[What to do to avoid death by starvation? Domestic dynamics and childhood feeding practices in a rural area of extreme poverty in Mexico].
OBJECTIVE
To describe and compare household dynamics in terms of structure, beliefs and nutrition-related behavior in the homes of malnourished and well-nourished children less than five years of age.


METHODS
The authors carried out a qualitative ethnographic study using participant observation, and in depth interviews. Interviews were conducted with the child's caretaker or key informants, prior oral informed consent. Child care and childhood feeding practices at home and in the community were the focus of observations. The study included two periods of field work conducted in 2001, in three rural municipalities from the Río Balsas region, in Guerrero state, Mexico. The study's ethical and methodological aspects were approved by the National Research Commission of the Mexican Institute of Social Security.


RESULTS
Households were differentially characterized by number of members, composition, type of relationship, source of income, and interactions among household members and with the community.


CONCLUSIONS
Monoparental structures, in an early stage of the household cycle, give rise to conditions that render the child prone to malnutrition. Extended family structure represented more favorable household dynamics.
Pelcastre-Villafuerte
Blanca
B
Dirección de Salud Comunitaria y Bienestar Social, Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, Morelos, México.
Riquer-Fernández
Florinda
F
de León-Reyes
Verónica
V
Reyes-Morales
Hortensia
H
Gutiérrez-Trujillo
Gonzalo
G
Bronfman
Mario
M
D000293:Adolescent; D000328:Adult; D002648:Child; D015362:Child Nutrition Disorders / Q000517:prevention & control*; D002675:Child, Preschool; D005191:Family Characteristics; D005260:Female; D006801:Humans; D007223:Infant; D007228:Infant Nutrition Disorders / Q000517:prevention & control*; D007231:Infant, Newborn; D007407:Interviews as Topic; D008297:Male; D008800:Mexico; D009752:Nutritional Status; D011203:Poverty; D012424:Rural Population; D013217:Starvation / Q000517:prevention & control