública [online]. 2018, vol.36, n.3, pp.5-17. ISSN 0120-386X. https://doi.org/10.17533/udea.rfnsp.v36n3a02.
Objective:
To describe the nutritional food situation of the inhabitants of households without household utilities connection in neighborhoods that form the upper section of commune 3 in the city of Medellin.
Methodology:
A descriptive cross-sectional study was conducted. Sample size was 220 households, using simple random sampling. Information was collected using a structured questionnaire and using the Latin American and Caribbean Food Security Scale-elcsa (in Spanish, Escala Latinoamericana y Caribeña de Seguridad Alimentaria). A statistical analysis was conducted using spss® software Version 19. Information analysis was conducted using descriptive an exploratory data analysis. Furthermore, a multiple correspondence analysis was conducted to establish social economic and food profiles of the households without utilities connection. The study estimated an association between malnutrition and household socioeconomic variables using a chi-square test.
Results:
We found that there are two ways of not being connected to household utilities: one as a result of service disconnection (lack of payment) and the other because of access (high risk housing or outside the city's territorial plan). Household population distribution is pyramid-shaped and progressive, where the families are mainly represented by two-parent nuclear families where the head of the household has an informal labor situation; they have their own house and their schooling is no higher than Secondary School. Malnutrition variables were associated with covariates as overcrowding, income level and hut-type housing. Two household classifications were obtained which were households facing moderate to severe food and nutrition insecurity and homes facing slight food insecurity.
Conclusion:
Households that without utilities connection in the neighborhoods located in the upper sector of commune 3 do not have the economic capacity, and do not have a minimum setting to improve their health conditions, which creates a permanent food risk, particularly for underage children. The basic food basket of the participating households consists of food that mostly provides carbohydrates and calories; they eat fruit in minimum amounts.
Keywords : food; malnutrition; sanitation; poverty; public water supply; power supply.