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Mind the Gap! Socioeconomic Determinants of the Stunting Urban-Rural Gap for Children in Colombia

Author

Listed:
  • Ernesto Cardenas

    (Universidad Sergio Arboleda)

  • Ana María Osorio

    (Pontificia Universidad Javeriana)

  • Orlando Joaqui Barandica

    (Universidad del Valle)

  • Sayda Milena Pico Fonseca

    (Pontificia Universidad Javeriana)

Abstract

Stunting (low height for age) is a crucial indicator for measuring child well-being and economic and social development of a country. Despite a decrease in overall children’s stunting in the last decades, there are still significant geographic disparities between urban and rural areas in Colombia. This paper aims to identify the role of the main determinants of children’s stunting in explaining the urban-rural stunting gap. We use data from the 2015 National Nutritional Situation Survey (the most recent available dataset) and the Yun’s statistical decomposition technique. We find that the urban-rural gap in child stunting is 7.2 percentage points. Three determinants: household wealth, maternal education, and health services utilization, explain most of the gap (92%). Each determinant explains 54%, 26%, and 12% of the characteristics effect, respectively. Public health policies aiming to reduce the gap must seek improvements in access to institutional delivery and education services for mothers in rural areas in the short term. In the long term, increasing economic wealth in rural areas is essential.

Suggested Citation

  • Ernesto Cardenas & Ana María Osorio & Orlando Joaqui Barandica & Sayda Milena Pico Fonseca, 2022. "Mind the Gap! Socioeconomic Determinants of the Stunting Urban-Rural Gap for Children in Colombia," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(2), pages 415-432, April.
    • Handle: RePEc:spr:chinre:v:15:y:2022:i:2:d:10.1007_s12187-021-09880-7
    DOI: 10.1007/s12187-021-09880-7
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    1. Garrett, James L. & Ruel, Marie T., 1999. "Are Determinants of Rural and Urban Food Security and Nutritional Status Different? Some Insights from Mozambique," World Development, Elsevier, vol. 27(11), pages 1955-1975, November.
    2. Mesbah Fathy Sharaf & Ahmed Shoukry Rashad, 2016. "Regional inequalities in child malnutrition in Egypt, Jordan, and Yemen: a Blinder-Oaxaca decomposition analysis," Health Economics Review, Springer, vol. 6(1), pages 1-11, December.
    3. Yun, Myeong-Su, 2004. "Decomposing differences in the first moment," Economics Letters, Elsevier, vol. 82(2), pages 275-280, February.
    4. Ervin, Paul A. & Bubak, Vit, 2019. "Closing the rural-urban gap in child malnutrition: Evidence from Paraguay, 1997–2012," Economics & Human Biology, Elsevier, vol. 32(C), pages 1-10.
    5. Liu, Hong & Fang, Hai & Zhao, Zhong, 2013. "Urban–rural disparities of child health and nutritional status in China from 1989 to 2006," Economics & Human Biology, Elsevier, vol. 11(3), pages 294-309.
    6. Ellen van de Poel & Owen O'Donnell & Eddy van Doorslaer, 2007. "Are Urban Children really healthier?," Tinbergen Institute Discussion Papers 07-035/3, Tinbergen Institute.
    7. Ham, John C & Svejnar, Jan & Terrell, Katherine, 1998. "Unemployment and the Social Safety Net during Transitions to a Market Economy: Evidence from the Czech and Slovak Republics," American Economic Review, American Economic Association, vol. 88(5), pages 1117-1142, December.
    8. Jeffrey M Wooldridge, 2010. "Econometric Analysis of Cross Section and Panel Data," MIT Press Books, The MIT Press, edition 2, volume 1, number 0262232588, December.
    9. Oaxaca, Ronald, 1973. "Male-Female Wage Differentials in Urban Labor Markets," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 14(3), pages 693-709, October.
    10. Smith, Lisa C. & Ruel, Marie T. & Ndiaye, Aida, 2005. "Why Is Child Malnutrition Lower in Urban Than in Rural Areas? Evidence from 36 Developing Countries," World Development, Elsevier, vol. 33(8), pages 1285-1305, August.
    11. Paraje, Guillermo, 2009. "Desnutrición crónica infantil y desigualdad socioeconómica en América Latina y el Caribe," Revista CEPAL, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), December.
    12. Thomas Pave Sohnesen & Alemayehu Azeze Ambel & Peter Fisker & Colin Andrews & Qaiser Khan, 2017. "Small area estimation of child undernutrition in Ethiopian woredas," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-17, April.
    13. Alan S. Blinder, 1973. "Wage Discrimination: Reduced Form and Structural Estimates," Journal of Human Resources, University of Wisconsin Press, vol. 8(4), pages 436-455.
    14. Menon, Purnima & Morris, Saul Sutkover & Ruel, Marie T., 2000. "Socio-economic differentials in child stunting are consistently larger in urban than rural areas," FCND briefs 97, International Food Policy Research Institute (IFPRI).
    15. Van de Poel, Ellen & O'Donnell, Owen & Van Doorslaer, Eddy, 2007. "Are urban children really healthier? Evidence from 47 developing countries," Social Science & Medicine, Elsevier, vol. 65(10), pages 1986-2003, November.
    16. Ndiaye, Aida & Ruel, Marie T. & Smith, Lisa C., 2004. "Why is child malnutrition lower in urban than rural areas?," FCND briefs 176, International Food Policy Research Institute (IFPRI).
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