Trends of child undernutrition in rural Ecuadorian communities with differential access to roads, 2004-2013.
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.
PMID: 29411943 [PubMed - as supplied by publisher]
Source: Rural Remote Health - Category: Rural Health Authors: Lopez VK, Dombecki C, Trostle J, Mogrovejo P, Castro Morillo N, Cevallos W, Goldstick J, Jones AD, Eisenberg JNS Tags: Matern Child Nutr Source Type: research
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