Substantial reduction in child stunting is differentially associated to geographical and socioeconomic disparities in Misiones Province, Argentina

Autores
Nuñez, Pablo Alfredo; Fernández, María Soledad; Turjanski, Pablo Guillermo; Pérez, Adriana; Rivero, Maria Romina; de Angelo, Carlos Daniel; Salomón, Oscar Daniel; Cueto, Gerardo Ruben
Año de publicación
2020
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Objective: To estimate trends in the prevalence of child stunting in the population of children under 5 years of age covered by public health programmes, between 2009 and 2014 in Misiones, Argentina. Methods: Using Bayesian model-based geostatistics, we evaluated 724 872 anthropometric measurements corresponding to 110 633 children. In order to identify disparities at local scale, we evaluated the hypotheses of a differential reduction of stunting according to the geographical location (at two-level spatial resolution) and to the socioeconomic level in a rural or urban environment. Results: The prevalence of stunting had fallen significantly in the province overall. Sex and age defined gender disparities at individual level, and there were regional disparities with higher prevalence values in the north and northeast regions. In these areas, stunting decreased to a greater degree during the studied period, although the spatial pattern remained smoother. Stunting increased in peripheral urban and dispersed rural areas that are socioeconomically vulnerable. Conclusions: The spatial multi-level geostatistical estimates of child undernutrition provide a precision public health tool to target public policies to those populations with the greatest need, in order to reduce health disparities.
Fil: Nuñez, Pablo Alfredo. Ministerio de Salud. Instituto Nacional de Medicina Tropical; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina
Fil: Fernández, María Soledad. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina
Fil: Turjanski, Pablo Guillermo. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Computación; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria; Argentina
Fil: Pérez, Adriana. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina
Fil: Rivero, Maria Romina. Ministerio de Salud. Instituto Nacional de Medicina Tropical; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: de Angelo, Carlos Daniel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina
Fil: Salomón, Oscar Daniel. Ministerio de Salud. Instituto Nacional de Medicina Tropical; Argentina
Fil: Cueto, Gerardo Ruben. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Materia
ARGENTINA
CHILD
INEQUALITIES
INTEGRATED NESTED LAPLACE APPROXIMATIONS
STUNTING
Nivel de accesibilidad
acceso embargado
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/113303
Acceder
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network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Substantial reduction in child stunting is differentially associated to geographical and socioeconomic disparities in Misiones Province, ArgentinaNuñez, Pablo AlfredoFernández, María SoledadTurjanski, Pablo GuillermoPérez, AdrianaRivero, Maria Rominade Angelo, Carlos DanielSalomón, Oscar DanielCueto, Gerardo RubenARGENTINACHILDINEQUALITIESINTEGRATED NESTED LAPLACE APPROXIMATIONSSTUNTINGhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Objective: To estimate trends in the prevalence of child stunting in the population of children under 5 years of age covered by public health programmes, between 2009 and 2014 in Misiones, Argentina. Methods: Using Bayesian model-based geostatistics, we evaluated 724 872 anthropometric measurements corresponding to 110 633 children. In order to identify disparities at local scale, we evaluated the hypotheses of a differential reduction of stunting according to the geographical location (at two-level spatial resolution) and to the socioeconomic level in a rural or urban environment. Results: The prevalence of stunting had fallen significantly in the province overall. Sex and age defined gender disparities at individual level, and there were regional disparities with higher prevalence values in the north and northeast regions. In these areas, stunting decreased to a greater degree during the studied period, although the spatial pattern remained smoother. Stunting increased in peripheral urban and dispersed rural areas that are socioeconomically vulnerable. Conclusions: The spatial multi-level geostatistical estimates of child undernutrition provide a precision public health tool to target public policies to those populations with the greatest need, in order to reduce health disparities.Fil: Nuñez, Pablo Alfredo. Ministerio de Salud. Instituto Nacional de Medicina Tropical; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; ArgentinaFil: Fernández, María Soledad. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; ArgentinaFil: Turjanski, Pablo Guillermo. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Computación; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria; ArgentinaFil: Pérez, Adriana. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; ArgentinaFil: Rivero, Maria Romina. Ministerio de Salud. Instituto Nacional de Medicina Tropical; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: de Angelo, Carlos Daniel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; ArgentinaFil: Salomón, Oscar Daniel. Ministerio de Salud. Instituto Nacional de Medicina Tropical; ArgentinaFil: Cueto, Gerardo Ruben. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaWiley Blackwell Publishing, Inc2020-07info:eu-repo/date/embargoEnd/2020-11-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/113303Nuñez, Pablo Alfredo; Fernández, María Soledad; Turjanski, Pablo Guillermo; Pérez, Adriana; Rivero, Maria Romina; et al.; Substantial reduction in child stunting is differentially associated to geographical and socioeconomic disparities in Misiones Province, Argentina; Wiley Blackwell Publishing, Inc; Tropical Medicine And International Health; 25; 7; 7-2020; 874-8851360-2276CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1111/tmi.13400info:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/abs/10.1111/tmi.13400info:eu-repo/semantics/embargoedAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T10:02:26Zoai:ri.conicet.gov.ar:11336/113303instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 10:02:27.113CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Substantial reduction in child stunting is differentially associated to geographical and socioeconomic disparities in Misiones Province, Argentina
title Substantial reduction in child stunting is differentially associated to geographical and socioeconomic disparities in Misiones Province, Argentina
spellingShingle Substantial reduction in child stunting is differentially associated to geographical and socioeconomic disparities in Misiones Province, Argentina
