Akram Hernández-Vásquez1, Nilthon Pisfil-Benites2, Rodrigo Vargas-Fernández3, Diego Azañedo4. 1. Centro de Excelencia en Investigaciones Económicas y Sociales, Vicerrectorado de Investigación, Universidad San Ignacio de Loyola, Lima, Peru. 2. Facultad de Economía y Planificación, Universidad Nacional Agraria de la Molina, Lima, Peru. 3. Universidad Científica del Sur, Lima, Peru. 4. Instituto de Investigación, Universidad Católica los Ángeles de Chimbote, Chimbote, Peru.
Abstract
BACKGROUND: To estimate the impact of stunting on the development of effective verbal communication (EVC) in children aged 24 to 36 months. METHODS: We conducted a retrospective, quasi-experimental study design using data from 4452 children between 24 and 36 months of age available in the Early Childhood Development (ECD) section of the Demographic and Family Health Survey (ENDES) 2019 survey. Achievement of EVC was considered as the dependent variable. After propensity score matching analysis, a total 601 children were included in the exposed (children with stunting) and 3848 in the unexposed group (children without stunting). The psmatch2 Stata software command was used to estimate the impact of stunting on EVC with a level of 5% for significance. RESULTS: The EVC indicator was achieved by 57.4% of the children between 24 and 36 months of age evaluated, while the prevalence of stunting in this population was 14%. The evaluation of impact showed that the group exposed to stunting was 8% less likely to show EVC compared to the unexposed group (ATT -0.08; 95% CI -0.106 to -0.054; p<0.001). CONCLUSIONS: The presence of stunting was found to have a significant impact on the propensity to show EVC in Peruvian children between 24 and 36 months of age. Strengthening of strategies for reducing malnutrition in vulnerable areas, as well as those directly affecting EVC is a priority for diminishing gaps in the achievement of this indicator in our country.
BACKGROUND: To estimate the impact of stunting on the development of effective verbal communication (EVC) in children aged 24 to 36 months. METHODS: We conducted a retrospective, quasi-experimental study design using data from 4452 children between 24 and 36 months of age available in the Early Childhood Development (ECD) section of the Demographic and Family Health Survey (ENDES) 2019 survey. Achievement of EVC was considered as the dependent variable. After propensity score matching analysis, a total 601 children were included in the exposed (children with stunting) and 3848 in the unexposed group (children without stunting). The psmatch2 Stata software command was used to estimate the impact of stunting on EVC with a level of 5% for significance. RESULTS: The EVC indicator was achieved by 57.4% of the children between 24 and 36 months of age evaluated, while the prevalence of stunting in this population was 14%. The evaluation of impact showed that the group exposed to stunting was 8% less likely to show EVC compared to the unexposed group (ATT -0.08; 95% CI -0.106 to -0.054; p<0.001). CONCLUSIONS: The presence of stunting was found to have a significant impact on the propensity to show EVC in Peruvian children between 24 and 36 months of age. Strengthening of strategies for reducing malnutrition in vulnerable areas, as well as those directly affecting EVC is a priority for diminishing gaps in the achievement of this indicator in our country.
Authors: Robert E Black; Cesar G Victora; Susan P Walker; Zulfiqar A Bhutta; Parul Christian; Mercedes de Onis; Majid Ezzati; Sally Grantham-McGregor; Joanne Katz; Reynaldo Martorell; Ricardo Uauy Journal: Lancet Date: 2013-06-06 Impact factor: 79.321
Authors: Maureen M Black; Susan P Walker; Lia C H Fernald; Christopher T Andersen; Ann M DiGirolamo; Chunling Lu; Dana C McCoy; Günther Fink; Yusra R Shawar; Jeremy Shiffman; Amanda E Devercelli; Quentin T Wodon; Emily Vargas-Barón; Sally Grantham-McGregor Journal: Lancet Date: 2016-10-04 Impact factor: 79.321
Authors: Sally Grantham-McGregor; Yin Bun Cheung; Santiago Cueto; Paul Glewwe; Linda Richter; Barbara Strupp Journal: Lancet Date: 2007-01-06 Impact factor: 79.321