ArticleBMC public health2020
Socioeconomic inequalities in food insecurity and malnutrition among under-five children: within and between-group inequalities in Zimbabwe.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- Association between household food insecurity and stunting in children aged 0-59 months: Systematic review and meta-analysis of cohort studies.Maternal & child nutrition · 2024Pooled it
- Household socioeconomic status, dietary diversity, and risk of stunting among South African primary school children.Journal of health, population, and nutrition · 2026Trial
- Household wealth, women's empowerment, and food insecurity in conflict-affected Southeast Myanmar.Journal of health, population, and nutrition · 2026Article
- Antimicrobial redistribution: health practitioner One health perspectives on antimicrobial use in livestock for antimicrobial resistance education in Zimbabwe.JAC-antimicrobial resistance · 2026Article
- The double burden of malnutrition: rethinking clinical and policy responses in the era of rising obesity in low- and middle-income countries.Public health nutrition · 2026Article
- Wealth inequalities in childhood stunting in the northern province of rwanda: a decomposition analysis.International journal for equity in health · 2025Article
- Prematurity and Low Birth Weight Among Food-Secure and Food-Insecure Households: A Comparative Study in Surabaya, Indonesia.Nutrients · 2025Article
- Wealth-related inequalities in undernutrition among under-five children in sub-Saharan Africa.Scientific reports · 2025Article
- Global burden of children and adolescents' nutritional deficiencies from 1990 to 2021.Frontiers in pediatrics · 2025Article
- Household food insecurity, dietary diversity with undernutrition among children younger than five years in Indian subcontinent-a narrative review.The Lancet regional health. Southeast Asia · 2024Review
- Epidemiological study of pediatric nutritional deficiencies: an analysis from the global burden of disease study 2019.Nutrition journal · 2024Article
- Double burden of malnutrition among women and children in Zimbabwe: a pooled logistic regression and Oaxaca-Blinder decomposition analysis.Frontiers in public health · 2024Article
- Trends in social determinants of inequality in child undernutrition from the Ethiopian Demographic and Health Surveys, 2005-2016.PloS one · 2024Article
- Participants in a peer-based nutrition and health program in Zimbabwe value dialogue, peer support, and tangible action: A qualitative exploration of peer group experiences.PLOS global public health · 2024Article
- Associations between dimensions of empowerment and nutritional status among married adolescent girls in East Africa: a structural equation modelling study.BMC public health · 2023Article
- Food insecurity and its determinants among adults in North and South India.Nutrition journal · 2023Article
- Examining the disparities: A cross-sectional study of socio-economic factors and food insecurity in Togo.PloS one · 2023Article
- Wealth- and education-related inequalities in minimum dietary diversity among Indonesian infants and young children: a decomposition analysis.Global health action · 2022Article
- Impact of Market Participation of Indigenous Crops on Household Food Security of Smallholder Farmers of South Africa.Sustainability · 2022Article
- Decomposing maternal socioeconomic inequalities in Zimbabwe; leaving no woman behind.BMC pregnancy and childbirth · 2022Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFood insecurity and malnutrition in children are pervasive public health concerns in Zimbabwe. Previous studies only identified determinants of food insecurity and malnutrition with very little efforts done in assessing related inequalities and decomposing the inequalities across household characteristics in Zimbabwe. This study explored socioeconomic inequalities trend in child health using regression decomposition approach to compare within and between group inequalities.
methodsThe study used Demographic Health Survey (DHS) data sets of 2010\11 and 2015. Food insecurity in under-five children was determined based on the WHO dietary diversity score. Minimum dietary diversity was defined by a cut- off point of > 4 therefore, children with at least 3 of the 13 food groups were defined as food insecure. Malnutrition was assessed using weight for age (both acute and chronic under-nutrition) Z-scores. Children whose weight-for-age Z-score below minus two standard deviations (- 2 SD) from the median were considered malnourished. Concentration curves and indices were computed to understand if malnutrition was dominant among the poor or rich. The study used the Theil index and decomposed the index by population subgroups (place of residence and socioeconomic status).
resultsOver the study period, malnutrition prevalence increased by 1.03 percentage points, while food insecurity prevalence decreased by 4.35 percentage points. Prevalence of malnutrition and food insecurity increased among poor rural children. Theil indices for nutrition status showed socioeconomic inequality gaps to have widened, while food security status socioeconomic inequality gaps contracted for the period under review.
conclusionThe study concluded that unequal distribution of household wealth and residence status play critical roles in driving socioeconomic inequalities in child food insecurity and malnutrition. Therefore, child food insecurity and malnutrition are greatly influenced by where a child lives (rural/urban) and parental wealth.
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