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Malnutrition and poverty in Guatemala

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  • Marini, Alessandra
  • Gragnolati, Michele
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    Abstract

    The objective of this paper is to document the extent, and distribution of child, and adult malnutrition in Guatemala; to analyze the relationship between selected child, maternal, household and community characteristics, and children's nutritional status; and, to outline the implications of the most important findings for nutritional policy. The prevalence of chronic malnutrition among Guatemalan children in 2000, was the highest in Latin America, and among the highest in the world. The data show very strong socioeconomic, and geographic inequality. The econometric analysis reveals a strong impact of income, and of inter-generational effects. Education of adults in the household, and the availability of infrastructure, are other important determinants of children's growth attainment. Finally, even controlling for income, and other household and community characteristics, ethnicity remains an important determinant of child nutritional status. The study also reveals an increasing prevalence of excess weights, and obesity among children and adults. Over-nutrition tends to be higher among individuals living in urban areas, and among non-poor, and non-indigenous households.

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    Bibliographic Info

    Paper provided by The World Bank in its series Policy Research Working Paper Series with number 2967.

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    Date of creation: 31 Jan 2003
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    Handle: RePEc:wbk:wbrwps:2967

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    Keywords: Health Monitoring&Evaluation; Early Child and Children's Health; Primary Education; Public Health Promotion; Early Childhood Development; Early Childhood Development; Youth and Governance; Nutrition; Health Monitoring&Evaluation; Early Child and Children's Health;

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    References

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    1. Horton, Susan, 1988. "Birth Order and Child Nutritional Status: Evidence from the Philippines," Economic Development and Cultural Change, University of Chicago Press, vol. 36(2), pages 341-54, January.
    2. Behrman, Jere R. & Deolalikar, Anil B., 1988. "Health and nutrition," Handbook of Development Economics, in: Hollis Chenery & T.N. Srinivasan (ed.), Handbook of Development Economics, edition 1, volume 1, chapter 14, pages 631-711 Elsevier.
    3. Lavy, V & Strauss, J & Thomas, D & de Vreyer, P, 1996. "Quality of Health Care, Survivial and Health Outcomes in Ghana," Papers 96-20, RAND - Reprint Series.
    4. Thomas, Duncan & Strauss, John, 1992. "Prices, infrastructure, household characteristics and child height," Journal of Development Economics, Elsevier, vol. 39(2), pages 301-331, October.
    5. Alderman, Harold & Garcia, Marito, 1994. "Food Security and Health Security: Explaining the Levels of Nutritional Status in Pakistan," Economic Development and Cultural Change, University of Chicago Press, vol. 42(3), pages 485-507, April.
    6. Behrman, Jere R. & Wolfe, Barbara L., 1987. "How does mother's schooling affect family health, nutrition, medical care usage, and household sanitation?," Journal of Econometrics, Elsevier, vol. 36(1-2), pages 185-204.
    7. Barrett, Christopher B., 2002. "Food security and food assistance programs," Handbook of Agricultural Economics, in: B. L. Gardner & G. C. Rausser (ed.), Handbook of Agricultural Economics, edition 1, volume 2, chapter 40, pages 2103-2190 Elsevier.
    8. Strauss, John & Thomas, Duncan, 1995. "Human resources: Empirical modeling of household and family decisions," Handbook of Development Economics, in: Hollis Chenery & T.N. Srinivasan (ed.), Handbook of Development Economics, edition 1, volume 3, chapter 34, pages 1883-2023 Elsevier.
    9. Thomas, Duncan & Strauss, John & Henriques, Maria-Helena, 1990. "Child survival, height for age and household characteristics in Brazil," Journal of Development Economics, Elsevier, vol. 33(2), pages 197-234, October.
    10. Strauss, J. & Thomas, D., 1995. "Empirical Modeling of Household and Family Decisions," Papers 95-12, RAND - Reprint Series.
    11. Sahn, David E. & Alderman, Harold, 1997. "On the determinants of nutrition in Mozambique: The importance of age-specific effects," World Development, Elsevier, vol. 25(4), pages 577-588, January.
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    Cited by:
    1. Nagata, Jason M. & Valeggia, Claudia R. & Barg, Frances K. & Bream, Kent D.W., 2009. "Body mass index, socio-economic status and socio-behavioral practices among Tz'utujil Maya women," Economics & Human Biology, Elsevier, vol. 7(1), pages 96-106, March.
    2. Zezza, Alberto & Tasciotti, Luca, 2010. "Urban agriculture, poverty, and food security: Empirical evidence from a sample of developing countries," Food Policy, Elsevier, vol. 35(4), pages 265-273, August.
    3. Sweeney, Stuart & Davenport, Frank & Grace, Kathryn, 2013. "Combining insights from quantile and ordinal regression: Child malnutrition in Guatemala," Economics & Human Biology, Elsevier, vol. 11(2), pages 164-177.
    4. David E. Sahn & Stephen D. Younger, 2009. "Measuring intra‐household health inequality: explorations using the body mass index," Health Economics, John Wiley & Sons, Ltd., vol. 18(S1), pages S13-S36, April.
    5. Alcaraz V., Gabriela & Zeller, Manfred, 2009. "Insights from the Guatemalan food system: an application of exploratory spatial data analysis techniques for food security analysis," 2009 Conference, August 16-22, 2009, Beijing, China 51488, International Association of Agricultural Economists.

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