Zeina Jamaluddine

Zeina Jamaluddine
London School of Hygiene and Tropical Medicine | LSHTM · Faculty of Epidemiology and Population Health

MS Nutrition

About

40
Publications
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Publications

Publications (40)
Article
Full-text available
Water security requires not only sufficient availability of and access to safe and acceptable quality for domestic uses, but also fair distribution within and across populations. However, a key research gap remains in understanding water security inequality and its dynamics, which in turn creates an impediment to tracking progress towards sustainab...
Article
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Background In the context of the rapid nutrition transition experienced by middle-income countries of the Arab region, children and adolescent’s food choices and dietary behaviors are early risk factors for the development of non-communicable diseases. Assessment of factors influencing food choices among this age group is challenging and is usually...
Article
Full-text available
Background: Conflict reduces availability of production input and income, increases the number of days households had to rely on less preferred foods, and limits the variety of foods eaten and the portion size of meals consumed. While existing studies examine the impact of conflict on different food security measures (e.g., Food Consumption Score,...
Article
Full-text available
Background Children ages 6 to 17 years can accurately assess their own food insecurity, whereas parents are inaccurate reporters of their children's experiences of food insecurity. No globally applicable scale to assess food insecurity of children has been developed and validated. Objective We aimed to develop a globally applicable experience-base...
Article
Although great improvements in child survival were achieved in the past two decades, progress has been uneven within and across countries, and the COVID-19 pandemic threatens to reverse previous advances. Demographic and epidemiological transitions around the world have resulted in shifts in the causes and distribution of child death and diseases,...
Article
Full-text available
Objective To investigate the effects of providing a daily healthy school snack on children’s nutritional, social and educational outcomes, and explore stakeholders’ perceptions of an emergency School Feeding Programme (SFP). Design Convergence triangulation mixed-methods study design. Associations were examined between receiving the school feeding...
Article
This paper evaluates the impact of multi-purpose cash assistance on Syrian refugee children living in Lebanon. Using a sharp multidimensional regression discontinuity design, we estimate the program impact of varying cash assistance durations measured over two waves of household survey data collected in 2019. The novel research design enables us to...
Article
This paper evaluates the impact of multipurpose cash assistance on refugee households, by relying on an original sampling design that allows tracing these impacts over multiple periods. Using two waves of household survey data collected in 2019 from economically vulnerable Syrian refugee households in Lebanon, we estimate the program impact of vary...
Article
Full-text available
Household survey data from 27 sites in 22 countries were collected in 2017–2018 in order to construct and validate a cross-cultural household-level water insecurity scale. The resultant Household Water Insecurity Experiences (HWISE) scale presents a useful tool for monitoring and evaluating water interventions as a complement to traditional metrics...
Article
Background: Conflict impacts food security and decreases household dietary diversity. However, few studies have explored the routes by which prolonged conflict and social stressors affect food insecurity experience and food diversity. This study examines the influence of political, economic, and agricultural stressors on food insecurity and food d...
Article
Background: Palestinian refugees in Lebanon (PRL) and Palestinian refugees from Syria (PRS) living in Lebanon have high poverty rates. As the social, economic, and physical environment in which a child develops is a strong determinant of health and wellbeing, a comprehensive approach that recognises the influence of multidimensional deprivation on...
Article
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Ensuring diets of children aged 6–23 months meet recommended guidance is crucial for growth and development and for the prevention of malnutrition including stunting, wasting and micronutrient deficiencies. Despite some improvement, indicators related to undernutrition and overnutrition fall short of global targets in the Middle East and North Afri...
Article
Full-text available
We sought to determine whether a shortened version of the 12-item Household Water Insecurity Experiences (HWISE) Scale, which measures water insecurity equivalently in low-and middle-income countries (LMICs), is valid for broad use. Using data from 9,261 households in 25 LMICs, subsets of candidate items were evaluated on their predictive accuracy,...
Article
Full-text available
Water security is a powerful concept that is still in its early days in the field of nutrition. Given the prevalence and severity of water issues and the many interconnections between water and nutrition, we argue that water security deserves attention commensurate with its importance to human nutrition and health. To this end, we first give a brie...
Article
In March 2020, the World Health Organization (WHO) issued a set of public guidelines for Coronavirus Disease 2019 (COVID-19) prevention measures that highlighted handwashing, physical distancing, and household cleaning. These health behaviors are severely compromised in parts of the world that lack secure water supplies, particularly in low- and mi...
Article
Full-text available
Essential health, education and other service disruptions arising from the COVID-19 pandemic risk reversing some of the hard-won gains in improving child survival over the past 40 years. Although children have milder symptoms of COVID-19 disease than adults, pandemic control measures in many countries have disrupted health, education and other serv...
Article
Full-text available
We sought to determine whether a shortened version of the 12-item Household Water Insecurity Experiences (HWISE) Scale, which measures water insecurity equivalently in low- and middle-income countries (LMICs), is valid for broad use. Using data from 9,261 households in 25 LMICs, subsets of candidate items were evaluated on their predictive accuracy...
Article
Objectives While food and cash-assistance have been shown to improve food security in Syrian refugees living in Lebanon, no studies have investigated dosage variability of cash transfers on food security in this setting. We assessed the impact of short- (≤12 months) and long-term (>12 months) multi-purpose cash assistance (MPC) provided by the Worl...
