Department of Social Policy, London School of Economics and Political Science, London WC2A 2AE, UK.
Institute of Demography, National Research University-Higher School of Economics, 101000 Moscow, Russia.
Int J Environ Res Public Health. 2022 May 19;19(10):6171. doi: 10.3390/ijerph19106171.
Information on the concentration of body mass index and child death among females in Malawi, where the epidemics of weight gain have been disconcerting and preventable deaths among children linger, is limited. Therefore, the study examined the polarity of body mass index and the death of children among females. Using data from the Malawian Demographic and Health Survey from 2000 to 2015-2016, the study applied for the first time the index of concentration at the extremes and indirect demographic techniques to estimate the polarity of body mass index and child mortality among 65,499 females aged 15 to 49 years. The preponderance of obesity more than doubled from 2000 to 2015-2016 and was highest among females who were older (35-49 years), urban dwellers, rich, and located in districts within the central and southern regions. In addition, child survival was low among underweight, overweight, and obese females. While national-, regional-, and individual-level statistics are in development, these findings provide helpful information for health experts and other stakeholders to initiate appropriate age-region specific programs and interventions in Malawi, including targeting females in the high socio-economic bracket.
马拉维的体重增长令人担忧，且儿童可预防死亡人数持续存在，有关其女性的体重指数浓度和儿童死亡的信息有限。因此，本研究考察了体重指数和女性儿童死亡的极性。本研究使用了 2000 年至 2015-2016 年马拉维人口与健康调查的数据，首次应用极端集中指数和间接人口技术来估计 65499 名 15 至 49 岁女性的体重指数和儿童死亡率的极性。肥胖的优势从 2000 年到 2015-2016 年翻了一番多，在年龄较大的女性（35-49 岁）、城市居民、富裕和位于中部和南部地区的地区中最为明显。此外，体重不足、超重和肥胖的女性的儿童存活率较低。虽然正在制定国家、区域和个人各级的统计数据，但这些发现为卫生专家和其他利益攸关方提供了有益的信息，以便在马拉维启动适合年龄和地区的具体方案和干预措施，包括针对高社会经济阶层的女性。
