A Multi-causal Model for Chronic Malnutrition and Anemia in a Population of Rural Coastal Children in Ecuador
María F Rivadeneira1, Ana L Moncayo2, Betzabé Tello3
1Instituto de Salud Pública, Facultad de Medicina, Pontificia Universidad Católica del Ecuador, Apartado, 1701-2184, Quito, Ecuador.
Insights
Chronic malnutrition and anemia affect many children in developing nations. Low income, maternal height, and household size are linked to malnutrition, while diarrhea and poor prenatal care impact anemia rates in Ecuadorian children.
Area of Science:
- Pediatric Nutrition and Public Health
- Global Health Disparities
Background:
- Chronic malnutrition and anemia are significant public health issues in developing countries, particularly affecting children under five.
- These conditions have long-term consequences on child development and overall health outcomes.
Purpose of the Study:
- To determine the prevalence of chronic malnutrition and anemia in children under five in a rural coastal community in Ecuador.
- To identify associated socio-economic, environmental, and biological factors using a multi-causal model.
Main Methods:
- A cross-sectional study involving 314 children under five in San Isidro, Ecuador.
- Data collection included anthropometric measurements, anemia indicators, and surveys of mothers/caregivers on various factors.
- Statistical analysis employed bivariate and multivariable Poisson regression.
Main Results:
- Prevalence rates were 12.42% for chronic malnutrition and 16.98% for anemia.
- Chronic malnutrition was associated with family income <$80/month, maternal height <150 cm, and households with >4 children.
- Anemia was linked to recurrent diarrhea, while adequate prenatal care showed a protective effect.
Conclusions:
- Comprehensive interventions are needed to address chronic malnutrition and anemia in rural coastal communities.
- Prioritizing socioeconomic improvements, family planning, enhanced prenatal care, and diarrhea reduction is crucial.
Objectives:
Chronic malnutrition and anemia are prevalent in developing countries. This research aimed to determine the prevalence of chronic malnutrition and anemia and their associated factors in children under five using a multi-causal model in a rural community in the coast of Ecuador.
Methods:
The study included 314 children under 5 years old who were residents of San Isidro, Ecuador. Indicators of chronic malnutrition and anemia were identified. Mothers/caregivers were surveyed on socio-economic and environmental conditions, feeding and care practices, access to health services and biological characteristics. Bivariate and multivariable Poisson regression were performed.
Results:
The prevalence was 12.42% (n = 39) for chronic malnutrition and 16.98% (n = 54) for anemia. There was a significant and independent association between chronic malnutrition and family income less than $80 USD per month (Prevalence Ratio [PR] = 2.74, 95% CI 1.04, 7.20), maternal height less than 150 cm (PR 3.00, 95% CI 1.69, 5.32) and residence in a household with more than 4 children (PR 3.05, 95% CI 1.48, 6.29). Anemia was 2.57 times higher (95% CI 1.17, 5.65) in children with more than two episodes of diarrhea in the last 6 months. Prenatal care (5 to 8 visits) provided a protective effect for anemia (PR 0.48, 95% CI 0.27, 0.89).
Conclusions For Practice:
Findings support the need for comprehensive interventions targeted toward chronic malnutrition and anemia in children from rural coastal communities. Improvement of socioeconomic conditions, family planning, prenatal care and reduction of diarrheal diseases should be prioritized.
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