Abstract
Many countries in sub-Saharan Africa are experiencing an increase in the prevalence of childhood overweight and obesity, even though many countries are still grappling with the persistence of child malnutrition. A quarter of all obese and overweight preschool-aged children live in the region. There is, however, a gap in research on child obesity in African countries, and particularly on how mothers’ empowerment (either through employment or decision-making in the household) might affect this. This chapter fills this gap by applying a mixed-effects binary logistic regression model on nationally representative data from three countries in sub-Saharan Africa with particularly high levels of child obesity. This study finds different relationships between women’s empowerment and child obesity in different countries, pointing to the importance of further study in Africa to better identify the mechanisms driving these links. A better understanding of these relationships will not only help to inform policies aimed at empowering women in Africa but also assist in ensuring the achievement of Sustainable Development Goals that promote the improvement of child nutrition (SDG 2) and the achievement of gender equality (SDG 5).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Notes
- 1.
- 2.
- 3.
At the same time, DHS provides data on household wealth index, an index that measures relative living standards of households.
- 4.
More statistical addendum of DHS is available on https://dhsprogram.com/data/.
- 5.
In the latest DHS data available for Sierra Leone (2016), male data is not collected.
- 6.
- 7.
In all the countries, this question is forwarded to the respondents (i.e. mothers in households). We assume that if a mother has some contribution towards her health decision, she will make the same contribution to her children’s health.
References
Agarwal, B. (1997). “Bargaining” and Gender Relations: Within and Beyond the Household. Feminist Economics, 3(1), 1–51.
Agyemang, C., Boatemaa, S., Frempong, G. A., & Aikins, A. d.-G. (2015). Obesity in Sub-Saharan Africa. Switzerland: Springer International Publishing.
Anderson, P. M. (2012). Parental employment, Family Routines and Childhood Obesity. Economics and Human Biology, 10(4), 340–351.
Anderson, P. M., Butcher, K. F., Levine, P. B., et al. (2003). Economic Perspectives on Childhood Obesity. Economic Perspectives-Federal Reserve Bank of Chicago, 27(3), 30–48.
Banwell, C., Shipley, M., Strazdins, L., et al. (2007). The Pressured Parenting Environment: Parents as Piggy in the Middle. In The Seven Deadly Sins of Obesity: How the Modern World is Making Us Fat. Sydney: UNSW Press.
Beegle, K., Christiaensen, L., Dabaleen, A., & Gaddis, I. (2016). Poverty in a Rising Africa, Report. The World Bank.
Brown, J. E., Broom, D. H., Nicholson, J. M., & Bittman, M. (2010). Do Working Mothers Raise Couch Potato Kids? Maternal Employment and Children’s Lifestyle Behaviours and Weight in Early Childhood. Social Science and Medicine, 70, 1816–1824.
Cawley, J., & Liu, F. (2012). Maternal Employment and Childhood Obesity: A Search for Mechanisms in Time Use Data. Economics and Human Biology, 10(4), 352–364.
Cunningham, K., Ruel, M., Ferguson, E., & Uauy, R. (2015). Women’s Empowerment and Child Nutritional Status in South Asia: A Synthesis of the Literature. Maternal and Child Nutrition, 11(1), 1–19.
De Onis, M., Blössner, M., & Borghi, E. (2010). Global Prevalence and Trends of Overweight and Obesity Among Preschool Children. The American Journal of Clinical Nutrition, 92(5), 1257–1264.
Doss, C. (2013). Intrahousehold Bargaining and Resource Allocation in Developing Countries. The World Bank Research Observer, 28(1), 52–78.
Duflo, E. (2000). Child Health and Household Resources in South Africa: Evidence from the Old Age Pension Program. American Economic Review, 90(2), 393–398.
Duflo, E. (2012). Women Empowerment and Economic Development. Journal of Economic Literature, 50(4), 1051–1079.
Freedman, D. S., Khan, L. K., Serdula, M. K., Dietz, W. H., Srinivasan, S. R., & Berenson, G. S. (2005). The Relation of Childhood BMI to Adult Adiposity: The Bogalusa Heart Study. Pediatrics, 115(1), 22–27.
Garcia, E., Labeaga, J. M., & Ortega, C. (2006). Maternal Employment and Childhood Obesity in Spain. Documento de Trabajo 17.
Gebremedhin, S. (2015). Prevalence and Differentials of Overweight and Obesity in Preschool Children in Sub-Saharan Africa. BMJ Open, 5(12), e009005.
Greve, J. (2011). New Results on the Effect of Maternal Work Hours on Children’s Overweight Status: Does the Quality of Child Care Matter? Labour Economics, 18, 579–590.
Gwozdz, W. (2016, June). Is Maternal Employment Related to Childhood Obesity? IZA World of Labour.
Gwozdz, W., Sousa-Poza, A., Reisch, L. A., Ahrens, W., Eiben, G., Fernandez-Alvira, J. M., et al. (2013). Maternal Employment and Childhood Obesity—A European Perspective. Journal of Health Economics, 32, 728–742.
Hawkins, S. S., Cole, T. J., & Law, C. (2008). Maternal Employment and Early Childhood Overweight: Findings from the UK Millennium Cohort Study. International Journal of Obesity, 32(1), 30.
Kabir, N. (2012). Women’s Economic Empowerment and Inclusive Growth: Labour Markets and Enterprise Development. Technical Report. School of Oriental and African Studies, UK.
Kabubo-Mariara, J., Ndenge, G. K., & Mwabu, D. K. (2008). Determinants of Children’s Nutritional Status in Kenya: Evidence from Demographic and Health Surveys. Journal of African Economies, 18(3), 363–387.