Article
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Background: Women and children suffer disproportionately in armed-conflicts. Since 2011, the protracted Syrian crisis has fragmented the pre-existing healthcare system. Despite the massive health needs of women and children, the delivery of key reproductive, maternal, newborn, child and adolescent health and nutrition (RMNCAH&N) interventions, and...
Article
Billions of people globally, living with various degrees of water insecurity, obtain their household and drinking water from diverse sources that can absorb a disproportionate amount of a household's income. In theory, there are income and expenditure thresholds associated with effective mitigation of household water insecurity, but there is little...
Article
Full-text available
Although the prevalence of obesity has rapidly increased in the low‐ and middle‐income countries of the Middle East and North Africa (MENA) and Latin America and the Caribbean (LAC) regions, child undernutrition remains a public‐health challenge. We examined region‐specific sociodemographic determinants of this double burden of malnutrition, specif...
Article
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Background: The aim of this study is to investigate the potential impact of a community-based intervention - the Healthy Kitchens, Healthy Children (HKHC) intervention - on participating women's household's economics and food security status, decision making, mental health and social support. Methods: We established two healthy kitchens in exist...
Article
Objective Decades of marginalization have led Palestinian refugees living in Lebanon to experience multigenerational poverty and food insecurity. The Healthy Kitchens, Healthy Children programme implemented and examined the impact of a two-pronged intervention that employed women through community kitchens to deliver a subsidized healthy daily scho...
Article
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Background: Few intervention studies have focused on how inputs link with outcomes. Objectives: This study tested whether Suaahara I program inputs translated into intended outcomes and identified gaps along the theorized program impact pathway to improved nutrition, care, and water, sanitation, and hygiene behaviors. Methods: We used househol...
Article
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Objectives: HPV infection is associated with the development of cervical and oropharyngeal cancer. HPV vaccination prevents cervical cancer, but is still not part of Lebanon's routine vaccination schedule. As such, understanding physicians' practice towards HPV vaccination is essential. Material and methods: We conducted a cross-sectional study...
Article
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Objective Progress towards equitable and sufficient water has primarily been measured by population-level data on water availability. However, higher-resolution measures of water accessibility, adequacy, reliability and safety (ie, water insecurity) are needed to understand how problems with water impact health and well-being. Therefore, we develop...
Article
Background: Recent studies have shown that children are able to accurately describe their own experiences of food insecurity; however, few studies have quantified this experience. Objectives: We aimed to develop and validate a child food security scale to be used in Arabic-speaking countries. Methods: As part of the Healthy Kitchens Healthy Ch...
Article
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Objectives: Food and water insecurity have both been demonstrated as acute and chronic stressors and undermine human health and development. A basic untested proposition is that they chronically coexist, and that household water insecurity is a fundamental driver of household food insecurity. Methods: We provide a preliminary assessment of their...
Article
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Introduction A wide range of water-related problems contribute to the global burden of disease. Despite the many plausible consequences for health and well-being, there is no validated tool to measure individual- or household-level water insecurity equivalently across varying cultural and ecological settings. Accordingly, we are developing the Hous...
Article
Persistent Human Papilloma Virus (HPV) infection is associated with the development of cervical cancer, a leading cause of female death worldwide. In Lebanon, cervical cancer is the 6th most common cancer amongst girls and women aged 14–44 years. Cervical cancer is preventable through HPV vaccination; however, Lebanon does not include HPV vaccinati...
Article
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The United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) provides life-saving humanitarian aid for 5·4 million Palestine refugees now entering their eighth decade of statelessness and conflict. About a third of Palestine refugees still live in 58 recognised camps. UNRWA operates 702 schools and 144 health centres,...
Poster
Palestinian refugees living in Lebanon are protracted refugees facing poverty and exclusion. Food insecurity (FI) in this population has been shown to threaten dietary diversity, physical, mental and social health. Female-headed households are particularly at risk of FI and women in this population experience high rates of unemployment. We establis...
Conference Paper
Palestinian refugees living in Lebanon are protracted refugees facing poverty and exclusion. Food insecurity (FI) in this population has been shown to threaten dietary diversity, physical, mental and social health. Female-headed households are particularly at risk of FI and women in this population experience high rates of unemployment. We establi...
Conference Paper
Recent studies have shown that children are able to accurately describe their own experiences of food insecurity, however few studies have quantified this experience, and none have done this in the Middle Eastern context. Informed by a previous qualitative analysis of child food insecurity in Lebanon, we developed a set of items to quantify child f...
Article
Full-text available
Background In the Arab world, intervention and policy response to non-communicable diseases (NCD) has been weak despite extensive epidemiological evidence highlighting the alarmingly increased prevalence of chronic diseases. Generating genetic information is one key component to promote efficient disease management strategies. This study undertook...
Thesis
Full-text available
Intake of excess saturated fats, as noted in the western-style diet, is linked with the development of metabolic diseases. Saturated fatty acids, especially in the form of palmitic acids, are known inducers of endoplasmic reticulum (ER) stress causing alteration of cellular functions and manifestation of metabolic diseases such as obesity. The smal...

Projects