ArticleBMJ global health2020
Trends and inequalities in the nutritional status of adolescent girls and adult women in sub-Saharan Africa since 2000: a cross-sectional series study.
Article in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 39 citations in OpenAlex.
- Socioeconomic inequalities in overweight and obesity among South Asian women, 2000-2022.Global health action · 2026Article
- Bayesian Spatial Conditional Logistic Regression Modelling of Overweight/Obesity Prevalence and Determinants Among Women in Ghana, Accounting for Contraceptive Use.Global health, epidemiology and genomics · 2026Article
- Article
- Socioeconomic inequality in undernutrition among late female adolescent in sub-Saharan African countries: a decomposition analysis.BMC public health · 2025Article
- Socioeconomic inequality in the co-occurrence of anemia and stunting among adolescent girls aged 15-19 years in Sub-Saharan African countries: a decomposition analysis.BMC public health · 2025Article
- Similarities in socioeconomic disparities and inequalities in women's nutritional status and health care in Bangladesh, Ethiopia, India, and Nigeria.Global health action · 2024Article
- The current status of genetic biofortification in alleviating malnutrition in Africa.Journal, genetic engineering & biotechnology · 2024Review
- Sustained underweight in rural areas and emergence of overweight in urban Ethiopian women: a multivariate analysis of EDHS data 2000-2016.Scientific reports · 2024Article
- Residence-based inequalities in overweight/obesity in sub-Saharan Africa: a multivariate non-linear decomposition analysis.Tropical medicine and health · 2024Article
- Reimagining nutrition education for pregnant adolescents in the face of climate change: a community approach.BMJ nutrition, prevention & health · 2024Article
- Alterations of Hepcidin and Iron Markers Associated with Obesity and Obesity-related Diabetes in Gambian Women.Wellcome open research · 2024Article
- Dietary Behaviour and Sociocultural Determinants of Dietary Diversity among Rural Women of Reproductive Age: A Case of Amhara Region, Ethiopia.Nutrients · 2023Article
- Trends in the Intraindividual Double Burden of Overweight/Obesity and Anemia among Adult Women Living in 33 Low- and Middle-Income Countries: A Secondary Analysis of Demographic and Health Surveys from 2000-2019.The Journal of nutrition · 2023Article
- Associations between dimensions of empowerment and nutritional status among married adolescent girls in East Africa: a structural equation modelling study.BMC public health · 2023Article
- Characterisation of populations at risk of sub-optimal dosing of artemisinin-based combination therapy in Africa.PLOS global public health · 2023Article
- Undernutrition in older children and adolescents in peri-urban Zambia.Frontiers in public health · 2023Article
- The Role of Molecular and Hormonal Factors in Obesity and the Effects of Physical Activity in Children.International journal of molecular sciences · 2022Review
- Profiling household double and triple burden of malnutrition in sub-Saharan Africa: prevalence and influencing household factors.Public health nutrition · 2022Article
- The co-occurrence of overweight/obesity and anaemia among adult women, adolescent girls and children living in fifty-two low- and middle-income countries.Public health nutrition · 2022Article
- Intra-household double burden of overweight/obesity and anaemia: Evidence from 49 low-and middle-income countries.Maternal & child nutrition · 2022Article
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18 authors at 7 institutions in 4 countries.
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Abstract
introductionEvidence on the rate at which the double burden of malnutrition unfolds is limited. We quantified trends and inequalities in the nutritional status of adolescent girls and adult women in sub-Saharan Africa.
methodsWe analysed 102 Demographic and Health Surveys between 1993 and 2017 from 35 countries. We assessed regional trends through cross-sectional series analyses and ran multilevel linear regression models to estimate the average annual rate of change (AARC) in the prevalence of underweight, anaemia, anaemia during pregnancy, overweight and obesity among women by their age, residence, wealth and education levels. We quantified current absolute inequalities in these indicators and wealth-inequality trends.
resultsThere was a modest decline in underweight prevalence (AARC=-0.14 percentage points (pp), 95% CI -0.17 to -0.11). Anaemia declined fastest among adult women and the richest pregnant women with an AARC of -0.67 pp (95% CI -1.06 to -0.28) and -0.97 pp (95% CI -1.60 to -0.34), respectively, although it affects all women with no marked disparities. Overweight is increasing rapidly among adult women and women with no education. Capital city residents had a threefold more rapid rise in obesity (AARC=0.47 pp, 95% CI 0.39, 0.55), compared with their rural counterparts. Absolute inequalities suggest that Ethiopia and South Africa have the largest gap in underweight (15.4 pp) and obesity (28.5 pp) respectively, between adult and adolescent women. Regional wealth inequalities in obesity are widening by 0.34 pp annually.
conclusionUnderweight persists, while overweight and obesity are rising among adult women, the rich and capital city residents. Adolescent girls do not present adverse nutritional outcomes except anaemia, remaining high among all women. Multifaceted responses with an equity lens are needed to ensure no woman is left behind.
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