{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T18:31:28Z","timestamp":1777314688635,"version":"3.51.4"},"reference-count":63,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T00:00:00Z","timestamp":1684368000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004441","name":"Swedish International Development Cooperation Agency","doi-asserted-by":"publisher","award":["8-71101-3283"],"award-info":[{"award-number":["8-71101-3283"]}],"id":[{"id":"10.13039\/100004441","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Food insecurity (FI) is a global concern and is one of the main causes of malnutrition in low- and middle-income countries. In Mozambique, the burden of FI and how various factors contribute to FI is not well known. This study aimed to investigate the prevalence of FI and its associated factors in southern Mozambique. Data from 1842 household heads in Maputo City were analyzed in a cross-sectional design. Food insecurity was measured using a modified version of the US Department of Agriculture Household Food Security scale, and its association with socio-demographic factors was assessed through multiple regressions. Altogether, 79% of the households were food insecure; of these, 16.6% had mild FI, 28.1% moderate and 34.4% severe FI. The study revealed that low-income households, those with less educated heads, and those engaged in informal work were significantly more prone to FI. Likewise, dietary diversity and the number of meals were also significant predictors of FI. These findings suggest the need for decent work and job creation, which calls for joint efforts from government, the private sector, and international institutions. Furthermore, these key drivers should be considered in the development of public health policies and programs designed to alleviate household FI and malnutrition in Mozambique.<\/jats:p>","DOI":"10.3390\/nu15102372","type":"journal-article","created":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T00:55:29Z","timestamp":1684457729000},"page":"2372","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Food Insecurity and Associated Factors among Households in Maputo City"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1148-383X","authenticated-orcid":false,"given":"Elias M. A.","family":"Militao","sequence":"first","affiliation":[{"name":"Department of Health Sciences, Faculty of Humanities, Mid Sweden University, Holmgatan 10, 851 70 Sundsvall, Sweden"},{"name":"Department of Public Health and Sports Science, Faculty of Occupational and Health Sciences, University of G\u00e4vle, Kungsbacksv\u00e4gen 47, 801 76 G\u00e4vle, Sweden"},{"name":"Department of Biological Sciences, Faculty of Science, Eduardo Mondlane University, 3453 Julius Nyerere Avenue, Maputo 257, Mozambique"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8567-3081","authenticated-orcid":false,"given":"Olalekan A.","family":"Uthman","sequence":"additional","affiliation":[{"name":"Warwick Centre for Global Health, Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK"},{"name":"Department of Global Health, Division of Epidemiology and Biostatistics, Faculty of Health Sciences, Stellenbosch University, Francie van Zijl Drive, Cape Town 7505, South Africa"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2929-5442","authenticated-orcid":false,"given":"Elsa M.","family":"Salvador","sequence":"additional","affiliation":[{"name":"Department of Biological Sciences, Faculty of Science, Eduardo Mondlane University, 3453 Julius Nyerere Avenue, Maputo 257, Mozambique"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5935-5688","authenticated-orcid":false,"given":"Stig","family":"Vinberg","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Humanities, Mid Sweden University, Holmgatan 10, 851 70 Sundsvall, Sweden"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4415-7942","authenticated-orcid":false,"given":"Gloria","family":"Macassa","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Humanities, Mid Sweden University, Holmgatan 10, 851 70 Sundsvall, Sweden"},{"name":"Department of Public Health and Sports Science, Faculty of Occupational and Health Sciences, University of G\u00e4vle, Kungsbacksv\u00e4gen 47, 801 76 G\u00e4vle, Sweden"},{"name":"EPI Unit\u2014Instituto de Sa\u00fade P\u00fablica, Universidade do Porto, Rua das Taipas 135, 4050-600 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2023,5,18]]},"reference":[{"key":"ref_1","unstructured":"FAO, IFAD, UNICEF, WFP, and WHO (2022). The State of Food Security and Nutrition in the World 2022, WHO. Repurposing Food and Agricultural Policies to Make Healthy Diets More Affordable."