Intra-household allocation of food and health care: Current findings and understandings—Introduction

Messer, Ellen

doi:10.1016/s0277-9536(96)00370-x

Cited by 126 publications

(82 citation statements)

References 12 publications

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“…40,41 Educated women may also enjoy more autonomy in making independent decisions and socioeconomic mobility in their decision-making about their children's health service use. 42,43 Maternal education not only improves the ability to make autonomous decisions but comes with increased sense of economic security to facilitate execution of these decisions. Educated mothers have been shown to earn more than those with less education, and their incomes improve household welfare.…”

Section: Introductionmentioning

confidence: 99%

Investigating the Important Correlates of Maternal Education and Childhood Malaria Infections

Njau¹,

Stephenson²,

Menon³

et al. 2014

The American Society of Tropical Medicine and Hygiene

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Abstract. The relationship between maternal education and child health has intrigued researchers for decades. This study explored the interaction between maternal education and childhood malaria infection. Cross-sectional survey data from three African countries were used. Descriptive analysis and multivariate logistic regression models were completed in line with identified correlates. Marginal effects and Oaxaca decomposition analysis on maternal education and childhood malaria infection were also estimated. Children with mothers whose education level was beyond primary school were 4.7% less likely to be malaria-positive (P 0.001). The Oaxaca decomposition analysis exhibited an 8% gap in childhood malaria infection for educated and uneducated mothers. Over 60% of the gap was explained by differences in household wealth (26%), household place of domicile (21%), malaria transmission intensities (14%), and media exposure (12%). All other correlates accounted for only 27%. The full adjusted model showed a robust and significant relationship between maternal education and childhood malaria infection.

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Section: Introductionmentioning

confidence: 99%

Investigating the Important Correlates of Maternal Education and Childhood Malaria Infections

Njau¹,

Stephenson²,

Menon³

et al. 2014

The American Society of Tropical Medicine and Hygiene

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“…Although it is often assumed that the household food insecurity status represents the experience of individuals within the household, studies -primarily from Asia -show that this frequently is not true (Haddad, Pena, Nishida, Quisumbing, & Slack, 1996;Messer, 1997). Many studies focus on within-household discrimination against young children and women with some data suggesting that young children are buffered from food insecurity by adults (Leonard, 1991;Messer, 1997). There have been far fewer attempts to link food insecurity at the household level to adolescents' experience of food insecurity.…”

Section: Introductionmentioning

confidence: 99%

Gender bias in the food insecurity experience of Ethiopian adolescents

Hadley

Lindstrom

Tessema

et al. 2008

Social Science & Medicine

221

204

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Food insecurity is a pressing public health concern in many developing countries. Despite widespread interest in the sociocultural determinants of food insecurity, little is known about whether youths living in food insecure households experience food insecurity. The buffering hypothesis reviewed here assumes that, to the extent possible, adult members of households will buffer younger household members from the ill effects of food insecurity. A variant of the buffering hypothesis argues that only certain members of the households will enjoy the benefits of buffering. We hypothesize that within the context of Ethiopia, where girls have historically experienced discrimination, buffering is preferentially aimed at boys, especially as the household experiences greater levels of food stress. These hypotheses are tested using data from a population-based study of 2084 adolescents living in southwestern Ethiopia. Results indicate that boys and girls were equally likely to be living in severely food insecure households. Despite no differences in their households' food insecurity status, girls were more likely than boys to report being food insecure themselves. This gender difference was the largest in severely food insecure households. This same pattern was observed when comparing malefemale sibling pairs living in the same household. These results are among the first to show that household level measures of food insecurity predict adolescent experiences of food insecurity, and that in the Ethiopian socio-cultural context, the relationship between household level food insecurity and adolescent food insecurity varies by gender. We also show that adolescent food insecurity is strongly associated with measures of general health and well-being.

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“…Intrahousehold food distribution plays a major role in unequal nutritional status among individuals of different genders and ages in many developing countries, including Nepal (Kennedy, 1983;Hassan and Ahmad, 1986;Messer, 1997;Miller, 1997). In poor Nepalese households, there was weak gender inequality among young children, but female subjects after adolescence were seriously discriminated from male subjects in food distribution within the household, causing their poor nutritional and health status (Anonymous, 1992).…”

Section: Introductionmentioning

confidence: 99%

Gender differences in dietary intake among adults of Hindu communities in lowland Nepal: assessment of portion sizes and food consumption frequencies

Sudo

Sekiyama

Maharjan³

et al. 2005

Eur J Clin Nutr

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Objective: To elucidate gender differences in dietary intake among adults in lowland Nepalese communities. Subjects and methods: For 122 male and 195 female subjects aged 20 years and over from 94 randomly selected households, interviews using a 19-item food frequency questionnaire were conducted. To determine the portion sizes of these foods, the samples consumed by 56 subjects in a full 1-day period were weighed. Energy expenditure was estimated by time spent on daily activities. Results: Gender differences in per-day energy and protein intakes were related to sex differences in body size and energy expenditure. Apparent gender differences in the crude intakes disappeared when they were expressed by nutrient density (mg or mg/MJ) since micronutrient intakes were significantly correlated with energy intake. However, males' iron intake was larger even after adjustment for energy intake, attributing to their larger portion sizes of commonly consumed staple foods and higher frequencies of consuming luxury foods (fish and tea). Conclusion: The intrahousehold unequal distribution of food incurs risk of iron deficiency among female subjects.

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Intra-household allocation of food and health care: Current findings and understandings—Introduction

Cited by 126 publications

References 12 publications

Investigating the Important Correlates of Maternal Education and Childhood Malaria Infections

Investigating the Important Correlates of Maternal Education and Childhood Malaria Infections

Gender bias in the food insecurity experience of Ethiopian adolescents

Gender differences in dietary intake among adults of Hindu communities in lowland Nepal: assessment of portion sizes and food consumption frequencies

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