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An analysis of the nutrition status of neighboring Indigenous and non-Indigenous populations in Kanungu District, southwestern Uganda: Close proximity, distant health realities


  • Sauer, Jeffery
  • Berrang-Ford, Lea
  • Patterson, Kaitlin
  • Donnelly, Blanaid
  • Lwasa, Shuaib
  • Namanya, Didas
  • Zavaleta, Carol
  • Ford, James
  • Harper, Sherilee


Malnutrition is a persistent health concern throughout the world. Globally, Indigenous peoples experience poorer health outcomes compared to their non-Indigenous neighbours. Despite this, malnutrition among Indigenous populations is poorly understood. This analysis estimated the prevalence, and modeled possible determinants of, moderate acute malnutrition (MAM) and severe acute malnutrition (SAM) for Indigenous Batwa and non-Indigenous Bakiga of Kanungu District in Southwestern Uganda. We then characterize possible mechanisms driving differences in malnutrition.

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  • Sauer, Jeffery & Berrang-Ford, Lea & Patterson, Kaitlin & Donnelly, Blanaid & Lwasa, Shuaib & Namanya, Didas & Zavaleta, Carol & Ford, James & Harper, Sherilee, 2018. "An analysis of the nutrition status of neighboring Indigenous and non-Indigenous populations in Kanungu District, southwestern Uganda: Close proximity, distant health realities," Social Science & Medicine, Elsevier, vol. 217(C), pages 55-64.
  • Handle: RePEc:eee:socmed:v:217:y:2018:i:c:p:55-64
    DOI: 10.1016/j.socscimed.2018.09.027

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    References listed on IDEAS

    1. Yin Paradies, 2016. "Colonisation, racism and indigenous health," Journal of Population Research, Springer, vol. 33(1), pages 83-96, March.
    2. Lillie-Blanton, Marsha & Laveist, Thomas, 1996. "Race/ethnicity, the social environment, and health," Social Science & Medicine, Elsevier, vol. 43(1), pages 83-91, July.
    3. Blane, D., 1995. "Social determinants of health--socioeconomic status, social class, and ethnicity," American Journal of Public Health, American Public Health Association, vol. 85(7), pages 903-905.
    4. Berrang-Ford, Lea & Dingle, Kathryn & Ford, James D. & Lee, Celine & Lwasa, Shuaib & Namanya, Didas B. & Henderson, Jim & Llanos, Alejandro & Carcamo, Cesar & Edge, Victoria, 2012. "Vulnerability of indigenous health to climate change: A case study of Uganda's Batwa Pygmies," Social Science & Medicine, Elsevier, vol. 75(6), pages 1067-1077.
    5. Ford, J.D., 2012. "Indigenous health and climate change," American Journal of Public Health, American Public Health Association, vol. 102(7), pages 1260-1266.
    6. Laishram Ladusingh & Manoj Alagarajan & Konsam Dinachandra Singh, 2015. "What Explains Child Malnutrition of Indigenous People of Northeast India?," Working Papers id:7539, eSocialSciences.
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