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Dual burden households and intra-household nutritional inequality in Indonesia

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  • Roemling, Cornelia
  • Qaim, Matin

Abstract

Overweight is an increasing problem in many developing countries, coexisting with underweight and contributing to a dual burden of malnutrition, sometimes in the same households. We analyze the phenomenon of dual burden households in Indonesia, using 15-year panel data. Currently, 16 percent of Indonesian households are classified as dual burden. In these households, children are often underweight, whereas adults are overweight. The nutrition transition seems to have differential impacts on the body mass index of different age cohorts. Dual burden households are a transitory phenomenon. This phenomenon started in the richer segments, but now the prevalence of dual burden households is highest in the poorest population groups. Most households that move out of the dual burden category end up as overweight. We also develop a continuous Theil index of intra-household nutritional inequality. While the overall prevalence of dual burden households has hardly changed over the last 10 years, the Theil index increased steadily. This underlines that the dual burden classification has limitations in terms of capturing nutritional dynamics. Socioeconomic determinants of dual burden and nutritional inequality are analyzed with regression models.

Suggested Citation

  • Roemling, Cornelia & Qaim, Matin, 2013. "Dual burden households and intra-household nutritional inequality in Indonesia," Economics & Human Biology, Elsevier, vol. 11(4), pages 563-573.
    • Handle: RePEc:eee:ehbiol:v:11:y:2013:i:4:p:563-573
    DOI: 10.1016/j.ehb.2013.07.001
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    5. Archana Dang & Pushkar Maitra & Nidhiya Menon, 2018. "Labor Market Engagement and the Health of Working Adults: Evidence from India," Boston University - Department of Economics - Working Papers Series dp-305, Boston University - Department of Economics.
    6. Trias Mahmudiono & Calista Segalita & Richard R. Rosenkranz, 2019. "Socio-Ecological Model of Correlates of Double Burden of Malnutrition in Developing Countries: A Narrative Review," IJERPH, MDPI, vol. 16(19), pages 1-23, October.
    7. Dang, Archana & Maitra, Pushkar & Menon, Nidhiya, 2017. "Labor Market Engagement and the Health of Working Adults: Evidence from India," IZA Discussion Papers 11118, Institute of Labor Economics (IZA).
    8. Azomahou, Théophile T. & Diene, Bity & Gosselin-Pali, Adrien, 2022. "Transition and persistence in the double burden of malnutrition and overweight or obesity: Evidence from South Africa," Food Policy, Elsevier, vol. 113(C).
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    10. Masoud Vaezghasemi & Ann Öhman & Malin Eriksson & Mohammad Hakimi & Lars Weinehall & Hari Kusnanto & Nawi Ng, 2014. "The Effect of Gender and Social Capital on the Dual Burden of Malnutrition: A Multilevel Study in Indonesia," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-10, August.
    11. Fooken, Jonas & Vo, Linh K., 2021. "Exploring the macroeconomic and socioeconomic determinants of simultaneous over and undernutrition in Asia: An analysis of stunted child - overweight mother households," Social Science & Medicine, Elsevier, vol. 269(C).
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    15. Théophile T Azomahou & Bity Diene & Adrien Gosselin-Pali, 2021. "Transition and persistence in the double burden of malnutrition and obesity : Evidence from South Africa," Working Papers hal-03338304, HAL.

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    More about this item

    Keywords

    Dual burden; Intra-household nutritional inequality; Nutrition transition; Asia; Indonesia;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development

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