ArticleBMC nutrition2022
Wealth related inequality in women and children malnutrition in the state of Chhattisgarh and Tamil Nadu.
Article in BMC nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 11 citations in OpenAlex.
- A district-level geospatial analysis of anaemia prevalence among rural men in India, 2019-21.International journal for equity in health · 2024Article
- Double burden of malnutrition among women of reproductive age: Trends and determinants over the last 15 years in India.PloS one · 2024Article
- Explaining the poor-rich gap in anthropometric failure among children in India: An econometric analysis of the NFHS, 2021 and 2016.SSM - population health · 2023Article
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3 authors at 1 institution in 1 country.
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Abstract
backgroundChild and maternal malnutrition are the most serious health risks in India, accounting for 15% of the country's total disease burden. Malnutrition in children can manifest as 'stunting' (low height in relation to age) or 'wasting' (low weight in relation to height) or both and underweight or obesity among women. Other nutritional indicators show that India lags behind, with high levels of anaemia in women of reproductive age. The study aims to analyse the wealth related inequalities in the nutrition status among women and children of different wealth quintiles in a high focus state (Chhattisgarh; CG) and a non-high focus state (Tamil Nadu; TN) in India.
methodsWe used National Family Health Survey-3rd (2005-06) & 4th (2015-16) to study the trends and differentials of inequalities in the nutrition status. We have used two summary indices. - absolute inequalities using the slope index of inequality (SII), and relative inequalities using the concentration index (CIX).
resultsThere is reduction in wealth related inequality in nutrition status of women and children from all wealth quintiles between 2005-06 and 2015-16. However the reduction in inequality in some cases such as that of severe stunting among children was accompanied by increase among children from better off households The values of SII and CIX imply that malnutrition except obesity is still concentrated among the poor. The prevalence of anaemia (mild, moderate and severe) has reduced among women and children in the past decade. The converging pattern observed with respect to prevalence of mild and moderate anaemia is not only due to reduction in prevalence of anaemia among women from poor households but an increase in prevalence in rich households.
conclusionMalnutrition remains a major challenge in India, despite encouraging progress in maternal and nutrition outcomes over the last decade. Our study findings indicate the importance of looking at the change in inequalities of nutrition status of women and children of different wealth quintiles sub nationally. Given the country's rapidly changing malnutrition profile, with progress across several indicators of under nutrition but rapidly rising rates of overweight/obesity, particularly among adults, appropriate strategies needs to be devised to tackle the double burden of malnutrition.
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