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Has Food Security and Nutritional Status Improved in Children 1–<10 Years in Two Provinces of South Africa between 1999 (National Food Consumption Survey) and 2018 (Provincial Dietary Intake Study (PDIS))

Author

Listed:
  • Nelia P. Steyn

    (Department of Human Biology, University of Cape Town, Cape Town 7925, South Africa)

  • Johanna H. Nel

    (Department of Logistics, Stellenbosch University, Stellenbosch 7602, South Africa)

  • Linda Drummond

    (Department of Human Biology, University of Cape Town, Cape Town 7925, South Africa)

  • Sonia Malczyk

    (Department of Human Biology, University of Cape Town, Cape Town 7925, South Africa)

  • Marjanne Senekal

    (Department of Human Biology, University of Cape Town, Cape Town 7925, South Africa)

Abstract

The 1999 National Food Consumption Survey in South Africa showed that food insecurity (hunger) was prevalent in households with children aged one to <10 years. A repeat of the survey in two provinces: Gauteng (GTG) and the Western Cape (WC) was undertaken in 2018. Results showed that in all domains (living areas) in GTG, food shortage prevalence decreased between 1999 and 2018, from 55.0% to 29.6% in urban informal areas, from 34.1% to 19.4% in urban formal areas and from 42.1% to 15.6% in rural areas. While the prevalence of food shortage in urban formal areas in the WC remained similar in 2018, prevalence decreased from 81.8% to 35.7% in urban informal areas and from 38.3% to 20.6% in rural areas. Energy and macronutrient intakes improved significantly in GTG between 1999 and 2018 but not in the WC; intakes were significantly higher in the WC at both time points. The only significant change in stunting, wasting, overweight and obesity prevalence was that 7–<10-year-olds in GTG were significantly more likely to be wasted (BAZ < 2SD) in 2018 than in 1999 (20.2% versus 6.9% respectively). In the WC, 1–3-year-olds were significantly more likely to be obese in 2018 than in 1999 (8.1% versus 1.7% respectively) and 7–<10-year-olds were less likely to be stunted (14.5% versus 4.9% respectively). There were significant negative correlations between the hunger score and dietary variables in both provinces in 1999. In GTG in 2018, only the correlation with fat intake remained while there were still several significant correlations in WC in 2018. Changes in top 12 energy contributors reflect a shift to high or moderate energy foods low in nutrients from 1999 to 2018. Nutrient dense (high micronutrients, low energy/g) foods (e.g., fruit) fell off the list in 2018. Logistic regression analyses reflect the importance for food security of having a parent as head of the household and/or caregiver, and parents having grade 12 or higher education and being employed. We conclude that food security nutritional status indicators improved amongst 1–<10-year-old children especially in GTG between 1999 and 2018. However, the shift to poorer food choices and increase in wasting in older children and overweight in younger children are of concern.

Suggested Citation

  • Nelia P. Steyn & Johanna H. Nel & Linda Drummond & Sonia Malczyk & Marjanne Senekal, 2022. "Has Food Security and Nutritional Status Improved in Children 1–<10 Years in Two Provinces of South Africa between 1999 (National Food Consumption Survey) and 2018 (Provincial Dietary Intake Study (PD," IJERPH, MDPI, vol. 19(3), pages 1-21, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1038-:d:727257
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    References listed on IDEAS

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    1. Marjanne Senekal & Johanna Nel & Sonia Malczyk & Linda Drummond & Nelia P. Steyn, 2020. "Provincial Dietary Intake Study (PDIS): Micronutrient Intakes of Children in a Representative/Random Sample of 1- to <10-Year-Old Children in Two Economically Active and Urbanized Provinces in South A," IJERPH, MDPI, vol. 17(16), pages 1-27, August.
    2. Sheryl Hendriks, 2014. "Food security in South Africa: Status quo and policy imperatives," Agrekon, Taylor & Francis Journals, vol. 53(2), pages 1-24, June.
    3. Marjanne Senekal & Johanna H Nel & Sonia Malczyk & Linda Drummond & Janetta Harbron & Nelia P Steyn, 2019. "Provincial Dietary Intake Study (PDIS): Prevalence and Sociodemographic Determinants of the Double Burden of Malnutrition in A Representative Sample of 1 to Under 10-Year-Old Children from Two Urbaniz," IJERPH, MDPI, vol. 16(18), pages 1-27, September.
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