Double burden of malnutrition among women and children in Zimbabwe : a pooled logistic regression and Oaxaca-Blinder decomposition analysis

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dc.contributor.author Lukwa, Akim Tafadzwa
dc.contributor.author Chiwire, Plaxcedes
dc.contributor.author Akinsolu, Folahanmi
dc.contributor.author Okova, Denis
dc.contributor.author Hongoro, Charles
dc.date.accessioned 2024-11-01T06:12:55Z
dc.date.available 2024-11-01T06:12:55Z
dc.date.issued 2024-09
dc.description DATA AVAILABITY STATEMENT: Publicly available datasets were analysed in this study. This data can be found here: all data sets are publicly available on the Demographic Health Survey website at: https://dhsprogram.com/ what-we-do/survey/survey-display-406.cfm. en_US
dc.description.abstract BACKGROUND: The double burden of malnutrition (DBM) is a public health issue characterised by the coexistence of undernutrition and overnutrition within the same population, household, or individual. Undernutrition, manifesting as stunting, wasting, or being underweight, results from insufficient nutrient intake while overnutrition, manifesting as overweight or obesity, results from excessive caloric intake, poor diet quality, and sedentary lifestyles. This dual burden poses significant challenges for health systems due to lost productivity and increased healthcare expenditure. METHODS: This study utilised data from the Demographic and Health Surveys (DHS) conducted in Zimbabwe for 2010–2011 and 2015, which provided information on women’s and children’s health and nutritional status, household characteristics, and socio-economic status. Pooled logistic regression was used to analyse the association between various sociodemographic factors and DBM among women and children. The Oaxaca-Blinder decomposition method explored differences in DBM between 2010–2011 and 2015. RESULTS: The average age of mothers was approximately 31  years, and children’s ages averaged around 32  months. From 2010 to 2015, there was a notable socio-economic improvement, with a decrease in the percentage of mothers in the poorest quartile from 20 to 16% and an increase in the richest quartile from 22 to 23%. The study found a slight decrease in overall household DBM among women from 34% in 2010 to 32% in 2015, while DBM among children increased from 12 to 14%. Pooled logistic regression analysis indicated that children in rural areas had statistically significantly higher odds of experiencing DBM than their urban counterparts. The Oaxaca-Blinder decomposition showed that changes in residence status significantly impacted the increase in DBM among children. At the same time, the coefficient effect accounted for most of the unexplained differences in DBM among women. CONCLUSION: The growing DBM among women and children in Zimbabwe is significantly influenced by changes in residence status. The findings highlight the need for targeted public health interventions to address urban–rural disparities and emphasise the importance of considering socio-economic, environmental, and behavioural factors. Context-specific public health strategies, aligned with WHO’s Double Duty Actions, are essential to improve the nutritional health of Zimbabwe’s population. en_US
dc.description.department School of Health Systems and Public Health (SHSPH) en_US
dc.description.sdg SDG-03:Good heatlh and well-being en_US
dc.description.sponsorship The National Institute of Humanities and Social Sciences, South Africa. en_US
dc.description.uri https://www.frontiersin.org/journals/public-health en_US
dc.identifier.citation Lukwa, A.T., Chiwire, P., Akinsolu, F.T., Okova, D. & Hongoro, C. (2024) Double burden of malnutrition among women and children in Zimbabwe: a pooled logistic regression and Oaxaca-Blinder decomposition analysis. Frontiers in Public Health 12:1451898. doi: 10.3389/fpubh.2024.1451898. en_US
dc.identifier.issn 2296-2565 (online)
dc.identifier.other 10.3389/fpubh.2024.1451898
dc.identifier.uri http://hdl.handle.net/2263/98890
dc.language.iso en en_US
dc.publisher Frontiers Media en_US
dc.rights © 2024 Lukwa, Chiwire, Akinsolu, Okova and Hongoro. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). en_US
dc.subject Double burden of malnutrition (DBM) en_US
dc.subject Pooled logistic regression en_US
dc.subject Oaxaca-Blinder decomposition en_US
dc.subject Nutritional outcomes en_US
dc.subject Urban–rural disparities en_US
dc.subject SDG-03: Good health and well-being en_US
dc.title Double burden of malnutrition among women and children in Zimbabwe : a pooled logistic regression and Oaxaca-Blinder decomposition analysis en_US
dc.type Article en_US


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