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Socioeconomic disparities and the familial coexistence of child stunting and maternal overweight in guatemala

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  • Lee, Jounghee
  • Houser, Robert F.
  • Must, Aviva
  • de Fulladolsa, Patricia Palma
  • Bermudez, Odilia I.

Abstract

The double burden of malnutrition, defined here as households with a stunted child and an overweight mother (SCOM), is a growing problem in Guatemala. We explored the magnitude of SCOM and the identification of socio-economic factors associated with this malnutrition duality. From the 2000 Living Standards Measurement Study from Guatemala, we obtained a sample of 2492 households with pairs of children 6–60 months and their mothers (18–49 years) and estimated the prevalence of SCOM. Economic characteristics of this sample were assessed with the Concentration Index (CI). Results revealed higher prevalence of child stunting, but a lower prevalence of maternal overweight among the poor compared to the rich households. Economic inequality in child stunting was greater than economic inequality in maternal overweight (CI=−0.22 vs. +0.14). SCOM pairs were more prevalent among the poor and middle SES groups as compared to the rich households. A multivariate logistic regression model showed that SCOM was more likely to occur in households from the middle consumption quintile than in those from the first quintile (odds ratio=1.7). The findings reported here add new insights into the complex phenomenon observed in households with both extremes of the malnutrition continuum, and support the need for the identification of economic, social and biological interventions aimed at, on the one hand, the prevention of this duality of the malnutrition in those households where it is still non-existent, and on the other hand, to deter or correct the economic, social and biological environments where those mother–child dyads are already affected by such phenomena.

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  • 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.
  • Handle: RePEc:eee:ehbiol:v:10:y:2012:i:3:p:232-241
    DOI: 10.1016/j.ehb.2011.08.002
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    2. Asibul Islam Anik & Md Mosfequr Rahman & Md Mostafizur Rahman & Md Ismail Tareque & Md Nuruzzaman Khan & M Mahmudul Alam, 2019. "Double burden of malnutrition at household level: A comparative study among Bangladesh, Nepal, Pakistan, and Myanmar," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-16, August.
    3. Yongqing Dong & Quheng Deng & Shaoping Li, 2022. "The Health Inequality of Children in China: A Regression-Based Decomposition Analysis," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(1), pages 137-159, February.
    4. 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.
    5. Fooken, Jonas & Vo, Linh K., 2022. "Are stunted child – overweight mother pairs a real defined entity or a statistical artifact?," Economics & Human Biology, Elsevier, vol. 47(C).
    6. Partha Das & Tanu Das & Tamal Basu Roy, 2022. "Stunting, a linear growth anomaly in under-five year (U5) children: A risk factors’ analysis from maternal, household and individual background in Indian context," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(3), pages 1025-1042, June.
    7. Kajori Banerjee & Laxmi Kant Dwivedi, 2020. "Disparity in childhood stunting in India: Relative importance of community-level nutrition and sanitary practices," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-21, September.
    8. Trias Mahmudiono & Calista Segalita & Richard R. Rosenkranz, 2019. "Socio-Ecological Model of Correlates of Double Burden of Malnutrition in Developing Countries: A Narrative Review," IJERPH, MDPI, vol. 16(19), pages 1-23, October.

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