Substantial reduction in child stunting is differentially associated to geographical and socioeconomic disparities in Misiones Province, Argentina
| Autor: | María Soledad Fernández, Maria Romina Rivero, Carlos Daniel de Angelo, Pablo Alfredo Nuñez, Gerardo Rubén Cueto, Adriana Pérez, Oscar Daniel Salomón, Pablo Turjanski |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Rural Population CIENCIAS MÉDICAS Y DE LA SALUD Urban Population 030231 tropical medicine Argentina Nutritional Status Ciencias de la Salud STUNTING 03 medical and health sciences purl.org/becyt/ford/3.3 [https] 0302 clinical medicine Sex Factors CHILD Prevalence Humans Socioeconomics Socioeconomic status Growth Disorders ARGENTINA Geography Public Health Environmental and Occupational Health Age Factors Infant Newborn Infant Bayes Theorem Otras Ciencias de la Salud Infectious Diseases Socioeconomic Factors Child Preschool Linear Models INEQUALITIES Parasitology purl.org/becyt/ford/3 [https] Female INTEGRATED NESTED LAPLACE APPROXIMATIONS |
| Zdroj: | CONICET Digital (CONICET) Consejo Nacional de Investigaciones Científicas y Técnicas instacron:CONICET |
| DOI: | 10.1111/tmi.13400 |
| Popis: | Objective: To estimate trends in the prevalence of child stunting in the population of children under 5 years of age covered by public health programmes, between 2009 and 2014 in Misiones, Argentina. Methods: Using Bayesian model-based geostatistics, we evaluated 724 872 anthropometric measurements corresponding to 110 633 children. In order to identify disparities at local scale, we evaluated the hypotheses of a differential reduction of stunting according to the geographical location (at two-level spatial resolution) and to the socioeconomic level in a rural or urban environment. Results: The prevalence of stunting had fallen significantly in the province overall. Sex and age defined gender disparities at individual level, and there were regional disparities with higher prevalence values in the north and northeast regions. In these areas, stunting decreased to a greater degree during the studied period, although the spatial pattern remained smoother. Stunting increased in peripheral urban and dispersed rural areas that are socioeconomically vulnerable. Conclusions: The spatial multi-level geostatistical estimates of child undernutrition provide a precision public health tool to target public policies to those populations with the greatest need, in order to reduce health disparities. Fil: Nuñez, Pablo Alfredo. Ministerio de Salud. Instituto Nacional de Medicina Tropical; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina Fil: Fernández, María Soledad. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina Fil: Turjanski, Pablo Guillermo. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Computación; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria; Argentina Fil: Pérez, Adriana. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina Fil: Rivero, Maria Romina. Ministerio de Salud. Instituto Nacional de Medicina Tropical; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina Fil: de Angelo, Carlos Daniel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina Fil: Salomón, Oscar Daniel. Ministerio de Salud. Instituto Nacional de Medicina Tropical; Argentina Fil: Cueto, Gerardo Ruben. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina |
| Databáze: | OpenAIRE |
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