Global inequalities in the double burden of malnutrition and associations with globalisation

Detalhes bibliográficos
Autor(a) principal: Seferidi, Paraskevi
Data de Publicação: 2022
Outros Autores: Hone, Thomas, Duran, Ana Clara, Bernabe-Ortiz, Antonio, Millett, Christopher
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/137728
Resumo: Funding Information: PS, AB-O, and CM are supported by the Biotechnology and Biological Sciences Research Council (grant reference BB/T009004/1). Publisher Copyright: © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license
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spelling Global inequalities in the double burden of malnutrition and associations with globalisationa multilevel analysis of Demographic and Health Surveys from 55 low-income and middle-income countries, 1992–2018Medicine(all)SDG 2 - Zero HungerFunding Information: PS, AB-O, and CM are supported by the Biotechnology and Biological Sciences Research Council (grant reference BB/T009004/1). Publisher Copyright: © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Low-income and middle-income countries (LMICs) face a double burden of malnutrition (DBM), whereby overnutrition and undernutrition coexist within the same individual, household, or population. This analysis investigates global inequalities in household-level DBM, expressed as a stunted child with an overweight mother, and its association with economic, social, and political globalisation across country income and household wealth. Methods: We pooled anthropometric and demographic data for 1 132 069 children (aged <5 years) and their mothers (aged 15–49 years) from 189 Demographic and Health Surveys in 55 LMICs between 1992 and 2018. These data were combined with country-level data on economic, social, and political globalisation from the Konjunkturforschungsstelle Globalisation Index and gross national income (GNI) from the World Bank. Multivariate associations between DBM and household wealth, GNI, and globalisation and their interactions were tested using multilevel logistic regression models with country and year fixed-effects and robust standard errors clustered by country. Findings: The probability of DBM was higher among richer households in poorer LMICs and poorer households in richer LMICs. Economic globalisation was associated with higher odds of DBM among the poorest households (odds ratio 1·49, 95% CI 1·20–1·86) compared with the richest households. These associations attenuated as GNI increased. Social globalisation was associated with higher odds of DBM (1·39, 95% CI 1·16–1·65), independently of household wealth or country income. No associations were identified between political globalisation and DBM. Interpretation: Increases in economic and social globalisation were associated with higher DBM, although the impacts of economic globalisation were mostly realised by the world's poorest. The economic patterning of DBM observed in this study calls for subpopulation-specific double-duty actions, which should further aim to mitigate the potential negative and unequal impacts of globalisation. Funding: UK Biotechnology and Biological Sciences Research Council. Translations: For the Spanish and Portuguese translations of the abstract see Supplementary Materials section.Escola Nacional de Saúde Pública (ENSP)RUNSeferidi, ParaskeviHone, ThomasDuran, Ana ClaraBernabe-Ortiz, AntonioMillett, Christopher2022-05-10T22:47:36Z2022-042022-04-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/137728eng2214-109XPURE: 43813876https://doi.org/10.1016/S2214-109X(21)00594-5info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:15:11Zoai:run.unl.pt:10362/137728Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:48:53.056408Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Global inequalities in the double burden of malnutrition and associations with globalisation
a multilevel analysis of Demographic and Health Surveys from 55 low-income and middle-income countries, 1992–2018
title Global inequalities in the double burden of malnutrition and associations with globalisation
spellingShingle Global inequalities in the double burden of malnutrition and associations with globalisation
Seferidi, Paraskevi
Medicine(all)
SDG 2 - Zero Hunger
title_short Global inequalities in the double burden of malnutrition and associations with globalisation
title_full Global inequalities in the double burden of malnutrition and associations with globalisation
title_fullStr Global inequalities in the double burden of malnutrition and associations with globalisation
title_full_unstemmed Global inequalities in the double burden of malnutrition and associations with globalisation
title_sort Global inequalities in the double burden of malnutrition and associations with globalisation
author Seferidi, Paraskevi
author_facet Seferidi, Paraskevi
Hone, Thomas
Duran, Ana Clara
Bernabe-Ortiz, Antonio
Millett, Christopher
author_role author
author2 Hone, Thomas
Duran, Ana Clara
Bernabe-Ortiz, Antonio
Millett, Christopher
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Escola Nacional de Saúde Pública (ENSP)
RUN
dc.contributor.author.fl_str_mv Seferidi, Paraskevi
Hone, Thomas
Duran, Ana Clara
Bernabe-Ortiz, Antonio
Millett, Christopher
dc.subject.por.fl_str_mv Medicine(all)
SDG 2 - Zero Hunger
topic Medicine(all)
SDG 2 - Zero Hunger
description Funding Information: PS, AB-O, and CM are supported by the Biotechnology and Biological Sciences Research Council (grant reference BB/T009004/1). Publisher Copyright: © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license
publishDate 2022
dc.date.none.fl_str_mv 2022-05-10T22:47:36Z
2022-04
2022-04-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/137728
url http://hdl.handle.net/10362/137728
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2214-109X
PURE: 43813876
https://doi.org/10.1016/S2214-109X(21)00594-5
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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