ArticlePublic health nutrition2014
Determinants of child malnutrition in rural and urban Ecuadorian highlands.
Article in Public health nutrition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Risk or associated factors of wasting among under-five children in Bangladesh: A systematic review.Asia Pacific journal of clinical nutrition · 2024Pooled it
- Prevalence of stunting and obesity in Ecuador: a systematic review.Public health nutrition · 2021Pooled it
- Provincial inequalities in child nutritional risk: a public health multivariate approach using Z-score matrices for spatial vulnerability assessment.Frontiers in public health · 2026Article
- Determinants of chronic malnutrition among under-five children in Ethiopia using simultaneous quantile regression.Scientific reports · 2025Article
- Factors associated with inequalities in malnutrition among children in Ghana using the 2022 GDHS and WHO HEAT framework.BMC public health · 2025Observational
- Perceptions of Underlying Factors and Consequences of Childhood Malnutrition and Care-Seeking Behaviour for Children Under 5 Years With Acute Malnutrition: A Qualitative Study in Rural Bangladesh.Maternal & child nutrition · 2025Article
- Prevalence and Predictors of Undernutrition Among Hospitalized Children in Orotta National Referral and Teaching Hospital in Asmara, Eritrea: A Cross-Sectional Study.Pediatric health, medicine and therapeutics · 2025Article
- "Dengue fever is not just urban or rural: Reframing its spatial categorization."Social science & medicine (1982) · 2024Article
- Determinants of stunting among children under age five in Burundi: Evidence from the 2016-2017 Burundi Demographic and Health Survey (BDHS 2016-17).Food science & nutrition · 2023Article
- Preschool child growth attainment and velocity during an agriculture intervention in rural Panama may be diminished by soil-transmitted helminths.Frontiers in public health · 2023Article
- The Effects of Financial Stress and Household Socio-Economic Deprivation on the Malnutrition Statuses of Children under Five during the COVID-19 Lockdown in a Marginalized Region of South Punjab, Pakistan.Children (Basel, Switzerland) · 2022Article
- Article
- Breastfeeding, feeding practices and stunting in indigenous Ecuadorians under 2 years of age.International breastfeeding journal · 2022Article
- Factors associated with acute malnutrition among children aged 6-59 months in Haiti, Burkina Faso and Madagascar: A pooled analysis.PloS one · 2022Article
- Prevalence of child malnutrition and household socioeconomic deprivation: A case study of marginalized district in Punjab, Pakistan.PloS one · 2022Article
- Simultaneous quantile regression and determinants of under-five severe chronic malnutrition in Ghana.BMC public health · 2020Article
- Explaining ethnic disparities in preterm birth in Argentina and Ecuador.Global public health · 2018Article
- Article
- Trends of child undernutrition in rural Ecuadorian communities with differential access to roads, 2004-2013.Maternal & child nutrition · 2018Article
- Infant and young child feeding practices and stunting in two highland provinces in Ecuador.Maternal & child nutrition · 2017Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify and compare the sociodemographic determinants of stunting, wasting and overweight among infants of urban and rural areas in the Ecuadorian highlands.
designCross-sectional study.
settingNabon (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.
resultsStunting 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).
conclusionsInfant 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.
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