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Child‐level double burden of malnutrition in the MENA and LAC regions: Prevalence and social determinants
dc.contributor.authorGhattas, Hala
dc.contributor.authorAcharya, Yubraj
dc.contributor.authorJamaluddine, Zeina
dc.contributor.authorAssi, Moubadda
dc.contributor.authorEl Asmar, Khalil
dc.contributor.authorJones, Andrew D.
dc.date.accessioned2020-04-02T18:40:05Z
dc.date.availableWITHHELD_13_MONTHS
dc.date.available2020-04-02T18:40:05Z
dc.date.issued2020-04
dc.identifier.citationGhattas, Hala; Acharya, Yubraj; Jamaluddine, Zeina; Assi, Moubadda; El Asmar, Khalil; Jones, Andrew D. (2020). "Child‐level double burden of malnutrition in the MENA and LAC regions: Prevalence and social determinants." Maternal & Child Nutrition 16(2): n/a-n/a.
dc.identifier.issn1740-8695
dc.identifier.issn1740-8709
dc.identifier.urihttps://hdl.handle.net/2027.42/154671
dc.description.abstractAlthough the prevalence of obesity has rapidly increased in the low‐ and middle‐income countries of the Middle East and North Africa (MENA) and Latin America and the Caribbean (LAC) regions, child undernutrition remains a public‐health challenge. We examined region‐specific sociodemographic determinants of this double burden of malnutrition, specifically, the co‐occurrence of child stunting and overweight, using Demographic and Health Survey and Multiple Indicator Cluster Survey data (2003–2016) from 11 countries in the MENA (n = 118,585) and 13 countries in the LAC (n = 77,824) regions. We used multiple logistic regressions to model region‐specific associations of maternal education and household wealth with child nutritional outcomes (6–59 months). The prevalence of stunting, overweight, and their co‐occurrence was 24%, 10%, and 4.3% in children in the MENA region, respectively, and 19%, 5%, and 0.5% in children in the LAC region, respectively. In both regions, higher maternal education and household wealth were significantly associated with lower odds of stunting and higher odds of overweight. As compared with the poorest wealth quintiles, decreased odds of co‐occurring stunting and overweight were observed among children from the second, third, and fourth wealth quintiles in the LAC region. In the MENA region, this association was only statistically significant for the second wealth quintile. In both regions, double burden was not statistically significantly associated with maternal education. The social patterning of co‐occurring stunting and overweight in children varied across the two regions, indicating potential differences in the underlying aetiology of the double burden across regions and stages of the nutrition transition.
dc.publisherInternational Food Policy Research Institute (IFPRI)
dc.publisherWiley Periodicals, Inc.
dc.subject.otherchildren
dc.subject.otherdouble burden
dc.subject.otherstunting
dc.subject.otheroverweight
dc.subject.otherMENA
dc.subject.otherLAC
dc.titleChild‐level double burden of malnutrition in the MENA and LAC regions: Prevalence and social determinants
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPediatrics
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/154671/1/mcn12923_am.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/154671/2/mcn12923.pdf
dc.identifier.doi10.1111/mcn.12923
dc.identifier.sourceMaternal & Child Nutrition
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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