2009, Number 3
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salud publica mex 2009; 51 (3)
Poverty and indigenous origin as risk factors of nutritional problems among children who enroll in school
Bustos P, Muñoz S, Vargas C, Hugo Amigo H
Language: Spanish
References: 23
Page: 187-193
PDF size: 125.33 Kb.
ABSTRACT
Objective. To estimate the effect of indigenous ancestry and poverty on nutritional outcomes in Chilean schoolchildren.
Material and Methods. We used the national database of children entering to the public educational system in 1997-2004. This includes anthropometric assessment, socioeconomic status and parental surnames, used to derive the ethnic origin. Logistic regression models related poverty and ethnicity on stunting and obesity were done, controlling for sex, age and calendar year.
Results. Data convey 1580103 children being 7.4% indigenous; 2.9% had stunting and around 16.0% were obese. Stratifying by poverty, it was shown that the poorest had higher risk of stunting both in indigenous (OR= 2.30; CI95%=2.27-2.33) and non indigenous (OR= 2.29; CI95%= 2.28-2.30). Conversely, poverty was a “protective factor” for obesity (OR= 0.63; CI95%= 0.62-0.64). Indigenous origin showed a significant OR slightly over the null.
Conclusions. In Chilean children, poverty is a risk factor for stunting but still protects from obesity, independent of indigenous origin.
REFERENCES
Pan American Health Organization. Situation of severe growth retardation in first-grade school children in countries of Central America around 2000. Epidemiol Bull 2004;25(1):9-13.
Rivera J, Monterrubio E, González-Cossío T, García-Feregrino R, García-Guerra A, Sepúlveda-Amor J. Estado nutricio de los niños indígenas menores de 5 años de edad en México: resultados de una encuesta nacional probabilística. Salud Publica Mex 2003;45(Supl 4):1-11.
Chávez MC, Madrigal H, Villa A, Guarneros N. Alta prevalencia de desnutrición en la población infantil indígena mexicana. Encuesta Nacional de Nutrición 1999. Rev Esp Salud Publica 2003;77:245-255.
Psacharopoulos G, Patrinos H. Indigenous people and poverty in Latin America: an empirical analysis. World Bank Regional and Sectoral Studies. Washington, DC: World Bank, 1994.
Caballero E, Himes JH, Lohman T, Davis S, Stevens J, Evans M, et al. Body composition and overweight prevalence in 1704 schoolchildren from 7 American Indian communities. Am J Clin Nutr 2003;78:308-312.
Bernard L, Lavallée C, Gray-Donald K, Delisle H. Overweight in Cree schoolchildren and adolescents associated with diet, low physical activity, and high television viewing. J Am Diet Assoc 1995;95:800-802.
Young TK, Dean HJ, Flett B, Wood-Steiman P. Childhood obesity in a population at high risk for type 2 diabetes. J Pediatr 2000;136:365-369.
Hanley A, Harris S, Gittelsohn J, Wolever T, Saksvig B, Zinman B. Overweight among children and adolescents in a Native Canadian community: prevalence and associated factors. Am J Clin Nutr 2000;71:693-700.
Beaton GH, Bengoa JM. Practical population indicators of health and nutrition. In: Beaton, GH, Bengoa, JM, Ed. Nutrition in Preventive Medicine. Geneva: WHO, 1976:590. Monograph series Nº 62.
Ministerio de Educación de Chile. Manual de salud escolar... Una tarea de todos. Edición 2006. [Consultado el 10 de septiembre de 2008]. Disponible en: http://www.junaeb.cl/manual_salud/JUNAEB.pdf.
CDC/NCHS: CDC growth charts: United States 2000. [Consultado el 10 de septiembre de 2007]. Disponible en: http://www.cdc.gov/growthcharts.
Ministerio de Planificación, Chile. Ficha CAS: un instrumento de focalización de programas sociales. [Consultado el 30 de marzo de 2007]. Disponible en: http:// www.mideplan.cl.
Larrea C, Freire W. Social inequality and child malnutrition in four Andean countries. Rev Panam Salud Publica 2002;11:356-364.
Larrea C, Karachi I. Does economic inequality affect child malnutrition? The case of Ecuador. Soc Sci Med 2005;60:165-178.
Bustos P, Amigo H, Muñoz S, Martorell R. Growth in indigenous and non indigenous Chilean schoolchildren from 3 poverty strata. Am J Public Health 2001;91:1645-1649.
Bustos P, Weitzman M, Amigo H. Crecimiento en talla de niños indígenas y no indígenas chilenos. Arch Latinoam Nutr 2004;54:190-195.
Martorell R, Haschke F. Nutrition and growth. Nestle Nutrition Workshop Series, Pediatric Program. Philadelphia (PA): Lippincott Williams and Wilkins, 2001.
Ministerio de Salud de Chile. Encuesta Nacional de Salud 2003. [Consultado el 20 de agosto de 2007]. Disponible en: http://epi.minsal.cl/epi/html/invest/ENS/informeFinalENS.pdf.
Adjemián D, Bustos P, Amigo H. Nivel socioeconómico y estado nutricional: un estudio en escolares. Arch Latinoam Nutr 2007;57:125-129.
García V, Amigo H, Bustos P. Ingesta alimentaria en escolares chilenos de procedencia indígena y no indígena de diferente vulnerabilidad social. Arch Latinoam Nutr 2002;52:368-373.
Kain J, Uauy R, Lera L, Taibo M, Albala C. Trends in height and BMI of 6 -year-old children during the nutrition transition in Chile. Obes Res 2005;13:2178-2186.
Amigo H, Erazo M, Bustos P, Aguilar C, Taibo M. Vigilancia nutricional en escolares chilenos: validez de la información. Rev Med Chile 2008;136:989-995.
Rojas F. Poverty determinants of acute respiratory infections among Mapuche indigenous peoples in Chile’s Ninth Region of Araucania, using GIS and spatial statistics to identify health disparities. Int J Health Geogr 2007;6:26.