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"42","DOI":"10.3945\/an.112.003194","article-title":"Food Insecurity and Healthcare Costs: Research Strategies Using Local, State, and National Data Sources for Older Adults","volume":"4","author":"Lee","year":"2013","journal-title":"Adv. Nutr."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1830","DOI":"10.1377\/hlthaff.2015.0645","article-title":"Food Insecurity And Health Outcomes","volume":"34","author":"Gundersen","year":"2015","journal-title":"Health Aff."},{"key":"ref_4","unstructured":"Bickel, G.W., Nord, M., Price, C., Hamilton, W., and Cook, J. (2000). Guide to Measuring Household Food Security: Revised March, USDA, Food and Nutrition Service."},{"key":"ref_5","unstructured":"FAO, IFAD, and WFP (2015). The State of Food Insecurity in the World 2015, FAO. Meeting the 2015 International Hunger Targets: Taking Stock of Uneven Progress."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Yazbeck, N., Mansour, R., Salame, H., Chahine, N.B., and Hoteit, M. (2022). The Ukraine\u2013Russia War Is Deepening Food Insecurity, Unhealthy Dietary Patterns and the Lack of Dietary Diversity in Lebanon: Prevalence, Correlates and Findings from a National Cross-Sectional Study. Nutrients, 14.","DOI":"10.3390\/nu14173504"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1038\/s41562-022-01391-x","article-title":"Implications of the Russia\u2013Ukraine War for Global Food Security","volume":"6","author":"Behnassi","year":"2022","journal-title":"Nat. Hum. Behav."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"100049","DOI":"10.1016\/j.aglobe.2022.100049","article-title":"North Korea as a Complex Humanitarian Emergency: Assessing Food Insecurity","volume":"2","author":"Noland","year":"2022","journal-title":"Asia Glob. Econ."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"i100","DOI":"10.1093\/jae\/ejr010","article-title":"Managing Food Security Implications of Food Price Shocks in Africa","volume":"20","year":"2011","journal-title":"J. Afr. Econ."},{"key":"ref_10","first-page":"398","article-title":"Rising Food Costs & Global Food Security: Key Issues and Relevance for India","volume":"138","author":"Gustafson","year":"2013","journal-title":"IJMR"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1007\/s12571-013-0299-z","article-title":"Home and Community Gardens in Southeast Asia: Potential and Opportunities for Contributing to Nutrition-Sensitive Food Systems","volume":"5","author":"Weinberger","year":"2013","journal-title":"Food Sec."},{"key":"ref_12","unstructured":"Sadhguru, J.V. (2019). Climate Action and Reducing Human Footprint, UN Women, Global Mechanism of the UNCCD and IUCN. UNCCD COP 14."},{"key":"ref_13","unstructured":"FAO, IFAD, UNICEF, WFP, and WHO (2021). The State of Food Security and Nutrition in the World 2021: Transforming Food Systems for Food Security, Improved Nutrition and Affordable Healthy Diets for All, FAO. The State of Food Security and Nutrition in the World (SOFI)."},{"key":"ref_14","unstructured":"MIC (2021, November 01). Estrat\u00e9gia Nacional de Fortifica\u00e7\u00e3o de Alimentos (2016\u20132021). Available online: https:\/\/pt.scribd.com\/document\/428418816\/Estrategia-Nacional-de-Fortificacao-de-Alimentos."},{"key":"ref_15","unstructured":"FAO (2023, March 20). Low-Income Food-Deficit Countries (LIFDCs). Available online: https:\/\/www.fao.org\/countryprofiles\/lifdc\/en\/."