Keino, S., Plasqui, G., Ettyang, G., & Borne, B. v. d. (2014). Determinants of Stunting and Overweight Among Young Children and Adolescents in Sub-Saharan Africa. Food and Nutrition Bulletin, 35(2), 167–178.
Lim, S. S., Vos, T., Flaxman, A. D., Danaei, G., Shibuya, K., Adair-Rohani, H., et al. (2012). A Comparative Risk Assessment of Burden of Disease and Injury Attributable to 67 Risk Factors and Risk Factor Clusters in 21 Regions, 1990-2010: A systematic Analysis for the Global Burden of Disease Study 2010. The lancet, 380(9859), 2224–2260.
Liu, E., Hsiao, C., Matsumoto, T., & Chou, S. (2009). Maternal Full-time Employment and Overweight Children: Parametric, Semi-parametric, and Non-parametric Assessment. Journal of Econometrics, 152, 61–69.
Maddah, M., & Nikkoyeh, B. (2009). Factors Associated with Overweight in Children in Rasht, Iran: Gender, Maternal Education, Skipping Breakfast and Parental Obesity. Public Health Nutrition, 13(2), 196–200.
Mamabolo, R., Alberts, M., Steyn, N. P., Waal, H. A. D.-v. d., & Levitt, N. S. (2005). Prevalence and Determinants of Stunting and Overweight in 3-year-old Black South African Children Residing in the Central Region of Limpopo Province, South Africa. Public Health Nutrition, 8(5), 501–508.
Muthuri, S. K., Francis, C. E., Wachira, L.-J. M., LeBlanc, A. G., Sampson, M., Onywera, V. O., et al. (2014). Evidence of an Overweight/obesity Transition Among School-aged Children and Youth in Sub-Saharan Africa: A Systematic Review. PLOS One, 9(3), e92846.
Mvo, Z. (1999). Perceptions of Overweight African Women About Acceptable Body Size of Women and Children. Curationis, 22(2), 27–31.
Ng, M., Fleming, T., Robinson, M., et al. (2014). Global, Regional, and National Prevalence of Overweight and Obesity in Children and Adults During 1980–2013: A Systematic Analysis for the Global Burden of Disease Study 2013. Lancet, 384, 766–781.
Nie, P., & Sousa-Poza, A. (2014). Maternal Employment and Childhood Obesity in China: Evidence from the China Health and Nutrition Survey. Applied Economics, 46(20), 2418–2482.
Phipps, S., Burton, P., Osberg, L., & Lethbridge, L. (2006). Poverty and the Extent of Child Obesity in Canada, Norway and the United States. Obesity Reviews, 7(1), 5–12.
Scholder, S. V. H. K. (2008). Maternal Employment and Overweight Children: Does Timing Matter? Health Economics, 17, 889–906.
Sethuraman, K., Lansdown, R., & Sullivan, K. (2006). Women’s Empowerment and Domestic Violence: The Role of Sociocultural Determinants in Maternal and Child Undernutrition in Tribal and Rural Communities in South India. Food and Nutrition Bulletin, 27(2), 128–143.
Shroff, M., Griffiths, P., Adair, L., Suchindran, C., & Bentley, M. (2009). Maternal Autonomy is Inversely Related to Child Stunting in Andhra Pradesh, India. Maternal and Child Nutrition, 5, 64–74.
Taylor, A. W., Wine eld, H., Kettler, L., Roberts, R., & Gill, T. K. (2012). A Population Study of 5 to 15 Year Olds: Full Time Maternal Employment not Associated with High BMI. The Importance of Screen-based Activity, Reading for Pleasure and Sleep Duration in Children’s BMI. Maternal and Child Health Journal, 16(3), 587–599.
Thomas, D. (1990). Intra-household Resource Allocation: An Inferential Approach. Journal of Human Resources., 25(4), 635–664.
Wake, M., Hesketh, K., & Waters, E. (2003). Television, Computer Use and Body Mass Index in Australian Primary School Children. Journal of paediatrics and child health, 39(2), 130–134.
Wang, Z., Patterson, C. M., & Hills, A. P. (2002). Association Between Overweight or Obesity and Household Income and Parental Body Mass Index in Australian Youth: Analysis of the Australian National Nutrition Survey, 1995. Asia Pacific Journal of Clinical Nutrition, 11(3), 200–205.
World Bank. (2011). World Development Report 2012: Gender Equality and Development. Washington, DC: World Bank Publications.
Ziol-Guest, K. M., Dunifon, R. E., & Kalil, A. (2013). Parental Employment and Children’s Body Weight: Mothers, Others and Mechanisms. Social Science and Medicine, 95, 52–59.
Ziraba, A. K., Fotso, J. C., & Ochako, R. (2009). Overweight and Obesity in Urban Africa: A Problem of the Rich or the Poor? BMC Public Health, 9(1), 465.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 The Author(s)
About this chapter
Cite this chapter
Chisadza, C., Yitbarek, E., Nicholls, N. (2020). Women Empowerment and Child Obesity: Evidence in Comoros, Malawi, and Mozambique. In: Konte, M., Tirivayi, N. (eds) Women and Sustainable Human Development. Gender, Development and Social Change. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-14935-2_15
Download citation
DOI: https://doi.org/10.1007/978-3-030-14935-2_15
Published:
Publisher Name: Palgrave Macmillan, Cham
Print ISBN: 978-3-030-14934-5
Online ISBN: 978-3-030-14935-2
eBook Packages: Political Science and International StudiesPolitical Science and International Studies (R0)