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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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    References listed on IDEAS

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    1. Rogers, Beatrice Lorge, 1996. "The implications of female household headship for food consumption and nutritional status in the Dominican Republic," World Development, Elsevier, vol. 24(1), pages 113-128, January.
    2. Lee, Jounghee & Houser, Robert F. & Must, Aviva & de Fulladolsa, Patricia Palma & Bermudez, Odilia I., 2010. "Disentangling nutritional factors and household characteristics related to child stunting and maternal overweight in Guatemala," Economics & Human Biology, Elsevier, vol. 8(2), pages 188-196, July.
    3. Jean-Yves Duclos & Joan Esteban & Debraj Ray, 2004. "Polarization: Concepts, Measurement, Estimation," Econometrica, Econometric Society, vol. 72(6), pages 1737-1772, November.
    4. Alderman, Harold, et al, 1995. "Unitary versus Collective Models of the Household: Is It Time to Shift the Burden of Proof?," World Bank Research Observer, World Bank Group, vol. 10(1), pages 1-19, February.
    5. Jones, Andrew M. & Rice, Nigel & Robone, Silvana & Dias, Pedro Rosa, 2011. "Inequality and polarisation in health systems' responsiveness: A cross-country analysis," Journal of Health Economics, Elsevier, vol. 30(4), pages 616-625, July.
    6. 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 13-36, April.
    7. Duncan Thomas, 1990. "Intra-Household Resource Allocation: An Inferential Approach," Journal of Human Resources, University of Wisconsin Press, vol. 25(4), pages 635-664.
    8. Stein, Alexander J. & Meenakshi, J.V. & Qaim, Matin & Nestel, Penelope & Sachdev, H.P.S. & Bhutta, Zulfiqar A., 2008. "Potential impacts of iron biofortification in India," Social Science & Medicine, Elsevier, vol. 66(8), pages 1797-1808, April.
    9. Anderson, Patricia M., 2012. "Parental employment, family routines and childhood obesity," Economics & Human Biology, Elsevier, vol. 10(4), pages 340-351.
    10. Garrett, James L. & Ruel, Marie T., 2003. "Stunted child - overweight mother pairs," FCND discussion papers 148, International Food Policy Research Institute (IFPRI).
    11. 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.
    12. de Haen, Hartwig & Klasen, Stephan & Qaim, Matin, 2011. "What do we really know? Metrics for food insecurity and undernutrition," Food Policy, Elsevier, vol. 36(6), pages 760-769.
    13. Barry M. Popkin, 2003. "The Nutrition Transition in the Developing World," Development Policy Review, Overseas Development Institute, vol. 21(5-6), pages 581-597, December.
    14. Roemling, Cornelia & Qaim, Matin, 2012. "Obesity Trends, Determinants and Policy Implications in Indonesia," 2012 Conference, August 18-24, 2012, Foz do Iguacu, Brazil 126208, International Association of Agricultural Economists.
    15. 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.
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    Cited by:

    1. Kim, Younoh, 2015. "The dynamics of health and its determinants among the elderly in developing countries," Economics & Human Biology, Elsevier, vol. 19(C), pages 1-12.
    2. Dang, Archana & Maitra, Pushkar & Menon, Nidhiya, 2017. "Labor Market Engagement and the Health of Working Adults: Evidence from India," IZA Discussion Papers 11118, Institute for the Study of Labor (IZA).
    3. Archana Dang & Pushkar Maitra & Nidhiya Menon, 2017. "Labor Market Engagement and the Health of Working Adults: Evidence from India," Working Papers id:12218, eSocialSciences.
    4. Rodríguez, Laura, 2016. "Intrahousehold Inequalities in Child Rights and Well-Being. A Barrier to Progress?," World Development, Elsevier, vol. 83(C), pages 111-134.
    5. Rischke, Ramona & Kimenju, Simon C. & Klasen, Stephan & Qaim, Matin, 2015. "Supermarkets and food consumption patterns: The case of small towns in Kenya," Food Policy, Elsevier, vol. 52(C), pages 9-21.

    More about this item

    Keywords

    Dual burden; Intra-household nutritional inequality; Nutrition transition; Asia; Indonesia;

    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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