International Center for Equity in Health, Federal University of Pelotas, Pelotas, Brazil.
Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.
Lancet. 2022 Apr 30;399(10336):1741-1752. doi: 10.1016/S0140-6736(21)02716-1. Epub 2022 Apr 27.
The survival and nutrition of children and, to a lesser extent, adolescents have improved substantially in the past two decades. Improvements have been linked to the delivery of effective biomedical, behavioural, and environmental interventions; however, large disparities exist between and within countries. Using data from 95 national surveys in low-income and middle-income countries (LMICs), we analyse how strongly the health, nutrition, and cognitive development of children and adolescents are related to early-life poverty. Additionally, using data from six large, long-running birth cohorts in LMICs, we show how early-life poverty can have a lasting effect on health and human capital throughout the life course. We emphasise the importance of implementing multisectoral anti-poverty policies and programmes to complement specific health and nutrition interventions delivered at an individual level, particularly at a time when COVID-19 continues to disrupt economic, health, and educational gains achieved in the recent past.
在过去的二十年中,儿童的生存和营养状况,在一定程度上,青少年的生存和营养状况有了显著改善。这些改善与有效的生物医学、行为和环境干预措施的实施有关;然而,国家之间和国家内部仍然存在很大的差距。我们利用来自低收入和中等收入国家(LMICs)的 95 项国家调查数据,分析儿童和青少年的健康、营养和认知发展与生命早期贫困的关联程度。此外,我们还利用来自六个在 LMICs 中进行的大型、长期的出生队列的数据,展示生命早期贫困如何对整个生命过程中的健康和人力资本产生持久影响。我们强调实施多部门扶贫政策和方案的重要性,以补充在个人层面上实施的具体卫生和营养干预措施,特别是在 COVID-19 继续破坏最近取得的经济、健康和教育成果的时候。