Socioeconomic disparities and the familial coexistence of child stunting and maternal overweight in guatemala |
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| Authors: | Jounghee Lee Robert F Houser Aviva Must Patricia Palma de Fulladolsa Odilia I Bermudez |
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| Institution: | 1. Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA 02111, United States;2. Department of Public Health and Community Medicine, Tufts University, Boston, MA 02111, United States;3. Regional Food and Nutrition Security Program for Central America, Boulevard del Hipodromo No. 523, Colonia San Benito, San Salvador, El Salvador;1. Family Health Care Nursing, School of Nursing, University of California, San Francisco, 2 Koret Way, Box 0606, San Francisco, CA 94143-0606, United States;2. Environmental Health Sciences, School of Public Health, University of California, Berkeley, 50 University Hall, Berkeley, CA 94720-7360, United States;3. Division of Occupational and Environmental Medicine, Department of Medicine, University of California, San Francisco, United States;1. Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA;2. Universidade Federal de Pelotas, Pelotas, Rio Grande do Sol, Brazil;3. The University of the West Indies, Tropical Medicine Research Institute, Mona Campus, Kingston, Jamaica;4. The Aga Khan University and Medical Center, Department of Pediatrics, Karachi, Pakistan;5. World Health Organization, Department of Nutrition for Health and Development, Geneva, Switzerland;6. Imperial College of London, St Mary’s Campus, School of Public Health, MRC-HPA Centre for Environment and Health, Department of Epidemiology and Biostatistics, London, UK;7. Institute of Child Health, University College London, London, UK;8. The University of the West Indies, Mona, Jamaica;9. Emory University, Atlanta, GA, USA;10. London School of Hygiene and Tropical Medicine, London, UK;1. Nutrition and Health Research Center, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México;2. Center for Research in Population Health, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México;3. Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, Massachusetts;1. Western Sydney University, School of Science and Health, Narellan Road, Campbelltown, NSW, 2570, Australia;2. University of Sydney, Faculty of Health Science, 75 East Street, Lidcombe, NSW, 2141, Australia;3. Peoples University of Medical and Health Sciences for Women, Department of Community Medicine, Hospital Road, Nawabshah, 67450, Pakistan;4. Medicine Unit 2, Sir Ganga Ram Hospital, Queens Road, Lahore, 54000, Pakistan |
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| 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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