ArticleFrontiers in public health2025
Multidimensional poverty and the co-occurrence of undernutrition and intestinal parasitic infections in Ecuadorian infants: a geospatial analysis.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: This study investigated the relationship between multidimensional poverty and the co-occurrence of undernutrition and intestinal parasitic infections among children under five in Ecuador. Materials and methods: Using the 2021 national outpatient Ecuadorian registry, we assessed the co-occurrence of undernutrition and intestinal parasitic infection incidences at the municipal-level through spatial analysis. We applied spatial autocorrelation to identify geographic co-occurrence clusters of high-high and low-low incidence rates. Subsequently, we compared the proportions of multidimensional poverty between the high-high and low-low co-occurrence clusters. Results: A spatial correlation was observed between the incidence of undernutrition (14.57 per 1,000 child-years) and intestinal parasitic infections (34.07 per 1,000 child-years) (Bivariate Moran's Index = 0.19, Conclusion: Our findings suggest that undernutrition and intestinal parasitic infections in children under 5 years of age tend to co-cluster, and their joint occurrence serves as an indicator of social inequity. High-high incidence clusters were concentrated in the nation's poorest regions, particularly the Amazon. To overcome this double burden, public-health measures must go beyond biomedical interventions and address its underlying social and structural determinants.
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