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[巴西南部瓜里塔印第安领地儿童身高的营养状况及社会决定因素]

[Nutritional status and social determinants of child height in the Guarita Indigenous Territory, Southern Brazil].

作者信息

Menegolla Ivone Andreatta, Drachler Maria de Lourdes, Rodrigues Inajara Haubert, Schwingel Lucio Roberto, Scapinello Elaine, Pedroso Maisa Beltrame, Leite José Carlos de Carvalho

机构信息

Programa de Pós-graduação em Ciências da Saúde, Universidade do Vale do Rio dos Sinos, Rua Costa Lima 790, Apto. 510, Porto Alegre, RS 91720-480, Brasil.

出版信息

Cad Saude Publica. 2006 Feb;22(2):395-406. doi: 10.1590/s0102-311x2006000200017. Epub 2006 Feb 20.

Abstract

The nutritional status of under-five children and the association between social conditions and child stature were examined using data from the program to control malnutrition and mortality in the Guarita Indigenous Territory, southern Brazil, 2001-2002. Anthropometric indices were calculated in z-scores of the CDC 2000 reference. At entrance into the program, 34.7% of the children presented stunting, 12.9% low weight for age, 4.2% wasting, and 8.7% overweight. Stunting was most prevalent among boys and children older than one year. Multivariate linear regression showed that, on average, children were shorter when the drinking water was collected directly in the environment (p = 0.046), there was no refrigerator for food preservation (p = 0.021), maternal age was less than 16 years at the birth of the oldest child among the under-fives (p = 0.019), and the mother was illiterate (p = 0.083). Sewage facilities only had an effect on the unadjusted model. There was no evidence that the number of under-five children had an effect on stature. Social inclusion policies and health and social provision which takes these factors into account are potentially relevant for improving health and nutrition in this population.

摘要

利用巴西南部瓜里塔印第安人领地2001 - 2002年控制营养不良和死亡率项目的数据,对五岁以下儿童的营养状况以及社会条件与儿童身高之间的关联进行了研究。人体测量指数以2000年美国疾病控制与预防中心(CDC)参考标准的z分数计算。在项目开始时,34.7%的儿童发育迟缓,12.9%年龄别体重低,4.2%消瘦,8.7%超重。发育迟缓在男孩和一岁以上儿童中最为普遍。多变量线性回归显示,平均而言,当饮用水直接从环境中收集时(p = 0.046)、没有用于食物保存的冰箱时(p = 0.021)、五岁以下儿童中最大孩子出生时母亲年龄小于16岁时(p = 0.019)以及母亲是文盲时(p = 0.083),儿童身高较矮。污水处理设施仅在未调整模型中有影响。没有证据表明五岁以下儿童数量对身高有影响。考虑到这些因素的社会包容政策以及健康和社会福利对于改善该人群的健康和营养状况可能具有重要意义。

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