000			02841nam a2200337 a 4500
005			20181210070725.0
007			cr |||||||||||
008			060117s2006 dcu sb i000 0 eng
010			_a 2005705521
040			_aDLC _cDLC _dBD-DhBPA
050	0	0	_aHG3881.5.W57
082			_a388.15 _bMAN 2006
100	1		_aMarini., Alessandra _9107851
245	1	0	_aNonlinear effects of altitude on child growth in Peru _ba multilevel analysis / _cAlessandra Marini and Michele Gragnolati.
260			_aWashington, D.C. : _bWorld Bank, _c2006
300			_a21 p. ; _c23 cm.
490	1		_aPolicy research working paper ; _v3823
500			_aTitle from PDF file as viewed on 1/17/2006.
504			_aIncludes bibliographical references.
520	3		_a"Growth at high altitude has been the object of many investigations after experimental studies on animals showed that hypoxia at high altitude slows growth. Many studies have also looked at the Andean populations and found different results. Even though a few studies find that individuals living at high altitudes are smaller than the ones living at low altitudes, a significant group of studies does not reveal such a clear relationship. This study focuses on Peru, a country characterized by a diverse territory, great altitude variations, and a population with a wide socioeconomic gradient. The analysis differs from previous studies in three ways. First, in an attempt to reconcile the main findings of the biological literature with the economic models of child health, it explores the relationship between altitude and child health within a multivariate framework. Second, it benefits from a large spectrum of altitude data and does not concentrate on one or two isolated villages. Third, it takes into account the cluster nature of the data and controls for correlation of variables in the same cluster through multilevel statistical modeling. After controlling for characteristics of the children, families, and communities, the data show a significant nonlinear relationship between altitude and child nutritional status. Peruvian children living at medium/high altitudes appear to be worse off than children living at extremely high altitudes, where the negative effect of hypoxia on growth could be compensated by other favorable health and environmental conditions. "--World Bank web site.
530			_aAlso available in print.
538			_aSystem requirements: Adobe Acrobat Reader.
538			_aMode of access: World Wide Web.
590			_aZahid
650		0	_aChildren _xHealth and hygiene _zPeru. _9107852
651		0	_aPeru _xEconomic conditions _y1968- _xRegional disparities. _99144
700	1		_aGragnolati, Michele _9105398
710	2		_aWorld Bank. _9107853
830		0	_aPolicy research working papers (Online) ; _v3823. _9107854
942			_2ddc _cBK
999			_c37502 _d37502