Magnitude da Desnutrição Infantil na Região Norte Brasileira: uma Revisão de Escopo.

Corrêa, Ester Mourão; Vessoni, André; Jaime, Patrícia Constante

doi:10.18316/sdh.v8i1.5752

Cited by 8 publications

(8 citation statements)

References 25 publications

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“…Nonetheless, the high prevalence encountered (23.7%) is approximately double the average for the Northern Region (14.7%) (MS 2009) [31], demonstrating a situation of chronic malnutrition. This result is similar to the prevalence described in one of the least developed municipalities of Brazil, which is also located in the Western Amazon Region (35.8%); the prevalence of height deficit was associated with geographic isolation, social inequalities and difficulties in gaining access to services in the Northern Region [32]. Regional data reveal that height deficit in the population is the consequence of prolonged exposure to hunger and nutritional deficiencies [33], as children in Northern Brazil are less likely to have access to a diversified, healthy diet, in comparison to those in other regions of the country [34].…”

Section: Discussionsupporting

confidence: 85%

“…Regional data reveal that height deficit in the population is the consequence of prolonged exposure to hunger and nutritional deficiencies [33], as children in Northern Brazil are less likely to have access to a diversified, healthy diet, in comparison to those in other regions of the country [34]. Despite the reduction in chronic malnutrition on the national level, regional inequities persist, which contribute to the high rates of growth deficit in childhood in the Northern Region [35].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Hunger and Its Associated Factors in an Urban Cluster in the Western Brazilian Amazon: A Population-Based Study

Mata¹,

Neves²,

Medeiros³

2021

Preprint

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Background: Hunger affects millions of people worldwide. In the current pandemic scenario of COVID-19, Brazil experienced an epidemic peak of hunger, amplifying existing pre-pandemic vulnerabilities, mainly in the Northern Region of the Country. The aim of the present study was to investigate the prevalence of food insecurity and its associated factors in homes with children under five years of age in an urban cluster of a municipality of the Western Brazilian Amazon. Methods: A household survey was conducted with a probabilistic sample of 557 children and their families. Food insecurity (FI) was determined using the Brazilian Food Insecurity Scale. Associations between variables were analyzed based on the prevalence ratio (PR) and respective 95% confidence intervals (CI) calculated through multiple Poisson regression analysis. Variables with a p -value <0.05 after adjustments were considered significantly associated with the outcome. Results: A high prevalence of food insecurity was found among the families in the study (76.47%, PR=1.90, CI: 1.36-2.67, p <0.001); 42.90% had moderate (PR=1.93, CI: 1.31-2.83, p <0.01) and severe FI (PR=1.41, CI: 1.10-1.83, p <0.02), which was associated with low family income, participation in governmental income transfer programs, and heads of households with less than seven years of schooling. Moreover, substantial frequencies of height deficit and overweight were found among the children. Conclusions: The high prevalence of hunger and food insecurity and its associated factors reflects the context of geographic isolation and social exclusion in which these families live, suggesting that a substantial portion of the population under five years of age had experienced episodes of hunger in the 90 days prior to the survey. The high prevalence of height deficit and overweight among the children reveals a scenario of epidemiological/nutritional polarization, requiring the formulation of specific public policies for this population.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Hunger and Its Associated Factors in an Urban Cluster in the Western Brazilian Amazon: A Population-Based Study

Mata¹,

Neves²,

Medeiros³

2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Along with the persistent problem of childhood malnutrition in the municipality, a substantial portion of the children studied was overweight, surpassing the global prevalence estimated for children and adolescents reported by a study that found a growing trend of excess weight in developing countries (from 8.1 to 12.9% among males and from 8.4 to 13.4% among females). These rates are higher in developed countries (23.8% among males and 22.6% among females) [ 35 ]. Children from families with FI in developed countries also have a greater likelihood of poorer health since birth and a worse perception of their health on the part of their parents [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Hunger and its associated factors in the western Brazilian Amazon: a population-based study

