When women eat last: Discrimination at home and women’s mental health

Hathi, Payal; Coffey, Diane; Thorat, Amit; Khalid, Nazar

doi:10.1371/journal.pone.0247065

Cited by 21 publications

(14 citation statements)

References 38 publications

(40 reference statements)

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“…When there are negative economic shocks to households, women are particularly vulnerable to declines in consumption. Hathi et al (2021) provide evidence in favor of such a connection: women who eat after men in their households also have worse mental health in the India Human Development Survey.…”

Section: Association With Containment Policiesmentioning

confidence: 95%

Women's Well-Being During a Pandemic and its Containment

Bau

Khanna

Low

et al. 2021

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The COVID-19 pandemic brought the dual crises of disease and the containment policies designed to mitigate it. Yet, there is little evidence on the impacts of these policies on women, who are likely to be especially vulnerable, in lower-income countries. We conduct a large phone survey and leverage India's geographically-varying containment policies to estimate the association between both the pandemic and its containment policies, and measures of women's well-being, including mental health and food security. On aggregate, the pandemic resulted in dramatic income losses, increases in food insecurity, and declines in female mental health. While potentially crucial to stem the spread of COVID-19 cases, we find that greater prevalence of containment policies is associated with increased food insecurity, particularly for women, and with reduced female mental health. Average containment levels are associated with a 39-40% increase in the likelihood of sadness, depression, and hopelessness among women and with an increase in the likelihood that women feel more worried by 45% of the variable mean. Particularly vulnerable groups of women, those with daughters and those living in female-headed households, experience larger declines in mental health.

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Section: Association With Containment Policiesmentioning

confidence: 95%

Women's Well-Being During a Pandemic and its Containment

Bau

Khanna

Low

et al. 2021

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show abstract

“…When there are negative economic shocks to households, women are particularly vulnerable to declines in consumption. Hathi et al (2021) provide evidence in favor of this connection: women who eat after men in their households also have worse mental health.…”

Section: Association With Containment Policiesmentioning

confidence: 98%

Women’s well-being during a pandemic and its containment

Bau

Khanna²,

Low³

et al. 2022

Journal of Development Economics

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“…Newly married women often eat last, cook and serve all other household members, and have limited mobility or decision-making power. [10][11][12] About half of women in Nepal experience a pregnancy within the rst year of marriage, making nutrition in early marriage critical 13 . Newly married women in food insecure households often have less access to diverse foods in their husband's compared to their parents' home.…”

Section: Introductionmentioning

confidence: 99%

Development and Feasibility of a Group, Household Level Intervention To Improve Preconception Health in Rural Nepal.

Diamond‐Smith

Mitchell

Cornell

et al. 2021

Preprint

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Background: In a setting such as Nepal with malnutrition and persistent poor maternal and infant health outcomes, developing interventions to improve the nutrition of preconception and pregnant women is essential. Aside from factors related to access and knowledge about diverse and adequate diets, inequitable gender norms and women’s low status and autonomy also feed into a lack of emphasis on women’s nutrition.Methods: In this paper we describe the three phases of the design of an intervention for newly married women, their husbands, and mothers-in-law in rural Nepal. We first discuss findings from a mixed methods formative phase, and how that fed into the design of the intervention itself, in close partnership with community members. We the describe the intervention, and findings from a mixed methods feasibility and acceptability pilot among 90 participants.Results: Our formative work highlighted not just lack of awareness about nutrition, but also how factors such as women eating last, and limited mobility, played into poor diets. Low lack of communication and household and community inequitable gender norms were also important factors. Thus we designed Sumadhur, an intervention that brought groups of households (newly married wife, husband, and mother-in-law) together weekly for 4 months to strengthen relationships and gain knowledge through interactive content. We found Sumadhur to be highly feasible and acceptable by all respondents, with most (83%) attending 80% of sessions or more, the majority (73%) of participants reported “no difficulties” in attending sessions, and 99% reporting that they would like it to continue. Pre/post surveys showed a decrease in the proportion of women of women eating last and increase in knowledge about nutrition in preconception and pregnant. Qualitative interviews suggested that respondents felt it made large impacts on their lives, in terms of strengthening relationships and trust, understanding each other, and changing behaviors.Conclusions: We show how a designing an intervention in close partnership with the target recipients and local stakeholders can lead to an intervention that is able to target complicated and culturally held practices and beliefs, positively benefit health and wellbeing, and that is very well received.Trial registration: ClinicalTrials.gov NCT04383847, registered 05/12/2020https://clinicaltrials.gov/ct2/show/results/NCT04383847?view=results

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When women eat last: Discrimination at home and women’s mental health

Cited by 21 publications

References 38 publications

Women's Well-Being During a Pandemic and its Containment

Women's Well-Being During a Pandemic and its Containment

Women’s well-being during a pandemic and its containment

Development and Feasibility of a Group, Household Level Intervention To Improve Preconception Health in Rural Nepal.

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