Estimativas da prevalência de desnutrição infantil nos municípios brasileiros em 2006

Benício, Maria Helena D’Aquino; Martins, Ana Paula Bortoletto; Venâncio, Sônia Isoyama; Barros, Aluísio J D

doi:10.1590/s0034-8910.2013047004379

Cited by 13 publications

(13 citation statements)

References 13 publications

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“…There was considerable variability concerning the units of analysis, the geographical regions included, methods of measurement of FHS coverage, and the outcome measured. Among the 31included studies [ 23 – 53 ], six used individual-level data [ 34 , 47 – 49 , 51 , 52 ], with samples ranging from 961 to 7,534 subjects, whilst the remaining 25 studies were ecological analyses. Most (n = 19) ecological studies used municipalities as the unit of analysis, but three chose to analyze micro-regions (set of several neighbor municipalities) [ 25 , 32 , 44 ] or states [ 31 , 37 ] ( S2 Table ).…”

Section: Resultsmentioning

confidence: 99%

The impact of the Brazilian family health on selected primary care sensitive conditions: A systematic review

et al. 2017

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BackgroundBrazil has the largest public health-system in the world, with 120 million people covered by its free primary care services. The Family Health Strategy (FHS) is the main primary care model, but there is no consensus on its impact on health outcomes. We systematically reviewed published evidence regarding the impact of the Brazilian FHS on selective primary care sensitive conditions (PCSC).MethodsWe searched Medline, Web of Science and Lilacs in May 2016 using key words in Portuguese and English, without language restriction. We included studies if intervention was the FHS; comparison was either different levels of FHS coverage or other primary health care service models; outcomes were the selected PCSC; and results were adjusted for relevant sanitary and socioeconomic variables, including the national conditional cash transfer program (Bolsa Familia). Due to differences in methods and outcomes reported, pooling of results was not possible.ResultsOf 1831 records found, 31 met our inclusion criteria. Of these, 25 were ecological studies. Twenty-one employed longitudinal quasi-experimental methods, 27 compared different levels the FHS coverage, whilst four compared the FHS versus other models of primary care. Fourteen studies found an association between higher FHS coverage and lower post-neonatal and child mortality. When the effect of Bolsa Familia was accounted for, the effect of the FHS on child mortality was greater. In 13 studies about hospitalizations due to PCSC, no clear pattern of association was found. In four studies, there was no effect on child and elderly vaccination or low-birth weight. No included studies addressed breast-feeding, dengue, HIV/AIDS and other neglected infectious diseases.ConclusionsAmong these ecological studies with limited quality evidence, increasing coverage by the FHS was consistently associated with improvements in child mortality. Scarce evidence on other health outcomes, hospitalization and synergies with cash transfer was found.

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Section: Resultsmentioning

confidence: 99%

The impact of the Brazilian family health on selected primary care sensitive conditions: A systematic review

et al. 2017

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“…The prevalence of food insecurity found by our study in Assis Brasil is lower than the average in Acre state (47.5%); however, it must be taken into account that PNAD joins results from urban and rural areas, in addition to gathering data from the capital with data from isolated cities from inner Acre state, the access to which is only by inland waterways or air. In these remote areas of the state are cities with the highest prevalence of malnutrition in Brazil 28 , which is probably the reason why the mean prevalence of food insecurity in Acre is larger than that in the Northern Region as well as than the national average. Additionally, our study involves only families that have children under 5 years of age while PNAD samples all households.…”

Section: Discussionmentioning

confidence: 99%

Food insecurity in families with children under five years of age on the Brazil-Peru Amazon border

