Skip to main content
×
Home
    • Aa
    • Aa

Geographic distribution and socio-economic determinants of women's nutritional status in Mali households

  • Constance A Gewa (a1), Timothy F Leslie (a2) and Lisa R Pawloski (a1)
Abstract
AbstractObjective

Mali is one of the poorest countries in Africa, with 72 % of its population surviving on less than $US 1·00 per day. Health and demographic indicators are bleak. With few exceptions, studies related to the health of women in Mali have largely been under-represented. In addition, in recent years a new type of malnutrition stemming from weight gain and obesity has been observed throughout Africa. The present study aimed to (i) describe geographic and health variations of women of reproductive age, (ii) describe geographic variations of household salt iodine levels and (iii) investigate potential factors associated with women's anthropometric status and use of adequately iodized salt among households in Mali.

Design

Demographic and Health Survey data, multistage-stratified cluster sampling methodology.

Setting

Rural and urban areas of Mali.

Subjects

Non-pregnant women (n 6015) between the ages of 19 and 44 years.

Results

Nineteen per cent of the women were overweight or obese while 11 % were underweight. Seventy-eight per cent of the households utilized adequately iodized salt. Underweight women were more prevalent in southern Mali, while obesity was more frequent in the north-east and within the major urban areas. Households located within the southern parts of Mali were more likely to utilize adequately iodized salt. Education, age, modern contraceptive use, breast-feeding status at time of the survey and household wealth index were significantly associated with the women's BMI or households’ use of adequately iodized salt.

Conclusions

The combined use of statistical and geographic system analysis contributes to improve targeting of interventions among vulnerable populations.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Geographic distribution and socio-economic determinants of women's nutritional status in Mali households
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      Geographic distribution and socio-economic determinants of women's nutritional status in Mali households
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      Geographic distribution and socio-economic determinants of women's nutritional status in Mali households
      Available formats
      ×
Copyright
Corresponding author
*Corresponding author: Email cgewa@gmu.edu
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

3. LR Pawloski (2003) Mixed longitudinal analysis of growth data from Malian adolescent girls: evidence for compensatory gain. Am J Hum Biol 15, 178186.

4. TF Leslie & LR Pawloski (2010) Sociodemographic determinants of growth among Malian adolescent females. Am J Hum Biol 22, 285290.

5. KA Dettwyler (1992) Nutritional status of adults in rural Mali. Am J Phys Anthropol 88, 309321.

8. M Grosz-Ngate (1989) Hidden meanings: explorations into a Bamanan construction of gender. Ethnology 28, 167183.

10. CA Gewa , M Oguttu & NS Yandell (2012) Maternal nutrition in rural Kenya: health and socio-demographic determinants and its association with child nutrition. Matern Child Nutr 8, 275286.

11. M Rahman , SK Roy , M Ali et al. (1993) Maternal nutritional status as a determinant of child health. J Trop Pediatr 39, 8688.

12. S Goudet , P Griffths & BA Bogin (2011) Mother's body mass index as a predictor of infant's nutritional status in the post-emergency phase of a flood. Disasters 35, 701719.

13. A Fraser , K Tilling , C Macdonald-Wallis et al. (2010) Association of maternal weight gain in pregnancy with offspring obesity and metabolic and vascular traits in childhood. Circulation 121, 25572564.

15. EW Kimani-Murage , K Kahn , JM Pettifor et al. (2010) The prevalence of stunting, overweight and obesity, and metabolic disease risk in rural South African children. BMC Public Health 10, 158.

18. B de Benoist , E McLean , M Andersson et al. (2008) Iodine deficiency in 2007: global progress since 2003. Food Nutr Bull 29, 196202.

20. MB Zimmermann (2009) Iodine deficiency in pregnancy and the effects of maternal iodine supplementation on the offspring: a review. Am J Clin Nutr 89, issue 2, 668S672S.

24. P Bouvier , JP Papart , P Wanner et al. (1995) Malnutrition of children in Sikasso (Mali): prevalence and socio-economic determinants. Soz Praventivmed 40, 2743.

30. LR Pawloski & P Kitsantas (2008) Classification tree analysis of stunting in Malian adolescent girls. Am J Hum Biol 20, 285291.

33. G Achilleos (2008) Errors within the inverse distance weighted (IDW) interpolation procedure. Geocarto Int 23, 429449.

34. AR Abubakari , W Lauder , C Agyemang et al. (2008) Prevalence and time trends in obesity among adult West African populations: a meta-analysis. Obes Rev 9, 297311.

36. B Entwisle , RR Rindfuss , SJ Walsh et al. (1997) Geographic information systems, spatial network analysis, and contraceptive choice. Demography 34, 171187.

37. G Rosero-Bixby (2004) Spatial access to health care in Costa Rica and its equity: a GIS-based study. Soc Sci Med 58, 12711284.

40. R Stephenson , A Baschieri , M Hennink et al. (2007) Contextual influences on modern contraceptive use in Sub-Saharan Africa. Am J Public Health 97, 12331240.

42. KG Dewey (1997) Energy and nutrient requirements during lactation. Annu Rev Nutr 17, 1936.

44. JG Dorea (1997) Changes in body weight and adiposity during lactation. Nutr Res 17, 379389.

45. A Winkvist & KM Rasmussen (1999) Impact of lactation on maternal body weight and body composition. J Mammary Gland Biol Neoplasia 4, 309318.

46. T Puoane , JM Fourie , M Shapiro et al. (2005) Big is beautiful’ – an exploration with urban black community health workers in a South African township. S Afr J Clin Nutr 18, 615.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Public Health Nutrition
  • ISSN: 1368-9800
  • EISSN: 1475-2727
  • URL: /core/journals/public-health-nutrition
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 5
Total number of PDF views: 52 *
Loading metrics...

Abstract views

Total abstract views: 128 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 29th June 2017. This data will be updated every 24 hours.