The mitigating effect of social protection on undernourishment during economic downturns: A longitudinal study of 46 low- and middle-income countries over the last two decades

Background Low- and middle-income countries (LMICs) are particularly vulnerable to the adverse effects of economic downturns on the Prevalence of Undernourishment (PoU). Our study aimed to evaluate the impact of Social Protection and Labor Programs (SPL) on PoU in 46 LMICs from 2001 to 2019, and to...

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Autores: Barreix Sibils, Gonzalo, Brachowicz Quintanilla, Nicolai, Silva, Natanael de Jesus, Landin, Elisa, Macicame, I., Naidoo, M., Morais, G. de Sampaio, Rasella, Davide
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:dnet:ubarcelona__::e86fd00a5066f9a39183a4c5be9e05de
Acceso en línea:https://hdl.handle.net/2445/229628
Access Level:acceso abierto
Palabra clave:Desigualtat social
Assistència social
Social inequality
Public welfare
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spelling The mitigating effect of social protection on undernourishment during economic downturns: A longitudinal study of 46 low- and middle-income countries over the last two decadesBarreix Sibils, GonzaloBrachowicz Quintanilla, NicolaiSilva, Natanael de JesusLandin, ElisaMacicame, I.Naidoo, M.Morais, G. de SampaioRasella, DavideDesigualtat socialAssistència socialSocial inequalityPublic welfareBackground Low- and middle-income countries (LMICs) are particularly vulnerable to the adverse effects of economic downturns on the Prevalence of Undernourishment (PoU). Our study aimed to evaluate the impact of Social Protection and Labor Programs (SPL) on PoU in 46 LMICs from 2001 to 2019, and to estimate SPL mitigating effects during economic downturns. Methods This cohort study used a multi-country ecological design with two-ways fixed effects multivariable linear regression models, adjusted for relevant demographic, socioeconomic, and contextual variables. Interaction terms between economic downturns and SPL were used to evaluate SPL mitigating effects. Findings Our study cohort displayed an average 15.30% PoU and 34.34% SPL coverage in the initial year, contrasting with 8.58% PoU and 43.81% SPL coverage in the final year. A 10% SPL coverage was associated with a 0.51% PoU reduction (95%CI: 0.04–0.99) across all countries and 0.78% reduction within the poorest subgroup. SPL have been able to prevent an estimated 1.01 billion (95% UI: 0.16–1.86) cases of undernourishment over the study period in the 46 LMICs. Economic downturns were associated with a 4.55% PoU increase (95% CI: 1.28–7.81) in all countries, and a 6.06% PoU increase in the poorest subgroup. High SPL coverage during the downturns had significant mitigating effects, reducing an overall 1.17% PoU for every 10% SPL coverage in all countries, and 1.81% PoU in the poorest nations.Elsevier Ltd.2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/229628Articles publicats en revistes (Economia)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1016/j.socscimed.2024.117365Social Science & Medicine, 2024, vol. 361https://doi.org/10.1016/j.socscimed.2024.117365cc-by-nc (c) Barreix Sibils, Gonzalo et al., 2024http://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:dnet:ubarcelona__::e86fd00a5066f9a39183a4c5be9e05de2026-05-27T06:46:51Z
dc.title.none.fl_str_mv The mitigating effect of social protection on undernourishment during economic downturns: A longitudinal study of 46 low- and middle-income countries over the last two decades
title The mitigating effect of social protection on undernourishment during economic downturns: A longitudinal study of 46 low- and middle-income countries over the last two decades
spellingShingle The mitigating effect of social protection on undernourishment during economic downturns: A longitudinal study of 46 low- and middle-income countries over the last two decades
Barreix Sibils, Gonzalo
Desigualtat social
Assistència social
Social inequality
Public welfare
title_short The mitigating effect of social protection on undernourishment during economic downturns: A longitudinal study of 46 low- and middle-income countries over the last two decades
title_full The mitigating effect of social protection on undernourishment during economic downturns: A longitudinal study of 46 low- and middle-income countries over the last two decades
title_fullStr The mitigating effect of social protection on undernourishment during economic downturns: A longitudinal study of 46 low- and middle-income countries over the last two decades
title_full_unstemmed The mitigating effect of social protection on undernourishment during economic downturns: A longitudinal study of 46 low- and middle-income countries over the last two decades
title_sort The mitigating effect of social protection on undernourishment during economic downturns: A longitudinal study of 46 low- and middle-income countries over the last two decades
dc.creator.none.fl_str_mv Barreix Sibils, Gonzalo
Brachowicz Quintanilla, Nicolai
Silva, Natanael de Jesus
Landin, Elisa
Macicame, I.
Naidoo, M.
Morais, G. de Sampaio
Rasella, Davide
author Barreix Sibils, Gonzalo
author_facet Barreix Sibils, Gonzalo
Brachowicz Quintanilla, Nicolai
Silva, Natanael de Jesus
Landin, Elisa
Macicame, I.
Naidoo, M.
Morais, G. de Sampaio
Rasella, Davide
author_role author
author2 Brachowicz Quintanilla, Nicolai
Silva, Natanael de Jesus
Landin, Elisa
Macicame, I.
Naidoo, M.
Morais, G. de Sampaio
Rasella, Davide
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Desigualtat social
Assistència social
Social inequality
Public welfare
topic Desigualtat social
Assistència social
Social inequality
Public welfare
description Background Low- and middle-income countries (LMICs) are particularly vulnerable to the adverse effects of economic downturns on the Prevalence of Undernourishment (PoU). Our study aimed to evaluate the impact of Social Protection and Labor Programs (SPL) on PoU in 46 LMICs from 2001 to 2019, and to estimate SPL mitigating effects during economic downturns. Methods This cohort study used a multi-country ecological design with two-ways fixed effects multivariable linear regression models, adjusted for relevant demographic, socioeconomic, and contextual variables. Interaction terms between economic downturns and SPL were used to evaluate SPL mitigating effects. Findings Our study cohort displayed an average 15.30% PoU and 34.34% SPL coverage in the initial year, contrasting with 8.58% PoU and 43.81% SPL coverage in the final year. A 10% SPL coverage was associated with a 0.51% PoU reduction (95%CI: 0.04–0.99) across all countries and 0.78% reduction within the poorest subgroup. SPL have been able to prevent an estimated 1.01 billion (95% UI: 0.16–1.86) cases of undernourishment over the study period in the 46 LMICs. Economic downturns were associated with a 4.55% PoU increase (95% CI: 1.28–7.81) in all countries, and a 6.06% PoU increase in the poorest subgroup. High SPL coverage during the downturns had significant mitigating effects, reducing an overall 1.17% PoU for every 10% SPL coverage in all countries, and 1.81% PoU in the poorest nations.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/229628
url https://hdl.handle.net/2445/229628
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1016/j.socscimed.2024.117365
Social Science & Medicine, 2024, vol. 361
https://doi.org/10.1016/j.socscimed.2024.117365
dc.rights.none.fl_str_mv cc-by-nc (c) Barreix Sibils, Gonzalo et al., 2024
http://creativecommons.org/licenses/by-nc/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc (c) Barreix Sibils, Gonzalo et al., 2024
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier Ltd.
publisher.none.fl_str_mv Elsevier Ltd.
dc.source.none.fl_str_mv Articles publicats en revistes (Economia)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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