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  1. Article ; Online: [No title information]

    Muñoz-Aguirre, Paloma / Stern, Dalia

    Salud publica de Mexico

    2022  Volume 64, Issue 1, Page(s) 108–110

    Abstract: No disponible. ...

    Title translation Inversión en investigación en cáncer en México entre 2002 y 2017.
    Abstract No disponible.
    MeSH term(s) Humans ; Mexico ; Neoplasms ; Research
    Language Spanish
    Publishing date 2022-02-25
    Publishing country Mexico
    Document type Journal Article
    ZDB-ID 954220-6
    ISSN 1606-7916 ; 0036-3634
    ISSN (online) 1606-7916
    ISSN 0036-3634
    DOI 10.21149/13102
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Adverse childhood experiences and adult outcomes using a causal framework perspective: Challenges and opportunities.

    Jaen, Jocelyn / Lovett, Sharonda M / Lajous, Martín / Keyes, Katherine M / Stern, Dalia

    Child abuse & neglect

    2023  Volume 143, Page(s) 106328

    Abstract: Background: Research on the effect of adverse childhood experiences (ACEs) on adult outcomes has typically relied on retrospective assessment of ACEs and cumulative scores. However, this approach raises methodological challenges that can limit the ... ...

    Abstract Background: Research on the effect of adverse childhood experiences (ACEs) on adult outcomes has typically relied on retrospective assessment of ACEs and cumulative scores. However, this approach raises methodological challenges that can limit the validity of findings.
    Objective: The aims of this paper are 1) to present the value of directed acyclic graphs (DAGs) to identify and mitigate potential problems related to confounding and selection bias, and 2) to question the meaning of a cumulative ACE score.
    Results: Adjusting for variables that post-date childhood could block mediated pathways that are part of the total causal effect while conditioning on adult variables, which often serve as proxies for childhood variables, can create collider stratification bias. Because exposure to ACEs can affect the likelihood of reaching adulthood or study entry, selection bias could be introduced via restricting selection on a variable affected by ACEs in the presence of unmeasured confounding. In addition to challenges regarding causal structure, using a cumulative score of ACEs assumes that each type of adversity will have the same effect on a given outcome, which is unlikely considering differing risk across adverse experiences.
    Conclusions: DAGs provide a transparent approach of the researchers' assumed causal relationships and can be used to overcome issues related to confounding and selection bias. Researchers should be explicit about their operationalization of ACEs and how it is to be interpreted in the context of the research question they are trying to answer.
    MeSH term(s) Humans ; Adult ; Retrospective Studies ; Adverse Childhood Experiences ; Causality ; Bias
    Language English
    Publishing date 2023-06-26
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 799143-5
    ISSN 1873-7757 ; 0145-2134
    ISSN (online) 1873-7757
    ISSN 0145-2134
    DOI 10.1016/j.chiabu.2023.106328
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Who is getting COVID-19 boosters? A latent class analysis in a nationally representative sample of Mexican adults 60 years and over.

    Carnalla, Martha / Stern, Dalia / Arantxa Colchero, M / Rangel-Moreno, Karla / Basto-Abreu, Ana / Alpuche-Aranda, Celia M / Bautista-Arredondo, Sergio / Barrientos-Gutiérrez, Tonatiuh

    Vaccine

    2024  

    Abstract: Objective: Estimate COVID-19 vaccine booster uptake and identify sociodemographic profiles associated with vaccine booster uptake in Mexican adults aged 60 and older.: Methods: Using data from the 2022 National Health and Nutrition Survey, we ... ...

    Abstract Objective: Estimate COVID-19 vaccine booster uptake and identify sociodemographic profiles associated with vaccine booster uptake in Mexican adults aged 60 and older.
    Methods: Using data from the 2022 National Health and Nutrition Survey, we estimated COVID-19 booster uptake in Mexican adults 60 and older. We conducted a latent class analysis using sociodemographic characteristics and then estimated group-specific booster prevalence.
    Results: Adults aged 60 and older with a completed vaccination schedule had 80.3% booster coverage. Two groups showed the lowest coverage: 1) unemployed and informal working men with elementary education with low socioeconomic status (73.8% boosted), and 2) female homekeepers with elementary education or less living in rural areas (77.0% boosted).
    Conclusions: Our analysis points to the need to reach out to men and women with elementary education or less who live in rural areas to strengthen booster campaigns in the future.
    Language English
    Publishing date 2024-04-22
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 605674-x
    ISSN 1873-2518 ; 0264-410X
    ISSN (online) 1873-2518
    ISSN 0264-410X
    DOI 10.1016/j.vaccine.2024.04.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Covid-19 mortality in children and adolescents in Mexico.

    Stern, Dalia / Arias-de la Garza, Eduardo / García-Romero, María Teresa / Lajous, Martin

    Salud publica de Mexico

    2022  Volume 64, Issue 3, may-jun, Page(s) 328–332

    Abstract: Objective: To estimate Covid-19 and pre-pandemic low respiratory infection (LRI) mortality in children and adolescents in Mexico.: Materials and methods: We estimated the percentage of total mortality attributable to Covid-19 (95% confidence ... ...

    Abstract Objective: To estimate Covid-19 and pre-pandemic low respiratory infection (LRI) mortality in children and adolescents in Mexico.
    Materials and methods: We estimated the percentage of total mortality attributable to Covid-19 (95% confidence intervals; 95%CI) and made the corresponding estimates for pre-pandemic LRI mortality.
    Results: In 2019, LRIs represented 8.6% (95%CI 8.3, 8.9) of deaths in children aged 0-9 years, and 2.0% (95%CI 1.8, 2.3) in those aged 10-19 years. In 2020, the corresponding estimates for Covid-19 were 4.4% (95%CI 4.1, 4.6) and 3.7% (95%CI 3.4, 4.1).
    Conclusions: Relative to LRI, Covid-19 may be exerting a considerable mortality burden, particularly in older children and adolescents.
    MeSH term(s) Adolescent ; COVID-19 ; Child ; Humans ; Mexico/epidemiology ; Respiratory Tract Infections
    Language English
    Publishing date 2022-06-02
    Publishing country Mexico
    Document type Journal Article
    ZDB-ID 954220-6
    ISSN 1606-7916 ; 0036-3634
    ISSN (online) 1606-7916
    ISSN 0036-3634
    DOI 10.21149/13211
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: On the increasing incidence of SARS-CoV- 2 in older adolescents and younger adults during the epidemic in Mexico.

    Stern, Dalia / Lajous, Martin / De la Rosa, Blanca / Goldstein, Edward

    Salud publica de Mexico

    2021  Volume 63, Issue 3 May-Jun, Page(s) 422–428

    Abstract: Objective: To estimate temporary changes in the inciden-ce of SARS-CoV-2-confirmed hospitalizations (by date of symptom onset) by age group during and after the national lockdown.: Materials and methods: For each age group g, we computed the ... ...

    Abstract Objective: To estimate temporary changes in the inciden-ce of SARS-CoV-2-confirmed hospitalizations (by date of symptom onset) by age group during and after the national lockdown.
    Materials and methods: For each age group g, we computed the proportion E(g) of individuals in that age group among all cases aged 10-59y during the early lock-down period (April 20-May 3, 2020), and the corresponding proportion L(g) during the late lockdown (May 18-31, 2020) and post-lockdown (June 15-28, 2020) periods and computed the prevalence ratio: PR(g)=L(g)/E(g).
    Results: For the late lockdown and post-lockdown periods, the highest PR values were found in age groups 15-19y (late: PR=1.69, 95%CI 1.05,2.72; post-lockdown: PR=2.05, 1.30,3.24) and 20-24y (late: PR=1.43, 1.10,1.86; post-lockdown: PR=1.49, 1.15,1.93). These estimates were higher in individuals 15-24y compared to those ≥30y.
    Conclusions: Adolescents and younger adults had an increased relative incidence of SARS-CoV-2 during late lockdown and post-lockdown periods. The role of these age groups should be considered when implementing future pandemic response efforts.
    MeSH term(s) Adolescent ; Adult ; Age Distribution ; COVID-19/epidemiology ; Child ; Hospitalization/statistics & numerical data ; Humans ; Incidence ; Mexico/epidemiology ; Middle Aged ; Prevalence ; Young Adult
    Language English
    Publishing date 2021-05-03
    Publishing country Mexico
    Document type Journal Article
    ZDB-ID 954220-6
    ISSN 1606-7916 ; 0036-3634
    ISSN (online) 1606-7916
    ISSN 0036-3634
    DOI 10.21149/11817
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Changes in food intake from 1999 to 2012 among Mexican children and women.

    Reyes-Garcia, Alan / Stern, Dalia / Rivera-Dommarco, Juan / Batis, Carolina

    The British journal of nutrition

    2021  Volume 127, Issue 2, Page(s) 278–288

    Abstract: Previous studies have shown that intake of sugary drinks in Mexico has increased, while intake of whole milk has decreased. Yet, in-depth analyses of the changes in solid foods, overall and in specific generations and urban/rural subpopulation, are ... ...

    Abstract Previous studies have shown that intake of sugary drinks in Mexico has increased, while intake of whole milk has decreased. Yet, in-depth analyses of the changes in solid foods, overall and in specific generations and urban/rural subpopulation, are scarce. We aimed to analyse changes in solid foods intake in Mexican children, adolescent girls and adult women through a single 24-h dietary recall from the Mexican Nutrition Survey 1999 (n 5627) and 2012 (n 6712). Foods were classified into twenty-two healthy and unhealthy food groups without considering beverages. We estimated the crude and adjusted change in the energy contribution of solid foods by age group and birth cohort and tested if the changes differed by urban/rural area. The contribution of fruits, vegetables and unsweetened dairy increased, while sweet bread from bakery decreased. However, the total contribution of healthy food groups (67-70 % kj in 1999) decreased -4·3 and -7·2 percentage points (pp) (P < 0·05) among children and adolescents, respectively, but only -1·7 pp (P > 0·05) among adult women. Likewise, those born in 1980-1984 changed little in comparison with those born in 1993-1997, and there were greater increases in unhealthy foods in urban compared with rural areas. In conclusion, from 1999 to 2012, there were negative changes in the intake of foods, specifically healthy foods, which mainly affected Mexican youth. These findings, along with previous reports on the increased intake of sugary drinks in the same population, that emphasise the need to reinforce strategies aimed at improving dietary intake of the Mexican population need to be reinforced.
    MeSH term(s) Adolescent ; Adult ; Child ; Diet ; Eating ; Energy Intake ; Female ; Humans ; Mexico/epidemiology ; Nutrition Surveys ; Vegetables
    Language English
    Publishing date 2021-03-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 280396-3
    ISSN 1475-2662 ; 0007-1145
    ISSN (online) 1475-2662
    ISSN 0007-1145
    DOI 10.1017/S000711452100088X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Greenhouse Gas Emissions Associated With the Mexican Diet: Identifying Social Groups With the Largest Carbon Footprint.

    López-Olmedo, Nancy / Stern, Dalia / Bakhtsiyarava, Maryia / Pérez-Ferrer, Carolina / Langellier, Brent

    Frontiers in nutrition

    2022  Volume 9, Page(s) 791767

    Abstract: Background: Most studies of the climate footprint of diets have been conducted in countries in the global north, but the majority of the world population lives in global south countries. We estimated total dietary greenhouse gas emissions (GHGE) in ... ...

    Abstract Background: Most studies of the climate footprint of diets have been conducted in countries in the global north, but the majority of the world population lives in global south countries. We estimated total dietary greenhouse gas emissions (GHGE) in Mexico, examined the contribution of major food and beverage groups, and assessed variation across social groups.
    Methods: We linked individual-level dietary data from the Mexican National Health and Nutrition Survey 2018 to the SHARP Indicators Database, containing GHGE estimates for 182 primary food and beverages.
    Results: Mean dietary GHGE was 3.9 kg of carbon dioxide equivalent per person per day. Dietary GHGE is highest among those in young adulthood and middle age versus adolescents and older adults, and among males, those with higher educational attainment, higher socioeconomic status, that do not speak an indigenous language, and that live in urban areas.
    Conclusion: The Mexican diet has a much lower carbon footprint than diets in other Latin American countries for which such estimates are available. In contrast to patterns observed in Argentina and Brazil, dietary GHGE was lowest in those in lower socioeconomic and educational strata and in rural areas. A better understanding of the differences in diet sustainability between and within countries will be needed for developing global and local strategies that meet the environmental sustainability goals.
    Language English
    Publishing date 2022-03-31
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2776676-7
    ISSN 2296-861X
    ISSN 2296-861X
    DOI 10.3389/fnut.2022.791767
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  8. Article ; Online: Trends in food and beverage purchases in informal, mixed, and formal food outlets in Mexico: ENIGH 1994-2020.

    Domínguez-Barreto, Ana Paula / Farah, Irene / López-Olmedo, Nancy / Perez-Ferrer, Carolina / Ramírez-Toscano, Yenisei / Barrientos-Gutiérrez, Tonatiuh / Stern, Dalia

    Frontiers in public health

    2023  Volume 11, Page(s) 1151916

    Abstract: Background: The retail food environment in Mexico is characterized by the co-existence of both, formal and informal food outlets. Yet, the contribution of these outlets to food purchases over time has not been documented. Understanding the longitudinal ... ...