},{"key":"ref_16","unstructured":"UNDP (2020). The Next Frontier: Human Development and the Anthropocene, United Nations Development Programme. Human Development Report."},{"key":"ref_17","unstructured":"WFP (2017). Mozambique Country Strategic Plan (2017\u20132021), WPF."},{"key":"ref_18","unstructured":"WFP (2023, March 11). Mozambique. Available online: https:\/\/www.wfp.org\/countries\/mozambique."},{"key":"ref_19","unstructured":"Baez, J.E., and Olinto, P. (2016). Accelerating Poverty Reduction in Mozambique: Challenges and Opportunities, World Bank Group."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Militao, E.M.A., Salvador, E.M., Silva, J.P., Uthman, O.A., Vinberg, S., and Macassa, G. (2022). Coping Strategies for Household Food Insecurity, and Perceived Health in an Urban Community in Southern Mozambique: A Qualitative Study. Sustainability, 14.","DOI":"10.3390\/su14148710"},{"key":"ref_21","unstructured":"Paulo, A., Mondlhane, A., and Buene, D. (2017). Relat\u00f3rio da Avalia\u00e7\u00e3o de Seguran\u00e7a Alimentar e Nutricional, Secretariado T\u00e9cnico de Seguran\u00e7a Alimentar e Nutricional."},{"key":"ref_22","unstructured":"ROSC (2014). Reflectindo sobre a Desnutri\u00e7\u00e3o Cr\u00f3nica: Os Desafios da Constru\u00e7\u00e3o de um Capital Humano Sustent\u00e1vel em Mo\u00e7ambique, For\u00fam da Sociedade Civil para os Direitos da Crian\u00e7a."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1080\/0376835X.2021.1932423","article-title":"Household Food Security in Maputo: The Role of Gendered Access to Education and Employment","volume":"38","author":"McCordic","year":"2021","journal-title":"Dev. S. Afr."},{"key":"ref_24","unstructured":"Raimundo, I., Crush, J.S., and Pendleton, W. (2014). The State of Food Insecurity in Maputo, Mozambique, AFSUN."},{"key":"ref_25","unstructured":"World Bank (2017). Greater Maputo: Urban Poverty and Inclusive Growth, World Bank."},{"key":"ref_26","unstructured":"INE (2019). IV Recenseamento Geral da Popula\u00e7\u00e3o e Habita\u00e7\u00e3o, 2017: Resultados Definitivos\u2014Mo\u00e7ambique, INE."},{"key":"ref_27","unstructured":"de Koning, F., Diogo, D., and Paulo, A. (2014). Relat\u00f3rio do Estudo de Base de Seguran\u00e7a Alimentar e Nutricional de 2013, Secretariado T\u00e9cnico de Seguran\u00e7a Alimentar e Nutricional."},{"key":"ref_28","unstructured":"Greg\u00f3rio, M.J., Gra\u00e7a, P., Nogueira, P.J., Gomes, S., Santos, C.A., and Boavida, J. (2014). Proposta Metodol\u00f3gica para a Avalia\u00e7\u00e3o da Inseguran\u00e7a Alimentar em Portugal, Associa\u00e7\u00e3o Portuguesa dos Nutricionistas."},{"key":"ref_29","unstructured":"Greg\u00f3rio, M.J. (2014). Desigualdades Sociais no Acesso a Uma Alimenta\u00e7\u00e3o Saud\u00e1vel: Um Estudo na Popula\u00e7\u00e3o Portuguesa, Tese de Doutoramento, Universidade do Porto."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"38","DOI":"10.3389\/fpubh.2018.00038","article-title":"Food Insecurity Is Associated with Low Adherence to the Mediterranean Diet and Adverse Health Conditions in Portuguese Adults","volume":"6","author":"Rodrigues","year":"2018","journal-title":"Front. Public Health"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/j.gfs.2019.02.004","article-title":"Systematic Review of Use and Interpretation of Dietary Diversity Indicators in Nutrition-Sensitive Agriculture Literature","volume":"20","author":"Verger","year":"2019","journal-title":"Glob. Food Secur."},{"key":"ref_32","unstructured":"IBM (2022, December 10). IBM SPSS Statistics for Windows, Version 27.0. Available online: https:\/\/www.ibm.com."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"e006778","DOI":"10.1136\/bmjgh-2021-006778","article-title":"Natural Disasters, Population Displacement and Health Emergencies: Multiple Public Health Threats in Mozambique","volume":"6","author":"Mugabe","year":"2021","journal-title":"BMJ Glob. Health"},{"key":"ref_34","first-page":"2955","article-title":"The Impact of COVID-19 on Diet Quality, Food Security and Nutrition in Low and Middle Income Countries: A Systematic Review of the Evidence","volume":"10","author":"Picchioni","year":"2021","journal-title":"Clin. Nutr."