@article{fdi:010093588,
  title = {{P}revalence and risk factors of food insecurity during pregnancy : a multicenter survey in {F}rench {G}uiana},
  author = {{B}asurko, {C}. and {L}yonnais, {E}. and {P}roquot, {M}. and {F}orsans, {G}. and {H}cini, {N}. and {C}amara, {N}. and {G}alindo, {M}. {S}. and {G}atti, {C}. and {A}denis, {A}. and {N}acher, {M}. and {S}avy, {M}athilde and {N}ptm {S}tudy {T}eam,},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {T}he post-{COVID} international situation, wars and food price inflation are hampering access to food for the most vulnerable households who have no safety net against unforeseen events. {W}hile pregnant women are particularly vulnerable to food shortages and nutritional imbalances, data on food insecurity during pregnancy and associated risk factors are scarce. {M}ethods {A} 2023 multicenter, cross-sectional study was conducted among a representative sample of 730 women during the third trimester of pregnancy in {F}rench {G}uiana. {F}ood insecurity ({USDA} {F}ood {S}ecurity {S}urvey {M}odule), diet quality indicators derived from a qualitative 24-h recall ({M}inimum {D}ietary {D}iversity for {W}omen {MDD}-{W}, {A}ll-5 indicator, {NCD} risk foods), pre-conceptional nutritional status (body mass index - {BMI}) and gestational weight gain ({GWG}), and women's self-esteem were collected. {D}ata were weighted to ensure sample representativeness, and modified {P}oisson regression was used to identify risk factors for {FI} during pregnancy. {R}esult {O}verall, 32.3% [95% {CI}: 28.8-35.9] of the women lived in a food-insecure household during pregnancy and only 45.6% [95% {CI}: 42.0-49.2] of the women had reached the {MDD}-{W} set at 5 food groups. {M}ore than 80% of the women had consumed sweetened beverages and 25.1% were obese before conception. {A}ccording to the multivariate model, the factors positively associated with food insecurity included living in substandard housing, living alone with children, having low self-esteem and being born abroad (with or without a residence permit). {O}n the other hand, having a stable and declared income and social support were protective factors against food insecurity after adjusting for the other variables. {C}onclusions {T}his study highlights a frequently overlooked situation in {F}rench {G}uiana that is likely to affect the health of children at the very beginning of their lives. {P}eer-based programs or government financial assistance programs could help strengthen the ability of the poorest households with pregnant women to cope with food insecurity.},
  keywords = {{F}ood insecurity ; {P}regnancy ; {F}rench {G}uiana ; {D}ietary diversity ; {O}besity ; {GUYANE} {FRANCAISE}},
  booktitle = {},
  journal = {{BMC} {P}ublic {H}ealth},
  volume = {25},
  numero = {1},
  pages = {1910 [14 p.]},
  year = {2025},
  DOI = {10.1186/s12889-025-23173-6},
  URL = {https://www.documentation.ird.fr/hor/fdi:010093588},
}