Advanced search
1 file | 124.65 KB Add to list

Determinants of child malnutrition in rural and urban Ecuadorian highlands

(2014) PUBLIC HEALTH NUTRITION. 17(9). p.2122-2130
Author
Organization
Abstract
Objective: To identify and compare the sociodemographic determinants of stunting, wasting and overweight among infants of urban and rural areas in the Ecuadorian highlands. Design: Cross-sectional study. Setting: Nabon (rural) and Cuenca (urban) cantons, Azuay Province, Ecuador. Subjects: A total of 703 children aged 0-24 months and their caregivers (227 rural and 476 urban) recruited during the period from June to September 2008. Results: Stunting prevalence was significantly higher in the rural area (37.4% v. 17.7%; P < 0.001) while wasting (7.1%) and overweight (17.1%) prevalence were more similar between areas. Determinants of stunting for the pooled sample were male gender (OR=1.43; 95% CI 1.06, 1.92; P=0.02), preterm delivery (OR=1.65; 95% CI 1.14, 2.38; P=0.008), child's age (OR=1.04; 95% CI 1.01, 1.07; P=0.011), maternal education (OR=0.95; 95% CI 0.92, 0.99; P=0.025) and facility-based delivery (OR=0.57; 95% CI 0.45, 0.74; P=0.001). The latter was also a determinant of overweight (OR=0.39; 95% CI 0.25, 0.62; P<0.001). Rural determinants of stunting were maternal height (OR=0.004; 95% CI 0.00004, 0.39; P=0.018), diarrhoea prevalence (OR=2.18; 95% CI 1.13, 4.21; P=0.02), socio-economic status (OR=0.79; 95% CI 0.64, 0.98; P=0.030) and child's age (OR=1.07; 95% CI 1.02, 1.11; P=0.005). Urban determinants were: maternal BMI for stunting (OR=0.91; 95% CI 0.84, 0.99; P=0.027), cough prevalence (OR=0.57; 95% CI 0.34, 0.96; P=0.036) and facility-based delivery (OR=0.25; 95% CI 0.09, 0.73; P=0.011) for overweight, and hygiene for wasting (OR=0.57; 95% CI 0.36, 0.89; P=0.013). Conclusions: Infant malnutrition was associated with different sociodemographic determinants between urban and rural areas in the Ecuadorian highlands, a finding which contributes to prioritize the determinants to be assessed in nutritional interventions.
Keywords
Infants, Wasting, Rural-urban Ecuador, UNDERNUTRITION, LATIN-AMERICA, PREDICTORS, EDUCATION, RISK-FACTORS, Stunting, DEVELOPING-COUNTRIES, Overweight, HEALTH, GROWTH, BRAZIL, INTERVENTIONS

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 124.65 KB

Citation

Please use this url to cite or link to this publication:

