Wealth- and education-related inequalities in minimum dietary diversity among Indonesian infants and young children: a decomposition analysis.

Tytuł:: Wealth- and education-related inequalities in minimum dietary diversity among Indonesian infants and young children: a decomposition analysis.
Autorzy:: Paramashanti BA; Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.; Department of Nutrition, Faculty of Health Sciences, Universitas Alma Ata, Yogyakarta, Indonesia.
Dibley MJ; Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Alam A; Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Huda TM; Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Źródło:: Global health action [Glob Health Action] 2022 Dec 31; Vol. 15 (1), pp. 2040152.
Typ publikacji:: Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Publication: <2016- > : Philadelphia, PA : Taylor & Francis
Original Publication: Häggeby : Co-Action Publishing
MeSH Terms:: Diet*
Prenatal Care*
Child ; Child, Preschool ; Educational Status ; Female ; Humans ; Indonesia ; Infant ; Pregnancy ; Socioeconomic Factors
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Contributed Indexing:: Keywords: Indonesia; Minimum dietary diversity; concentration index; decomposition analysis; determinants; socioeconomic disparities
Entry Date(s):: Date Created: 20220407 Date Completed: 20220411 Latest Revision: 20220827
Update Code:: 20240105
PubMed Central ID:: PMC9004518
DOI:: 10.1080/16549716.2022.2040152
PMID:: 35389332
: Czasopismo naukowe

Pełny tekst

Background: Over the last two decades, Indonesia has experienced remarkable economic growth. However, the percentage of infants and young children meeting the minimum dietary diversity (MDD) criteria has stagnated. Despite the growing body of evidence of the association between MDD and socioeconomic factors, there is little information about socioeconomic inequalities in MDD in Indonesia.
Objectives: The current study seeks to quantify the wealth- and education-related inequalities in MDD among infants and young children in Indonesia and determine the contribution of different factors to these disparities.
Methods: We included a total of 5038 children aged 6-23 months of the 2017 Indonesia Demographic and Health Survey. We measured wealth- and education-related inequalities using the concentration curve and Wagstaff normalised concentration index. Using a concentration index decomposition analysis, we then examined factors contributing to wealth- and education-related inequalities in MDD.
Results: The concentration indices by household wealth and maternal education were 0.220 (p < 0.001) and 0.192 (p < 0.001), respectively, indicating more concentration of inequalities among the advantaged population. The decomposition analysis revealed that household wealth (29.8%), antenatal care (ANC) visits (16.6%), paternal occupation (15.1%), and maternal education (11.8%) explained the pro-rich inequalities in MDD in Indonesia. Maternal education (26.1%), household wealth (19.1%), ANC visits (14.9%), and paternal occupation (10.9%) made the most considerable contribution to education-related inequalities in MDD.
Conclusions: There is substantial wealth- and education-related inequalities in MDD. Our findings suggest an urgent need to address the underlying causes of not reaching dietary diversity by promoting infant and young child feeding equity in Indonesia.

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