Factors associated with anemia and vitamin A deficiency in Brazilian children under 5 years old: Brazilian National Survey on Child Nutrition (ENANI-2019)
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8366 |
Resumo: | Factors associated with anemia and vitamin A deficiency were investigated in 7,716 children 6-59 months of age studied in the Brazilian National Survey on Child Nutrition (ENANI-2019). We adopted a hierarchical approach based on a United Nations Children’s Fund (UNICEF) theoretical model with three levels, stratifying by age (6-23; 24-59 months). Prevalence ratio (PR) and 95% confidence interval (95%CI) were estimated. Enabling determinants: a higher prevalence of anemia was observed in children 6-23 months whose mothers had ≤ 7 years of schooling (PR = 1.92; 95%CI: 1.10; 3.34), < 20 years old (PR = 2.47; 95%CI: 1.34; 4.56) or 20-30 years old (PR = 1.95; 95%CI: 1.11; 3.44), mixed-race (PR = 1.57; 95%CI: 1.06; 2.23); and in children 24-59 months in the North Region (PR = 3.11; 95%CI: 1.58; 6.13). A higher prevalence for vitamin A deficiency was observed in children 6-23 months from Central-West (PR = 2.32; 95%CI: 1.33; 4.05), and in children 24-59 months living in the North (PR = 1.96; 95%CI: 1.16; 3.30), South (PR = 3.07; 95%CI: 1.89; 5.01), and Central-West (PR = 1.91; 95%CI: 1.12; 3.25) and whose mothers were 20-34 years (PR = 1.62; 95%CI: 1.11; 2.35). Underlying determinants: the presence of more than one child < 5 years old in the household was associated with a higher prevalence of anemia (PR = 1.61; 95%CI: 1.15; 2.25) and vitamin A deficiency (PR = 1.82; 95%CI: 1.09; 3.05) in children 6-23 months. Immediate determinants: consumption of 1-2 groups of ultra-processed foods in children 24-59 months (PR = 0.44; 95%CI: 0.25; 0.81) and lack of breastfeeding in the day before in children 6-23 months (PR = 0.56; 95%CI: 0.36; 0.95) were associated with lower prevalence of anemia and vitamin A deficiency. Public policies focused on geographically and socially vulnerable groups are needed to promote equity. |
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Factors associated with anemia and vitamin A deficiency in Brazilian children under 5 years old: Brazilian National Survey on Child Nutrition (ENANI-2019)Factores asociados con la anemia y la deficiencia de vitamina A en niños brasileños menores de cinco años: Estudio Nacional de Alimentación y Nutrición Infantil (ENANI-2019)Fatores associados à anemia e deficiência de vitamina A em crianças brasileiras menores de cinco anos: Estudo Nacional de Alimentação e Nutrição Infantil (ENANI-2019)Pré-escolar; Micronutrientes; Determinantes Sociais da Saúde; Inquéritos e QuestionáriosPreescolar; Micronutrientes; Determinantes Sociales de la Salud; Encuestas y CuestionariosPreeschool Child; Micronutrients; Social Determinants of Health; Surveys and QuestionnairesFactors associated with anemia and vitamin A deficiency were investigated in 7,716 children 6-59 months of age studied in the Brazilian National Survey on Child Nutrition (ENANI-2019). We adopted a hierarchical approach based on a United Nations Children’s Fund (UNICEF) theoretical model with three levels, stratifying by age (6-23; 24-59 months). Prevalence ratio (PR) and 95% confidence interval (95%CI) were estimated. Enabling determinants: a higher prevalence of anemia was observed in children 6-23 months whose mothers had ≤ 7 years of schooling (PR = 1.92; 95%CI: 1.10; 3.34), < 20 years old (PR = 2.47; 95%CI: 1.34; 4.56) or 20-30 years old (PR = 1.95; 95%CI: 1.11; 3.44), mixed-race (PR = 1.57; 95%CI: 1.06; 2.23); and in children 24-59 months in the North Region (PR = 3.11; 95%CI: 1.58; 6.13). A higher prevalence for vitamin A deficiency was observed in children 6-23 months from Central-West (PR = 2.32; 95%CI: 1.33; 4.05), and in children 24-59 months living in the North (PR = 1.96; 95%CI: 1.16; 3.30), South (PR = 3.07; 95%CI: 1.89; 5.01), and Central-West (PR = 1.91; 95%CI: 1.12; 3.25) and whose mothers were 20-34 years (PR = 1.62; 95%CI: 1.11; 2.35). Underlying