Núñez-Rocha G M, Bullen-Navarro M, Castillo-Treviño B C, Solís-Pérez E
Unidad Regional de Investigación Epidemiológica, Instituto Mexicano del Seguro Social, Monterrey Nuevo León, México.
Salud Publica Mex. 1998 May-Jun;40(3):248-55.
To compare malnutrition rates between migrant and non-migrant children.
One-hundred and sixty children 1-6 years old were selected at random from schools located in highly marginated areas. Excluded were infants with congenital malformations or under nutritional intervention. Migration was defined as any geographical movement during the last 6 years. Malnutrition was assessed through the weight/height and height/age indicators, as recommended by the World Health Organization.
Fifty-nine percent of the infants belonged to families whose father had a non-qualified occupation, 27.5% of them did not finish elementary school. Fifty-three referred migration; malnutrition rate was 51.3% among migrant infants and 28.8%, among non-migrant infants (OR = 2.6, CI 95% = 1.2, 5.2, p = 0.006). Migrant children registered a mean Z score of -2.4 +/- .40 and non-migrant children, -2.3 +/- .33, based on the indicator height for age.
Chronic malnutrition among migrant infants justifies a nutritional intervention, they constitute a specific group at risk. Migration should be considered for health planning.
比较流动儿童与非流动儿童的营养不良率。
从高度边缘化地区的学校中随机选取160名1至6岁的儿童。排除患有先天性畸形或正在接受营养干预的婴儿。流动定义为过去6年内的任何地理迁移。按照世界卫生组织的建议,通过体重/身高和身高/年龄指标评估营养不良情况。
59%的婴儿家庭中父亲职业不合格,27.5%的父亲未完成小学学业。53名儿童有迁移情况;流动婴儿的营养不良率为51.3%,非流动婴儿为28.8%(比值比=2.6,95%置信区间=1.2,5.2,p=0.006)。根据年龄别身高指标,流动儿童的平均Z评分为-2.4±0.40,非流动儿童为-2.3±0.33。
流动婴儿中的慢性营养不良情况表明需要进行营养干预,他们构成了一个特定的风险群体。在健康规划中应考虑迁移因素。