title: The social construction of anemia in school shelters for indigenous children in Mexico.
abstract: Indigenous children in school shelters in Mexico suffer from anemia in spite of food that is subsidized, prepared, and served to them. Economically and biomedically centered strategies to reduce anemia have achieved only partial and short-term success. An interdisciplinary team investigated the food security system of the school shelters and collected data through interviews and participant observation. The analysis revealed that the children's nutrition depends on a frail chain of events in which a single link's failure can lead to nutritional insecurity. The authors conclude that the social actors involved in the process are mainly considering the economic aspects of nutrition, but anemia persists as a social construction of the faulty relationship between the institution that runs the shelters and the indigenous culture. The authors make suggestions for an intervention that empowers the community by involving it actively in solving the problem.
authors.affiliation: Unidad de Investigación en Epidemiología Nutricional (UIEN), Instituto Méxicano del Seguro Social (IMSS), México D.F., México.
authors.forename: Bernardo
authors.initials: B
authors.lastname: Turnbull
authors.forename: Gloria
authors.initials: G
authors.lastname: Martínez-Andrade
authors.forename: Miguel
authors.initials: M
authors.lastname: Klünder
authors.forename: Tania
authors.initials: T
authors.lastname: Carranco
authors.forename: Ximena
authors.initials: X
authors.lastname: Duque-López
authors.forename: Rosa Isela
authors.initials: RI
authors.lastname: Ramos-Hernández
authors.forename: Marco
authors.initials: M
authors.lastname: González-Unzaga
authors.forename: Sergio
authors.initials: S
authors.lastname: Flores-Hernández
authors.forename: Homero
authors.initials: H
authors.lastname: Martínez-Salgado
mesh_terms: D018798:Anemia, Iron-Deficiency / Q000453:epidemiology / Q000208:ethnology*; D002648:Child; D002664:Child Nutritional Physiological Phenomena; D003466:Cultural Characteristics; D004032:Diet; D005523:Food Supply; D006801:Humans; D007198:Indians, North American; D044342:Malnutrition / Q000453:epidemiology; D008800:Mexico / Q000453:epidemiology; D011204:Poverty Areas; D012574:Schools / Q000458:organization & administration*