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Determinants of malnutrition in Senegal: Individual, household, community variables, and their interaction

机译：塞内加尔营养不良的决定因素：个人，家庭，社区变量及其相互作用

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摘要

The relationship between poverty and nutrition is a two-sided one: on the one hand, economic growth (which is generally associated with an eradication of poverty) leads to reduced malnutrition. On the other hand, nutrition is one of the key ingredients for human capital formation, which in turn represents one of the fundamental factors of growth. There are numerous studies that show the correlates of malnutrition using both household- and community-level variables. However, few of these studies allow for the potential endogeneity of community infrastructure or indicate their interplay with characteristics of the mother. The current study considers the socio-economic determinants of child malnutrition and investigates how programs compensate for the increased risks facing young mothers and their children or substitute for a low social status of the mother in the household. The empirical results show that children of mothers giving birth at a young age are disadvantaged in terms of their anthropometric status. Interaction effects of the presence of a non-governmental organization (NGO) or a health post in the village with characteristics of the mother stress the important role played by these institutions in helping disadvantaged mothers overcome their difficulties. These findings have implications for efficient program design and represent a further step towards gaining an improved understanding of the complex determinants of child (mal)nutrition.
机译：贫困与营养之间的关系是两方面的：一方面，经济增长（通常与消除贫困有关）导致营养不良减少。另一方面，营养是形成人力资本的关键要素之一，而营养又代表了增长的基本要素之一。有大量研究表明，使用家庭和社区一级的变量都与营养不良有关。然而，这些研究很少允许社区基础设施的潜在内生性，或表明它们与母亲的特征之间的相互作用。当前的研究考虑了儿童营养不良的社会经济决定因素，并调查了方案如何补偿年轻母亲及其子女面临的日益增加的风险，或如何替代母亲在家庭中的低社会地位。实证结果表明，在人体测量方面，年轻时分娩的母亲的孩子处于不利地位。非政府组织（NGO）的存在或村庄中具有母亲特征的卫生所的互动影响强调了这些机构在帮助处境不利的母亲克服困难方面的重要作用。这些发现对有效的计划设计具有影响，并代表了朝着对儿童（营养不良）的复杂决定因素加深了解的方向迈出的又一步。

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