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[Social inequalities and other determinants of height in children: a multi-level analysis]. / Desigualdade social e outros determinantes da altura em crianças: uma análise multinível.
Drachler, Maria de Lourdes; Andersson, Márcia Christina Stark; Leite, José Carlos de Carvalho; Marshall, Tom; Aerts, Denise Rangel Ganzo de Castro; Freitas, Paulo Fontoura; Giuglianni, Elsa Regina Justo.
Afiliação
  • Drachler Mde L; Universidade do Vale do Rio dos Sinos, São Leopoldo, RS, 93022-000, Brasil. zecamalu@terra.com.br
Cad Saude Publica ; 19(6): 1815-25, 2003.
Article em Pt | MEDLINE | ID: mdl-14999347
A cross-sectional household survey of height among children under five years of age (n = 2,632) was conducted in the city of Porto Alegre, Rio Grande do Sul State, Brazil. Multi-level linear regression was applied to investigate the effect of socioeconomic and demographic factors, physical and social environment, and health conditions on children s height, measured by the height-for-age z-scores of the National Center for Health Statistics standards. Area of residence (census tract) was classified as good versus poor in terms of housing and sanitation standards. On average, children s height was -0.18 z-score. Average height increased with maternal and paternal schooling, parents work skills, per capita family income, improved housing, maternal age, birth intervals, and birth weight. Height decreased with hospitalization in the first two years of life, number of under-five children in the household, and preterm birth. In the poor residential areas, the effect of maternal schooling was twice as great as in the better-off areas. The effect of parental work skills was only evident in the more deprived areas. Area of residence modified the effects of socioeconomic conditions on children s growth. Housing and sanitation programs are potentially beneficial to offset the negative effect of social disadvantage on children's growth.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Classe Social / Estatura / Desenvolvimento Infantil / Crescimento Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Child, preschool / Female / Humans / Infant / Male País/Região como assunto: America do sul / Brasil Idioma: Pt Revista: Cad Saude Publica Assunto da revista: SAUDE PUBLICA Ano de publicação: 2003 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Classe Social / Estatura / Desenvolvimento Infantil / Crescimento Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Child, preschool / Female / Humans / Infant / Male País/Região como assunto: America do sul / Brasil Idioma: Pt Revista: Cad Saude Publica Assunto da revista: SAUDE PUBLICA Ano de publicação: 2003 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil