2002, Number 1
<< Back Next >>
salud publica mex 2002; 44 (1)
Family life strategies associated with malnutrition in children aged under two years.
Sandoval-Priego AA, Reyes-Morales H, Pérez-Cuevas R, Abrego-Blas R, Orrico-Torres ES
Language: Spanish
References: 38
Page: 41-49
PDF size: 108.44 Kb.
ABSTRACT
Objective. To identify the role of family life strategies on malnutrition in children aged 6-23 months of age.
Material and Methods. This case-control study was conducted in 1998 in the municipality of Teolocholco, State of Tlaxcala, Mexico, among families with children aged 6-23 months of age. The sample was conformed by 105 cases and 210 controls. Family life strategies were grouped into five types: family composition, means and distribution of family income, family and social networks, and life preservation strategies. Malnutrition was classified according to height for age. Data were analyzed using logistic regression to obtain odds ratios and 95% confidence intervals.
Results. Data were collected from 605 families, for a total of 445 controls and 160 cases. The predictive model included mother’s schooling, overcrowding, time elapsed between childbirths, per capita monthly income, and time devoted to child-rearing activities.
Conclusions. Family life strategies determine children’s nutritional status; understanding the influence of the family on the children’s health status is necessary to develop effective programs aimed at improving the nutritional status of children.
REFERENCES
Schroeder DG, Brown KH. El estado nutricional como factor predictivo de la supervivencia infantil: síntesis de la asociación y cuantificación del impacto global. Bol Oficina Sanit Panam 1995; 2:121-134.
World Bank. World Development report 1993: Investing in health. Washington, D.C.: Oxford University Press, 1993: 77.
World Bank. Enriching lives: Overcoming vitamin and mineral malnutrition in developing countries. Washington D.C.: World Bank, 1994: 2.
Rivera-Dommarco J, González-Cosío T, Flores M, Hernández-Avila M, Lezana MA, Sepúlveda-Amor J. Déficit de talla y emaciación en menores de 5 años en distintas regiones y estados de México. Salud Publica Mex 1995; 37: 95-107.
Secretaría de Salud, Instituto Nacional de Salud Pública. Instituto Nacional de Estadística, Geografía e Informática. Encuesta Nacional de Nutrición 1999. Tomo I. Resultados. Niños menores de cinco años. México, D.F.: SSA, INSP, INEGI, 2000.
Yoom PW, Black RE, Moulton LH, Becker S. The effect of malnutrition on the risk of diarrhoeal and respiratory mortality in children < 2 y of age in Cebu Philippines. Am J Nutr 1997; 65: 1070-1077.
Bôhler E, Bergstrôm S. Frequent diarrhoeas in early childhood have sustained effects on the height, weight and head circumference of children in East Bhutan. Acta Paediatr 1996; 85: 26-30.
Méndez MA, Adair LS. Severity and timing of stunting in the first two years of life affect performance on cognitive tests in late childhood. J Nutr 1999; 129: 1555-1562.
Ramakrishnan U, Martorell R, Schroeder DG, Flores R. Role of intergenerational effects on linear growth. Symposium: Causes and etiology of stunting. J Nutr 1999; 129: 544S-549S.
Frongillo Ea Jr. Symposium: Causes and etiology of stunting. Introduction. J Nutr 1999; 129: 529S-530S.
Rosado JL, López P, Muñoz E, Martínez H, Allen HL. Zinc supplementation reduced morbidity, but neither zinc nor iron supplementation affected growth or body composition of Mexican preschoolers. Am J Clin Nutr 1997; 65: 13-19.
Liu YX, Jalil F, Kalberg J. Risk factors for impaired length growth in early life viewed in terms of the infancy-childhood-puberty (ICP0) growth model. Acta Paediatr 1998; 87: 237-243.
Stephensen CB. Burden of infection on growth failure. Symposium: Causes and etiology of stunting. J Nutr 1999; 129: 534S-538S.
Black MM, Krishnakumar A. Predicting longitudinal growth curves of height and weight using ecological factors for children with and without early growth deficiency. Symposium: Causes and etiology of stunting. J Nutr 1999; 129: 539S-543S.
Adair LS, Guilkey DK. Age-specific determinants of stunting in filipino children. J Nutr 1997; 127: 314-320.
Frongillo EA, Jr de Onis M, Hanson KM. Socioeconomic and demographic factors are associated with worldwide patterns of stunting and wasting of children. J Nutr 1997; 127: 2302-2309.
