[Nutritional status and social determinants of child height in the Guarita Indigenous Territory, Southern Brazil].
The nutritional status of under-five children and the association between social conditions and child stature were examined using data from the program to control malnutrition and mortality in the Guarita Indigenous Territory, southern Brazil, 2001-2002. Anthropometric indices were calculated in z-scores of the CDC 2000 reference. At entrance into the program, 34.7% of the children presented stunting, 12.9% low weight for age, 4.2% wasting, and 8.7% overweight. Stunting was most prevalent among boys and children older than one year. Multivariate linear regression showed that, on average, children were shorter when the drinking water was collected directly in the environment (p = 0.046), there was no refrigerator for food preservation (p = 0.021), maternal age was less than 16 years at the birth of the oldest child among the under-fives (p = 0.019), and the mother was illiterate (p = 0.083). Sewage facilities only had an effect on the unadjusted model. There was no evidence that the number of under-five children had an effect on stature. Social inclusion policies and health and social provision which takes these factors into account are potentially relevant for improving health and nutrition in this population.
Menegolla
Ivone Andreatta
IA
Programa de Pós-graduação em Ciências da Saúde, Universidade do Vale do Rio dos Sinos, Rua Costa Lima 790, Apto. 510, Porto Alegre, RS 91720-480, Brasil. ivonemenegolla@yahoo.com.br
Drachler
Maria de Lourdes
Mde L
Rodrigues
Inajara Haubert
IH
Schwingel
Lucio Roberto
LR
Scapinello
Elaine
E
Pedroso
Maisa Beltrame
MB
Leite
José Carlos de Carvalho
JC
D017677:Age Distribution; D001827:Body Height / Q000502:physiology*; D001938:Brazil / Q000453:epidemiology; D015362:Child Nutrition Disorders / Q000175:diagnosis* / Q000208:ethnology / Q000401:mortality; D002675:Child, Preschool; D004522:Educational Status; D005260:Female; D006130:Growth Disorders / Q000175:diagnosis* / Q000208:ethnology; D006801:Humans; D007199:Indians, South American; D007223:Infant; D007228:Infant Nutrition Disorders / Q000175:diagnosis / Q000208:ethnology / Q000401:mortality; D007231:Infant, Newborn; D016015:Logistic Models; D008297:Male; D009749:Nutrition Surveys; D009752:Nutritional Status / Q000502:physiology*; D011247:Pregnancy; D017678:Sex Distribution; D012935:Social Justice