Economic policy and the double burden of malnutrition: cross-national longitudinal analysis of minimum wage and women’s underweight and obesity

Conklin, Annalijn; Ponce, Ninez A.; Crespi, Catherine M.; Frank, John; Nandi, Arijit; Heymann, Jody

doi:10.1017/s1368980017003433

Cited by 17 publications

(18 citation statements)

References 32 publications

(41 reference statements)

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“…Another important point is that, like many other countries that have focused on obesity and its adverse health outcomes, the issue and consequences of being underweight in many subpopulations has largely been overshadowed in Iran too (27,28). The alarming burden caused by malnutrition in females of reproductive age, pregnant females, and children, must lead to interventions focused on prompt problem-based solutions (27,28). In order to manage the problem, social and food policies must include practical policies and strategies that enhance food security, especially among poor households.…”

Section: Discussionmentioning

confidence: 99%

Patterns of Obesity and Overweight in the Iranian Population: Findings of STEPs 2016

et al. 2020

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Background: Obesity has become a common health problem all over the world. Benefiting from a national representative sample, the present study aimed to estimate the prevalence of overweight/obesity and the distribution of Body Mass Index (BMI) levels in the Iranian adult population, by sex, age, and geographical distribution. Methods: This was a large-scale national cross-sectional study of Non-communicable Diseases risk factor surveillance in Iran. Through a systematic random sampling cluster, 31,050 Iranian adult participants aged 18 years and over were enrolled in the study. The main research tools were used to assess three different levels of data, namely: (1) demographic, epidemiologic, and risk-related behavioral data, (2) physical measurements, and (3) lab measurements. Anthropometric measurements were taken using standard protocols and calibrated instruments.

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Section: Discussionmentioning

confidence: 99%

Patterns of Obesity and Overweight in the Iranian Population: Findings of STEPs 2016

et al. 2020

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“…Conklin and coworkers [11] developed separate multilevel models to estimate the impact of a US $10 increase in monthly minimum wage in 24 low-income countries and reported a significant association with an accelerated decline in women's underweight prevalence but observed no impact on the pace of growth in obesity prevalence [11].…”

Section: Regional Changes In Minimum Wagementioning

confidence: 99%

“…These two studies highlighted the differential impact of national programmes and underscored the need for context-specific, tailored interventions to eradicate vitamin A deficiencies to prevent underconsumption of the vitamin as well as its excessive intake, which can increase the risk of bone demineralisation and fractures [21,22]. Two distinct modelling studies have shown the potential utility two tools-the culturally adapted linear programming tool and the US$10 minimum wage increase-to advise national programs [10,11]. Nevertheless, it is noteworthy that whilst the culturally adapted linear programming tool to design diets at minimum cost for low-income Ghanaian families is expected to address a low intake of micronutrients (iron, iodine, vitamin A, and folic acid) as well as obesity and diet-related NCDs, a poverty-reduction approach consisting of a minimum wage increase was shown to be insufficient to tackle obesity in this modelling study.…”

Section: Synthesis Of Findingsmentioning

confidence: 99%

Actions Targeting the Double Burden of Malnutrition: A Scoping Review

Menon

Peñalvo

2019

Nutrients

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Background: In many developing countries, nutritional and epidemiological transitions are contributing to continuous undernutrition and escalating overnutrition, resulting in coexisting forms of malnutrition often referred as the “double burden of malnutrition” (DBM). This complex phenomenon constitutes an unprecedented challenge to global public health and has been prioritized by international health organizations, prompting governments to swift action. Specifically, five years ago the World Health Organization (WHO) proposed a roadmap to tackle the DBM though so-called “double-duty actions”. The objective of this review was to synthesize the literature on interventions which address the DBM. Methods: We developed a scoping review to identify interventions addressing the DBM. We searched PUBMED for papers reporting interventions until December 2019. Articles examining interventions, government policies, or tools at the individual, household, or community level to address the DBM were included. Results: Seven articles met the inclusion criteria. Three were from sub-Saharan Africa, one was from Southeast Asia, and one was from Central America. Two were modelling studies, with one covering 24 low-income countries and the other focusing on Ghana. Conclusion: Notwithstanding the pressing issue of the DBM, there is a paucity of studies examining double-duty actions despite the attention that it has garnered within the global nutrition community. Whilst nutrient deficiencies may be curbed by poverty reduction measures, for obesity prevention nutrition, education and promotion of physical activity, along with the encouragement of local food production, may be instrumental.

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“…14 Evidence examining the association between higher minimum wages and obesity range from modestly negative to modestly positive. 12,[15][16][17][18][19][20][21][22] Minimum wage has also been associated with a reduction in the prevalence of underweight in women 22 and markers of malnutrition in children. 23 Two studies have provided countervailing evidence in the evaluation of higher minimum wages and fruit and vegetable consumption with one concluding it decreases consumption 21 and the other that it increases consumption.…”

Section: Introductionmentioning

confidence: 99%

Low-income workers’ perceptions of wages, food acquisition, and well-being

Beck

Quinn

Hill

et al. 2019

Translational Behavioral Medicine

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Although studies have demonstrated an association between increased economic resources and improvements in food security and health, there is a paucity of qualitative research regarding the relationships between household resources, food security, and health. Policy changes related to increasing low wages are potential opportunities to understand changes to material resources. The aims of this analysis were to describe how low-wage workers perceive household resources in relation to food acquisition and to explore how workers in low-wage jobs connect food and diet to perceptions of health and well-being. We analyzed 190 transcripts from 55 workers in low-wage jobs who were living in households with children who were part of the Seattle Minimum Wage Study (up to three in-depth qualitative interviews and one phone survey per participant, conducted between 2015 and 2017). We coded and analyzed interviews using Campbell’s food acquisition framework and best practices for qualitative research. Participants relied on a combination of wages, government assistance, and private assistance from community or family resources to maintain an adequate food supply. Strategies tended to focus more on maintaining food quality than food quantity. Restricted resources also limited food-related leisure activities, which many participants considered important to quality of life. Although many low-wage workers would like to use additional income to purchase higher quality foods or increase food-related leisure activities, they often perceive trade-offs that limit income-based adjustments to food-spending patterns. Future studies should be specifically designed to examine food choices in response to changes in income.

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Economic policy and the double burden of malnutrition: cross-national longitudinal analysis of minimum wage and women’s underweight and obesity

Cited by 17 publications

References 32 publications

Patterns of Obesity and Overweight in the Iranian Population: Findings of STEPs 2016

Patterns of Obesity and Overweight in the Iranian Population: Findings of STEPs 2016

Actions Targeting the Double Burden of Malnutrition: A Scoping Review

Low-income workers’ perceptions of wages, food acquisition, and well-being

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