ArticleInternational journal for equity in health2019
Trends in socioeconomic inequalities in stunting prevalence in Latin America and the Caribbean countries: differences between quintiles and deciles.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Economic inequality in malnutrition: a global systematic review and meta-analysis.BMJ global health · 2021Pooled it
- The Municipal Sustainable Development Health Index (MSDHI) to monitor the 2030 agenda in Brazil: a methodological proposal.International journal for equity in health · 2026Article
- Deaths due to malnutrition in children under five in Colombia, 2015-2023: a spatiotemporal analysis.Frontiers in public health · 2026Article
- Wealth-based inequalities in family planning and perinatal coverage among adolescent and young women: analyses of national surveys from Latin America and the Caribbean.Lancet regional health. Americas · 2026Article
- Understanding time-to-recovery among Guatemalan Children before and during COVID-19.Global pediatrics · 2023Article
- The role of gender inequality and health expenditure on the coverage of demand for family planning satisfied by modern contraceptives: a multilevel analysis of cross-sectional studies in 14 LAC countries.Lancet regional health. Americas · 2023Article
- Reducing inequities in maternal and child health in rural Guatemala through the CBIO+ Approach of Curamericas: 1. Introduction and project description.International journal for equity in health · 2023Review
- Burden of epilepsy in Latin America and The Caribbean: a trend analysis of the Global Burden of Disease Study 1990 - 2019.Lancet regional health. Americas · 2022Article
- The Pediatric Emergency Research Network: A Decade of Global Research Cooperation in Pediatric Emergency Care.Pediatric emergency care · 2021Article
- Combining Wearable Devices and Mobile Surveys to Study Child and Youth Development in Malawi: Implementation Study of a Multimodal Approach.JMIR public health and surveillance · 2021Article
- Population Estimates of GFR and Risk Factors for CKD in Guatemala.Kidney international reports · 2021Article
- National and subnational coverage and inequalities in reproductive, maternal, newborn, child, and sanitary health interventions in Ecuador: a comparative study between 1994 and 2012.International journal for equity in health · 2021Article
- Socioeconomic inequalities in HIV knowledge, HIV testing, and condom use among adolescent and young women in Latin America and the Caribbean.Revista panamericana de salud publica = Pan American journal of public health · 2021Article
- Global Dialysis Perspective: Guatemala.Kidney360 · 2020Article
- Caste Differences in Hypertension Among Women in India: Diminishing Health Returns to Socioeconomic Status for Lower Caste Groups.Journal of racial and ethnic health disparities · 2020Article
- CKD Care and Research in Guatemala: Overview and Meeting Report.Kidney international reports · 2020Article
- Geographic Targeting and Normative Frames: Revisiting the Equity of Conditional Cash Transfer Program Distribution in Bolivia, Colombia, Ecuador, and Peru.International journal for equity in health · 2020Article
- Extent of and trends in inequalities in child stunting in Sierra-Leone from 2005 to 2013: evidence from demographic and health surveys and multiple indicator cluster surveys.International journal for equity in health · 2020Article
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5 authors.
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Abstract
backgroundWith the adoption of the Sustainable Development Goals (SDGs), there is a renewed commitment of tackling the varied challenges of undernutrition, particularly stunting (SDG 2.2). Health equity is also a priority in the SDG agenda and there is an urgent need for disaggregated analyses to identify disadvantaged subgroups. We compared time trends in socioeconomic inequalities obtained through stratification by wealth quintiles and deciles for stunting prevalence.
methodsWe used 37 representative Demographic and Health Surveys and Multiple Indicator Cluster surveys from nine Latin American and Caribbean (LAC) countries conducted between 1996 and 2016. Stunting in children under-5 years was assessed according to the 2006 WHO Child Growth Standards and stratified by wealth quintiles and deciles. Within-country socioeconomic inequalities were measured through concentration index (CIX) and slope index of inequality (SII). We used variance-weighted least squares regression to estimate annual changes.
resultsEight out of nine countries showed a statistical evidence of reduction in stunting prevalence over time. Differences between extreme deciles were larger than between quintiles in most of countries and at every point in time. However, when using summary measures of inequality, there were no differences in the estimates of SII with the use of deciles and quintiles. In absolute terms, there was a reduction in socioeconomic inequalities in Peru, Honduras, Dominican Republic, Belize, Suriname and Colombia. In relative terms, there was an increase in socioeconomic inequalities in Peru, Bolivia, Haiti, Honduras and Guatemala.
conclusionsLAC countries have made substantial progress in terms of reducing stunting,. Nevertheless, renewed actions are needed to improve equity. Particularly in those countries were absolute and relative inequalities did not change over time such Bolivia and Guatemala. Finer breakdowns in wealth distribution are expected to elucidate more differences between subgroups; however, this approach is relevant to cast light on those subgroups that are still lagging behind within populations and inform equity-oriented health programs and practices.
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