Relative Deprivation and Malnutrition in Ecuador

Authors

Keywords:

relative deprivation, malnutrition, Ecuador

Abstract

We hypothesise that relative deprivation has a deleterious effect on children’s malnutrition, one of the most prevalent health problems in the word, and that the main pathway of this relationship is the larger psychosocial stress of parents with higher relative deprivation. We model parental mental health as a function of own consumption and others’ consumption levels by means of Fehr and Schmidt’s (1999) utility function and assume a positive association between stress and malnutrition. Our findings for Ecuador suggest that relative deprivation leads to children’s malnutrition. This effect is obtained after controlling for a rich set of individual and regional controls, which include, for the first time in a study of this sort, measures of parental height and weight. Heterogeneous effects indicate that breastfeeding can be highly effective in compensating the deleterious effects of relative deprivation. After controlling for relative deprivation, inequality shows no effect on malnutrition.

References

Adair, L.S., and K.G. David 1997 “Age-specific determinants of stunting in Filipino children”, Journal of Nutrition 127(2): 314–320. doi.org/10.1093/jn/127.2.314

Adjaye-Gbewonyo, K., and I. Kawachi 2012 “Use of the Yitzhaki Index as a test of relative deprivation for health outcomes: A review of recent literature”, Social Science & Medicine 75(1): 129–137. doi.org/10.1016/j.socscimed.2012.03.004

Aerts, D., M. de Lourdes Drachler, and E.R. Justo Giugliani 2004 “Determinants of growth retardation in Southern Brazil”, Cadernos de Saúde Pública 20(5): 1182–1190. doi.org/10.1590/S0102-311X2004000500011

Barcellos, S.H., L.S. Carvalho, and A. Lleras-Muney 2014 “Child gender and parental investments in India: Are boys and girls treated differently?”, American Economic Journal: Applied Economics 6(1): 157–189. doi.org/10.1257/app.6.1.157

Beck, C.T. 1998 “Maternal depression and child behavior problems: A meta-analysis”, Journal of Advanced Nursing 29: 623–629. doi.org/10.1046/j.1365-2648.1999.00943.x

Blanco Pérez, C., and X. Ramos 2010 “Polarization and health”, Review of Income and Wealth 56(1): 171–185. doi.org/10.1111j.1475-4991.2009.00368.x

Brodeur, A., and S. Flèche 2018 “Neighbors’ income, public goods, and well-being”, Review of Income and Wealth 65(2): 217–238. doi.org/10.1111/roiw.12367

Case, A., and C. Paxton 2008 “Stature and status: Height, ability, and labor market outcomes”, Journal of Political Economy 116(3): 499–532. doi.org/10.1086/589524

Christian, V.J., K.R. Miller, and R.G. Martindale 2020 “Food insecurity, malnutrition, and the microbiome”, Current Nutrition Reports 9: 356–360. doi.org/10.1007/s13668-020-00342-0

De Onis, M., M. Blössner, and E. Borghi 2012 “Prevalence and trends of stunting among preschool children 1990–2020”, Public Health Nutrition 15(1): 142–148. doi.org/10.1017/S1368980011001315

Deaton, A. 2003 “Health, inequality, and economic development”, Journal of Economic Literature 41(1): 113–158. doi.org/10.1257 002205103321544710

—–, and A.A. Stone 2013 “Two happiness puzzles”, American Economic Review 103(3): 591–597. doi.org/10.1257/aer.103.3.591

Diez-Roux, A.V. 1998 “Bringing context back into epidemiology: Variables and fallacies in multilevel analysis”, American Journal of Public Health 88(2): 216–222. doi.org/10.2105/AJPH.88.2.216

Duggal, P., and W.A. Petri 2018 “Does malnutrition have a genetic component?”, Annual Review of Genomics and Human Genetics 19: 247–262. doi.org/10.1146/annurev-genom-083117-021340

El Taguri, A., I. Betilmal, S. Mahmud, A. Monem Ahmed, O. Goulet, P. Galan, and S. Hercberg 2009 “Risk factors for stunting among under-fives in Libya”, Public Health Nutrition 12(8): 1141–1149. doi.org/10.1017/S1368980008003716

Eibner, C., R. Sturm, and C.R. Gresenz 2004 “Do Relative Deprivation Predict the Need for Mental Health Services?”, Journal of Mental Health Policy and Economics 7(4): 167–175.

