Household food insecurity but not dietary diversity is associated with children's mean micronutrient density adequacy in rural communities across Ghana

Abstract Objective The aim of this study was to examine predictors of household food insecurity, dietary diversity, and children's mean micronutrient density adequacy and the relationship among these dietary measures. Method Baseline analysis of a quasi-experimental 16-mo intervention study conducted in 12 rural communities in the three main agroecological zones in Ghana. The study included 608 caregivers with their 2- to 5-y-old children. Nutrient density adequacy was estimated for a subsample of 120 children. Results Food insecurity was more severe among farming households than their non-farming counterparts ( P  = 0.032). Dietary diversity score was significantly higher among non-farming households than farming households ( P r  = –0.385; P r  = –0.305; P P  = 0.006; s = 0.011, P  = 0.006, respectively). Conclusion Household food insecurity continues to be a good indicator of lower nutrient intake in children.