Global inequalities in the double burden of malnutrition and associations with globalisation
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
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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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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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 |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799138089165127680 |