{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T10:23:25Z","timestamp":1794565405838,"version":"4.9.1"},"reference-count":45,"publisher":"FapUNIFESP (SciELO)","issue":"11","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Stunting, anemia, and soil-transmitted helminth (STH) infections are major health concerns for children in extremely poor regions of the world, especially rural and periurban ones. This study aimed to determine the prevalence of these three cooccurring conditions in preschool-age children in an extremely poor district on the outskirts of Iquitos, in the Peruvian Amazon, to inform public health actions. Malnutrition was assessed by standard World Health Organization-recommended metrics; anemia, by hemoglobin levels; and STH, by the Kato-Katz technique. Logistic regression analyses were performed to identify the risk factors for our three outcomes of interest. A total of 572 children aged 6-59 months were recruited in March 2019. We found a 31.3% stunting, 47.2% anemia, and 34.1% STH prevalence. Stunting and anemia figures exceeded both regional and national estimates for 2019. Having more children was a risk factor for stunting, whereas married mothers were associated with a lower risk. Risk factors for anemia included younger age and the male sex, whereas those for STH, older age, incomplete vaccination, and a lower socioeconomic status. Mothers\u2019 employment outside the home was also associated with a lower STH risk. This recent evidence highlights the need for prompt and integrated clinical attention and public health actions to address both short- and long-term health consequences in this vulnerable child age group. The integration of a monitoring and evaluation framework is important to effectively manage these conditions, optimize resources and accountability, and show their impact.<\/jats:p>","DOI":"10.1590\/0102-311xen248221","type":"journal-article","created":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T20:12:22Z","timestamp":1671135142000},"source":"Crossref","is-referenced-by-count":16,"title":["Prevalence of malnutrition, anemia, and soil-transmitted helminthiasis in preschool-age children living in peri-urban populations in the Peruvian Amazon"],"prefix":"10.1590","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7339-9153","authenticated-orcid":false,"given":"Mar\u00eda del Carmen","family":"Segoviano-Lorenzo","sequence":"first","affiliation":[{"name":"Asociaci\u00f3n Suyay Am\u00e9rica Latina,  Peru; Zerca y Lejos ONGD,  Espa\u00f1a"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4085-7538","authenticated-orcid":false,"given":"Elena","family":"Trigo-Esteban","sequence":"additional","affiliation":[{"name":"Hospital Universitario La Paz,  Espa\u00f1a"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3455-3941","authenticated-orcid":false,"given":"Theresa W.","family":"Gyorkos","sequence":"additional","affiliation":[{"name":"McGill University,  Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4568-3234","authenticated-orcid":false,"given":"Kariane","family":"St-Denis","sequence":"additional","affiliation":[{"name":"Research Institute of the McGill University Health Centre,  Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6614-5622","authenticated-orcid":false,"given":"Fern\u00e1ndo Mart\u00ednez-De","family":"Guzm\u00e1n","sequence":"additional","affiliation":[{"name":"Zerca y Lejos ONGD,  Espa\u00f1a"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5972-0948","authenticated-orcid":false,"given":"Mart\u00edn","family":"Casap\u00eda-Morales","sequence":"additional","affiliation":[{"name":"Asociaci\u00f3n Civil Selva Amaz\u00f3nica,  Per\u00fa; Universidad Nacional de la Amazonia Peruana,  Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2022]]},"reference":[{"key":"ref1","series-title":"Malnutrici\u00f3n."},{"key":"ref2","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/S0140-6736(07)61690-0","article-title":"Maternal and child undernutrition global and regional exposures and health consequences","volume":"371","author":"Black RE","year":"2008","journal-title":"Lancet"},{"issue":"2","key":"ref3","first-page":"4","article-title":"Desnutrici\u00f3n infantil en Am\u00e9rica Latina y el Caribe","year":"2006","journal-title":"Desafios"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.gfs.2018.03.004","article-title":"The global burden of chronic and hidden hunger trends and determinants","volume":"17","author":"G\u00f6decke T","year":"2018","journal-title":"Glob Food Sec"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.socscimed.2017.09.039","article-title":"Understanding the association between