{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T21:10:31Z","timestamp":1738617031536,"version":"3.35.0"},"reference-count":98,"publisher":"Universidad del Valle","issue":"2","license":[{"start":{"date-parts":[[2024,6,30]],"date-time":"2024-06-30T00:00:00Z","timestamp":1719705600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"funder":[{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["072405\/Z\/03\/Z y 088862\/Z\/09\/Z"],"award-info":[{"award-number":["072405\/Z\/03\/Z y 088862\/Z\/09\/Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["colombiamedica.univalle.edu.co"],"crossmark-restriction":true},"short-container-title":["Colomb Med"],"abstract":"<jats:p>Antecedentes:Se han observado diferencias en la prevalencia de asma entre \u00e1reas urbanas y rurales en diferentes partes del mundo. Estudios epidemiol\u00f3gicos en pa\u00edses de ingresos bajos y medios sugieren que los procesos de migraci\u00f3n interna podr\u00edan explicar parcialmente estas disparidades.\nObjetivo:Investigar la asociaci\u00f3n entre la migraci\u00f3n interna y el asma en ni\u00f1os que viven en \u00e1reas de transici\u00f3n en Ecuador.\nM\u00e9todos:Se realiz\u00f3 un estudio transversal utilizando datos de una cohorte de nacimiento de ni\u00f1os que residen en una regi\u00f3n tropical costera del noroeste de Ecuador. Los indicadores de asma incluyeron sibilancias en los \u00faltimos 12 meses, sibilancias alguna vez y diagn\u00f3stico de asma por un m\u00e9dico. La migraci\u00f3n interna se defini\u00f3 como el cambio de residencia entre unidades geogr\u00e1ficas: cantonal, parroquial y sector censal. La relaci\u00f3n entre el asma y la migraci\u00f3n se analiz\u00f3 mediante regresi\u00f3n log\u00edstica binaria.\nResultados:De 2404 participantes, 1818 ni\u00f1os cumplieron con los criterios de inclusi\u00f3n. Entre ellos, el 2.8% experiment\u00f3 migraci\u00f3n cantonal, el 11.9% migraci\u00f3n parroquial y el 24.6% migraci\u00f3n sectorial. La prevalencia de sibilancias en los \u00faltimos 12 meses, sibilancias alguna vez y diagn\u00f3stico de asma por un m\u00e9dico fue del 13.1%, 33.3% y 7%, respectivamente. Los ni\u00f1os con antecedentes de migraci\u00f3n cantonal tuvieron m\u00e1s probabilidades de haber experimentado sibilancias en comparaci\u00f3n con aquellos que no migraron (OR 1.56; IC95% 0.87\u20132.79).\nConclusiones:Los cambios de residencia entre unidades geogr\u00e1ficas m\u00e1s peque\u00f1as o adyacentes no parecieron estar asociados con la ocurrencia de asma. Sin embargo, la migraci\u00f3n cantonal podr\u00eda desempe\u00f1ar un papel en los resultados relacionados con la salud respiratoria.<\/jats:p>","DOI":"10.25100\/cm.v55i2.5929","type":"journal-article","created":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T15:53:37Z","timestamp":1738252417000},"update-policy":"https:\/\/doi.org\/10.25100\/cm.crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Migraci\u00f3n interna y su asociaci\u00f3n con el asma infantil en Ecuador: un estudio transversal"],"prefix":"10.25100","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1779-2561","authenticated-orcid":false,"given":"Alexandro Vinicio","family":"Cruz Mari\u00f1o","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6770-6871","authenticated-orcid":false,"given":"Philip","family":"Cooper","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9004-0414","authenticated-orcid":false,"given":"Martha","family":"Chico","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6881-6581","authenticated-orcid":false,"given":"Natalia","family":"Romero-Sandoval","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1867-0331","authenticated-orcid":false,"given":"Alejandro","family":"Rodr\u00edguez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10728","published-online":{"date-parts":[[2024,6,30]]},"reference":[{"key":"90375","doi-asserted-by":"crossref","unstructured":"Cabieses B, Uphoff E, Pinart M, Ant\u00f3 JM, Wright J. 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