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Purpose <p>This study aimed to assess the prevalence of five types of household level double burden malnutrition (DBM) in mother-child dyads and examine socioeconomic disparities in two predominant forms: stunted child with obese mother (SCOM) and anemic child with obese mother (ACOM).</p> Methods <p>This study used the fifth wave of the Indonesia Family Life Survey dataset, comprising 2,846 mother-child dyads. The prevalence of DBM sub-groups was obtained using descriptive statistics. Multivariable logistic regression was used to examine socioeconomic disparities in SCOM and ACOM, including maternal education, maternal employment, area of residence, household wealth, food consumption score, and sanitation status.</p> Results <p>SCOM and ACOM were the most common types of DBM, with the prevalence of 12.73% and 15.07%, respectively. The predictors of SCOM and ACOM were households with lower maternal education [SCOM: adjusted odds ratio (AOR) = 1.42; 95% confidence interval (CI): 1.10–1.84; ACOM: AOR = 1.34; 95% CI: 1.06–1.69] and lower household wealth level [SCOM: AOR = 2.36; 95% CI: 1.44–3.87; ACOM: AOR = 1.70; 95% CI: 1.19–2.50]. Rural residence and unimproved sanitation status was significantly associated with SCOM but not with ACOM.</p> Conclusion <p>The findings highlight substantial socioeconomic disparities in household-level DBM in Indonesia, underscoring the need for policies and interventions that concurrently address these inequalities by strengthening maternal education and tackling household wealth disparities through social protection strategies to help prevent the intergenerational cycle of malnutrition.</p>

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Socioeconomic disparities in household-level double burden of malnutrition in Indonesia

  • 期刊论文

  • 发表日期：

    2026年5月6日

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  • Herwinda Kusuma Rahayu,
  • Hastrin Hositanisita,
  • Muhammad Hafizh Hariawan,
  • Aflah Afandi,
  • Eka Nurhayati,
  • Khansa Nabila Agasi Salim

摘要

Purpose

This study aimed to assess the prevalence of five types of household level double burden malnutrition (DBM) in mother-child dyads and examine socioeconomic disparities in two predominant forms: stunted child with obese mother (SCOM) and anemic child with obese mother (ACOM).

Methods

This study used the fifth wave of the Indonesia Family Life Survey dataset, comprising 2,846 mother-child dyads. The prevalence of DBM sub-groups was obtained using descriptive statistics. Multivariable logistic regression was used to examine socioeconomic disparities in SCOM and ACOM, including maternal education, maternal employment, area of residence, household wealth, food consumption score, and sanitation status.

Results

SCOM and ACOM were the most common types of DBM, with the prevalence of 12.73% and 15.07%, respectively. The predictors of SCOM and ACOM were households with lower maternal education [SCOM: adjusted odds ratio (AOR) = 1.42; 95% confidence interval (CI): 1.10–1.84; ACOM: AOR = 1.34; 95% CI: 1.06–1.69] and lower household wealth level [SCOM: AOR = 2.36; 95% CI: 1.44–3.87; ACOM: AOR = 1.70; 95% CI: 1.19–2.50]. Rural residence and unimproved sanitation status was significantly associated with SCOM but not with ACOM.

Conclusion

The findings highlight substantial socioeconomic disparities in household-level DBM in Indonesia, underscoring the need for policies and interventions that concurrently address these inequalities by strengthening maternal education and tackling household wealth disparities through social protection strategies to help prevent the intergenerational cycle of malnutrition.