Objective: To assess the validity and reliability of the Arabic version of the Household Food Insecurity Access Scale (HFIAS) in rural Lebanon. Design: A cross-sectional study on a sample of households with at least one child aged 0-2 years. In a one-to-one interview, participants completed an adapted Arabic version of the HFIAS. In order to evaluate the validity of the HFIAS, basic sociodemographic information, anthropometric measurements of the mother and child, and dietary intake data of the child were obtained. In order to examine reproducibility, the HFIAS was re-administered after 3 months. Setting: Rural Lebanon. Subjects: Mother and child pairs (n 150). Results: Factor analysis of HFIAS items revealed two factors: 'insufficient food quality' and 'insufficient food quantity'. Using Pearson's correlation, food insecurity was inversely associated with mother's and father's education levels, number of cars and electrical appliances in the household, income, weight-for-age and lengthfor-age of the child and the child's dietary adequacy. In contrast, mother's BMI and crowding index were positively associated with food insecurity scores (P , 0?05 for all correlations). Cronbach's a of the scale was 0?91. A moderate correlation was observed between the two administrations of the questionnaire (intra-class correlation 5 0?58; P , 0?05). Conclusions: Our findings indicated that the adapted Arabic version of the HFIAS is a valid and reliable tool to assess food insecurity in rural Lebanon, lending further evidence to the utility of the HFIAS in assessing food insecurity in culturally diverse populations.

The improvement of infant feeding practices has been reported as an effective preventive strategy for reducing the burden of Non Communicable Diseases (NCDs). While high rates of NCDs are reported from Lebanon, little is known on child feeding practices in the country. This paper is based on a pilot‐study investigating feeding practices and nutritional status among 0–2 years old children, in one of the main rural areas of Lebanon (Beqaa). Subjects (n=150) were recruited from selected villages by cluster random sampling. Data on feeding practices, anthropometric measurements and 24‐hour dietary recalls were collected. Stunting, underweight and wasting were identified in 16.8, 9.1 and 4.1% of children, respectively; overweight and obesity were documented in 11.5 and 2.7%, respectively. Less than 10% of infants were exclusively breastfed for the first 6 months, with 52.6% being introduced to complementary foods at less than 4 months of age. Approximately, 45% of subjects did not meet the WHO indicators for Minimum Dietary Diversity and Minimal Acceptable Diet. Inadequate nutrient intakes were noted, particularly for iron, calcium, vitamin D and folate. Findings highlight the need for nationwide investigations of feeding practices and child nutritional status in Lebanon. Evidence‐based interventions can then be spearheaded to enhance early childhood nutrition, thus potentially reducing the burden of NCDs.