—–, and W.N. Evans 2005 “Relative Deprivation, Poor Health Habits, and Mortality”, Journal of Human Resources 40(3): 591–620. doi.org/10.3368/jhr.XL.3.591

Elbers, C., J.O. Lanjouw, and P. Lanjouw 2003 “Micro-Level Estimation of Poverty and Inequality”, Econometrica 71(1): 355-364.

Farrow, A., C. Larrea, G. Hyman, and G. Lema 2005 “Exploring the spatial variation of food poverty in Ecuador”, Food Policy 30(5–6): 510–531. doi.org/10.1016/j.foodpol.2005.09.005

Fehr, E., and K.M. Schmidt 1999 “A Theory of fairness, competition, and cooperation”, Quarterly Journal of Economics 114(3): 817–868. doi.org/10.1162/003355399556151

Filteau, S. 2000 “Role of breast-feeding in managing malnutrition and infectious disease”, Proceedings of the Nutrition Society 59(4): 565–572. doi.org/10.1017/S002966510000080X

Finer, M., V. Vijay, F. Ponce, C.N. Jenkins, and T.R. Kahn 2009 “Ecuador’s Yasuní Biophere Reserce: a brief modern history and conservation challenges”, Environmental Research Letters 4(3): 034005. doi.org/10.1088/1748-9326/4/3/034005

Grantham-McGregor, S.M., S.P. Walker, and S. Chang 2000 “Nutritional deficiencies and later behavioural development”, Proceedings of the Nutrition Society 59(1): 47–54. doi.org/10.1017/S0029665100000069

—–, Y.B. Cheung, S. Cueto, P. Glewwe, L. Richter, and B. Strupp 2007 “Child development in developing countries 1 - Developmental potential in the first 5 years for children in developing countries”, Lancet 369(9555): 60–70. doi.org/10.1016/S0140-6736(07)60032-4

Hey, J.D., and P.J. Lambert 1980 “Relative Deprivation and the Gini Coefficient: Comment”, Quarterly Journal of Economics 95(3): 67–573. doi.org/10.2307/1885094

Horton, R., and S. Lo 2013 “Nutrition: a quintessential sustainable development goal”, Lancet 382(9890): 371–372. doi.org/10.1016/S0140-6736(13)61100-9

Ifcher, J., H. Zarghamee, and C. Graham 2018 “Local neighbors as positives, regional neighbors as negatives: Competing channels in the relationship between others’ income, health, and happiness”, Journal of Health Economics 57: 263–276. doi.org/10.1016/j.jhealeco.2017.08.003

—– 2019 “Income inequality and well-being in the U.S.: evidence of geographic-scale- and measure-dependence”, Journal of Economic Inequality 17: 415–434. doi.org/10.1007/s10888-018-9404-z

Instituto Nacional de Estadistica y Censos 2015 Reporte de Pobreza y Desigualdad Diciembre 2015 Quito: INEC. Retrieved from www.ecuadorencifras.gob.ec/documentos/web-inec/POBREZA/2015/Diciembre_2015/Informe_pobreza_y_desigualdad_dic_15.pdf

Kahn, R., B. Zuckerman, H. Bauchner, C.J. Homer, and P.H. Wise 2002 “Women’s health after pregnancy and child outcomes at age 3 years: A prospective cohort study”, American Journal of Public Health 92: 1312–1318. doi.org/10.2105/AJPH.92.8.1312

Kondo, N., I. Kawachi, S.V. Subramanian, Y. Takeda, and Z. Yamagata 2008 “Do Social Comparisons Explain the Association Between Income Inequality and Health?: Relative Deprivation and Perceived Health among Male and Female Japanese Individuals”, Social

Science & Medicine 67(6): 982–987. doi.org/10.1016/j.socscimed.2008.06.002

Larrea, A., and X. Ramos 2023 “Relative deprivation and Malnutrition in Ecuador”, Departament d’Economia Aplicada. Universitat Autònoma de Barcelona. Working Paper Series. https://ddd.uab.cat/pub/worpap/2023/284218/Gear_wp_2023_05.pdf

Larrea, C., and W. Freire 2002 “Social inequality and child malnutrition in four Andean countries”, Pan American Journal of Public Health 11 (5/6): 356–364.