Mata

Neves

Medeiros

2022

J Health Popul Nutr

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Background Hunger affects millions of people worldwide. In the current pandemic scenario of coronavirus Brazil has experienced an epidemic peak of hunger, amplifying existing prepandemic vulnerabilities, mainly in the North Region of the country. The aim of the present study was to investigate the prevalence of food insecurity and its associated factors in homes with children under 5 years of age in an urban area of a municipality of the western Brazilian Amazon. Methods A household survey was conducted with a probabilistic sample of 557 children and their families. Food insecurity (FI) was determined using the Brazilian Food Insecurity Scale. Associations between variables were analyzed based on the prevalence ratio (PR) and respective 95% confidence intervals (CI) calculated through multiple Poisson regression analysis. Variables with a P value < 0.05 after adjustments were considered significantly associated with the outcome. Results A prevalence of 76.5% (CI 1.36–2.67) food insecurity was found among the families in the study; 42.9% had moderate (CI 1.31–2.83) and severe (CI 1.10–1.83) food insecurity. Moderate and severe FI was associated with low family income (P = 0.00), participation in governmental income transfer programs (P = 0.01), and heads of household with less than 7 years of schooling (P = 0.02). Moreover, substantial frequencies of height deficit and being overweight were found among the children. Conclusions The high prevalence of hunger and food insecurity and its associated factors reflects the context of geographic isolation and social exclusion in which these families live, suggesting that a substantial portion of the population under 5 years of age had experienced episodes of hunger in the 90 days prior to the survey. The prevalence of height deficit and being overweight among the children reveals a scenario of epidemiological/nutritional polarization, requiring the formulation of specific public policies for this population.

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“…The territory studied here includes cities where the indigenous population receives government aid and purchases food in their community markets. Nutritional studies and recent research (Jacobs and Richtel 2017;Ellis-Petersen 2018;Corrêa et al 2020;Souza and Villar 2020) have demonstrated the indiscriminate penetration of ultra-processed foods in indigenous populations worldwide. Indigenous women symbolically equate the consumption of these food products (for example, sodas and powdered milk) with entry into "the white man's world" and escape from extreme poverty (Machado 2017).…”

Section: Discussionmentioning

confidence: 99%

SIG Tel@ Amazônia: promoting dialogue between specialists and primary care professionals in maternal and child health/ SIG Tel@ Amazônia: promovendo a interlocução entre especialistas e profissionais de Atenção Básica na saúde materno-infantil

Silva¹,

Girianelli²,

Ferreira³

2021

Braz. J. Hea. Rev.

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The Brazilian Indigenous Health Survey showed an increase in birth rates but also found an increase in deaths from malnutrition in early childhood. The study aimed to assess the effectiveness of an educational intervention involving primary care and childcare professionals' training on breastfeeding for indigenous infants. A cross-sectional panel-type descriptive study to assess breastfeeding interventions was conducted in two Special Indigenous Health Districts (SIHDs) of Amazonas State (Upper Rio Solimões and Upper Rio Negro) in 2018. The analysis compared the preintervention (January-June) and postintervention (September-December) periods in the two SIHDs and compared the intervention SIHDs with one SIHD that did not receive the intervention (Middle Rio Purus SIHD). As a result, there was a growth in lactation consultations after the intervention, with a 2,398% increase in Upper Rio Solimões and a 423% increase in Upper Rio Negro. Although the results show no evidence of early weaning, exclusive breastfeeding was ongoing for indigenous infants over six months of age. The participatory focus of the project's awareness-raising workshop guaranteed the health teams' active involvement. The Ministry of Health promotes training activities on the importance of counseling young indigenous women. However, the results show some uncertainty that this service is happening in the indigenous communities served by these SIHDs. Breastfeeding in indigenous peoples presents challenges that require specific public health interventions. Regarding the involvement of leaders and health professionals, there is an expectation of breastfeeding improvements in the region.

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Magnitude da Desnutrição Infantil na Região Norte Brasileira: uma Revisão de Escopo.

Cited by 8 publications

References 25 publications

Hunger and Its Associated Factors in an Urban Cluster in the Western Brazilian Amazon: A Population-Based Study

Hunger and Its Associated Factors in an Urban Cluster in the Western Brazilian Amazon: A Population-Based Study

Hunger and its associated factors in the western Brazilian Amazon: a population-based study

SIG Tel@ Amazônia: promoting dialogue between specialists and primary care professionals in maternal and child health/ SIG Tel@ Amazônia: promovendo a interlocução entre especialistas e profissionais de Atenção Básica na saúde materno-infantil

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