The ecology of nutritional status and development in young children in Kingston, Jamaica.

A survey of two poor neighborhoods in Kingston, Jamaica is reported. The nutritional status in children under 48 months (309) and the developmental levels of children between six and thirty months (168) were assessed. Characteristics of children with poor nutritional status and development were identified. Thirty-one percent of the children had Gomez grade 1 malnutrition, 9% had Gomez grade 2, and 1.6% had Gomez grade 3. There was somewhat more stunting than wasting. Nutritional indicators, weight for age and weight for height, as well as developmental levels declined with the children's age. Children with poor nutritional status tended to be girls, have poor housing, mothers with low levels of education, and mothers who worked. Children with low developmental quotients (DQs) tended to be boys and have mothers who worked. Multiple regression analysis showed that stunting (ht/age) and weight for age had significant effects on DQ, whereas wasting (wt/ht) did not.