title: Well-being changes in response to 30 years of regional integration in Maya populations from Yucatan, Mexico.
abstract: Infant mortality rate (IMR), overall frequency of linear enamel hypoplasia (LEH), sexual dimorphism in LEH, age of onset of LEH, and age at menarche were used as indicators to test the hypothesis that the origin and development of the tourist industry and increased state participation on Maya subsistence agriculturists in the early 1970s had improved the well-being of the Maya. Two historical moments where inferred from the data. The first was derived from cheap and effective immunization and sanitation campaigns that reduced IMR from 143.4/1,000 live births in the early 1960s to 97.4 in the early 1970s. State participation broke the undernutrition-disease cycle enough to reduce LEH frequencies significantly (from 71.9% in individuals born before 1971 to 51.5% in those born in 1971 or after, chi(2) = 55.72; 1 df; alpha = 0.00001) and to eliminate the sex difference in LEH expression (from a 14.8% LEH difference between men and women before 1971 [Male/Female Odds Radio = 0.45, alpha significant at 0.05] to a nonsignificant 2% difference). Improvement in overall living conditions reflected in a "modern stage" infant mortality regime and an almost disappearance of LEHs, resulted from gradual improvements in living conditions that did not become apparent until the 1980s. Trends in the age at menarche are not statistically significant, probably due to methodological limitations. However, if overall living conditions continue to improve or stay as they are today, accelerations in maturation should become noticeable.
authors.affiliation: División de Población y Salud, El Colegio de la Frontera Sur, Campeche, Mexico. fgurri@sclc.ecosur.mx
authors.forename: F D
authors.initials: FD
authors.lastname: Gurri
authors.forename: G B
authors.initials: GB
authors.lastname: Pereira
authors.forename: E F
authors.initials: EF
authors.lastname: Moran
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D017668:Age of Onset; D000383:Agriculture; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D003744:Dental Enamel Hypoplasia / Q000453:epidemiology / Q000208:ethnology; D005260:Female; D006304:Health Status; D006801:Humans; D017589:Immunization Programs; D007198:Indians, North American; D007223:Infant; D007226:Infant Mortality; D007231:Infant, Newborn; D008297:Male; D008572:Menarche; D008800:Mexico / Q000453:epidemiology / Q000208:ethnology; D009752:Nutritional Status; D012041:Regional Medical Programs; D012499:Sanitation; D012727:Sex Characteristics; D018709:Statistics, Nonparametric; D014195:Travel