Double Burden of Malnutrition and Its Associated Factors at Household Level among Indigenous Communities in Sarawak

The increasing trend obesity in adults and persisting stunting in children remains a public health concern in Malaysia. However, information on the coexistence of this contrasting form of malnutrition called the double burden of malnutrition (DBM) among the indigenous communities in Sarawak is scarc...

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Main Author:	Yolanda Anak, Salleh
Format:	Thesis
Language:	English
Published:	2024
Subjects:	RA Public aspects of medicine
Online Access:	http://ir.unimas.my/id/eprint/46440/3/Thesis%20MSc_Yolanda%20Anak%20Salleh.pdf
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id	my-unimas-ir.46440
record_format	uketd_dc
spelling	my-unimas-ir.464402024-10-23T02:14:21Z Double Burden of Malnutrition and Its Associated Factors at Household Level among Indigenous Communities in Sarawak 2024 Yolanda Anak, Salleh RA Public aspects of medicine The increasing trend obesity in adults and persisting stunting in children remains a public health concern in Malaysia. However, information on the coexistence of this contrasting form of malnutrition called the double burden of malnutrition (DBM) among the indigenous communities in Sarawak is scarce. To not neglect the health of indigenous people, this cross-sectional study aims to determine the household-level DBM and its associated factors among the indigenous communities in Sarawak. Total of 286 mother-child pairs were recruited via multistage random sampling from six divisions in Sarawak. Using interviewer-administered questionnaires, demographic, socioeconomic, and food security status were collected. Two days 24-hour dietary recall for both mother and child were obtained to determine dietary intake, and to compute for Malaysian Healthy Eating Index (M-HEI) to assess dietary quality. Height and weight were measured following standard guidelines. Household with an overweight or obese mother with an undernourished child, who is either underweight, stunting or wasting is classified as DBM. Simple and multiple binary logistic regression analysis were performed to determine associated factors to DBM. In this study, 25.2% of the households had DBM, of which 12.9% were overweight/obese mother with a stunting child, 11.9% were overweight/obese mother with a wasting child, and 9.4% were overweight/obese mother with an underweight child. Younger maternal age, larger household size and higher household income per capita were associated with higher odds of DBM. In contrast, higher monthly non-food expenses and higher child M-HEI fish and seafood score were associated with lower odds of DBM. Further research is warranted to better understand the determinants associated with DBM among the indigenous communities in Sarawak. UNIMAS 2024 Thesis http://ir.unimas.my/id/eprint/46440/ http://ir.unimas.my/id/eprint/46440/3/Thesis%20MSc_Yolanda%20Anak%20Salleh.pdf text en validuser masters UNIMAS Department of Community Medicine and Public Health
institution	Universiti Malaysia Sarawak
collection	UNIMAS Institutional Repository
language	English
topic	RA Public aspects of medicine
spellingShingle	RA Public aspects of medicine Yolanda Anak, Salleh Double Burden of Malnutrition and Its Associated Factors at Household Level among Indigenous Communities in Sarawak
description	The increasing trend obesity in adults and persisting stunting in children remains a public health concern in Malaysia. However, information on the coexistence of this contrasting form of malnutrition called the double burden of malnutrition (DBM) among the indigenous communities in Sarawak is scarce. To not neglect the health of indigenous people, this cross-sectional study aims to determine the household-level DBM and its associated factors among the indigenous communities in Sarawak. Total of 286 mother-child pairs were recruited via multistage random sampling from six divisions in Sarawak. Using interviewer-administered questionnaires, demographic, socioeconomic, and food security status were collected. Two days 24-hour dietary recall for both mother and child were obtained to determine dietary intake, and to compute for Malaysian Healthy Eating Index (M-HEI) to assess dietary quality. Height and weight were measured following standard guidelines. Household with an overweight or obese mother with an undernourished child, who is either underweight, stunting or wasting is classified as DBM. Simple and multiple binary logistic regression analysis were performed to determine associated factors to DBM. In this study, 25.2% of the households had DBM, of which 12.9% were overweight/obese mother with a stunting child, 11.9% were overweight/obese mother with a wasting child, and 9.4% were overweight/obese mother with an underweight child. Younger maternal age, larger household size and higher household income per capita were associated with higher odds of DBM. In contrast, higher monthly non-food expenses and higher child M-HEI fish and seafood score were associated with lower odds of DBM. Further research is warranted to better understand the determinants associated with DBM among the indigenous communities in Sarawak.
format	Thesis
qualification_level	Master's degree
author	Yolanda Anak, Salleh
author_facet	Yolanda Anak, Salleh
author_sort	Yolanda Anak, Salleh
title	Double Burden of Malnutrition and Its Associated Factors at Household Level among Indigenous Communities in Sarawak
title_short	Double Burden of Malnutrition and Its Associated Factors at Household Level among Indigenous Communities in Sarawak
title_full	Double Burden of Malnutrition and Its Associated Factors at Household Level among Indigenous Communities in Sarawak
title_fullStr	Double Burden of Malnutrition and Its Associated Factors at Household Level among Indigenous Communities in Sarawak
title_full_unstemmed	Double Burden of Malnutrition and Its Associated Factors at Household Level among Indigenous Communities in Sarawak
title_sort	double burden of malnutrition and its associated factors at household level among indigenous communities in sarawak
granting_institution	UNIMAS
granting_department	Department of Community Medicine and Public Health
publishDate	2024
url	http://ir.unimas.my/id/eprint/46440/3/Thesis%20MSc_Yolanda%20Anak%20Salleh.pdf
_version_	1818611700652310528

Double Burden of Malnutrition and Its Associated Factors at Household Level among Indigenous Communities in Sarawak

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