La relación entre el estado nutricional de una población afroecuatoriana y la distancia a la carretera de Borbón en la Provincia de Esmeraldas

This study is part of project called "EcoDess": Environment, Development, Health and Society, which is developing a research project called "Environmental Change and a natural experiment, funded by the National Institute of Allergy and Infectious Diseases "NIAID" the United States, involving the Universities of Berkeley, Michigan and San Francisco University of Quito. The aim of the nutritional study was to determine the nutritional status of an Afro-Ecuadorian population in twenty-one communities, according to distance and access to the Road of Bourbon, located in the province of Esmeraldas, Ecuador.El presente estudio, es parte de los componentes del proyecto denominado “EcoDess”: Ecología, Desarrollo, Salud y Sociedad, el mismo que esta desarrollando un proyecto de investigación denominado “Cambios medioambientales y un experimento natural, financiado por el Instituto Nacional de Alergia y Enfermedades Infecciosas “NIAID” los Estados Unidos, con la participación de las Universidades de Berkeley , Michigan y Universidad San Francisco de Quito. El objetivo del estudio nutricional es “Determinar el estado nutricional de una población afroecuatoriana en veintiún comunidades, en relación con la distancia y el acceso a la carretera de Borbón; localizada en la provincia de Esmeraldas- Ecuador

Trends of child undernutrition in rural Ecuadorian communities with differential access to roads, 2004–2013

Road access can influence protective and risk factors associated with nutrition by affecting various social and biological processes. In northern coastal Ecuador, the construction of new roads created a remoteness gradient among villages, providing a unique opportunity to examine the impact of roads on child nutritional outcomes 10 years after the road was built. Anthropometric and haemoglobin measurements were collected from 2,350 children <5 years in Esmeraldas, Ecuador, from 2004 to 2013 across 28 villages with differing road access. Logistic generalized estimating equation models assessed the longitudinal association between village remoteness and prevalence of stunting, wasting, underweight, overweight, obesity, and anaemia. 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.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/144663/1/mcn12588.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/144663/2/mcn12588_am.pd