Adolescent undernutrition is a persisting public health problem in low and lower middle income countries (LLMICs). Nutritional trajectories are complexly interrelated with socio-cultural and economic (SCE) trajectories. However, a synthesis of the SCE determinants or consequences of undernutrition in adolescents is lacking. We undertook a narrative review of published literature to provide a narrative overview of the SCE determinants and consequences associated with undernutrition among adolescents in LLMICs. We identified 98 articles from PubMed, SCOPUS, and CAB-Abstracts on determinants and consequences of undernutrition as defined by stunting, underweight, thinness, and micronutrient deficiencies. At the individual level, significant determinants included age, sex, birth order, religion, ethnicity, educational and literacy level, working status, and marital status. At the household level, parental education and occupation, household size and composition, income, socioeconomic status, and resources were associated with undernutrition. Only a few determinants at the community/environmental level, including residence, sanitation, school type, and seasonality, were identified. The consequences of adolescent undernutrition were mostly related to education and cognition. This review underscores the importance of the broad range of context-specific SCE factors at several levels that influence adolescent nutritional status and shows that further research on SCE consequences of undernutrition is needed.
During the last decades, the focus of food and nutrition security research has shifted from issues of macro-level availability to problems of unequal access, and distribution within the household. Little systematic attention has however been paid to the role of family systems in household food allocation processes. This study focuses on the extent to which family relations, and particularly gender roles, in two Himalayan communities with different family systems influence intra-household food allocation, and the subsequent nutritional status of women of reproductive age (15-49). In-depth interviews were conducted with 15 Buddhist and 15 Hindu women, the latter belonging either to the higher Chhetri or lower Dalit castes. Additionally, anthropometric data of women were collected. Results show that women from Hindu families were worse off than women from Buddhist households in terms of nutritional status, which is due to different intra-household allocation patterns. Secondly, women's nutritional status varied over the reproductive life course. Women were most vulnerable during menses, pregnancy, and the post-partum period. Comparison with research conducted in the 1980s in this area suggests that the influence of family-level values and practices on women's nutritional status is slowly changing.
This article examines pathways to adulthood among Dutch cohorts born in the second half of the nineteenth century. Although largely overlooked by previous studies, theory suggests that life courses of young adults born during this period were already influenced by a process of standardization, in the sense that their life courses became more similar over time. Using data from a Dutch registry-based sample, we examine household trajectories: that is, sequences of living arrangements of young adults aged 15-40. Our study shows that for successive cohorts, household trajectories became more similar. We identified six types of trajectories: early death, life-cycle service, early family formation, late family formation, singlehood, and childless but with partner. Overtime, early family formation gradually became the "standard" trajectory to adulthood. However, late family formation and singlehood, common pathways within the preindustrial western European marriage pattern, remained widespread among cohorts born in the late nineteenth century. Laboring class youths, farmers' daughters, young people of mixed religious background, and urban-born youngsters were the nineteenth century forerunners of a standard pathway to adulthood.
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Given the paucity of information on historical kin relations, this study uses survey data in order to investigate how different family forms influenced the size and composition of social networks and the relationships among elderly siblings born in farming families between 1903 and 1937 in three regions of the Netherlands. In the area with stem families, impartible inheritance, and a custom of neighbor help, social networks are largest and contain the most siblings. Multilevel analyses show that even when controlling for other factors, this particular family form positively affects contact frequency in sibling relationships. Our results not only show the persistence of differential kinship values, but since respondents' networks were linked back to their families of socialization in the early twentieth century, findings also reflect regional disparities in kin relations in the past.
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