Prevalence and determinants of double and triple burden of malnutrition among mother–child pairs in Malawi: a mapping and multilevel modelling study
Abstract Objective: To establish the prevalence of double burden of malnutrition (DBM) and triple burden of malnutrition (TBM) among mother–child pairs in Malawi and explore their geographical distribution and associated multilevel factors. Design: Cross-sectional study using secondary data from...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2024-01-01
|
| Series: | Public Health Nutrition |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S1368980024002064/type/journal_article |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846157237626601472 |
|---|---|
| author | Jessie Jane Khaki Peter M Macharia Lenka Beňová Emanuele Giorgi Aline Semaan |
| author_facet | Jessie Jane Khaki Peter M Macharia Lenka Beňová Emanuele Giorgi Aline Semaan |
| author_sort | Jessie Jane Khaki |
| collection | DOAJ |
| description |
Abstract
Objective:
To establish the prevalence of double burden of malnutrition (DBM) and triple burden of malnutrition (TBM) among mother–child pairs in Malawi and explore their geographical distribution and associated multilevel factors.
Design:
Cross-sectional study using secondary data from the 2015–2016 Malawi Demographic and Health Survey using a mixed effects binomial model to identify multilevel factors associated with DBM and TBM. Georeferenced covariates were used to map the predicted prevalence of DBM and TBM.
Setting:
All twenty-eight districts in Malawi.
Participants:
Mother–child pairs with mothers aged 15–49 years and children aged below 60 months (n 4618 pairs) for DBM and between 6 and 59 months (n 4209 pairs) for TBM.
Results:
Approximately 5·5 % (95% confidence interval (CI): 4·7 %, 6·4 %) of mother–child pairs had DBM, and 3·1 % (95 % CI: 2·5 %, 4·0 %) had TBM. The subnational-level prevalence of DBM and TBM was highest in cities. The adjusted odds of DBM were threefold higher (adjusted Odds Ratio, AOR: 2·8, 95 % CI: 1·1, 7·3) with a higher proportion of wealthy households in a community. The adjusted odds of TBM were 60 % lower (AOR: 0·4; 95 % CI: 0·2, 0·8) among pairs where the women had some education compared with women with no education.
Conclusions:
Although the prevalence of DBM and TBM is currently low in Malawi, it is more prevalent in pairs with women with no education and in relatively wealthier communities. Targeted interventions should address both maternal overnutrition and child undernutrition in cities and these demographics.
|
| format | Article |
| id | doaj-art-6bac9277bacf4f79bb863b4597487f41 |
| institution | Kabale University |
| issn | 1368-9800 1475-2727 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj-art-6bac9277bacf4f79bb863b4597487f412024-11-25T11:54:10ZengCambridge University PressPublic Health Nutrition1368-98001475-27272024-01-012710.1017/S1368980024002064Prevalence and determinants of double and triple burden of malnutrition among mother–child pairs in Malawi: a mapping and multilevel modelling studyJessie Jane Khaki0https://orcid.org/0000-0001-5202-5339Peter M Macharia1Lenka Beňová2Emanuele Giorgi3Aline Semaan4Centre for Health Informatics, Statistics and Computing (CHICAS), Lancaster University, Lancaster, UK Malawi Liverpool Wellcome (MLW) Programme, Blantyre, Malawi School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre, MalawiCentre for Health Informatics, Statistics and Computing (CHICAS), Lancaster University, Lancaster, UK Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium Population & Health Impact Surveillance Group, Kenya Medical Research Institute-Wellcome Trust Research programme, Nairobi, KenyaDepartment of Public Health, Institute of Tropical Medicine, Antwerp, BelgiumCentre for Health Informatics, Statistics and Computing (CHICAS), Lancaster University, Lancaster, UKDepartment of Public Health, Institute of Tropical Medicine, Antwerp, Belgium Abstract Objective: