IDEAS home Printed from https://ideas.repec.org/a/eee/ehbiol/v11y2013i4p563-573.html
   My bibliography  Save this article

Dual burden households and intra-household nutritional inequality in Indonesia

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S1570677X13000853
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.ehb.2013.07.001?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    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?," The World Bank Research Observer, World Bank, 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. repec:bla:devpol:v:21:y:2003:i:5-6:p:581-597 is not listed on IDEAS
    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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    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. Archana Dang & Pushkar Maitra & Nidhiya Menon, 2017. "Labor Market Engagement and the Health of Working Adults: Evidence from India," Working Papers id:12218, eSocialSciences.
    3. Azomahou, Théophile T. & Diene, Bity & Gosselin-Pali, Adrien, 2022. "Transition and persistence in the double burden of malnutrition and overweight or obesity: Evidence from South Africa," Food Policy, Elsevier, vol. 113(C).
    4. Li Zhou & Xiaohong Chen & Lei Lei, 2018. "Intra-Household Allocation of Nutrients in an Opening China," IJERPH, MDPI, vol. 15(4), pages 1-24, April.
    5. Rodríguez, Laura, 2016. "Intrahousehold Inequalities in Child Rights and Well-Being. A Barrier to Progress?," World Development, Elsevier, vol. 83(C), pages 111-134.
    6. Ting Jin & Lei Li, 2022. "Does Smartphone Use Improve the Dietary Diversity of Rural Residents? Evidence from Household Survey Data from 5 Provinces," IJERPH, MDPI, vol. 19(17), pages 1-16, September.
    7. Masoud Vaezghasemi & Ann Öhman & Malin Eriksson & Mohammad Hakimi & Lars Weinehall & Hari Kusnanto & Nawi Ng, 2014. "The Effect of Gender and Social Capital on the Dual Burden of Malnutrition: A Multilevel Study in Indonesia," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-10, August.
    8. Fooken, Jonas & Vo, Linh K., 2021. "Exploring the macroeconomic and socioeconomic determinants of simultaneous over and undernutrition in Asia: An analysis of stunted child - overweight mother households," Social Science & Medicine, Elsevier, vol. 269(C).
    9. Oyedolapo A. Anyanwu & Elena N. Naumova & Virginia R. Chomitz & Fang Fang Zhang & Kenneth Chui & Martha I. Kartasurya & Sara C. Folta, 2022. "The Effects of the COVID-19 Pandemic on Nutrition, Health and Environment in Indonesia: A Qualitative Investigation of Perspectives from Multi-Disciplinary Experts," IJERPH, MDPI, vol. 19(18), pages 1-20, September.
    10. Mohammed Khaled Al-Hanawi & Gowokani Chijere Chirwa & Tony Mwenda Kamninga, 2020. "Decomposition of Gender Differences in Body Mass Index in Saudi Arabia using Unconditional Quantile Regression: Analysis of National-Level Survey Data," IJERPH, MDPI, vol. 17(7), pages 1-15, March.
    11. 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.
    12. Archana Dang & Pushkar Maitra & Nidhiya Menon, 2018. "Labor Market Engagement and the Health of Working Adults: Evidence from India," Boston University - Department of Economics - Working Papers Series dp-305, Boston University - Department of Economics.
    13. 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.
    14. Dang, Archana & Maitra, Pushkar & Menon, Nidhiya, 2019. "Labor market engagement and the body mass index of working adults: Evidence from India," Economics & Human Biology, Elsevier, vol. 33(C), pages 58-77.
    15. Théophile T Azomahou & Bity Diene & Adrien Gosselin-Pali, 2021. "Transition and persistence in the double burden of malnutrition and obesity : Evidence from South Africa," Working Papers hal-03338304, HAL.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Roemling, Cornelia & Qaim, Matin, 2012. "Dual Burden Households and Nutritional Inequality in Indonesia," GlobalFood Discussion Papers 126943, Georg-August-Universitaet Goettingen, GlobalFood, Department of Agricultural Economics and Rural Development.