determinants: the presence of more than one child < 5 years old in the household was associated with a higher prevalence of anemia (PR = 1.61; 95%CI: 1.15; 2.25) and vitamin A deficiency (PR = 1.82; 95%CI: 1.09; 3.05) in children 6-23 months. Immediate determinants: consumption of 1-2 groups of ultra-processed foods in children 24-59 months (PR = 0.44; 95%CI: 0.25; 0.81) and lack of breastfeeding in the day before in children 6-23 months (PR = 0.56; 95%CI: 0.36; 0.95) were associated with lower prevalence of anemia and vitamin A deficiency. Public policies focused on geographically and socially vulnerable groups are needed to promote equity.Los factores asociados con la anemia y la deficiencia de vitamina A se investigaron en 7.716 niños de 6-59 meses de edad que formaban parte del Estudio Nacional de Alimentación y Nutrición Infantil (ENANI-2019). Adoptamos un enfoque jerárquico basado en un modelo teórico del Fondo de las Naciones Unidas para la Infancia (UNICEF) con tres niveles estratificados por edad (6-23; 24-59 meses). Se estimaron las razones de prevalencia (RP) y el intervalo de 95% de confianza (IC95%). Factores determinantes: observamos una mayor prevalencia de anemia en los niños de 6-23 meses de edad cuyas madres tenían ≤ 7 años de escolaridad (RP = 1,92; IC95%: 1,10; 3,34), < 20 años de edad (RP = 2,47; IC95%: 1,34; 4,56) o de 20-30 años de edad (RP = 1,95; IC95%: 1,11; 3,44), color pardo (RP = 1,57; IC95%: 1,06; 2,23); y en niños de 24-59 meses edad en la Región Norte (RP = 3,11; IC95%: 1,58; 6,13). Encontramos una mayor prevalencia de deficiencia de vitamina A en los niños de 6-23 meses de edad en el Centro-oeste (RP = 2,32; IC95%: 1,33; 4,05) y en los niños de 24-59 meses de edad que residen en las regiones Norte (RP = 1,96; IC95%: 1,16; 3,30), Sur (RP = 3,07; IC95%: 1,89; 5,01) y Centro-oeste (RP = 1,91; IC95%: 1,12; 3,25) cuyas madres tenían entre 20-34 años de edad (RP = 1,62; IC95%: 1,11; 2,35). Determinantes subyacentes: la presencia de más de un niño < 5 años de edad en el hogar se asoció a la mayor prevalencia de anemia (RP = 1,61; IC95%: 1,15; 2,25) y deficiencia de vitamina A (RP = 1,82; IC95%: 1,09; 3,05) en niños de 6-23 meses de edad. Determinantes inmediatos: el consumo de 1-2 grupos de alimentos ultraprocesados en niños de 24-59 meses de edad (RP = 0,44; IC95%: 0,25; 0,81) y no consumo de leche materno el día anterior en niños de 6-23 meses de edad (RP = 0,56; IC95%: 0,36; 0,95) se asociaron con una menor prevalencia de anemia y deficiencia de vitamina A. Las políticas públicas enfocadas en los grupos geográfica y socialmente vulnerables son necesarias para promover la equidad.Fatores associados a anemia e deficiência de vitamina A foram investigados em 7.716 crianças de 6-59 meses de idade parte da Estudo Nacional de Alimentação e Nutrição Infantil (ENANI-2019). Adotamos uma abordagem hierárquica baseada em um modelo teórico do Fundo das Nações Unidas para a Infância (UNICEF) com três níveis estratificados por idade (6-23; 24-59 meses). Foram estimadas razões de prevalência (RP) e intervalos de 95% de confiança (IC95%). Determinantes habilitadores: observamos maior prevalência de anemia em crianças de 6-23 meses de idade cujas mães tinham ≤ 7 anos de escolaridade (RP = 1,92; IC95%: 1,10; 3,34), < 20 anos de idade (RP = 2,47; IC95%: 1,34; 4,56) ou 20-30 anos de idade (RP = 1,95; IC95%: 1,11; 3,44), cor parda (RP = 1,57; IC95%: 1,06; 2,23); e em crianças de 24-59 meses de idade na Região Norte (RP = 3,11; IC95%: 1,58; 6,13). Encontramos maior prevalência de deficiência de vitamina A em crianças de 6-23 meses de idade no Centro-oeste (RP = 2,32; IC95%: 1,33; 4,05) e em crianças de 24-59 meses de idade residentes nas regiões Norte (RP = 1,96; IC95%: 1,16; 3,30), Sul (RP = 3,07; IC95%: 1,89; 5,01) e Centro-oeste (RP = 1,91; IC95%: 1,12; 3,25) cujas mães tinham entre 20-34 anos de idade (RP = 1,62; IC95%: 1,11; 2,35). Determinantes subjacentes: a presença de mais de uma criança < 5 anos de idade no domicílio se associou a maior prevalência de anemia (RP = 