Child overweight and undernutrition in Thailand: Is there an urban effect?
An urban advantage in terms of lower risk of child undernutrition has been observed in many developing countries, but child obesity is often more prevalent in urban than rural areas. This study aimed to assess whether urban-rural disparities in undernutrition and obesity were attributable to concentrations of socioeconomically advantaged children into urban communities or to specific aspects of the urban environment. A sample of 4610 children ages 2-10 years was derived from the 2004 Round of the Kanchanaburi Demographic Surveillance System, monitoring health and demographic change in the province of Kanchanaburi, Thailand. We used multi-level logistic regression to model the odds of short stature, underweight, and obesity for children in 102 communities. Models tested whether child socioeconomic conditions accounted for urban-rural disparities or if aspects of the social and physical environment accounted for disparities, adjusting for child characteristics. 27.8% of children were underweight, while 19.9% had short stature, and 8.3% were obese. Bivariate associations showed urban residence associated with lower risk of undernutrition and a greater risk of obesity. Urban-rural disparities in odds of short stature and underweight were accounted for by child socioeconomic characteristics. Urban residence persisted as a risk factor for obesity after adjusting for child characteristics. Community wealth concentration, television coverage, and sanitation coverage were independently associated with greater risk of obesity. Undernutrition was strongly associated with household poverty, while household affluence and characteristics of the urban environment were associated with odds of obesity. Further research is needed to characterize how urban environments contribute to children's risks of obesity in developing countries.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Volume (Year): 72 (2011)
Issue (Month): 9 (May)
|Contact details of provider:|| Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description|
|Order Information:|| Postal: http://www.elsevier.com/wps/find/supportfaq.cws_home/regional|
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Mendez, Michelle A. & Popkin, Barry M., 2004. "Globalization, Urbanization and Nutritional Change in the Developing World," eJADE: electronic Journal of Agricultural and Development Economics, Food and Agriculture Organization, Agricultural and Development Economics Division, vol. 1(2).
- World Bank, 2006. "Repositioning Nutrition as Central to Development : A Strategy for Large Scale Action," World Bank Publications, The World Bank, number 7409, May.
- Popkin, Barry M., 2006. "Technology, transport, globalization and the nutrition transition food policy," Food Policy, Elsevier, vol. 31(6), pages 554-569, December.
- Thomas Reardon & C. Peter Timmer & Christopher B. Barrett & Julio Berdegué, 2003. "The Rise of Supermarkets in Africa, Asia, and Latin America," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 85(5), pages 1140-1146.
- Dahly, Darren L. & Adair, Linda S., 2007. "Quantifying the urban environment: A scale measure of urbanicity outperforms the urban-rural dichotomy," Social Science & Medicine, Elsevier, vol. 64(7), pages 1407-1419, April.
- 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.
- Jean-Christophe Fotso & Barthelemy Kuate-Defo, 2005. "Measuring socioeconomic status in health research in developing countries: Should we be focusing on households, communities or both?," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 72(2), pages 189-237, 06.
- Michelle A. Mendez & Barry M. Popkin, 2004. "Globalization, Urbanization and Nutritional Change in the Developing World," The Electronic Journal of Agricultural and Development Economics, Food and Agriculture Organization of the United Nations, vol. 1(2), pages 220-241.
- Alderman, Harold & Hentschel, Jesko & Sabates, Ricardo, 2003.
"With the help of one's neighbors: externalities in the production of nutrition in Peru,"
Social Science & Medicine,
Elsevier, vol. 56(10), pages 2019-2031, May.
- Alderman, Harold & Hentschel, Jesko & Sabates, Ricardo, 2001. "With the help of one's neighbors - externalities in the production of nutrition in Peru," Policy Research Working Paper Series 2627, The World Bank.
- Sastry, Narayan, 1997. "What explains rural-urban differentials in child mortality in Brazil?," Social Science & Medicine, Elsevier, vol. 44(7), pages 989-1002, April. Full references (including those not matched with items on IDEAS)