title: Stunting in children under five years old is still a health problem in the Western Brazilian Amazon: a population-based study in Assis Brasil, Acre, Brazil.
abstract: Despite the process of nutritional transition in Brazil, in some places, such as the Amazon region, stunting is still an important public health problem. We identified the prevalence and factors associated with stunting in children under five years old residing in the urban area of Assis Brasil. A survey was conducted in which a questionnaire on socioeconomic, maternal and children's conditions was applied, and height or length was measured. The children with height for age index below -2 Z-scores were considered stunted, according to the criteria by the World Health Organization. Four hundred and twenty-eight children were evaluated. Of these, 62 were stunted. Factors associated with stunting, according to adjusted models, were: the presence of open sewer, the wealth index for households, the receipt of governmental financial aid and the mother's height, age and education. Therefore, it was observed that family and the mother's characteristics as well as environmental and socioeconomic factors were closely related to the occurrence of stunting in the population studied, and such nutritional disturbance is still a health problem in the Brazilian Amazon.
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Acre. BR 364 km 04. 69917-769 Rio Branco AC Brazil. msnunes1@ yahoo.com.br.
authors.forename: Saulo Augusto Silva
authors.initials: SA
authors.lastname: Mantovani
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Acre. BR 364 km 04. 69917-769 Rio Branco AC Brazil. msnunes1@ yahoo.com.br.
authors.forename: Alanderson Alves
authors.initials: AA
authors.lastname: Ramalho
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Acre. BR 364 km 04. 69917-769 Rio Branco AC Brazil. msnunes1@ yahoo.com.br.
authors.forename: Thasciany Moraes
authors.initials: TM
authors.lastname: Pereira
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Acre. BR 364 km 04. 69917-769 Rio Branco AC Brazil. msnunes1@ yahoo.com.br.
authors.forename: Fernando Luiz Cunha Castelo
authors.initials: FL
authors.lastname: Branco
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Acre. BR 364 km 04. 69917-769 Rio Branco AC Brazil. msnunes1@ yahoo.com.br.
authors.forename: Humberto
authors.initials: H
authors.lastname: Oliart-Guzmán
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Acre. BR 364 km 04. 69917-769 Rio Branco AC Brazil. msnunes1@ yahoo.com.br.
authors.forename: Breno Matos
authors.initials: BM
authors.lastname: Delfino
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Acre. BR 364 km 04. 69917-769 Rio Branco AC Brazil. msnunes1@ yahoo.com.br.
authors.forename: Athos Muniz
authors.initials: AM
authors.lastname: Braña
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Acre. BR 364 km 04. 69917-769 Rio Branco AC Brazil. msnunes1@ yahoo.com.br.
authors.forename: Antonio Camargo
authors.initials: AC
authors.lastname: Martins
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Acre. BR 364 km 04. 69917-769 Rio Branco AC Brazil. msnunes1@ yahoo.com.br.
authors.forename: José Alcântara
authors.initials: JA
authors.lastname: Filgueira-Júnior
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Acre. BR 364 km 04. 69917-769 Rio Branco AC Brazil. msnunes1@ yahoo.com.br.
authors.forename: Ana Paula
authors.initials: AP
authors.lastname: Santos
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Acre. BR 364 km 04. 69917-769 Rio Branco AC Brazil. msnunes1@ yahoo.com.br.
authors.forename: Rhanderson Gardinali
authors.initials: RG
authors.lastname: Campos
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Acre. BR 364 km 04. 69917-769 Rio Branco AC Brazil. msnunes1@ yahoo.com.br.
authors.forename: Andréia Silva
authors.initials: AS
authors.lastname: Guimarães
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Acre. BR 364 km 04. 69917-769 Rio Branco AC Brazil. msnunes1@ yahoo.com.br.
authors.forename: Thiago Santos de
authors.initials: TS
authors.lastname: Araújo
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Acre. BR 364 km 04. 69917-769 Rio Branco AC Brazil. msnunes1@ yahoo.com.br.
authors.forename: Cristieli Sérgio de Menezes
authors.initials: CS
authors.lastname: Oliveira
authors.affiliation: Programa de Computação Científica, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brazil.
authors.forename: Cláudia Torres
authors.initials: CT
authors.lastname: Codeço
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Acre. BR 364 km 04. 69917-769 Rio Branco AC Brazil. msnunes1@ yahoo.com.br.
authors.forename: Mônica
authors.initials: M
authors.lastname: da Silva-Nunes
mesh_terms: D001938:Brazil / Q000453:epidemiology; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D016021:Epidemiologic Studies; D005260:Female; D006130:Growth Disorders / Q000453:epidemiology*; D006306:Health Surveys; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D015995:Prevalence; D012959:Socioeconomic Factors