—–, W. Freire, and C. Lutter 2001 Equidad desde el principio: Situación nutricional de los niños ecuatorianos, encuesta de condiciones de vida 1998 Washington, DC: Organización Panamericana de la Salud. https://pesquisa.bvsalud.org/portal/resource/pt/lil-89947?lang=es

—–, and I. Kawachi 2005 “Does economic inequality affect child malnutrition? The case of Ecuador”, Social Science and Medicine 60(1): 165–178. doi.org/10.1016/j.socscimed.2004.04.024

Marins, V.M.R., and R.M.V.R. Almeida 2002 “Undernutrition prevalence and social determinants in children aged 0–59 months, Niterói, Brazil”, Annals of Human Biology 29(6): 609–618. doi.org/10.1080/03014460210140176

Miller, D.L., and C. Paxson 2006 “Relative income, race and mortality”, Journal of Health Economics 25(5): 979–1003. doi.org/10.1016/j.jhealeco.2006.02.003

Negrato, C.A., and M.B. Gomes 2013 “Low birth weight: causes and consequences”, Diabetology and Metabolic Syndrome 5: 49. doi.org/10.1186/1758-5996-5-49

Programa Alimentate Ecuador, Ministerio de Inclusión Económica y Social, Ecuador 2009 Lista de alimentos de la Encuesta de Condiciones de Vida Quito: Unpublished.

Rondó, P.H.C., G. Rezende, J.O. Lemos, and J.A. Pereira 2013 “Maternal Stress and Distress and Child Nutritional Status”, European Journal of Clinical Nutrition 67: 348–352. doi.org/10.1038/ejcn.2013.28

Secretaria Nacional de Planificacion y Desarrollo 2013 Atlas de desigualdades socio-economicas del Ecuador Qutio: SENPLADES.

Steckel, R.H. 1995 “Stature and the standard of living”, Journal of Economic Literature 33(4): 1903–1940.

Tarozzi, A., and A. Deaton 2009 “Using census and survey data to estimate poverty and inequality for small areas”, Review of Economics and Statistics 91(4): 733–792. doi.org/10.1162/rest.91.4.773

Walker, S.P., S.M. Grantham-McGregor, C.A. Powel, and S.M. Chang 2000 “Effects of growth restriction in early childhood on growth, IQ, and cognition at age 11 to 12 years and the benefits of nutritional supplementation and psychosocial stimulation”, Journal of Pediatrics

(1): 36–41. doi.org/10.1067/mpd.2000.106227

—–, T.D. Wachs, J.M. Gardner, B. Lozoff, G.A. Wasserman, E. Pollit, J.A. Carter 2007 “Child development: risk factors for adverse outcomes in developing countries”, Lancet 369(9556): 145–157. doi.org/10.1016/S0140-6736(07)60076-2

Wilkinson, R.G. 1996 Unhealthy Societies: The Afflictions of Inequality London: Routledge.

—– 2000 Mind the Gap: Hierarchies, Health, and Human Evolution London: Weidenfeld and Nicolson.

—–, and K.E. Pickett 2006 “Income inequality and population health: a review and explanation of the evidence”, Social Science and Medicine 62(7): 1768–1784. doi.org/10.1016/j.socscimed.2005.08.036

Willey, B., N. Cameron, S.A. Norris, J.M. Pettifor, and P.L. Griffiths 2009 “Socio-economic predictors of stunting in preschool children – a population -based study from Johannesburg and Soweto”, South African Medical Journal 99(6): 450–456.

World Health Organization, M. de Onis, and M. Blössner 1997 WHO Global Database on Child Growth and Malnutrition Geneva: WHO Press.

World Health Organization 2013 WHO Child Growth Standards: Methods and Development Geneva: WHO Press.

Yao, Y., G. Wan, and D. Meng 2019 “Income distribution and health: can polarization explain health outcomes better than inequality?”, European Journal of Health Economics 20: 543–557. doi.org/10.1007/s10198-018-1016-9

Yitzhaki, S. 1979 “Relative deprivation and the Gini coefficient”, Quarterly Journal of Economics 93(2): 321–324. doi.org/10.2307/1883197

Published

2024-01-22

How to Cite

Larrea, A., & Ramos, X. (2024). Relative Deprivation and Malnutrition in Ecuador. Journal of Income Distribution®, 32(3-4). Retrieved from https://jid.journals.yorku.ca/index.php/jid/article/view/40602

Similar Articles

<< < 9 10 11 12 13 14 15 16 17 18 > >> 

You may also start an advanced similarity search for this article.