},{"key":"ref_35","unstructured":"United Nations (2022). The Sustainable Development Goals Report 2022, United Nations."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1002\/pop4.233","article-title":"Addressing Food Insecurity in Sub-Saharan Africa: The Role of Cash Transfers","volume":"10","author":"Burchi","year":"2018","journal-title":"Poverty Public Policy"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1080\/14735903.2017.1293929","article-title":"The Impact of Population Growth and Climate Change on Food Security in Africa: Looking Ahead to 2050","volume":"15","author":"Hall","year":"2017","journal-title":"Int. J. Agric. Sustain."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1080\/0376835X.2011.605571","article-title":"Urban Food Insecurity and the New International Food Security Agenda","volume":"28","author":"Crush","year":"2011","journal-title":"Dev. S. Afr."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1080\/21551197.2021.1988027","article-title":"Prevalence and Factors Associated with Food Insecurity among Older Adults in Sub-Saharan Africa: A Systematic Review","volume":"40","author":"Saha","year":"2021","journal-title":"J. Nutr. Gerontol. Geriatr."},{"key":"ref_40","first-page":"147","article-title":"Causes of Poverty in Africa: A Review of Literature","volume":"3","year":"2014","journal-title":"AIJSSc"},{"key":"ref_41","first-page":"78","article-title":"Fundamental Causes of Poverty in Sub-Saharan Africa","volume":"20","author":"Kabuya","year":"2015","journal-title":"IOSR-JHSS"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1108\/IJSE-11-2017-0538","article-title":"Armed Conflict and Food Security in West Africa: Socioeconomic Perspective","volume":"46","author":"Ujunwa","year":"2019","journal-title":"IJSE"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"104752","DOI":"10.1016\/j.worlddev.2019.104752","article-title":"Governance Quality, Remittances and Their Implications for Food and Nutrition Security in Sub-Saharan Africa","volume":"127","author":"Ogunniyi","year":"2020","journal-title":"World Dev."},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Militao, E.M.A., Salvador, E.M., Uthman, O.A., Vinberg, S., and Macassa, G. (2022). Food Insecurity and Health Outcomes Other than Malnutrition in Southern Africa: A Descriptive Systematic Review. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19095082"},{"key":"ref_45","unstructured":"(2023, March 11). INE \u00cdndice de Pre\u00e7os no Consumidor, Available online: http:\/\/www.ine.gov.mz\/estatisticas\/estatisticas-economicas\/indice-de-preco-no-consumidor\/notas-de-imprensa\/mocambique\/ipcmocambique_8-cidades_nimprensa_fevereiro2023.pdf\/view."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"S177","DOI":"10.1111\/1467-8268.12528","article-title":"COVID-19 Impact on SADC Labour Markets: Evidence from High-frequency Data and Other Sources","volume":"33","author":"Rosenberg","year":"2021","journal-title":"Afr. Dev. Rev."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Erokhin, V., and Gao, T. (2020). Impacts of COVID-19 on Trade and Economic Aspects of Food Security: Evidence from 45 Developing Countries. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17165775"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1093\/eurpub\/ckaa101","article-title":"Is the COVID-19 Pandemic Turning into a European Food Crisis?","volume":"30","author":"Toffolutti","year":"2020","journal-title":"Eur. J. Public Health"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1126\/science.abc4765","article-title":"COVID-19 Risks to Global Food Security","volume":"369","author":"Laborde","year":"2020","journal-title":"Science"},{"key":"ref_50","first-page":"149","article-title":"COVID-19 Containment and Food Security in the Global South","volume":"9","author":"Crush","year":"2020","journal-title":"J. Agric. Food Syst. Community Dev."