Urbanization in Peru is inversely associated with double burden of malnutrition: Pooled analysis of 92,841 mother-child pairs.
Obesity (Silver Spring)
; 29(8): 1363-1374, 2021 08.
Article
in En
| MEDLINE
| ID: mdl-34148299
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/km2 ), 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/km2 ), 5.9% (95% CI 4.9%-6.8%) in mid-urbanized settings (1,001 to 2,500 inhabitants/km2 ), 5.8% (95% CI 4.5%-7.1%) in more densely populated settings (7,501 to 10,000 inhabitants/km2 ), and 5.5% (95% CI 4.1%-7.0%) in high-density settings (>15,000 inhabitants/km2 ).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/km2 .
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Urbanization
/
Malnutrition
Type of study:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
Limits:
Female
/
Humans
Country/Region as subject:
America do sul
/
Peru
Language:
En
Journal:
Obesity (Silver Spring)
Journal subject:
CIENCIAS DA NUTRICAO
/
FISIOLOGIA
/
METABOLISMO
Year:
2021
Document type:
Article
Affiliation country:
Peru
Publication country:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
/
UNITED STATES OF AMERICA
/
US
/
USA