IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0221274.html
   My bibliography  Save this article

Double burden of malnutrition at household level: A comparative study among Bangladesh, Nepal, Pakistan, and Myanmar

Author

Listed:
  • Asibul Islam Anik
  • Md Mosfequr Rahman
  • Md Mostafizur Rahman
  • Md Ismail Tareque
  • Md Nuruzzaman Khan
  • M Mahmudul Alam

Abstract

Background: The coexistence of overweight mother and stunted child at the same household is a type of Double Burden of Malnutrition at Household Level (DBMHL). This particular public health concern is now emerging at an alarming rate among most of the South Asian and its neighboring lower-and-middle income countries which are going through nutritional transition. This study has examined the prevalence rate and the risk factors of DBMHL along with the socio-economic inequality in DBMHL among Bangladesh, Nepal, Pakistan, and Myanmar. Methods: Latest Demographic and Health Survey datasets were used in this study. To identify the significant association of DBMHL with socio-demographic characteristics, a multivariate technique named as logistic regression model, and for measuring socio-economic inequalities in DBMHL prevalence, relative index of inequality (RII) and slope index of inequality (SII) were used. Results: The prevalence rates of DBMHL were 4.10% (urban: 5.57%, rural: 3.51%), 1.54% (urban: 1.63%, rural: 1.42%), 3.93% (urban: 5.62%, rural: 3.20%), and 5.54% (urban: 6.16%, rural: 5.33%) respectively in Bangladesh, Nepal, Pakistan, and Myanmar. The risk ratios (RR) obtained from RII for Bangladesh, Nepal, Pakistan and Myanmar were 1.25, 1.25, 1.14, and 1.09, respectively, and β coefficient from SII were 0.01, 0.004, 0.005, and 0.006 unit respectively. In addition to not breastfeeding [Bangladesh (AOR: 1.55; 95% CI: 1.11–2.15), Myanmar (AOR: 1.74; 95% CI: 1.02–2.95)], respondent’s older age (in Bangladesh, Nepal, and Myanmar), child’s older age (in Pakistan and Myanmar), and middle and rich groups of wealth-index (in Bangladesh and Pakistan) were strong risk factors for DBMHL. On the other hand, female child [Nepal (AOR: 0.50; 95% CI: 0.26–0.95), Pakistan (AOR: 0.58; 95% CI: 0.41–0.84)], higher education [in Pakistan], respondent not participated in decision making [in Bangladesh and Nepal] and media access [Nepal (AOR: 0.44; 95% CI: 0.20–0.98)] had negative association with DBMHL. Conclusion: The DBMHL persists in all selected countries, with a higher prevalence in urban areas than in rural areas. In order to control the higher prevalence of DBMHL in urban areas, respective countries need urgent implementation of multisectoral actions through effective policies and empowering local communities.