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1177\/0956247819861899","article-title":"Urban Food Insecurity and Its Determinants: A Baseline Study of Bengaluru","volume":"31","author":"Anand","year":"2019","journal-title":"Environ. Urban."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"e00160","DOI":"10.1002\/fes3.160","article-title":"African Food Insecurity in a Changing Climate: The Roles of Science and Policy","volume":"8","author":"Onyutha","year":"2019","journal-title":"Food Energy Secur."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1007\/s12571-020-01113-z","article-title":"Climate Change and Household Welfare in Sub-Saharan Africa: Empirical Evidence from Swaziland","volume":"13","author":"Sam","year":"2021","journal-title":"Food Secur."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1017\/S1368980016002925","article-title":"Gender Differences in the Prevalence of Household Food Insecurity: A Systematic Review and Meta-Analysis","volume":"20","author":"Jung","year":"2017","journal-title":"Public Health Nutr."},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Santos, M.P., Brewer, J.D., Lopez, M.A., Paz-Soldan, V.A., and Chaparro, M.P. (2022). Determinants of Food Insecurity among Households with Children in Villa El Salvador, Lima, Peru: The Role of Gender and Employment, a Cross-Sectional Study. BMC Public Health, 22.","DOI":"10.1186\/s12889-022-12889-4"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.foodpol.2019.01.003","article-title":"What Explains Gender Differences in Food Insecurity?","volume":"83","author":"Broussard","year":"2019","journal-title":"Food Policy"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"610","DOI":"10.12944\/CRNFSJ.7.3.02","article-title":"Determinants of Household Food Insecurity and Its Association with Child Malnutrition in Sub-Saharan Africa: A Review of the Literature","volume":"7","author":"Drammeh","year":"2019","journal-title":"Curr. Res. Nutr. Food. Sci."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1007\/s11205-020-02387-8","article-title":"Food Insecurity in Europe: A Gender Perspective","volume":"161","author":"Grimaccia","year":"2022","journal-title":"Soc. Indic. Res."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.worlddev.2013.10.025","article-title":"What Determines Gender Inequality in Household Food Security in Kenya? Application of Exogenous Switching Treatment Regression","volume":"56","author":"Kassie","year":"2014","journal-title":"World Dev."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"1914","DOI":"10.18697\/ajfand.30.3740","article-title":"Household Level Determinants of Food Insecurity in Rural Areas of Dire Dawa, Eastern Ethiopia","volume":"9","author":"Bogale","year":"2009","journal-title":"AJFAND"},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Sulaiman, N., Yeatman, H., Russell, J., and Law, L.S. (2021). A Food Insecurity Systematic Review: Experience from Malaysia. Nutrients, 13.","DOI":"10.3390\/nu13030945"},{"key":"ref_62","doi-asserted-by":"crossref","unstructured":"Maynard, M., Andrade, L., Packull-McCormick, S., Perlman, C., Leos-Toro, C., and Kirkpatrick, S. (2018). Food Insecurity and Mental Health among Females in High-Income Countries. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15071424"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.foodpol.2017.07.005","article-title":"Assessing Food Insecurity in Latin America and the Caribbean Using FAO\u2019s Food Insecurity Experience Scale","volume":"71","author":"Smith","year":"2017","journal-title":"Food Policy"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/15\/10\/2372\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:38:00Z","timestamp":1760125080000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/15\/10\/2372"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,18]]},"references-count":63,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2023,5]]}},"alternative-id":["nu15102372"],"URL":"https:\/\/doi.org\/10.3390\/nu15102372","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,18]]}}}