Evidence map›Paper›PMID 42495101›Full record

ArticleThe Pan African medical journal2026

Intra-household gender difference in dietary diversity and its determinants in a food-insecure community in the Democratic Republic of Congo.

Nelly Kabena-Ngandu, Rosa Munsambe-Yambu, Josué Lukusa, Landry Egbende, Alexandre Bukasa-Kanyama, Bernard-Kennedy Nkongolo, Alain Cimuanga-Mukanya, Marie-Claire Muel Telo Muyer, Freddy Bangelesa

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Article in The Pan African medical journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Nelly Kabena-NganduDepartment of Nutrition, School of Public Health, Kinshasa University, Kinshasa, Democratic Republic of Congo.
Rosa Munsambe-YambuDepartment of Nutrition, School of Public Health, Kinshasa University, Kinshasa, Democratic Republic of Congo.
Josué LukusaDepartment of Nutrition, School of Public Health, Kinshasa University, Kinshasa, Democratic Republic of Congo.
Landry EgbendeDepartment of Nutrition, School of Public Health, Kinshasa University, Kinshasa, Democratic Republic of Congo.
Alexandre Bukasa-KanyamaDepartment of Management, School of Public Health, Kinshasa University, Kinshasa, Democratic Republic of Congo.
Bernard-Kennedy NkongoloDepartment of Nutrition, School of Public Health, Kinshasa University, Kinshasa, Democratic Republic of Congo.
Alain Cimuanga-MukanyaFaculty of Medicine, Public Health and Pharmacy, University of Mbujimayi, Mbujimayi, Democratic Republic of Congo.
Marie-Claire Muel Telo MuyerDepartment of Nutrition, School of Public Health, Kinshasa University, Kinshasa, Democratic Republic of Congo.
Freddy BangelesaDepartment of Nutrition, School of Public Health, Kinshasa University, Kinshasa, Democratic Republic of Congo.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: food insecurity in the Democratic Republic of Congo affects over 25 million people, with Kasaï Oriental Province among the most impacted-approximately 74.9% of households face acute food shortages. While food access has been widely studied, evidence on intra-household, gender-based differences in dietary diversity is limited, particularly in highly food-insecure urban settings. This study aimed to investigate the differences in dietary diversity between men and women in Mbuji-Mayi and to identify the household- and individual-level factors associated with these differences. Methods: a cross-sectional study was conducted among 360 households selected by multistage random sampling, from Bonzola Health Zone, Mbuji-Mayi City. Data were collected through interviews using an electronic questionnaire. Dietary diversity was assessed using 24-hour dietary recall scores for men and women. Differences in dietary diversity scores were tested using the Mann-Whitney U test. Poisson regression models were used to identify predictors of dietary diversity for men and women, while a generalized linear model was used to assess the determinants of dietary diversity differences within households. Results: women had significantly higher dietary diversity scores than men (p=0.030). Key factors associated with the difference in dietary diversity scores between women and men (DDS-WM) included wealth index (β=-0.159; p=0.001), household size (β=-0.139; p=0.004), number of meals per day (β=-0.127; p=0.008), education level of the household head (β=-0.146; p=0.003), and the reduced Coping Strategies Index (rCSI) (β=0.100; p=0.029). Conclusion: these findings revealed disparities in dietary diversity between men and women in Bonzola, and some associated factors were also identified. They highlight the need for gender-sensitive approaches in nutrition policies and programs to ensure equitable dietary outcomes in food-insecure settings.

Indexed as

DietFamily CharacteristicsFood InsecurityFood SupplyAdolescentAdultCross-Sectional StudiesDemocratic Republic of the CongoFemaleHumansMaleMiddle AgedSex FactorsSocioeconomic FactorsSurveys and QuestionnairesUrban Populationassociated factorsDemocratic Republic of the Congodietary diversityFood insecurityhouseholds

Identifiers

PMID42495101
PMCPMC13391420

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.