Universidad Peruana Cayetano Heredia
Urbanization in Peru is inversely associated with double burden of malnutrition: Pooled analysis of 92,841 mother-child pairs
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| dc.contributor.author | Mendoza-Quispe, Daniel | |
| dc.contributor.author | Hernandez-Vasquez, Akram | |
| dc.contributor.author | Miranda, J. Jaime | |
| dc.contributor.author | Anza-Ramirez, Cecilia | |
| dc.contributor.author | Carrillo Larco, Rodrigo Martín | |
| dc.contributor.author | Pomati, Marco | |
| dc.contributor.author | Nandy, Shailen | |
| dc.contributor.author | Bernabé Ortiz, Antonio | |
| dc.date.accessioned | 2021-10-04T23:01:01Z | |
| dc.date.available | 2021-10-04T23:01:01Z | |
| dc.date.issued | 2021 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12866/9907 | |
| dc.description.abstract | Objective This study assessed the relationship between urbanization and the double burden of malnutrition (DBM) in Peru.Methods A cross-sectional analysis of the Demographic and Health Survey (2009 to 2016) was conducted. A DBM "case" comprised a child with undernutrition and a mother with overweight/obesity. For urbanization, three indicators were used: an eight-category variable based on district-level population density (inhabitants/km(2)), a dichotomous urban/rural variable, and place of residence (countryside, towns, small cities, or capital/large cities).Results The prevalence of DBM was lower in urban than in rural areas (prevalence ratio [PR] 0.70; 95% CI: 0.65-0.75), and compared with the countryside, DBM was less prevalent in towns (PR 0.75; 95% CI: 0.69-0.82), small cities (PR 0.73; 95% CI: 0.67-0.79), and capital/large cities (PR 0.53; 95% CI: 0.46-0.61). Using population density, the adjusted prevalence of DBM was 9.7% (95% CI: 9.4%-10.1%) in low-density settings (1 to 500 inhabitants/km(2)), 5.9% (95% CI: 4.9%-6.8%) in mid-urbanized settings (1,001 to 2,500 inhabitants/km(2)), 5.8% (95% CI: 4.5%-7.1%) in more densely populated settings (7,501 to 10,000 inhabitants/km(2)), and 5.5% (95% CI: 4.1%-7.0%) in high-density settings (>15,000 inhabitants/km(2)).Conclusions The prevalence of DBM is higher in the least-urbanized settings such as rural and peri-urban areas, particularly those under 2,500 inhabitants/km(2) | en_US |
| dc.language.iso | eng | |
| dc.publisher | Wiley | |
| dc.relation.ispartofseries | Obesity | |
| dc.rights | info:eu-repo/semantics/restrictedAccess | |
| dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es | |
| dc.subject | Urbanization | en_US |
| dc.subject | Peru | en_US |
| dc.subject | malnutrition | en_US |
| dc.subject | mother–child pairs | en_US |
| dc.title | Urbanization in Peru is inversely associated with double burden of malnutrition: Pooled analysis of 92,841 mother-child pairs | en_US |
| dc.type | info:eu-repo/semantics/article | |
| dc.identifier.doi | https://doi.org/10.1002/oby.23188 | |
| dc.subject.ocde | https://purl.org/pe-repo/ocde/ford#3.02.18 | |
| dc.subject.ocde | https://purl.org/pe-repo/ocde/ford#3.03.04 | |
| dc.relation.issn | 1930-739X |
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