Association of the Familial Coexistence of Child Stunting and Maternal Overweight with Indigenous Women in Guatemala
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Association of the Familial Coexistence of Child Stunting and Maternal Overweight with Indigenous Women in Guatemala J. Lee1 · R. Houser2 · A. Must2,3 · P. Palma4 · O. Bermudez2,3
© Springer Science+Business Media, LLC 2017
Abstract Objectives This study investigated the association of the familial coexistence of child stunting and maternal overweight with indigenous women in Guatemala. Methods We selected 2388 child–mother pairs from the data set of the Living Standards Measurement Study conducted in Guatemala in 2000. This study examined the association between maternal and household characteristics and the nutritional status of children aged 6–60 months and mothers aged 18–49 years by using multivariable logistic regression models. Results Compared with non-indigenous households, a significantly higher percentage of indigenous * J. Lee [email protected] R. Houser [email protected] A. Must [email protected] P. Palma [email protected] O. Bermudez [email protected] 1
Department of Nutrition Education, Graduate School of Education, Kyonggi University, 154‑42, Gwangyosan‑ro, Yeongtong‑gu, Suwon‑si, Gyeonggi‑do 443‑760, South Korea
2
Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Avenue, Boston, MA 02111, USA
3
Department of Public Health and Community Medicine, Tufts University, 136 Harrison Avenue, Boston, MA 02111, USA
4
Regional Food and Nutrition Security Program for Central America, Boulevard del Hipodromo No. 523, Colonia San Benito, San Salvador, El Salvador
households exhibited stunted child and overweight mother (SCOM) pairs (15.9 vs. 22.2%). Compared with normalweight mothers, overweight mothers were less likely to have stunted children [adjusted odds ratio (AOR) 0.66, 95% confidence interval (CI) 0.50–0.88]. However, compared with mothers who were not short and overweight, short and overweight mothers were significantly more likely to have stunted children (AOR 1.80, 95% CI 1.19–2.73) and were more likely to be indigenous women living in urban areas (AOR 3.01, 95% CI 1.19–7.60) or rural areas (AOR 3.02, 95% CI 1.28–7.14). The order of observed prevalence of SCOM pairs in different types of households was as follows: urban indigenous (25.0%), rural indigenous (21.2%), rural non-indigenous (19.8%), and urban non-indigenous households (10.7%). Conclusions for Practice Urban indigenous households were more likely to have SCOM pairs. This study provided useful information for identifying the most vulnerable groups and areas with a high prevalence of the familial coexistence of child stunting and maternal overweight. Keywords Maternal short stature · Maternal overweight · Child stunting · Maternal indigenousness
Significance Identifying the characteristics of the vulnerable groups related to the familial coexistence of child stunting and maternal overweight is critical to tackle this double burden of malnutrition.
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Introduction Socioeconomic and health disparities between indigenous an
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