stunting and child development in low- and middle-income countries next steps for research and intervention","volume":"193","author":"Perkins JM","year":"2017","journal-title":"Soc Sci Med"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/1756-3305-7-37","article-title":"Global numbers of infection and disease burden of soil transmitted helminth infections in 2010","volume":"7","author":"Pullan RL","year":"2014","journal-title":"Parasit Vectors"},{"key":"ref7","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0006688","article-title":"A longitudinal cohort study of soil-transmitted helminth infections during the second year of life and associations with reduced long-term cognitive and verbal abilities","volume":"12","author":"Blouin B","year":"2018","journal-title":"PLoS Negl Trop Dis"},{"key":"ref8","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0003369","article-title":"Risk factors associated with malnutrition in one-year-old children living in the Peruvian Amazon","volume":"8","author":"Joseph SA","year":"2014","journal-title":"PLoS Negl Trop Dis"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/S1473-3099(13)70071-9","article-title":"Soil-transmitted helminth infection in South America a systematic review and geostatistical meta-analysis","volume":"13","author":"Chammartin F","year":"2013","journal-title":"Lancet Infect Dis"},{"key":"ref10","series-title":"La desnutrici\u00f3n infantil. Causas, consecuencias y estrategias para su prevenci\u00f3n y tratamiento.","author":"Wisbaum W"},{"key":"ref11","series-title":"Proyectos de recomendaciones para la prevenci\u00f3n y el tratamiento de la obesidad a lo largo del curso de la vida, incluidas las posibles metas","year":"2021"},{"key":"ref12","series-title":"Convention on the Rights of the Child."},{"key":"ref13","series-title":"WHO Child Growth Standards. Growth velocity based on weight, length and head circumference: methods and development","year":"2009"},{"key":"ref14","series-title":"La Agenda 2030 y los Objetivos de Desarrollo Sostenible: una oportunidad para Am\u00e9rica Latina y el Caribe. Objetivos, metas e indicadores mundiales.","year":"2019"},{"key":"ref15","series-title":"Indicadores de resultados de los programas presupuestales, 2015-2020."},{"key":"ref16","series-title":"Cap\u00edtulo 10: lactancia, nutrici\u00f3n y desarrollo infantil temprano (DIT) de ni\u00f1as y ni\u00f1os y nutrici\u00f3n de mujeres."},{"key":"ref17","article-title":"Chronic malnutrition among children under five in Peru spatial analysis of nutritional data","volume":"91","author":"Hernandez-Vasquez A","year":"2017","journal-title":"Rev Esp Salud P\u00fablica"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/j.actatropica.2016.04.001","article-title":"Governance, organization, accountability and sustainability of a region-wide school-based deworming program in Loreto, Peru","volume":"159","author":"Rodriguez Ferrucci H","year":"2016","journal-title":"Acta Trop"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1017\/S0007114507795272","article-title":"Parasite and maternal risk factors for malnutrition in preschool-age children in Belen, Peru using the new WHO child growth standards","volume":"98","author":"Casap\u00eda M","year":"2007","journal-title":"Br J Nutr"},{"key":"ref20","series-title":"Indicadores de resultados de los programas presupuestales: primer semestre 2017."},{"key":"ref21","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.trstmh.2010.12.003","article-title":"Stunting and helminth infection in early preschool-age children in a resource-poor community in the Amazon lowlands of Peru","volume":"105","author":"Gyorkos TW","year":"2011","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"ref22","series-title":"Helminth control in school-age children: a guide for managers of control programmes."},{"key":"ref23","series-title":"Nutritional anaemias: tools for effective prevention."},{"key":"ref24","series-title":"Health at a glance: Latin America and the Caribbean 2020","year":"2020"},{"key":"ref25","series-title":"2019: informe gerencial. Estado nutricional de ni\u00f1os y gestantes que acceden a establecimientos de salud.","author":"Vilchez D\u00e1vila W"},{"key":"ref26","series-title":"Diagno\u00b4stico de ge\u00b4nero en la Amazoni\u00b4a al 2017."},{"key":"ref27","series-title":"Plan nacional para la reducci\u00f3n y control de la anemia materna infantil y la desnutrici\u00f3n cr\u00f3nica infantil en el Per\u00fa: 2017-2021."},{"key":"ref28","series-title":"Plan nacional de fortalecimiento a las familias 2016-2021."},{"key":"ref29","series-title":"Propuestas de pol\u00edtica 2021-2026."