MLA
Ortiz Ulloa, Silvia Johana, John Van Camp, Sylviana Marcella Wijaya, et al. “Determinants of Child Malnutrition in Rural and Urban Ecuadorian Highlands.” PUBLIC HEALTH NUTRITION 17.9 (2014): 2122–2130. Print.
APA
Ortiz Ulloa, S. J., Van Camp, J., Wijaya, S. M., Donoso, S., & Huybregts, L. (2014). Determinants of child malnutrition in rural and urban Ecuadorian highlands. PUBLIC HEALTH NUTRITION, 17(9), 2122–2130.
Chicago author-date
Ortiz Ulloa, Silvia Johana, John Van Camp, Sylviana Marcella Wijaya, Silvana Donoso, and Lieven Huybregts. 2014. “Determinants of Child Malnutrition in Rural and Urban Ecuadorian Highlands.” Public Health Nutrition 17 (9): 2122–2130.
Chicago author-date (all authors)
Ortiz Ulloa, Silvia Johana, John Van Camp, Sylviana Marcella Wijaya, Silvana Donoso, and Lieven Huybregts. 2014. “Determinants of Child Malnutrition in Rural and Urban Ecuadorian Highlands.” Public Health Nutrition 17 (9): 2122–2130.
Vancouver
1.
Ortiz Ulloa SJ, Van Camp J, Wijaya SM, Donoso S, Huybregts L. Determinants of child malnutrition in rural and urban Ecuadorian highlands. PUBLIC HEALTH NUTRITION. 2014;17(9):2122–30.
IEEE
[1]
S. J. Ortiz Ulloa, J. Van Camp, S. M. Wijaya, S. Donoso, and L. Huybregts, “Determinants of child malnutrition in rural and urban Ecuadorian highlands,” PUBLIC HEALTH NUTRITION, vol. 17, no. 9, pp. 2122–2130, 2014.
@article{4211030,
  abstract     = {Objective: To identify and compare the sociodemographic determinants of stunting, wasting and overweight among infants of urban and rural areas in the Ecuadorian highlands. 
Design: Cross-sectional study. 
Setting: Nabon (rural) and Cuenca (urban) cantons, Azuay Province, Ecuador. 
Subjects: A total of 703 children aged 0-24 months and their caregivers (227 rural and 476 urban) recruited during the period from June to September 2008. 
Results: Stunting prevalence was significantly higher in the rural area (37.4% v. 17.7%; P < 0.001) while wasting (7.1%) and overweight (17.1%) prevalence were more similar between areas. Determinants of stunting for the pooled sample were male gender (OR=1.43; 95% CI 1.06, 1.92; P=0.02), preterm delivery (OR=1.65; 95% CI 1.14, 2.38; P=0.008), child's age (OR=1.04; 95% CI 1.01, 1.07; P=0.011), maternal education (OR=0.95; 95% CI 0.92, 0.99; P=0.025) and facility-based delivery (OR=0.57; 95% CI 0.45, 0.74; P=0.001). The latter was also a determinant of overweight (OR=0.39; 95% CI 0.25, 0.62; P<0.001). Rural determinants of stunting were maternal height (OR=0.004; 95% CI 0.00004, 0.39; P=0.018), diarrhoea prevalence (OR=2.18; 95% CI 1.13, 4.21; P=0.02), socio-economic status (OR=0.79; 95% CI 0.64, 0.98; P=0.030) and child's age (OR=1.07; 95% CI 1.02, 1.11; P=0.005). Urban determinants were: maternal BMI for stunting (OR=0.91; 95% CI 0.84, 0.99; P=0.027), cough prevalence (OR=0.57; 95% CI 0.34, 0.96; P=0.036) and facility-based delivery (OR=0.25; 95% CI 0.09, 0.73; P=0.011) for overweight, and hygiene for wasting (OR=0.57; 95% CI 0.36, 0.89; P=0.013). 
Conclusions: Infant malnutrition was associated with different sociodemographic determinants between urban and rural areas in the Ecuadorian highlands, a finding which contributes to prioritize the determinants to be assessed in nutritional interventions.},
  author       = {Ortiz Ulloa, Silvia Johana and Van Camp, John and Wijaya, Sylviana Marcella and Donoso, Silvana and Huybregts, Lieven},
  issn         = {1368-9800},
  journal      = {PUBLIC HEALTH NUTRITION},
  keywords     = {Infants,Wasting,Rural-urban Ecuador,UNDERNUTRITION,LATIN-AMERICA,PREDICTORS,EDUCATION,RISK-FACTORS,Stunting,DEVELOPING-COUNTRIES,Overweight,HEALTH,GROWTH,BRAZIL,INTERVENTIONS},
  language     = {eng},
  number       = {9},
  pages        = {2122--2130},
  title        = {Determinants of child malnutrition in rural and urban Ecuadorian highlands},
  url          = {http://dx.doi.org/10.1017/S1368980013002528},
  volume       = {17},
  year         = {2014},
}

Altmetric
View in Altmetric
Web of Science
Times cited: