Access to food markets, household wealth and child nutrition in rural Cambodia: Findings from nationally representative data

Access to informal fresh food markets plays a vital role in household food security and dietary quality in transitioning rural economies. However, it is not well understood if market access also improves child nutrition and if the improvement applies to all socioeconomic groups. In this secondary re...

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Autores principales: Duong, C., Patel, S., Hung Nguyen-Viet, Chea, R., Sinh Dang-Xuan, Tum, S., Ramakrishnan, U., Young, M.F.
Formato: Journal Article
Lenguaje:Inglés
Publicado: 2023
Materias:
Acceso en línea:https://hdl.handle.net/10568/132347
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author Duong, C.
Patel, S.
Hung Nguyen-Viet
Chea, R.
Sinh Dang-Xuan
Tum, S.
Ramakrishnan, U.
Young, M.F.
author_browse Chea, R.
Duong, C.
Hung Nguyen-Viet
Patel, S.
Ramakrishnan, U.
Sinh Dang-Xuan
Tum, S.
Young, M.F.
author_facet Duong, C.
Patel, S.
Hung Nguyen-Viet
Chea, R.
Sinh Dang-Xuan
Tum, S.
Ramakrishnan, U.
Young, M.F.
author_sort Duong, C.
collection Repository of Agricultural Research Outputs (CGSpace)
description Access to informal fresh food markets plays a vital role in household food security and dietary quality in transitioning rural economies. However, it is not well understood if market access also improves child nutrition and if the improvement applies to all socioeconomic groups. In this secondary research study, we combined a national listing of food markets (n = 503) with a national household survey to examine the associations of market access with diet and height across wealth groups in children aged 6 to 23 months in rural Cambodia. All children under two years of age with dietary data (n = 1537) or anthropometry data (n = 989) were selected from the household survey. Food markets were geocoded using Google Maps or villages’ geographical coordinates publicly available in the Open Development Mekong data platform. Regression calibration was then used to estimate household distance to the nearest market. Descriptive results indicated a highly uneven distribution of food markets with median household distance to the nearest markets ranging between 4 km (IQR: 3–8 km) in the lowland areas and 9 km (IQR: 4–17 km) in the highland areas. Results from the multivariate linear regressions showed that distance to the nearest market was modestly associated with child dietary diversity score (β: -0.17; 95% CI: -0.29, -0.05) but it was not related to child height-for-age z-score, and that household wealth did not modify the associations between distance to markets and child dietary diversity score. These findings suggest that improving access to food markets alone might not lead to meaningful improvement in child diet. Detailed surveys on household food acquisition are needed to clarify the role of food markets relative to other food sources such as subsistence fisheries, subsistence gardening and mobile food traders.
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spelling CGSpace1323472025-10-26T12:54:18Z Access to food markets, household wealth and child nutrition in rural Cambodia: Findings from nationally representative data Duong, C. Patel, S. Hung Nguyen-Viet Chea, R. Sinh Dang-Xuan Tum, S. Ramakrishnan, U. Young, M.F. nutrition markets food access Access to informal fresh food markets plays a vital role in household food security and dietary quality in transitioning rural economies. However, it is not well understood if market access also improves child nutrition and if the improvement applies to all socioeconomic groups. In this secondary research study, we combined a national listing of food markets (n = 503) with a national household survey to examine the associations of market access with diet and height across wealth groups in children aged 6 to 23 months in rural Cambodia. All children under two years of age with dietary data (n = 1537) or anthropometry data (n = 989) were selected from the household survey. Food markets were geocoded using Google Maps or villages’ geographical coordinates publicly available in the Open Development Mekong data platform. Regression calibration was then used to estimate household distance to the nearest market. Descriptive results indicated a highly uneven distribution of food markets with median household distance to the nearest markets ranging between 4 km (IQR: 3–8 km) in the lowland areas and 9 km (IQR: 4–17 km) in the highland areas. Results from the multivariate linear regressions showed that distance to the nearest market was modestly associated with child dietary diversity score (β: -0.17; 95% CI: -0.29, -0.05) but it was not related to child height-for-age z-score, and that household wealth did not modify the associations between distance to markets and child dietary diversity score. These findings suggest that improving access to food markets alone might not lead to meaningful improvement in child diet. Detailed surveys on household food acquisition are needed to clarify the role of food markets relative to other food sources such as subsistence fisheries, subsistence gardening and mobile food traders. 2023-10-18 2023-10-20T13:48:51Z 2023-10-20T13:48:51Z Journal Article https://hdl.handle.net/10568/132347 en Open Access Duong, C., Patel, S., Hung Nguyen-Viet, Chea, R., Sinh Dang-Xuan, Tum, S., Ramakrishnan, U. and Young, M.F. 2023. Access to food markets, household wealth and child nutrition in rural Cambodia: Findings from nationally representative data. PLOS ONE 18(10): e0292618.
spellingShingle nutrition
markets
food access
Duong, C.
Patel, S.
Hung Nguyen-Viet
Chea, R.
Sinh Dang-Xuan
Tum, S.
Ramakrishnan, U.
Young, M.F.
Access to food markets, household wealth and child nutrition in rural Cambodia: Findings from nationally representative data
title Access to food markets, household wealth and child nutrition in rural Cambodia: Findings from nationally representative data
title_full Access to food markets, household wealth and child nutrition in rural Cambodia: Findings from nationally representative data
title_fullStr Access to food markets, household wealth and child nutrition in rural Cambodia: Findings from nationally representative data
title_full_unstemmed Access to food markets, household wealth and child nutrition in rural Cambodia: Findings from nationally representative data
title_short Access to food markets, household wealth and child nutrition in rural Cambodia: Findings from nationally representative data
title_sort access to food markets household wealth and child nutrition in rural cambodia findings from nationally representative data
topic nutrition
markets
food access
url https://hdl.handle.net/10568/132347
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