Bronhara Bruna, Franca-Junior Ivan, Conde Wolney Lisboa
Departamento de Epidemiologia, Faculdade de Saúde Pública da, Universidade de São Paulo.
Rev Bras Epidemiol. 2012 Sep;15(3):548-59. doi: 10.1590/s1415-790x2012000300009.
The aims of this paper were to evaluate the nutritional status of children orphaned by aids or homicides in the city of São Paulo and to estimate the association of nutritional indexes with orphanhood-related variables. The study was a household survey carried out between 2006 and 2007. We sampled 484 children representative of São Paulo, 5-14 years old who lost either or both of their parents from aids or homicides between 2000 and 2004. We selected body-mass-index-for-age (BMI) and height-for-age (height) as outcomes for analysis. Multiple linear regression in the light of a conceptual hierarchical approach was used for estimating BMI-for-age and height-for-age associated factors. Children from aids and homicides groups differed in terms of orphanhood-related variables and age. Economic, household, health and nutritional conditions were similar between groups. Underweight accounted for 1.3% and 2.1% of children under the age of 10 and adolescents, respectively. Stunting accounted for 0.7% and 4.0% of children and adolescents, respectively. Overweight accounted for 19% and 20% of children and adolescents, respectively. BMI and height were unaffected by orphanhood-related variables after adjusting for selected classical determinants of nutritional status in the hierarchical model. Economic status was the main determinant of the nutritional profile. Nutritional status of children orphaned by aids or homicides in São Paulo was similar and mainly influenced by economic status. The nutritional profile, characterized by being overweight, suggests that these orphans have not shown additional risks due to those orphanhood-related variables.
本文旨在评估圣保罗市因艾滋病或凶杀案而成为孤儿的儿童的营养状况，并估计营养指标与孤儿相关变量之间的关联。该研究是一项在2006年至2007年期间进行的家庭调查。我们对484名圣保罗市5至14岁的儿童进行了抽样，这些儿童在2000年至2004年期间因艾滋病或凶杀案失去了父亲或母亲一方或双方。我们选择年龄别体重指数（BMI）和年龄别身高作为分析结果。采用基于概念层次方法的多元线性回归来估计年龄别BMI和年龄别身高的相关因素。艾滋病组和凶杀案组的儿童在孤儿相关变量和年龄方面存在差异。两组在经济、家庭、健康和营养状况方面相似。10岁以下儿童和青少年中体重不足的比例分别为1.3%和2.1%。发育迟缓在儿童和青少年中的比例分别为0.7%和4.0%。超重的儿童和青少年比例分别为19%和20%。在分层模型中对选定的经典营养状况决定因素进行调整后，BMI和身高不受孤儿相关变量的影响。经济状况是营养状况的主要决定因素。圣保罗市因艾滋病或凶杀案而成为孤儿的儿童的营养状况相似，主要受经济状况影响。以超重为特征的营养状况表明，这些孤儿并未因那些与孤儿身份相关的变量而表现出额外风险。
