Prevalence and determinants of double and triple burden of malnutrition among mother–child pairs in Malawi

A mapping and multilevel modelling study

Datos Bibliográficos

ID15096552
AutoresJessie Jane Khaki (0000-0001-5202-5339, Lancaster University, autor de correspondencia), Peter M Macharia (0000-0003-3410-1881, Lancaster University), Lenka Beňová (0000-0001-8595-365X, Institute of Tropical Medicine), Emanuele Giorgi (0000-0002-3910-2261, Lancaster University), Aline Semaan (0000-0001-8348-1206, Institute of Tropical Medicine)
Año2024
Volumen27
Número1
Páginase241-e241
Fecha de publicación2024-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaPublic Health Nutrition (JOURNAL)
Identificadores de la revistaISSN: 1368-9800 • E-ISSN: 1475-2727
EditorialCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980024002064
PMID39429152
OpenAlexW4403611804
IdiomaEN
Citas recibidas1
Referencias citadas32

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

Confidence interval · Cross-sectional study · Environmental health · Logistic regression · Malnutrition · Multilevel model · Odds · Odds ratio · Overnutrition · Psychological intervention · Statistics · Child Nutrition and Water Access · Demography · Food Security and Health in Diverse Populations · Medicine · Poverty, Education, and Child Welfare