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Household food insecurity, nutritional status and morbidity in Brazilian children.
Gubert, Muriel Bauermann; Spaniol, Ana Maria; Bortolini, Gisele Ane; Pérez-Escamilla, Rafael.
Afiliação
  • Gubert MB; 1Universidade de Brasília, Faculdade de Ciências da Saúde,Departamento de Nutrição,Campus Universitário Darcy Ribeiro,Asa Norte,CEP 70910-900,Brasília,DF,Brazil.
  • Spaniol AM; 3Ministério da Saúde,Coordenação Geral de Alimentação e Nutrição,Brasília,DF,Brazil.
  • Bortolini GA; 3Ministério da Saúde,Coordenação Geral de Alimentação e Nutrição,Brasília,DF,Brazil.
  • Pérez-Escamilla R; 2Yale School of Public Health,Department of Chronic Disease Epidemiology,New Haven,CT,USA.
Public Health Nutr ; 19(12): 2240-5, 2016 08.
Article em En | MEDLINE | ID: mdl-26893101
OBJECTIVE: To identify the association of household food insecurity (HFI) with anthropometric status, the risk of vitamin A deficiency and anaemia, morbidities such as cough and fever, and hospitalizations for diarrhoea and pneumonia in children under 5 years old. DESIGN: Cross-sectional study using data from the 2006 Brazilian Demographic and Health Survey. HFI was measured with the Brazilian Food Insecurity Measurement Scale (EBIA). Vitamin A deficiency and anaemia were assessed in blood samples. Child morbidities were reported by the child's mother and included cough, fever, and hospitalizations for diarrhoea and pneumonia. Regression results were expressed as unadjusted and adjusted OR and corresponding 95 % CI for severe food insecurity, with statistical significance set at P<0·05. SETTING: Nationally representative survey. SUBJECTS: Children (n 4064) under 5 years old. RESULTS: There was no association between HFI and vitamin A deficiency, pneumonia, wasting or overweight. The prevalence of cough, fever, hospitalization for diarrhoea and stunting were associated with degree of HFI severity. There was a significant association of morbidities and stunting with severe food insecurity (v. food secure). After controlling for confounders, the association between severe food insecurity (v. food secure/rest of food insecurity categories) and the prevalence of common morbidities remained strong, showing that severely food-insecure children had a greater likelihood of experiencing cough (adjusted OR=1·79) and of being hospitalized for diarrhoea (adjusted OR=2·55). CONCLUSIONS: Severe HFI was associated with cough and severe diarrhoea among Brazilian children.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estado Nutricional / Abastecimento de Alimentos Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Child, preschool / Humans / Infant País/Região como assunto: America do sul / Brasil Idioma: En Revista: Public Health Nutr Assunto da revista: CIENCIAS DA NUTRICAO / SAUDE PUBLICA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estado Nutricional / Abastecimento de Alimentos Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Child, preschool / Humans / Infant País/Região como assunto: America do sul / Brasil Idioma: En Revista: Public Health Nutr Assunto da revista: CIENCIAS DA NUTRICAO / SAUDE PUBLICA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido