LALANGUI VIVANCO, KARINA DEL ROCÍO
Preferred name
LALANGUI VIVANCO, KARINA DEL ROCÍO
Main Affiliation
CISPEC - Centro de Investigación en Salud Pública y Epidemiología Clínica
Web Site
7 results
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Item type:Publication, Climate Change and health: vulnerability pathways and resilience policies(Medwave Estudios Limitada, 2025-10-27); ; Daniel Simancas-RacinesClimate change is a serious threat to public health. The intensity and devastation of 21st-century climate events exacerbate the vulnerability of certain social groups that already face historical disadvantages. The objective of this article is to examine various dimensions of health vulnerability in the context of anthropogenic climate change. A narrative review was conducted based on articles published in the last five years from the Scopus, Medline/PubMed, LILACS databases, and an intentional search of current publications by international organizations and commissions focused on the topic. The review identified and characterized four types of health vulnerability dimensions: social, economic, geographic, and health infrastructure; it also presents multiple intersectionalities that converge at the interface of climate change and health which increase the risk of physical and mental illnesses. Based on the proposed discussion, public policy guidelines are suggested for resilient health systems and effective information structures for timely decision-making. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, An intersectionality perspective on tuberculosis: social determinants affecting tuberculosis mortality rate in Ecuador(Frontiers Media SA, 2025-10-24); ; Solon Alberto OrlandoThe Intersectionality approach to studying tuberculosis (TB) is a complex one. While historical data and indicators consistently suggest a positive correlation between social determinants, such as poverty, and TB mortality, the strength of this association varies across different regions and countries. Overcrowding and population density are also recognized as risk factors for TB transmission. Methods In this study, we conducted a descriptive and observational statistical analysis of TB mortality in Ecuador using the most recent public data from 2010. We examined the association between TB mortality and poverty, as well as territorial distribution, population density, and overcrowding. Results Our univariate analysis results indicate that the rural parishes or canton capitals in the first quintile of poverty (Q1) had the highest average mortality rates (14.23 per 100,000 inhabitants). Furthermore, the average TB mortality ratio was substantially higher in rural areas compared to urban ones (12.72 vs. 7.5 per 100,000 inhabitants). Interestingly, zones with the highest population density had a significantly lower average TB mortality ratio than those with the lowest density (4.82 vs. 15.19 per 100,000 inhabitants). Likewise, overcrowding analysis reveals a significant difference between the group with the highest level (O1) vs. the lowest one (O5; 14.3 vs. 6.8 per 100,000 inhabitants). On the other hand, a multivariate linear regression model agrees that three of the four independent variables evaluated had statistically significant associations with tuberculosis mortality rate. The percentage of poverty, living in a rural area, and population density were significant predictors of higher mortality. In contrast, the level of overcrowding, as determined by multivariate analysis, did not show a significant association when the other independent variables were taken into account. Discussion These findings reinforce the strong link between TB mortality and poverty, rurality, a discreet relationship with overcrowding, and an inverse relationship with population density in the Ecuadorian context, highlighting the need for targeted public health interventions in rural underserved communities. Future research should explore how changes in socioeconomic conditions and healthcare access have influenced TB incidence. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Spatial Modeling of the Potential Distribution of Dengue in the City of Manta, Ecuador(MDPI AG, 2025-10-04); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Spatiotemporal trends in hospitalizations and mortality due to mental disorders in Ecuador 2014–2023. A national epidemiological study(Springer Science and Business Media LLC, 2025-11-24); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Disparidades rural-urbanas en la mortalidad materna en Ecuador: Un análisis desde una perspectiva de género (2019–2021)La mortalidad materna es un indicador sensible de desigualdad en los sistemas de salud. En Ecuador persisten marcadas brechas sociales entre zonas rurales y urbanas, acentuadas por factores estructurales como el territorio, la etnicidad y el género. Este estudio analiza las disparidades rural-urbanas en la mortalidad materna entre 2019 y 2021 desde un enfoque interseccional y de derechos humanos. Se utilizaron datos oficiales del Ministerio de Salud Pública e INEC, así como herramientas de análisis estadístico y georreferenciación. Los hallazgos evidencian razones de mortalidad materna más elevadas en el área rural, provincias fronterizas y especialmente entre mujeres racializadas y de edades avanzadas. Se concluye que los sistemas de salud deben contemplar recursos e inversión en estas áreas y grupos, así como las operaciones logísticas y de comunicación necesarias para una oportuna atención prenatal. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The spatiotemporal evolution of homicides in Ecuador from 2015 to 2022(Universidad de Alicante Servicio de Publicaciones, 2025-07-23); - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Space–time distribution of intestinal infectious diseases and their association with socioeconomic variables in Ecuador(Frontiers Media SA, 2024-07-10);