Wishik SM, Van Der Vynckt S. The use of nutritional “positive deviants” to identify approaches for modification of dietary practices. Am J Public Health 1976; 66: 38-42.
Torrado S. El enfoque de las estrategias de vida en América Latina. Orientaciones teórico metodológicas. Buenos Aires: Centro de Estudios Urbanos y Regionales, 1983; Cuadernos del CEUR, 2.
Torrado S. Clases sociales, familia y comportamiento demográfico. Orientaciones metodológicas. Demografía y Economía 1978; 12: 343-376.
Blanes J. De los valles al Chapare, estrategias familiares de un contexto de cambios. Cochabamba, Bolivia: Centro de estudios la realidad económica y social, 1983; Serie Cochabamba, No. 4.
De la Rocha GM. Organización y reproducción de las unidades domésticas de la clase trabajadora en Guadalajara. México, D.F.: Centro de Investigaciones y Estudios Superiores en Antropología Social, 1986.
Bronfman NM. Multimortalidad infantil y familia. Dinámica, estructura y riesgo diferenciado. Perinatol Reprod Hum1995; 9: 11-28.
Department of Health Education and Welfare. Public Health Service, National Center for Health Statistics. NCHS Growth curves for children. Birth-18 years. United States U.S. Vital and Health Series 11, Number 165. Hyattsville, (MD): DHEW Publication (PHS), 1977; 78: 1650.
Flores-Huerta S, Villalpando C, Fajardo-Gutiérrez A. Evaluación antropométrica del estado de nutrición en los niños. Procedimientos estandarización y significado. Bol Med Hosp Infant Mex 1990; 47: 725-735.
Burdock EI, Fleiss JL, Hardesty AS. A new view of interobserver agreement. Pers Psychol 1963;16: 373-384.
Fajardo-Gutiérrez A, Yamamoto-Kimura LT, Garduño-Espinoza J, Hernández-Hernández DM, Martínez-García MC. Consistencia y validez de una medición en la investigación clínica pediátrica. Definición, evaluación y su interpretación. Bol Med Hosp Infant Mex 1991; 48: 367-381.
Landis RJ, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977; 33: 159-174.
Da Vanzo J. Gertler P. Household production of health: A microeconomic perspective on health transitions. A Rand Note, N-3014-RC 1990. The Rand Corporation. Santa Monica, CA, USA, 1990.
Pitt M. Analyzing human resource effects: Health. En: Demery L, Ferroni M, Griffin C. Understanding the social effects of policy reform. Washington, D.C.: The World Bank, 1993.
Schultz TP. Studying the impacto of household economic and community variables on child mortality. Popul Develop Rev 1984;10:215-235.
D’Souza RM. Housing and enviromental factors and their effects on the health of children in the slums of Karachi, Pakistán. J Biosoc Sci 1997; 29: 271-281.
Gómez de León CJ, Zúñiga HE, López RA, Rodríguez DC, Raphael ZT. Pobreza, desnutrición y atención a la salud en una zona marginada de la ciudad de México: Chimalhuacán. Serie: Estudios Sectoriales. México, D.F.: CONAPO, 1996.
Kikafunda JK, Walker AF, Collet D, Tumwine JK. Risk factors for early childhood malnutrition in Uganda. Pediatrics 1998; 102: E45.
Deaton A. Case A. Analysis of household expenditures. Living Standards measurement study (LSMS) Working Paper 28. Washington, D.C.: The World Bank, 1987.
Bitran R. McInnes K. The demand for health care in Latin America. Economic development Institute for the World Bank. Working Paper No. 46. Washington, D.C.: The World Bank. 1993.
Engle P, Zeitlin M. Active feeding behavior compensates for low interest in food among young nicaraguan children. J Nutr 1996; 1808-1816.
Berman P, Kendall C, Bhattacharyya K. The household production of health. Putting people at the center of health improvement. En: Sirageldin I, Mosley WH, Levine R, Schwobel V, Horiuchi K. ed. Towards more efficacy in child survival strategies. Baltimore, (MD): JHU Publications,1989:1-18.
Schlaepfer L, Infante C. Patrones de inicio de la vida reproductiva: su relación con la mortalidad infantil y comportamientos reproductivos futuros. En: Avila H, Lartigue T, comp. Sexualidad y reproducción humana en México. México, D.F.: UIA/Plaza y Valdés, 1996:77-94.