Ramalho

Mantovani

Oliart-Guzmán

et al. 2016

J. Hum. Growth Dev.

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Suggested citation: Ramalho AA, Mantovani SAS, Oliart-Guzmán H, Branco FLCC, Braña AM, Martins AC, et al. Food insecurity in families with children under fi ve years of age on the Brazil-Peru Amazon border. J Hum Growth Dev. 2016; 26(3): 307-315 Abstract:Food and nutrition security is the regular and permanent access to quality food in suffi cient quantity. The aim of this study was to estimate the prevalence and factors associated with food insecurity in households with children under fi ve in the Amazon frontier Brazil -Peru. The study was conducted in 352 households in Assis Brasil (Brazil) and 89 households Iñapari (Peru), fi nding a prevalence of food insecurity of 40.6 % and 38.2 % , respectively ( p = 0.856 ) . In Assis Brasil, having domicile with wood fl oors or land increased by 2.47 times the odds of food insecurity compared to cement fl oors, ceramic or quarry tiles . Belonging to the poorest tertile increased the chance of food insecurity in 6.04 times ( p < 0.001 ), and the increment of each new resident increased by 37 % the chance of food insecurity in the household . In Iñapari, only living in house made of wood or with a wood fl oor was associated with food insecurity, showing that income is still the main factor associated with food insecurity in the Amazonian borders.

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“…The covariates of interest corresponded to the socioeconomic characteristics (represented by the proxy maternal education in years of schooling: ≤ 8, 9|-12, ≥ 12), to the infants characteristics (age: 6|-7 months, 7|-8 months, 8|-9 months, 9|-10 months, 10|-11 months, 11|-12 months; sex: male, female), to the mothers characteristics (age range: < 20, 20|-35, ≥ 35; working outside: no, yes, parity: primiparous, multiparous) and to the health services (outpatient follow-up: private or insurance plan, public network; type of delivery: vaginal, cesarean section). The first contextual factor studied regarding the municipality was the municipal prevalence of child undernutrition (≥ 10%, < 10%), a variable used as a proxy for poverty and estimated by Benicio et al 22 from data from the 2006 National Demographic and Health Survey (NDHS) and the 2000 Demographic Census sample. Child undernutrition was measured by the height deficit for age below -2 Z-scores of the 2006 WHO growth pattern.…”

Section: 370 Low Birth Weight Infants Aged Between 6|-12 Monthsmentioning

confidence: 99%

Feeding practices of low birth weight Brazilian infants and associated factors

2020

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OBJECTIVE: To characterize complementary feeding and to analyze the influence of individual and contextual factors on dietary practices of low birth weight infants. METHODS: This cross-sectional study included 2,370 low birth weight infants aged 6 to 12 months included in the Breastfeeding Prevalence Survey in Brazilian Municipalities (2008), which covered the 26 state capitals, the Federal District and 37 municipalities. Dietary practices were assessed using two indicators: I) dietary diversity, characterized by the consumption of five food groups: meat, beans, vegetables, fruit and milk; II) consumption of ultra-processed foods, characterized by the ingestion of at least one of the following foods on the day prior to the survey: soda, or processed juice, or cookie, cracker and crisps. The covariates of interest were the socioeconomic characteristics of infants, mothers and health services. The contextual factor was the “municipal prevalence of child undernutrition.” The individualized effect of the study factors on outcomes was assessed by multilevel Poisson regression. RESULTS: Approximately 59% of infants consumed ultra-processed foods, while 29% had diverse feeding. Mothers living in municipalities with child undernutrition prevalence below 10%, with higher education and working outside the home were more likely to offer dietary diversity. Consumption of ultra-processed foods was higher among infants living in municipalities with child undernutrition prevalence below 10%, whose mothers were younger and multiparous. CONCLUSIONS: The low prevalence of diverse feeding combined with the high prevalence of ultra-processed food consumption characterizes the low quality of feeding of low birth weight Brazilian infants. Individual and contextual factors impact the feeding quality of this population, suggesting the need for effective strategies to increase the consumption of fresh and minimally processed foods and decrease the consumption of ultra-processed foods by this vulnerable population.

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Estimativas da prevalência de desnutrição infantil nos municípios brasileiros em 2006

Cited by 13 publications

References 13 publications

The impact of the Brazilian family health on selected primary care sensitive conditions: A systematic review

The impact of the Brazilian family health on selected primary care sensitive conditions: A systematic review

Food insecurity in families with children under five years of age on the Brazil-Peru Amazon border

Feeding practices of low birth weight Brazilian infants and associated factors

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