    2. 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.
    3. 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).
    4. Donni, Olivier & Molina, José Alberto, 2018. "Household Collective Models: Three Decades of Theoretical Contributions and Empirical Evidence," IZA Discussion Papers 11915, Institute of Labor Economics (IZA).
    5. Frederic Vermeulen, 2002. "Collective Household Models: Principles and Main Results," Journal of Economic Surveys, Wiley Blackwell, vol. 16(4), pages 533-564, September.
    6. Heggeness, Misty L., 2020. "Improving child welfare in middle income countries: The unintended consequence of a pro-homemaker divorce law and wait time to divorce," Journal of Development Economics, Elsevier, vol. 143(C).
    7. Carlos Brambila-Paz, 2017. "Households, Families and Prospective Economic Mobility in Mexico," Journal of Family and Economic Issues, Springer, vol. 38(4), pages 582-595, December.
    8. Agier, Isabelle & Guérin, Isabelle & Szafarz, Ariane, 2012. "Child gender and parental borrowing: Evidence from India," Economics Letters, Elsevier, vol. 115(3), pages 363-365.
    9. 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.
    10. Mahbub Hossain & M. Niaz Asadullah & Uma Kambhampati, 2021. "Women’s empowerment and gender-differentiated food allocation in Bangladesh," Review of Economics of the Household, Springer, vol. 19(3), pages 739-767, September.
    11. Wilman J. Iglesias & Alexandre B. Coelho, 2020. "Poverty and inequality within Brazilian households: an application of a collective consumption model," Empirical Economics, Springer, vol. 58(4), pages 1923-1952, April.
    12. Jaime Andrés Sarmiento Espinel, 2012. "Parental investment in their children’s education," Serie documentos de trabajo del Centro de Estudios Económicos 2012-09, El Colegio de México, Centro de Estudios Económicos.
    13. Laurens CHERCHYE & Thomas DEMUYNCK & Bram DE ROCK, 2010. "Noncooperative household consumption with caring," Working Papers of Department of Economics, Leuven ces10.34, KU Leuven, Faculty of Economics and Business (FEB), Department of Economics, Leuven.
    14. Unnikrishnan, Vidhya & Imai, Katsushi S., 2020. "Does the old-age pension scheme improve household welfare? Evidence from India," World Development, Elsevier, vol. 134(C).
    15. Kimenju, Simon & Qaim, Matin, 2014. "The Nutrition Transition and Indicators of Child Malnutrition," GlobalFood Discussion Papers 195709, Georg-August-Universitaet Goettingen, GlobalFood, Department of Agricultural Economics and Rural Development.
    16. Yoosik Youm & Edward O. Laumann, 2003. "The Effect of Structural Embeddedness on the Division of Household Labor: A Game-Theoretic Model Using a Network Approach," Rationality and Society, , vol. 15(2), pages 243-280, May.
    17. Anna Doś & Monika Wieczorek-Kosmala & Joanna Błach, 2022. "The Effect of Business Legal Form on the Perception of COVID-19-Related Disruptions by Households Running a Business," Risks, MDPI, vol. 10(4), pages 1-17, April.
    18. Christian T. Litchepah & Issidor. Noumba & Mohammadou. Nourou, 2022. "Does reducing violence against women improve children’s health? The case of Cameroon," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 6(6), pages 187-194, June.
    19. Natalya Y. Shelkova, 2020. "Stronger women, better men? Family bargaining and public policy in contemporary Russia," Review of Economics of the Household, Springer, vol. 18(2), pages 335-355, June.
    20. Bussolo,Maurizio & Sarma,Nayantara & Williams,Anaise Marie, 2021. "It Takes Two (To Make Things Right) : Women's Empowerment and Couple Concordance in South Asia," Policy Research Working Paper Series 9545, The World Bank.

    More about this item

    Keywords

    Dual burden; Intra-household nutritional inequality; Nutrition transition; Asia; Indonesia;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:ehbiol:v:11:y:2013:i:4:p:563-573. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/inca/622964 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.