To establish the prevalence of double burden of malnutrition (DBM) and triple burden of malnutrition (TBM) among mother–child pairs in Malawi and explore their geographical distribution and associated multilevel factors. Design: Cross-sectional study using secondary data from the 2015–2016 Malawi Demographic and Health Survey using a mixed effects binomial model to identify multilevel factors associated with DBM and TBM. Georeferenced covariates were used to map the predicted prevalence of DBM and TBM. Setting: All twenty-eight districts in Malawi. Participants: Mother–child pairs with mothers aged 15–49 years and children aged below 60 months (n 4618 pairs) for DBM and between 6 and 59 months (n 4209 pairs) for TBM. Results: Approximately 5·5 % (95% confidence interval (CI): 4·7 %, 6·4 %) of mother–child pairs had DBM, and 3·1 % (95 % CI: 2·5 %, 4·0 %) had TBM. The subnational-level prevalence of DBM and TBM was highest in cities. The adjusted odds of DBM were threefold higher (adjusted Odds Ratio, AOR: 2·8, 95 % CI: 1·1, 7·3) with a higher proportion of wealthy households in a community. The adjusted odds of TBM were 60 % lower (AOR: 0·4; 95 % CI: 0·2, 0·8) among pairs where the women had some education compared with women with no education. Conclusions: Although the prevalence of DBM and TBM is currently low in Malawi, it is more prevalent in pairs with women with no education and in relatively wealthier communities. Targeted interventions should address both maternal overnutrition and child undernutrition in cities and these demographics. https://www.cambridge.org/core/product/identifier/S1368980024002064/type/journal_articleDouble burdenTriple burdenMalnutritionMalawiMother–child pairs |
| spellingShingle | Jessie Jane Khaki Peter M Macharia Lenka Beňová Emanuele Giorgi Aline Semaan Prevalence and determinants of double and triple burden of malnutrition among mother–child pairs in Malawi: a mapping and multilevel modelling study Public Health Nutrition Double burden Triple burden Malnutrition Malawi Mother–child pairs |
| title | Prevalence and determinants of double and triple burden of malnutrition among mother–child pairs in Malawi: a mapping and multilevel modelling study |
| title_full | Prevalence and determinants of double and triple burden of malnutrition among mother–child pairs in Malawi: a mapping and multilevel modelling study |
| title_fullStr | Prevalence and determinants of double and triple burden of malnutrition among mother–child pairs in Malawi: a mapping and multilevel modelling study |
| title_full_unstemmed | Prevalence and determinants of double and triple burden of malnutrition among mother–child pairs in Malawi: a mapping and multilevel modelling study |
| title_short | Prevalence and determinants of double and triple burden of malnutrition among mother–child pairs in Malawi: a mapping and multilevel modelling study |
| title_sort | prevalence and determinants of double and triple burden of malnutrition among mother child pairs in malawi a mapping and multilevel modelling study |
| topic | Double burden Triple burden Malnutrition Malawi Mother–child pairs |
| url | https://www.cambridge.org/core/product/identifier/S1368980024002064/type/journal_article |
| work_keys_str_mv | AT jessiejanekhaki prevalenceanddeterminantsofdoubleandtripleburdenofmalnutritionamongmotherchildpairsinmalawiamappingandmultilevelmodellingstudy AT petermmacharia prevalenceanddeterminantsofdoubleandtripleburdenofmalnutritionamongmotherchildpairsinmalawiamappingandmultilevelmodellingstudy AT lenkabenova prevalenceanddeterminantsofdoubleandtripleburdenofmalnutritionamongmotherchildpairsinmalawiamappingandmultilevelmodellingstudy AT emanuelegiorgi prevalenceanddeterminantsofdoubleandtripleburdenofmalnutritionamongmotherchildpairsinmalawiamappingandmultilevelmodellingstudy AT alinesemaan prevalenceanddeterminantsofdoubleandtripleburdenofmalnutritionamongmotherchildpairsinmalawiamappingandmultilevelmodellingstudy |