Sukati, Mphumuzi (2018): National Income and Malnutrition in Africa: a Rapid Assessment.
PDF
MPRA_paper_89403.pdf Download (953kB) |
Abstract
This paper pursues a simple analysis of a static relationship between national income and income distribution, and obesity/overweight and undernutrition in African countries. From intuition, a relation between national income (GDP/Capita) and malnutrition is expected. Countries that have higher income are expected to have higher prevalence of obesity/overweight. Likewise, countries with higher income should have lower levels of undernutrition. This paper tests this hypothesis using macroeconomic data. The paper also analyses the role of income inequality, as measured by the GINI coefficient, as a potential driver of malnutrition. In this case, countries that have high levels of income inequality are expected to have coexistent high levels of both obesity and undernourishment. Results of this analysis show that there is a correlation between income and malnutrition. However, this relationship is weak, with a correlation coefficient of less than 50% for both undernourishment and overweight/obesity. However, the signs are as expected, even when running a simple regression of the variables. Higher national income has a positive relationship with obesity and negative relationship with undernourishment. From the regression, only the coefficient on undernourishment is significant at 5% confidence level. No significant relationship was found between income distribution and malnourishment, even on the extended logistic model. These finding are not realistically surprising. Higher income does not guarantee good nutrition, although poorer countries are expected to have high level of undernourishment. Also, there is a friction in the response of undernutrition to growth in GDP. Given the low-income elasticity of demand for food, higher income is not expected to be strongly linked to obesity. This could also be an explanation for the low response of malnutrition to income inequalities, although this latter relationship needs to be tested further with data sets of longer duration, in a time series approach. As such, it is important to lobby governments to mainstream food and nutrition security in other initiatives that increase national income, and to promote direct interventions that reduce the prevalence of undernourishment as part of meeting the Sustainable Development Goals (SDGs). This will ensure that high national income translates to reduction in malnutrition prevalence across countries.
Item Type: | MPRA Paper |
---|---|
Original Title: | National Income and Malnutrition in Africa: a Rapid Assessment |
English Title: | National Income and Malnutrition in Africa: a Rapid Assessment |
Language: | English |
Keywords: | Malnutrition; Obesity; Undernourishment; GDP/Capita; GINI Coefficient |
Subjects: | E - Macroeconomics and Monetary Economics > E0 - General > E00 - General I - Health, Education, and Welfare > I1 - Health I - Health, Education, and Welfare > I1 - Health > I15 - Health and Economic Development I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy ; Regulation ; Public Health |
Item ID: | 89403 |
Depositing User: | Mphumuzi Sukati |
Date Deposited: | 08 Oct 2018 15:23 |
Last Modified: | 26 Sep 2019 08:29 |
References: | 1. African Economic Outlook (2016). Sustainable Cities and Structural Transformation. Available at http://www.un.org/en/africa/osaa/pdf/pubs/2016afrecooutlook-afdb.pdf. Accessed on 19 August 2018. 2. Agresti, A. (2002). Categorical data analysis. 2nd Edn. Wiley, 710. University of Florida. ISBN 0-471-36093-7 3. Alderman, H., Appleton, S., Haddad, L., Song, L and Yohannes, Y., (2005). Reducing Child Malnutrition: How Far Does Income Growth Take Us? CREDIT Research Paper, No. 01/05, Centre for Research in Economic Development and International. Trade, Univ. of Nottingham. 4. Anca, G., and Rotthoff, K.W., (2015). Economic Growth and Obesity: Findings of an Obesity Kuznets Curve. Applied Economics Letters Volume 22, Issue 7, pp 539-543. 5. Babey, S., H., Hastert, T.A., Wolstein, J., and Diamant, A.L., (2010). Income Disparities in Obesity Trends Among California Adolescents. Am J Public Health; 100(11): pp 2149–2155. doi: 10.2105/AJPH.2010.192641. 6. Chang, W.V., Lauderdale, D.S., (2005). Income Disparities in Body Mass Index and Obesity in the United States, 1971-2002. ARCH INTERN MED/VOL 165, American Medical Association. 7. Dinsa, G. D., Goryakin, Y., Fumagalli, E., and Suhrcke, M., (2012). Obesity and socioeconomic status in developing countries: a systematic review. Obesity reviews - Public Health. pp 1017 1067: doi: 10.1111/j.1467-789X.2012.01017. 