Suggested Citation

  • Asibul Islam Anik & Md Mosfequr Rahman & Md Mostafizur Rahman & Md Ismail Tareque & Md Nuruzzaman Khan & M Mahmudul Alam, 2019. "Double burden of malnutrition at household level: A comparative study among Bangladesh, Nepal, Pakistan, and Myanmar," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-16, August.
    • Handle: RePEc:plo:pone00:0221274
    DOI: 10.1371/journal.pone.0221274
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0221274
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0221274&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0221274?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Brennan, Lance & McDonald, John & Shlomowitz, Ralph, 2004. "Infant feeding practices and chronic child malnutrition in the Indian states of Karnataka and Uttar Pradesh," Economics & Human Biology, Elsevier, vol. 2(1), pages 139-158, March.
    2. Vanessa M. Oddo & Jee H. Rah & Richard D. Semba & Kai Sun & Nasima Akhter & Mayang Sari & Saskia de Pee & Regina Moench-Pfanner & Martin Bloem & Klaus Kraemer, "undated". "Predictors of Maternal and Child Double Burden of Malnutrition in Rural Indonesia and Bangladesh," Mathematica Policy Research Reports b5458d06d27e4079bf5d955b3, Mathematica Policy Research.
    3. Daniel J Corsi & Jocelyn E Finlay & S V Subramanian, 2011. "Global Burden of Double Malnutrition: Has Anyone Seen It?," PLOS ONE, Public Library of Science, vol. 6(9), pages 1-13, September.
    4. Jehn, Megan & Brewis, Alexandra, 2009. "Paradoxical malnutrition in mother-child pairs: Untangling the phenomenon of over- and under-nutrition in underdeveloped economies," Economics & Human Biology, Elsevier, vol. 7(1), pages 28-35, March.
    5. Deon Filmer & Lant Pritchett, 2001. "Estimating Wealth Effects Without Expenditure Data—Or Tears: An Application To Educational Enrollments In States Of India," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 115-132, February.
    6. Lee, Jounghee & Houser, Robert F. & Must, Aviva & de Fulladolsa, Patricia Palma & Bermudez, Odilia I., 2012. "Socioeconomic disparities and the familial coexistence of child stunting and maternal overweight in guatemala," Economics & Human Biology, Elsevier, vol. 10(3), pages 232-241.
    7. repec:mpr:mprres:7406 is not listed on IDEAS
    8. repec:dau:papers:123456789/10510 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Patel, Ratna & Srivastava, Shobhit & Kumar, Pradeep & Chauhan, Shekhar, 2020. "Factors associated with double burden of malnutrition among mother-child pairs in India: A study based on National Family Health Survey 2015–16," Children and Youth Services Review, Elsevier, vol. 116(C).
    2. Kumar, Mukesh & Mohanty, Pratap C, 2022. "Does maternal overnutrition carry child undernutrition in India?," SocArXiv 35ker, Center for Open Science.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. 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).
    2. 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.
    3. Custodio, Estefanía & Descalzo, Miguel Ángel & Roche, Jesús & Molina, Laura & Sánchez, Ignacio & Lwanga, Magdalena & Torres, Alberto Manuel & Fernández-Zincke, Eduardo & Bernis, Cristina & Villamor, E, 2010. "The economic and nutrition transition in Equatorial Guinea coincided with a double burden of over- and under nutrition," Economics & Human Biology, Elsevier, vol. 8(1), pages 80-87, March.
    4. Ilana G. Raskind & Shailaja S. Patil & Regine Haardörfer & Solveig A. Cunningham, 2018. "Unhealthy Weight in Indian Families: The Role of the Family Environment in the Context of the Nutrition Transition," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 37(2), pages 157-180, April.
    5. Peng Nie & Anu Rammohan & Wencke Gwozdz & Alfonso Sousa-Poza, 2019. "Changes in Child Nutrition in India: A Decomposition Approach," IJERPH, MDPI, vol. 16(10), pages 1-22, May.
    6. Fooken, Jonas & Vo, Linh K., 2022. "Are stunted child – overweight mother pairs a real defined entity or a statistical artifact?," Economics & Human Biology, Elsevier, vol. 47(C).
    7. Patel, Ratna & Srivastava, Shobhit & Kumar, Pradeep & Chauhan, Shekhar, 2020. "Factors associated with double burden of malnutrition among mother-child pairs in India: A study based on National Family Health Survey 2015–16," Children and Youth Services Review, Elsevier, vol. 116(C).
    8. Nie, Peng & Rammohan, Anu & Gwozdz, Wencke & Sousa-Poza, Alfonso, 2016. "Developments in Undernutrition in Indian Children Under Five: A Decompositional Analysis," IZA Discussion Papers 9893, Institute of Labor Economics (IZA).
    9. 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.
    10. Rajat Das Gupta & Shams Shabab Haider & Sumaiya Zabin Eusufzai & Ehsanul Hoque Apu & Nazeeba Siddika, 2022. "Differences in Prevalence and Associated Factors of Underweight and Overweight/Obesity among Bangladeshi Adults by Gender: Analysis of a Nationally Representative Survey," IJERPH, MDPI, vol. 19(17), pages 1-10, August.
    11. Toshiaki Aizawa, 2019. "Transition of the BMI distribution in India: evidence from a distributional decomposition analysis," Journal of Bioeconomics, Springer, vol. 21(1), pages 3-36, April.
    12. Hackman, Joseph & Maupin, Jonathan & Brewis, Alexandra A., 2016. "Weight-related stigma is a significant psychosocial stressor in developing countries: Evidence from Guatemala," Social Science & Medicine, Elsevier, vol. 161(C), pages 55-60.
    13. Diane Coffey & Ashwini Deshpande & Jeffrey Hammer & Dean Spears, 2019. "Local Social Inequality, Economic Inequality, and Disparities in Child Height in India," Demography, Springer;Population Association of America (PAA), vol. 56(4), pages 1427-1452, August.
    14. Angus Deaton & Jean Dreze, 2008. "Nutrition in India: Facts and Interpretations," Working Papers 1071, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    15. Cornelie Nienaber-Rousseau & Olusola F. Sotunde & Patricia O. Ukegbu & P. Hermanus Myburgh & Hattie H. Wright & Lize Havemann-Nel & Sarah J. Moss & Iolanthé M. Kruger & H. Salomé Kruger, 2017. "Socio-Demographic and Lifestyle Factors Predict 5-Year Changes in Adiposity among a Group of Black South African Adults," IJERPH, MDPI, vol. 14(9), pages 1-16, September.
    16. Kumar, Kaushalendra & Shukla, Ankita & Singh, Abhishek & Ram, Faujdar & Kowal, Paul, 2016. "Association between wealth and health among older adults in rural China and India," The Journal of the Economics of Ageing, Elsevier, vol. 7(C), pages 43-52.
    17. Winters, P. & Kafle, K. & Benfica, R., 2018. "IFAD RESEARCH SERIES 21 - Does relative deprivation induce migration? Evidence from sub-Saharan Africa," IFAD Research Series 280070, International Fund for Agricultural Development (IFAD).
    18. Langyintuo, Augustine S. & Mungoma, Catherine, 2008. "The effect of household wealth on the adoption of improved maize varieties in Zambia," Food Policy, Elsevier, vol. 33(6), pages 550-559, December.
    19. Ravi Prakash & Abhishek Singh, 2014. "Who Marries Whom? Changing Mate Selection Preferences in Urban India and Emerging Implications on Social Institutions," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 33(2), pages 205-227, April.
    20. Samikshya Poudel & Timothy Dobbins & Husna Razee & Blessing Akombi-Inyang, 2023. "Adolescent Pregnancy in South Asia: A Pooled Analysis of Demographic and Health Surveys," IJERPH, MDPI, vol. 20(12), pages 1-14, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0221274. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.