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Magnitude, trends and drivers of the coexistence of maternal overweight/obesity and childhood undernutrition in Ethiopia : evidence from Demographic and Health Surveys (2005–2016)
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Pradeilles, Rebecca, Irache, Ana, Norris, Tom, Chitekwe, Stanley, Laillou, Arnaud and Baye, Kaleab (2022) Magnitude, trends and drivers of the coexistence of maternal overweight/obesity and childhood undernutrition in Ethiopia : evidence from Demographic and Health Surveys (2005–2016). Maternal & Child Nutrition . doi:10.1111/mcn.13372 (In Press)
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Official URL: http://dx.doi.org/10.1111/mcn.13372
Abstract
Ethiopia faces a rising problem of overweight and obesity alongside a high prevalence of undernutrition; a double burden of malnutrition (DBM). This study aimed to quantify the magnitude and trends of household-level DBM—defined as the coexistence of maternal overweight/obesity and child undernutrition (i.e., stunting or anaemia)—in Ethiopia between 2005, 2011 and 2016 and understand the potential drivers influencing DBM and the change in DBM over time. Data come from the Ethiopian Demographic and Health Surveys. National and regional prevalence estimates of the DBM were calculated (n = 13,107). Equiplots were produced to display inequalities in the distribution of DBM. Factors associated with DBM were explored using pooled multivariable logistic regression analyses for 2005, 2011 and 2016 (n = 9358). These were also included in a logistic regression decomposition analysis to understand their contribution to the change in DBM between 2005 and 2016 (n = 5285). The prevalence of household-level DBM at the national level was low, with a modest increase from 2.4% in 2005% to 3.5% in 2016. This masks important within-country variability, with substantially higher prevalence in Addis Ababa (22.8%). Factors positively associated with DBM were maternal age (odds ratio [OR] = 1.04 [1.02, 1.06]), urban residence (OR = 3.12 [2.24, 4.36]), wealth (OR = 1.14 [1.06, 1.24]) and the number of children <5 in the household (OR = 1.30 [1.12, 1.49]). Overall, 70.5% of the increase in DBM between 2005 and 2016 was attributed to increased wealth, urban residence and region. Double-duty actions that address multiple forms of malnutrition are urgently needed in urban settings.
Item Type: | Journal Item | ||||||||||
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Subjects: | R Medicine > RC Internal medicine R Medicine > RJ Pediatrics |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||||
Library of Congress Subject Headings (LCSH): | Anemia in children, Anemia, Malnutrition -- Ethiopia, Women -- Nutrition -- Ethiopia, Obesity in women -- Ethiopia, Obesity in children -- Prevention -- Ethiopia, Obesity in children -- Ethiopia, Health surveys -- Ethiopia | ||||||||||
Journal or Publication Title: | Maternal & Child Nutrition | ||||||||||
Publisher: | Wiley-Blackwell Publishing Ltd. | ||||||||||
ISSN: | 1740-8695 | ||||||||||
Official Date: | 2022 | ||||||||||
Dates: |
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Number of Pages: | 14 | ||||||||||
DOI: | 10.1111/mcn.13372 | ||||||||||
Status: | Peer Reviewed | ||||||||||
Publication Status: | In Press | ||||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||||
Date of first compliant deposit: | 18 July 2022 | ||||||||||
Date of first compliant Open Access: | 20 July 2022 | ||||||||||
RIOXX Funder/Project Grant: |
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