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Individual and community levels of maternal autonomy and child undernutrition in India

Listed author(s):
  • Ramaprasad Rajaram

    ()

    (Athena Infonomics)

  • Jessica M. Perkins

    ()

    (Harvard Center for Population and Development Studies
    Harvard T.H. Chan School of Public Health
    Massachusetts General Hospital Center for Global Health)

  • William Joe

    ()

    (University of Delhi Enclave)

  • S. V. Subramanian

    ()

    (Harvard Center for Population and Development Studies
    Harvard T.H. Chan School of Public Health)

Registered author(s):

    Abstract Objectives Investigate the relationship between maternal autonomy at multiple levels and the risk of child stunting, underweight, and wasting in India. Methods Data were from a 2005–2006 nationally representative, cross-sectional sample of 51,555 children under 5 years from 29 states in India. Multilevel, multivariable, logistic regression analyses were used to estimate the odds of child stunting, underweight, and wasting in relation to maternal autonomy in healthcare, movement, and money at the individual level and community level, while adjusting for several child, maternal, and household factors. Results When only adjusting for child age and sex, children in communities with a high proportion of women with autonomy in healthcare, or movement, or money, separately, had a lower risk of being stunted, underweight, or wasted, separately. However, adjusting for other explanatory factors attenuated these relationships and made them statistically insignificant. Individual maternal autonomy in any of the three domains was not associated with any of the outcomes. Conclusions The results suggest that caution should be taken when interpreting the direct relevance of maternal autonomy at both individual and community levels to measures of child undernutrition.

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    File URL: http://link.springer.com/10.1007/s00038-016-0850-8
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    Article provided by Springer & Swiss School of Public Health (SSPH+) in its journal International Journal of Public Health.

    Volume (Year): 62 (2017)
    Issue (Month): 2 (March)
    Pages: 327-335

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    Handle: RePEc:spr:ijphth:v:62:y:2017:i:2:d:10.1007_s00038-016-0850-8
    DOI: 10.1007/s00038-016-0850-8
    Contact details of provider: Web page: http://www.springer.com

    Web page: http://www.ssphplus.ch/sharepoint/ssphplus.html

    Order Information: Web: http://www.springer.com/economics/journal/00038

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    1. Alderman, Harold & Lokshin, Michael & Radyakin, Sergiy, 2011. "Tall claims : mortality selection and the height of children," Policy Research Working Paper Series 5846, The World Bank.
    2. Alderman, Harold & Lokshin, Michael & Radyakin, Sergiy, 2011. "Tall claims: Mortality selection and the height of children in India," Economics & Human Biology, Elsevier, vol. 9(4), pages 393-406.
    3. Abhijit Banerjee & Lakshmi Iyer & Rohini Somanathan, 2005. "History, Social Divisions, and Public Goods in Rural India," Journal of the European Economic Association, MIT Press, vol. 3(2-3), pages 639-647, 04/05.
    4. Shelah Bloom & David Wypij & Monica Gupta, 2001. "Dimensions of women’s autonomy and the influence on maternal health care utilization in a north indian city," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 67-78, February.
    5. Mahmud, Simeen & Shah, Nirali M. & Becker, Stan, 2012. "Measurement of Women’s Empowerment in Rural Bangladesh," World Development, Elsevier, vol. 40(3), pages 610-619.
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