Evidence map›Paper›PMID 41969738›Full record

ArticlePublic health challenges2026

Impact of Elective Caesarean Delivery on Double Burden of Malnutrition and Its Contribution to Wealth-Based Inequality: A Decomposition Analysis Across South Asian Countries.

Maliha Mahazabin, Khondokar Naymul Islam, Md Alamgir Sarder

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Article in Public health challenges, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Maliha MahazabinStatistics Discipline, Science Engineering and Technology School, Khulna University Khulna Bangladesh.ORCID https://orcid.org/0000-0002-2730-7075
Khondokar Naymul IslamStatistics Discipline, Science Engineering and Technology School, Khulna University Khulna Bangladesh.ORCID https://orcid.org/0000-0002-1576-7496
Md Alamgir SarderStatistics Discipline, Science Engineering and Technology School, Khulna University Khulna Bangladesh.ORCID https://orcid.org/0000-0003-4472-3051

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The double burden of malnutrition at household level (DBMHL), which denotes the coexistence of undernutrition and overweight or obesity within the same household, underscores the complex and multifaceted nature of malnutrition. DBMHL is a critical issue in South Asia (SA) and mostly influenced by dietary transitions and healthcare access disparities as well as intricately linked to socioeconomic inequality. The primary aim of this research is to determine the impact and contribution of elective C-section to the wealth-based inequality in DBMHL. Methods: Participants (208,822) were taken from the most recent Demographic and Health Survey (DHS) datasets for the analysis. We applied bivariate statistics, binary logistic regression, concentration curve, concentration index (CIX), and decomposition analysis to determine the factors and socioeconomic inequalities related to DBMHL in the selected SA countries. Results: The overall prevalence of DBMHL was 7.80% in the selected SA countries, and the extent of disparity exists much among affluent groups (CIX: 0.217; Conclusion: Our findings suggest elective cesarean section is an important contributor to wealth-related inequality in DBMHL, strengthening clinical governance and counseling around nonmedically indicated elective CS may help to improve maternal and child health outcomes in SA. Public health practitioners and policymakers should promote awareness among women of reproductive age through mass media regarding healthy weight management before pregnancy and the potential implications of elective CS for the overall well-being of mother-child dyads.

Indexed as

decompositiondelivery modedouble burden of malnutritionelective caesarean sectioninequalitiesSouth Asiaundernourished child

Identifiers

PMID41969738
PMCPMC13063393

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