Nuñez, Pablo Alfredo
ARGENTINA
CHILD
INEQUALITIES
INTEGRATED NESTED LAPLACE APPROXIMATIONS
STUNTING
title_short Substantial reduction in child stunting is differentially associated to geographical and socioeconomic disparities in Misiones Province, Argentina
title_full Substantial reduction in child stunting is differentially associated to geographical and socioeconomic disparities in Misiones Province, Argentina
title_fullStr Substantial reduction in child stunting is differentially associated to geographical and socioeconomic disparities in Misiones Province, Argentina
title_full_unstemmed Substantial reduction in child stunting is differentially associated to geographical and socioeconomic disparities in Misiones Province, Argentina
title_sort Substantial reduction in child stunting is differentially associated to geographical and socioeconomic disparities in Misiones Province, Argentina
dc.creator.none.fl_str_mv Nuñez, Pablo Alfredo
Fernández, María Soledad
Turjanski, Pablo Guillermo
Pérez, Adriana
Rivero, Maria Romina
de Angelo, Carlos Daniel
Salomón, Oscar Daniel
Cueto, Gerardo Ruben
author Nuñez, Pablo Alfredo
author_facet Nuñez, Pablo Alfredo
Fernández, María Soledad
Turjanski, Pablo Guillermo
Pérez, Adriana
Rivero, Maria Romina
de Angelo, Carlos Daniel
Salomón, Oscar Daniel
Cueto, Gerardo Ruben
author_role author
author2 Fernández, María Soledad
Turjanski, Pablo Guillermo
Pérez, Adriana
Rivero, Maria Romina
de Angelo, Carlos Daniel
Salomón, Oscar Daniel
Cueto, Gerardo Ruben
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv ARGENTINA
CHILD
INEQUALITIES
INTEGRATED NESTED LAPLACE APPROXIMATIONS
STUNTING
topic ARGENTINA
CHILD
INEQUALITIES
INTEGRATED NESTED LAPLACE APPROXIMATIONS
STUNTING
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Objective: To estimate trends in the prevalence of child stunting in the population of children under 5 years of age covered by public health programmes, between 2009 and 2014 in Misiones, Argentina. Methods: Using Bayesian model-based geostatistics, we evaluated 724 872 anthropometric measurements corresponding to 110 633 children. In order to identify disparities at local scale, we evaluated the hypotheses of a differential reduction of stunting according to the geographical location (at two-level spatial resolution) and to the socioeconomic level in a rural or urban environment. Results: The prevalence of stunting had fallen significantly in the province overall. Sex and age defined gender disparities at individual level, and there were regional disparities with higher prevalence values in the north and northeast regions. In these areas, stunting decreased to a greater degree during the studied period, although the spatial pattern remained smoother. Stunting increased in peripheral urban and dispersed rural areas that are socioeconomically vulnerable. Conclusions: The spatial multi-level geostatistical estimates of child undernutrition provide a precision public health tool to target public policies to those populations with the greatest need, in order to reduce health disparities.
Fil: Nuñez, Pablo Alfredo. Ministerio de Salud. Instituto Nacional de Medicina Tropical; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina
Fil: Fernández, María Soledad. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina
Fil: Turjanski, Pablo Guillermo. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Computación; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria; Argentina
Fil: Pérez, Adriana. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina
Fil: Rivero, Maria Romina. Ministerio de Salud. Instituto Nacional de Medicina Tropical; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: de Angelo, Carlos Daniel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina
Fil: Salomón, Oscar Daniel. Ministerio de Salud. Instituto Nacional de Medicina Tropical; Argentina
Fil: Cueto, Gerardo Ruben. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
description Objective: To estimate trends in the prevalence of child stunting in the population of children under 5 years of age covered by public health programmes, between 2009 and 2014 in Misiones, Argentina. Methods: Using Bayesian model-based geostatistics, we evaluated 724 872 anthropometric measurements corresponding to 110 633 children. In order to identify disparities at local scale, we evaluated the hypotheses of a differential reduction of stunting according to the geographical location (at two-level spatial resolution) and to the socioeconomic level in a rural or urban environment. Results: The prevalence of stunting had fallen significantly in the province overall. Sex and age defined gender disparities at individual level, and there were regional disparities with higher prevalence values in the north and northeast regions. In these areas, stunting decreased to a greater degree during the studied period, although the spatial pattern remained smoother. Stunting increased in peripheral urban and dispersed rural areas that are socioeconomically vulnerable. Conclusions: The spatial multi-level geostatistical estimates of child undernutrition provide a precision public health tool to target public policies to those populations with the greatest need, in order to reduce health disparities.
publishDate 2020
dc.date.none.fl_str_mv 2020-07
info:eu-repo/date/embargoEnd/2020-11-01
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/113303
Nuñez, Pablo Alfredo; Fernández, María Soledad; Turjanski, Pablo Guillermo; Pérez, Adriana; Rivero, Maria Romina; et al.; Substantial reduction in child stunting is differentially associated to geographical and socioeconomic disparities in Misiones Province, Argentina; Wiley Blackwell Publishing, Inc; Tropical Medicine And International Health; 25; 7; 7-2020; 874-885
1360-2276
CONICET Digital
CONICET
url http://hdl.handle.net/11336/113303
identifier_str_mv Nuñez, Pablo Alfredo; Fernández, María Soledad; Turjanski, Pablo Guillermo; Pérez, Adriana; Rivero, Maria Romina; et al.; Substantial reduction in child stunting is differentially associated to geographical and socioeconomic disparities in Misiones Province, Argentina; Wiley Blackwell Publishing, Inc; Tropical Medicine And International Health; 25; 7; 7-2020; 874-885
1360-2276
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
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info:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/abs/10.1111/tmi.13400
dc.rights.none.fl_str_mv info:eu-repo/semantics/embargoedAccess
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eu_rights_str_mv embargoedAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Wiley Blackwell Publishing, Inc
publisher.none.fl_str_mv Wiley Blackwell Publishing, Inc
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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