ArticleMaternal & child nutrition2018
Trends of child undernutrition in rural Ecuadorian communities with differential access to roads, 2004-2013.
Article in Maternal & child nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed.
- Estimating double burden of malnutrition among rural and urban children in Amazonia using Bayesian latent models.Frontiers in public health · 2025Article
- Pandemic-associated food insecurity in northern, coastal Ecuador.Journal of hunger & environmental nutrition · 2024Article
- "Chicken dumping": Motivations and perceptions in shifting poultry production practices.One health (Amsterdam, Netherlands) · 2021Article
- Gut microbiome, enteric infections and child growth across a rural-urban gradient: protocol for the ECoMiD prospective cohort study.BMJ open · 2021Article
- Multiple burdens of malnutrition and relative remoteness in rural Ecuadorian communities.Public health nutrition · 2021Article
- Household coping strategies associated with unreliable water supplies and diarrhea in Ecuador, an upper-middle-income country.Water research · 2020Article
- Trends of child undernutrition in rural Ecuadorian communities with differential access to roads, 2004-2013.Maternal & child nutrition · 2018Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
Road 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.
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