    Abstract Background: The retail food environment in Mexico is characterized by the co-existence of both, formal and informal food outlets. Yet, the contribution of these outlets to food purchases over time has not been documented. Understanding the longitudinal trends where Mexican households purchase their foods is critical for the development of future food retail policies.
    Methods: We used data from Mexico's National Income and Expenditure Survey from 1994 to 2020. We categorized food outlets as formal (supermarkets, chain convenience stores, restaurants), informal (street markets, street vendors, acquaintances), and mixed (fiscally regulated or not. i.e., small neighborhood stores, specialty stores, public markets). We calculated the proportion of food and beverage purchases by food outlet for each survey for the overall sample and stratified by education level and urbanicity.
    Results: In 1994, the highest proportion of food purchases was from mixed outlets, represented by specialty and small neighborhood stores (53.7%), and public markets (15.9%), followed by informal outlets (street vendors and street markets) with 12.3%, and formal outlets from which supermarkets accounted for 9.6%. Over time, specialty and small neighborhood stores increased 4.7 percentage points (p.p.), while public markets decreased 7.5 p.p. Street vendors and street markets decreased 1.6 p.p., and increased 0.5 p.p. for supermarkets. Convenience stores contributed 0.5% at baseline and increased to 1.3% by 2020. Purchases at specialty stores mostly increased in higher socioeconomic levels (13.2 p.p.) and metropolitan cities (8.7 p.p.) while public markets decreased the most in rural households and lower socioeconomic levels (6.0 p.p. & 5.3 p.p.). Supermarkets and chain convenience stores increased the most in rural localities and small cities.
    Conclusion: In conclusion, we observed an increase in food purchases from the formal sector, nonetheless, the mixed sector remains the predominant food source in Mexico, especially small-neighborhood stores. This is concerning, since these outlets are mostly supplied by food industries. Further, the decrease in purchases from public markets could imply a reduction in the consumption of fresh produce. In order to develop retail food environment policies in Mexico, the historical and predominant role of the mixed sector in food purchases needs to be acknowledged.
    MeSH term(s) Mexico ; Commerce ; Beverages ; Consumer Behavior ; Food Industry
    Language English
    Publishing date 2023-05-24
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2023.1151916
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  9. Article: Factors Associated With Dietary Quality During Initial and Later Stages of the COVID-19 Pandemic in Mexico.

    Batis, Carolina / Irizarry, Laura / Castellanos-Gutiérrez, Analí / Aburto, Tania C / Rodríguez-Ramírez, Sonia / Stern, Dalia / Mejía, Carla / Bonvecchio, Anabelle

    Frontiers in nutrition

    2021  Volume 8, Page(s) 758661

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2021-12-15
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2776676-7
    ISSN 2296-861X
    ISSN 2296-861X
    DOI 10.3389/fnut.2021.758661
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  10. Article ; Online: Avocado consumption is associated with a reduction in hypertension incidence in Mexican women.

    Monge, Adriana / Stern, Dalia / Cortés-Valencia, Adrian / Catzín-Kuhlmann, Andrés / Lajous, Martín / Denova-Gutiérrez, Edgar

    The British journal of nutrition

    2022  Volume 129, Issue 11, Page(s) 1976–1983

    Abstract: Avocado is a fruit rich in dietary fibre, potassium, Mg, mono and PUFA and bioactive phytochemicals, which are nutritional components that have been associated with cardiovascular health. Yet, despite the boom in avocado consumption, we lack evidence on ... ...

    Abstract Avocado is a fruit rich in dietary fibre, potassium, Mg, mono and PUFA and bioactive phytochemicals, which are nutritional components that have been associated with cardiovascular health. Yet, despite the boom in avocado consumption, we lack evidence on its association with CVD risk in the general population. To estimate the prospective association between avocado consumption and incident hypertension in Mexican women, we estimated the association in participants from the Mexican Teachers' Cohort who were ≥ 25 years, free of hypertension, CVD and cancer at baseline (
    MeSH term(s) Humans ; Female ; Diet ; Incidence ; Persea ; Risk Factors ; Prospective Studies ; Hypertension/epidemiology ; Hypertension/prevention & control ; Hypertension/etiology
    Language English
    Publishing date 2022-08-18
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 280396-3
    ISSN 1475-2662 ; 0007-1145
    ISSN (online) 1475-2662
    ISSN 0007-1145
    DOI 10.1017/S0007114522002690
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