8. European Commission (2015). Income Elasticities of Food Demand in Africa: A Meta-Analysis. JRC Technical Report of the European Commission, 2015: Available at http://publications.jrc.ec.europa.eu/repository/bitstream/JRC98812/jrc98812_jrc_report_meta_analysis_final.pdf. Accessed on 15 July 2018. 9. Haddad, L., Alderman, H., Appleton, S., Song, L., Yohannes, Y., (2003). Reducing child malnutrition: how far does income growth take us? World Bank Econ. Rev., 17, pp 107–131. 10. Hagey, J. (2012). Combating malnutrition with more than income growth. Washington, DC: Population Reference Bureau. Available at http://www.prb.org/Publications/ Articles/2012/malnutrition-income.aspx. Accessed on 12 July 2018 11. Health Intelligence Data, available at http://publichealthintelligence.org/content/prevalence-overweight-and-obesity-worldwide. Accessed on 12 September 2018. 12. Hosmer, D.W. & Lemeshow, S. (2008). Applied survival analysis. Regression modelling of time to event data. 2nd Edn. Wiley-Interscience. 13. Kim, T.J., von dem Knesebeck, O. (2018). Income and obesity: what is the direction of the relationship? A systematic review and meta-analysis. BMJ Open Access. e019862. doi:10.1136/ bmjopen-2017-019862. 14. Kuznets, S. (1955). Economic Growth and Income Inequality. American Economic Review, vol. 45, No. 1, pp 1-28. 15. Larrea, C., and Kawachi I.,(2004. Does economic inequality affect child malnutrition? The case of Ecuador. Journal of Social Science and Medicine: 60(1), pp 165-78. 16. Ljungvall A., and Gerdtham. U., (2010). More equal but heavier: A longitudinal analysis of income-related obesity inequalities in an adult Swedish cohort. Journal of Social Science and Medicine; Elsevier. 17. MDG Report (2015): Available at http://www.un.org/millenniumgoals/2015_MDG_Report/pdf/MDG%202015%20rev%20(July%201).pdf. Accessed on 15 August 2018. 18. Monteiro, C.A., Conde, W, L and Popkin, B,M., (2004). The Burden of Disease From Undernutrition and Overnutrition in Countries Undergoing Rapid Nutrition Transition: A View From Brazil. Am J Public Health; 94(3) pp 433–434. 19. O’Connell, S., and Smith, C., (2016). USAID Economic Brief. Available at https://www.usaid.gov/sites/default/files/documents/1865/Growth_Child_Undernutrition.pdf. Accessed on 25 September 2018. 20. Pickett,K.E., Kelly, S., Brunner, E., Lobstein, T., and Wilkinson, R.G., (2005). Wider income gaps, wider waistbands? An ecological study of obesity and income inequality -J Epidemiol Community Health 2005; pp 59:670–674. doi: 10.1136/jech.2004.028795. 21. Regmi, A., Deepak, M.S., Seale, J.L., Berstein, J. (2001). Cross-Country Analysis of Food Consumption Patterns in Changing Structure of Global Food Consumption and Trade. Market and Trade Economics Division, Economic Research Service, U.S. Department of Agriculture, Agriculture and Trade Report. WRS-01-1. 22. Stevens, A.G, Singh,G., Lu,H., Danaei, G., Lin, k.L., Finucane,M,M., Bahalim, A.N., McIntire,K.R., Hialy R Gutierrez,H.R., Cowan, M., Paciorek, C.J., Farzadfar, F., Riley, L., and Ezzat, M., (2012). National, regional, and global trends in adult overweight and obesity prevalences. Popul Health Metr. 2012; 10: 22. Published online 2012 Nov 20. doi: 10.1186/1478-7954-10-22. 23. Svedberg, P. (2004). Has the Relationship between Undernutrition and Income Changed? Copenhagen Consensus Opponent Note. 24. The State of Food Security and Nutrition in the World Report (2018). Available at http://www.fao.org/state-of-food-security-nutrition/en/. Accessed on 30 September 2018. 25. The World Bank Report, Better Nutrition Equals Less Poverty (2015). Available at http://siteresources.worldbank.org/NUTRITION/Resources/281846-1131636806329/NutritionStrategyBrochure.pdf. Accessed on 5 September 2018. 26. Uauy, R., Albala., C and Kain, J., (2001). Obesity in Developing Countries: Biological and Ecological Factors: Obesity Trends in Latin America: Transiting from Under- to Overweight. Instituto de Nutricion y Tecnologia de los Alimentos (INTA), Universidad de Chile, Santiago, Chile. J. Nutr. 131: pp 893S–899S. 27. Van de Poel, E., Hosseinpoor, A. R., Speybroeck, N., Van Ourtia, T., and Vegab, J. (2008). Socioeconomic inequality in malnutrition in developing countries. Bulletin of the World Health Organization 86, pp 282–291. 28. Vollmer, Sebastian, Kenneth Harttgen, Malavika A. Subramanyam, Jocelyn Finlay, Stephan Klasen, and S. V. Subramanian (2014b). Association Between Economic Growth and Child Nutrition. The Lancet Global Health 2(9), September: e501-e502. 29. WHO (2018). Available at http://www.who.int/news-room/fact sheets/detail/obesity-and-overweight. Accessed on 10 September 2018. 30. WHO data. Available at www.who.int/healthinfo/statistics/en/. Accessed on 15 September 2018. 31. World Bank Data. Available at https://data.worldbank.org/. Accessed on 2 September 2018. |
URI: | https://mpra.ub.uni-muenchen.de/id/eprint/89403 |