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Trends of child undernutrition in rural Ecuadorian communities with differential access to roads, 2004–2013
dc.contributor.authorLopez, Velma K.
dc.contributor.authorDombecki, Carolyn
dc.contributor.authorTrostle, James
dc.contributor.authorMogrovejo, Patricia
dc.contributor.authorCastro Morillo, Nancy
dc.contributor.authorCevallos, William
dc.contributor.authorGoldstick, Jason
dc.contributor.authorJones, Andrew D.
dc.contributor.authorEisenberg, Joseph N. S.
dc.date.accessioned2018-07-13T15:47:52Z
dc.date.available2019-09-04T20:15:39Zen
dc.date.issued2018-07
dc.identifier.citationLopez, Velma K.; Dombecki, Carolyn; Trostle, James; Mogrovejo, Patricia; Castro Morillo, Nancy; Cevallos, William; Goldstick, Jason; Jones, Andrew D.; Eisenberg, Joseph N. S. (2018). "Trends of child undernutrition in rural Ecuadorian communities with differential access to roads, 2004–2013." Maternal & Child Nutrition 14(3): n/a-n/a.
dc.identifier.issn1740-8695
dc.identifier.issn1740-8709
dc.identifier.urihttps://hdl.handle.net/2027.42/144663
dc.description.abstractRoad access can influence protective and risk factors associated with nutrition by affecting various social and biological processes. In northern coastal Ecuador, the construction of new roads created a remoteness gradient among villages, providing a unique opportunity to examine the impact of roads on child nutritional outcomes 10 years after the road was built. Anthropometric and haemoglobin measurements were collected from 2,350 children <5 years in Esmeraldas, Ecuador, from 2004 to 2013 across 28 villages with differing road access. Logistic generalized estimating equation models assessed the longitudinal association between village remoteness and prevalence of stunting, wasting, underweight, overweight, obesity, and anaemia. We examined the influence of socio‐economic characteristics on the pathway between remoteness and nutrition by comparing model results with and without household‐level socio‐economic covariates. Remoteness was associated with stunting (OR = 0.43, 95% CI [0.30, 0.63]) and anaemia (OR = 0.56, 95% CI [0.44, 0.70]). Over time, the prevalence of stunting was generally decreasing but remained higher in villages closer to the road compared to those farther away. Obesity increased (0.5% to 3%) over time; wasting was high (6%) but stable during the study period. Wealth and education partially explained the better nutritional outcomes in remote vs. road villages more than a decade after some communities gained road access. Establishing the extent to which these patterns persist requires additional years of observation.
dc.publisherCentro de Investigación y Desarrollo Pontificia Universidad Católica del Ecuador Sede Esmeraldas
dc.publisherWiley Periodicals, Inc.
dc.subject.otherroads
dc.subject.otherchild nutrition
dc.subject.otherdistal determinant
dc.subject.otherchild malnutrition
dc.subject.otheranthropometry
dc.subject.otherglobal health
dc.titleTrends of child undernutrition in rural Ecuadorian communities with differential access to roads, 2004–2013
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPediatrics
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/144663/1/mcn12588.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/144663/2/mcn12588_am.pdf
dc.identifier.doi10.1111/mcn.12588
dc.identifier.sourceMaternal & Child Nutrition
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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