ArticleEuropean journal of clinical nutrition2020
Rural-urban differences in socioeconomic inequality trends for double burden of malnutrition in Thailand 2005-2016.
Article in European journal of clinical nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Theories, determinants, and intervention models and approaches on inequalities of undernutrition amongst under fives: A literature review.Health science reports · 2024Article
- Exploring the impact of water, sanitation and hygiene (WASH), early adequate feeding and access to health care on urban-rural disparities of child malnutrition in China.Maternal & child nutrition · 2023Article
- A review of the prevalence, trends, and determinants of coexisting forms of malnutrition in neonates, infants, and children.BMC public health · 2022Review
- Double burden of malnutrition and its association with infant and young child feeding practices among children under-five in Thailand.Public health nutrition · 2021Article
- Exploring the Experience and Determinants of the Food Choices and Eating Practices of Elderly Thai People: A Qualitative Study.Nutrients · 2020Article
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Authors and funding
3 authors.
Funding
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Abstract
BACKGROUND/
objectivesThis study determined time trends in the prevalence of malnutrition and its socioeconomic inequality among children under five at a national level and by urbanity in Thailand. SUBJECTS/
methodsThis study compared malnutrition prevalence and inequality among children under five by wealth index score and urbanity using three Multiple Indicator Cluster Surveys for 2005-06, 2012, and 2015-16. The magnitude of inequality was measured on absolute (slope index of inequality) and relative scales (relative index of inequality).
resultsNational prevalence of stunting decreased substantially (16% in 2005-06 and 2012 and 10% in 2015-16), whereas overweight prevalence did not meaningfully change. Inequalities in stunting and overweight by wealth decreased over time nationally on both absolute and relative scales (p-trend < 0.001). Similar decreasing patterns in inequalities were seen in both rural and urban areas, though substantial inequalities persisted. Poor children remained stunted (11.6% in the rural poor and 14.8% in the urban poor), wasted (6.6% in the rural poor), and, strikingly, also overweight (from 5.5% in 2005-06 to 9% in 2015-16 for the rural poor and 8% over time for the urban poor).
conclusionDespite favorable time trends in socioeconomic inequality, this study showed the existence of a double burden of malnutrition (under-nutrition and overweight) in young Thai children with persistent inequalities at the national level. Different patterns of this double burden were seen between urban and rural areas. Public health policies should target both under-nutrition and overweight and consider urbanity in this rapidly developing society.
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