},{"key":"ref30","series-title":"\"En capilla\": desigualdades en la inserci\u00f3n laboral de mujeres j\u00f3venes.","author":"Barrantes-C\u00e1ceres R","year":"2019"},{"key":"ref31","series-title":"Identifying and tackling the social determinants of child malnutrition in urban informal settlements and slums: a cross national review of the evidence for action.","author":"Pridmore P"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1186\/1471-244X-10-66","article-title":"Nutrition, mental health and violence from pregnancy to postpartum cohort of women attending primary care units in Southern Brazil - ECCAGE study","volume":"10","author":"Nunes MA","year":"2010","journal-title":"BMC Psychiatry"},{"key":"ref33","series-title":"Articulando esfuerzos para combatir la trata de personas y la explotaci\u00f3n sexual de ni\u00f1os, ni\u00f1as y adolescentes en la regi\u00f3n Loreto.","author":"Arbildo Ruiz S"},{"key":"ref34","series-title":"The World Bank urban and local government strategy: concept and issues note."},{"key":"ref35","first-page":"179","article-title":"Nutrition, urbanisation et pauvrete en Afrique Subsaharienne","volume":"60","author":"Martin-Pr\u00e9vel Y","year":"2000","journal-title":"Med Trop"},{"key":"ref36","article-title":"Mapping the risk of anaemia in preschool-age children the contribution of malnutrition, malaria, and helminth infections in West Africa","volume":"8","author":"Magalh\u00e3es RJS","year":"2011","journal-title":"PLoS Med"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1179\/2047773213Y.0000000074","article-title":"Risk factors for intestinal parasitosis, anaemia, and malnutrition among school children in Ethiopia","volume":"107","author":"Mahmud MA","year":"2013","journal-title":"Pathog Glob Health"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1542\/peds.110.3.545","article-title":"Sex differences in iron status during infancy","volume":"110","author":"Domell\u00f6f M","year":"2002","journal-title":"Pediatrics"},{"key":"ref39","first-page":"354","article-title":"Prenatal factors associated with breach of the basic vaccination scheme in under 5 years of age","volume":"21","author":"Isidro R\u00edos TL","year":"2021","journal-title":"Rev Fac Med Hum"},{"key":"ref40","article-title":"Reasons some children under 5 do not get vaccinated in four Colombian cities.","volume":"41","author":"Escobar-D\u00edaz F","year":"2017","journal-title":"Rev Panam Salud P\u00fablica"},{"key":"ref41","doi-asserted-by":"crossref","first-page":"S23","DOI":"10.1017\/S0031182000006491","article-title":"Malnutrition and parasitic helminth infections.","volume":"121","author":"Stephenson LS","year":"2000","journal-title":"Parasitology"},{"key":"ref42","first-page":"297","article-title":"Frecuencia de helmintiasis intestinal y su asociaci\u00f3n con deficiencia de hierro y desnutrici\u00f3n en ni\u00f1os de la regi\u00f3n occidente de M\u00e9xico","volume":"143","author":"Guti\u00e9rrez-Rodr\u00edguez C","year":"2007","journal-title":"Gac M\u00e9d M\u00e9x"},{"key":"ref43","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/j.ijpara.2009.09.003","article-title":"Estimating the sensitivity and specificity of Kato-Katz stool examination technique for detection of hookworms, Ascaris lumbricoides and Trichuris trichiura infections in humans in the absence of a \"gold standard\".","volume":"40","author":"Tarafder MR","year":"2010","journal-title":"Int J Parasitol"},{"key":"ref44","doi-asserted-by":"crossref","first-page":"e161","DOI":"10.1016\/j.cgh.2017.02.034","article-title":"Hookworm-induced obscure overt gastrointestinal bleeding","volume":"15","author":"Chhabra P","year":"2017","journal-title":"Clin Gastroenterol Hepatol"},{"key":"ref45"}],"container-title":["Cadernos de Sa\u00fade P\u00fablica"],"original-title":["Preval\u00eancia de desnutri\u00e7\u00e3o, anemia e helmint\u00edase transmitida pelo solo em crian\u00e7as em idade pr\u00e9-escolar que vivem em popula\u00e7\u00f5es periurbanas na Amaz\u00f4nia peruana"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0102-311X2022001105002&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T20:12:50Z","timestamp":1671135170000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-311X2022001105002&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":45,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022]]}},"alternative-id":["S0102-311X2022001105002"],"URL":"https:\/\/doi.org\/10.1590\/0102-311xen248221","relation":{},"ISSN":["1678-4464","0102-311X"],"issn-type":[{"value":"1678-4464","type":"electronic"},{"value":"0102-311X","type":"print"}],"subject":[],"published":{"date-parts":[[2022]]},"article-number":"e00248221"}}