Ivanovic D, Olivares M, Castro C, Ivanovic R
Departamento Técnico de Investigación (DTI) de la Universidad de Chile.
Rev Med Chil. 1995 Apr;123(4):509-25.
The aim of this study was to compare the nutritional status of poor children from urban and rural areas and to quantify the impact of socioeconomic, sociocultural and family variables on nutritional status. Weight/age, height/age, weight/height and head circumference percentages were measured in a representative sample of 4509 school children, 39% belonging to a low socioeconomic status and living in the Metropolitan region, chosen according to grade, type of school, sex and geographic area. Children coming from rural areas had significantly higher percentages of undernutrition than children from urban areas according to weight/age (47 vs 34%, and weight/height (7.7 vs 4.6%); likewise they had a higher proportion of height/age ratios below 90% (10.3 vs 5.2%). Head circumference was below 100% in 77 and 65% of rural and urban children. Brachial anthropometric variables were also lower in rural children. The number of siblings and family size were the independent variables with the greatest explanatory power for weight/age and height/age variations. Mother's instruction in urban areas and crowding, family alcoholism and mother's instruction in rural areas, were the independent variables with the greatest explanatory power for head circumference variation. It is concluded that the significant relationship found between socioeconomic, sociocultural and family variables ad nutritional status is relevant, considering that the sample was homogeneous in each geographic area.
本研究的目的是比较城乡贫困儿童的营养状况,并量化社会经济、社会文化和家庭变量对营养状况的影响。在4509名学童的代表性样本中测量了体重/年龄、身高/年龄、体重/身高和头围百分比,这些学童根据年级、学校类型、性别和地理区域选择,其中39%属于社会经济地位较低且生活在大都市地区。根据体重/年龄(47%对34%)和体重/身高(7.7%对4.6%),农村地区的儿童营养不良百分比显著高于城市地区的儿童;同样,他们身高/年龄比低于90%的比例也更高(10.3%对5.2%)。77%的农村儿童和65%的城市儿童头围低于100%。农村儿童的臂部人体测量变量也较低。兄弟姐妹数量和家庭规模是对体重/年龄和身高/年龄变化解释力最强的自变量。城市地区母亲的教育程度以及拥挤程度、家庭酗酒情况和农村地区母亲的教育程度,是对头围变化解释力最强的自变量。鉴于每个地理区域的样本具有同质性,得出社会经济、社会文化和家庭变量与营养状况之间存在显著关系这一结论是合理的。