Exploring the macroeconomic and socioeconomic determinants of simultaneous over and undernutrition in Asia: An analysis of stunted child - overweight mother households

Fooken, Jonas; Vo, Linh K.

doi:10.1016/j.socscimed.2020.113570

Cited by 10 publications

(19 citation statements)

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“…Finally, we included as model covariates the prevalence of child stunting and mother overweight estimated by country, year, urban versus rural region, and wealth index quintile group and tested their relative contribution to the model fit. 9 This sensitivity analysis was done to address concerns that associations with stunted child-overweight mother pairs are only attributed to the underlying trends of overweight and stunting in the population and are not a distinct issue. 20 Statistical analyses were done using Stata, version 15.…”

Section: Discussionmentioning

confidence: 99%

“…For example, analyses in upper-middle-income countries in Latin America have shown that DBM is associated with lower socioeconomic status, [6][7][8] whereas evidence from mainly lower-middle-income countries in Asia has shown that DBM is associated with higher socio economic status. [9][10][11] No previous analysis has investigated associations Lowest-income household between globalisation and DBM. Social globalisation has been associated with higher BMI and prevalence of overweight and obesity.…”

Section: Discussionmentioning

confidence: 99%

“…For the Portuguese translation of the abstract see Online for appendix 2 child-overweight mother pairs is associated with deprivation in Guatemala, Colombia, and rural Mexico, [6][7][8] and with affluence in numerous Asian countries, including Bangladesh, Nepal, and Pakistan. [9][10][11] The emergence of the DBM has coincided with a time of increasing globalisation and a nutrition transition from traditional towards more globalised food systems. Globalisation describes nations' openness to global collaboration and influence, through international economic activities and trade; exchange of culture, ideas, and information; and collaboration between nations through international organisations.…”

Section: Introductionmentioning

confidence: 99%

“…For example, the prevalence of stunted child–overweight mother pairs is associated with deprivation in Guatemala, Colombia, and rural Mexico, 6 , 7 , 8 and with affluence in numerous Asian countries, including Bangladesh, Nepal, and Pakistan. 9 , 10 , 11 …”

Section: Introductionmentioning

confidence: 99%

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Global inequalities in the double burden of malnutrition and associations with globalisation: a multilevel analysis of Demographic and Health Surveys from 55 low-income and middle-income countries, 1992–2018

Seferidi

Hone

Duran

et al. 2022

The Lancet Global Health

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Background Low-income and middle-income countries (LMICs) face a double burden of malnutrition (DBM), whereby overnutrition and undernutrition coexist within the same individual, household, or population. This analysis investigates global inequalities in household-level DBM, expressed as a stunted child with an overweight mother, and its association with economic, social, and political globalisation across country income and household wealth. MethodsWe pooled anthropometric and demographic data for 1 132 069 children (aged <5 years) and their mothers (aged 15-49 years) from 189 Demographic and Healthy Surveys in 55 LMICs between 1992 and 2018. These data were combined with country-level data on economic, social, and political globalisation from the Konjunkturforschungsstelle Globalisation Index and gross national income (GNI) from the World Bank. Multivariate associations between DBM and household wealth, GNI, and globalisation and their interactions were tested using multilevel logistic regression models with country and year fixed-effects and robust standard errors clustered by country. Findings The probability of DBM was higher among richer households in poorer LMICs and poorer households in richer LMICs. Economic globalisation was associated with higher odds of DBM among the poorest households (odds ratio 1•49, 95% CI 1•20-1•86) compared with the richest households. These associations attenuated as GNI increased. Social globalisation was associated with higher odds of DBM (1•39, 95% CI 1•16-1•65), independently of household wealth or country income. No associations were identified between political globalisation and DBM.Interpretation Increases in economic and social globalisation were associated with higher DBM, although the impacts of economic globalisation were mostly realised by the world's poorest. The economic patterning of DBM observed in this study calls for subpopulation-specific double-duty actions, which should further aim to mitigate the potential negative and unequal impacts of globalisation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Global inequalities in the double burden of malnutrition and associations with globalisation: a multilevel analysis of Demographic and Health Surveys from 55 low-income and middle-income countries, 1992–2018

Seferidi

Hone

Duran

et al. 2022

The Lancet Global Health

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“…Similar analysis among South-East Asian countries further supports diversity between the socioeconomic predictors of SCOM, overweight and stunted households, although identified predictors are not consistent with the findings of this study. 36 This suggests that each malnutrition issue may be the result of different socioeconomic circumstances and should be handled uniquely, while it further highlights the importance of region-specific analyses when investigating socioeconomic predictors of the DBM.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and socioeconomic determinants of the double burden of malnutrition in mother–child pairs in Latin America and the Caribbean

Otten

Seferidi

2022

BMJNPH

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BackgroundThe double burden of malnutrition (DBM), which refers to the coexistence of overnutrition and undernutrition among populations, households or individuals, is a growing problem in low/middle-income countries. The Latin America and the Caribbean (LAC) region has been particularly affected by the DBM, following a nutrition transition and a rapid increase in overweight, obesity and diet-related disease, while high levels of undernutrition persist. This study aims to describe the prevalence of four different DBM definitions in mother–child pairs across nine LAC countries and investigate the socioeconomic determinants of overweight mothers with at least one stunted child (SCOM).MethodsWe used cross-sectional data from the Demographic and Health Surveys for all analyses. We used descriptive statistics to obtain prevalence rates and conducted multiple logistic regression analyses to investigate the association between SCOM households and socioeconomic determinants, including wealth index, maternal education, place of residency and whether the mother was working, adjusted for a range of variables.ResultsOverweight/obese mothers with at least one anaemic child were the most common type of DBM, with a prevalence of 19.39%, followed by SCOM with a prevalence of 10.44%. Statistically significant socioeconomic predictors of SCOM were households with a lower wealth index, lower maternal education and living in rural areas.ConclusionThis study showed that the overall prevalence of most DBM definitions examined was high, which points to the need for urgent interventions in the LAC region. The unique set of socioeconomic predictors of SCOM identified in this study calls for future double-duty policies that simultaneously target food affordability, nutrition education and access to healthy food.

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An empirical analysis of resource efficiency and circularity within the agri-food sector of India

Priyadarshini

Abhilash

2023

Journal of Cleaner Production

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Exploring the macroeconomic and socioeconomic determinants of simultaneous over and undernutrition in Asia: An analysis of stunted child - overweight mother households

Cited by 10 publications

References 32 publications

Global inequalities in the double burden of malnutrition and associations with globalisation: a multilevel analysis of Demographic and Health Surveys from 55 low-income and middle-income countries, 1992–2018

Global inequalities in the double burden of malnutrition and associations with globalisation: a multilevel analysis of Demographic and Health Surveys from 55 low-income and middle-income countries, 1992–2018

Prevalence and socioeconomic determinants of the double burden of malnutrition in mother–child pairs in Latin America and the Caribbean

An empirical analysis of resource efficiency and circularity within the agri-food sector of India

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