Imperial College London
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ProfessorChristopherMillett

Faculty of Medicine, School of Public Health

Professor of Public Health
 
 
 
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Contact

 

c.millett Website

 
 
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Location

 

Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Seferidi:2022:10.1016/S2214-109X(21)00594-5,
author = {Seferidi, P and Hone, T and Duran, AC and Bernabe-Ortiz, A and Millett, C},
doi = {10.1016/S2214-109X(21)00594-5},
journal = {The Lancet Global Health},
pages = {e482--e490},
title = {Global inequalities in the double burden of malnutrition and associations with globalisation: a multilevel analysis of Demographic and Health Surveys from 55 low-income and middle-income countries, 1992-2018},
url = {http://dx.doi.org/10.1016/S2214-109X(21)00594-5},
volume = {10},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: Low-income and middle-income countries (LMICs) face a double burden of malnutrition (DBM), whereby overnutrition and undernutrition coexist within the same individual, household, or population. This analysis investigates global inequalities in household-level DBM, expressed as a stunted child with an overweight mother, and its association with economic, social, and political globalisation across country income and household wealth. METHODS: We pooled anthropometric and demographic data for 1 132 069 children (aged <5 years) and their mothers (aged 15-49 years) from 189 Demographic and Health Surveys in 55 LMICs between 1992 and 2018. These data were combined with country-level data on economic, social, and political globalisation from the Konjunkturforschungsstelle Globalisation Index and gross national income (GNI) from the World Bank. Multivariate associations between DBM and household wealth, GNI, and globalisation and their interactions were tested using multilevel logistic regression models with country and year fixed-effects and robust standard errors clustered by country. FINDINGS: The probability of DBM was higher among richer households in poorer LMICs and poorer households in richer LMICs. Economic globalisation was associated with higher odds of DBM among the poorest households (odds ratio 1·49, 95% CI 1·20-1·86) compared with the richest households. These associations attenuated as GNI increased. Social globalisation was associated with higher odds of DBM (1·39, 95% CI 1·16-1·65), independently of household wealth or country income. No associations were identified between political globalisation and DBM. INTERPRETATION: Increases in economic and social globalisation were associated with higher DBM, although the impacts of economic globalisation were mostly realised by the world's poorest. The economic patterning of DBM observed in this study calls for subpopulation-specific double-dut
AU  - Seferidi,P
AU  - Hone,T
AU  - Duran,AC
AU  - Bernabe-Ortiz,A
AU  - Millett,C
DO  - 10.1016/S2214-109X(21)00594-5
EP  - 490
PY  - 2022///
SN  - 2214-109X
SP  - 482
TI  - Global inequalities in the double burden of malnutrition and associations with globalisation: a multilevel analysis of Demographic and Health Surveys from 55 low-income and middle-income countries, 1992-2018
T2  - The Lancet Global Health
UR  - http://dx.doi.org/10.1016/S2214-109X(21)00594-5
UR  - https://www.ncbi.nlm.nih.gov/pubmed/35148831
UR  - http://hdl.handle.net/10044/1/93466
VL  - 10
ER  -
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