Publication
Title
Dynamics of the double burden of malnutrition in Guatemala : a secondary data analysis of the demographic and health surveys from 1998–2015
Author
Abstract
Objective We estimated the prevalence and time trends of the double burden of malnutrition (DBM) in Guatemala and explored its occurrence based on socio-demographic factors. Study design This was a secondary data analysis using information from four Demographic and Health Surveys covering the period 1998–2015. Methods The unit of analysis was the household within which information was gathered from women 18–49 years and their children, 6–59 months. The main outcome was the prevalence of any DBM in the household (co-existence of undernutrition and overnutrition in a woman, her children or both). We estimated the prevalence of any DBM by survey and analysed time trends. Stepwise logistic regression was used to explore the occurrence of DBM and socio-demographic factors. Results We analysed 39,749 households across all surveys. The prevalence of any DBM was 25.3% (95%CI: 22.1–28.7) in 1998–99, 23.8% (22.0–25.8) in 2002, 25.9% (24.3–27.5) in 2008–09 and 24.2% (22.9–25.5) in 2014–15, with no significant change over time (P = 0.782). Characteristics associated with lower odds of any DBM were rural residence, female-headed household, wealth and women's secondary education. Higher odds were seen for households with electricity, women >25y, indigenous and with >2 children. Conclusion Our findings revealed that a quarter of Guatemala's households suffer from DBM, which has remained unchanged for 17 years. Interventions should prioritise urban areas, households of lower socio-economic status and those less educated. To increase awareness of policymakers of this pressing public health concern, further research on DBM could be strengthened by prospective study designs, integrating all household members and expanding the types of malnutrition.
Language
English
Source (journal)
Public health / Society of Community Medicine [London]; Society of Public Health [Londen] - London, 1888, currens
Publication
London : 2024
ISSN
0033-3506 [print]
1476-5616 [online]
DOI
10.1016/J.PUHE.2024.01.035
Volume/pages
229 (2024) , p. 135-143
ISI
001206977300001
Pubmed ID
38442595
Full text (Publisher's DOI)
Full text (open access)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
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Record
Identifier
Creation 22.04.2024
Last edited 07.05.2024
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