低收入和中等收入国家的经济增长和儿童营养不良
Nicolas Büttner1, Markus Heemann2, Jan-Walter De Neve3
1Department of Humanities, Social and Political Sciences, Eidgenössische Technische Hochschule Zürich, Zürich, Switzerland.
JAMA network open
|November 9, 2023
概括
经济增长与儿童营养不良的联系很弱. 针对母亲健康和教育等因素的有针对性的投资对于减少低收入和中等收入国家的营养不良至关重要.
科学领域:
- 全球健康 全球健康
- 发展经济学 发展经济学
- 儿科 儿科 儿科
背景情况:
- 儿童营养不良仍然是一个重大的全球卫生挑战,特别是在低收入和中等收入国家.
- 经济增长通常被认为可以减少营养不良,但经验证据是混合的.
- 确定将经济增长与营养不良联系起来的关键因素对于有效的干预至关重要.
研究的目的:
- 检查经济增长与儿童营养不良之间的关联.
- 研究经济增长与导致营养不良的因素之间的关系.
- 评估各种营养不良指标及其在LMICs中的贡献因素之间的联系.
主要方法:
- 在58个LMIC中对239个人口和健康调查 (1990-2021) 的数据进行横截面分析.
- 包括110多万0-35个月龄的儿童,评估了6个营养不良指标和18个促成因素.
- 国家人均国内生产总值 (GDP) 作为经济增长的代表.
主要成果:
- 人均GDP增长5%与大多数营养不良指标的关联较弱,赔率比率接近1.00.
- 在许多促成因素和营养不良结果之间观察到显著的关联.
- 人均GDP与这些因素之间的联系是模两可的.
结论:
- 经济增长本身对减少儿童营养不良的影响有限.
- 对营养不良的潜在和直接决定因素进行有针对性的投资至关重要,如孕产妇健康和教育.
- 政策努力应将经济发展与改善儿童营养的具体干预措施相结合.
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