1,61; IC95%: 1,15; 2,25) e deficiência de vitamina A (RP = 1,82; IC95%: 1,09; 3,05) em crianças de 6-23 meses de idade. Determinantes imediatos: o consumo de 1-2 grupos de alimentos ultraprocessados em crianças de 24-59 meses de idade (RP = 0,44; IC95%: 0,25; 0,81) e o não aleitamento materno no dia anterior em crianças de 6-23 meses de idade (RP = 0,56; IC95%: 0,36; 0,95) foram associados com a menor prevalência de anemia e deficiência de vitamina A. Políticas públicas focadas em grupos geográfica e socialmente vulneráveis são necessárias para promover equidade.Reports in Public HealthCadernos de Saúde Pública2023-09-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/xmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8366Reports in Public Health; Vol. 39 No. Suplemento 2 (2023)Cadernos de Saúde Pública; v. 39 n. Suplemento 2 (2023)1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8366/18679https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8366/18680Copyright (c) 2023 Cadernos de Saúde Públicainfo:eu-repo/semantics/openAccessRugani Ribeiro de Castro, InêsNormando, PaulaRodrigues Farias, DayanaLelis Berti, TalitaMachado Schincaglia, RaquelGomes Andrade, PedroBertoni, NeilaneMaria de Aquino Lacerda, ElisaAntonio dos Anjos, LuizSiqueira Boccolini, CristianoCitelli dos Reis, MartaFioruci Bezerra, Fláviade Fátima Campos Pedrosa, LúciaAfonso Jordão Junior, AlceuIsrael Cabral de Lira, PedroKac, Gilberto on Child Nutrition, Brazilian Consortium2023-12-19T16:47:50Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/8366Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:09:33.118684Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Factors associated with anemia and vitamin A deficiency in Brazilian children under 5 years old: Brazilian National Survey on Child Nutrition (ENANI-2019) Factores asociados con la anemia y la deficiencia de vitamina A en niños brasileños menores de cinco años: Estudio Nacional de Alimentación y Nutrición Infantil (ENANI-2019) Fatores associados à anemia e deficiência de vitamina A em crianças brasileiras menores de cinco anos: Estudo Nacional de Alimentação e Nutrição Infantil (ENANI-2019) |
title |
Factors associated with anemia and vitamin A deficiency in Brazilian children under 5 years old: Brazilian National Survey on Child Nutrition (ENANI-2019) |
spellingShingle |
Factors associated with anemia and vitamin A deficiency in Brazilian children under 5 years old: Brazilian National Survey on Child Nutrition (ENANI-2019) Rugani Ribeiro de Castro, Inês Pré-escolar; Micronutrientes; Determinantes Sociais da Saúde; Inquéritos e Questionários Preescolar; Micronutrientes; Determinantes Sociales de la Salud; Encuestas y Cuestionarios Preeschool Child; Micronutrients; Social Determinants of Health; Surveys and Questionnaires |
title_short |
Factors associated with anemia and vitamin A deficiency in Brazilian children under 5 years old: Brazilian National Survey on Child Nutrition (ENANI-2019) |
title_full |
Factors associated with anemia and vitamin A deficiency in Brazilian children under 5 years old: Brazilian National Survey on Child Nutrition (ENANI-2019) |
title_fullStr |
Factors associated with anemia and vitamin A deficiency in Brazilian children under 5 years old: Brazilian National Survey on Child Nutrition (ENANI-2019) |
title_full_unstemmed |
Factors associated with anemia and vitamin A deficiency in Brazilian children under 5 years old: Brazilian National Survey on Child Nutrition (ENANI-2019) |
title_sort |
Factors associated with anemia and vitamin A deficiency in Brazilian children under 5 years old: Brazilian National Survey on Child Nutrition (ENANI-2019) |
author |
Rugani Ribeiro de Castro, Inês |
author_facet |
Rugani Ribeiro de Castro, Inês Normando, Paula Rodrigues Farias, Dayana Lelis Berti, Talita Machado Schincaglia, Raquel Gomes Andrade, Pedro Bertoni, Neilane Maria de Aquino Lacerda, Elisa Antonio dos Anjos, Luiz Siqueira Boccolini, Cristiano Citelli dos Reis, Marta Fioruci Bezerra, Flávia de Fátima Campos Pedrosa, Lúcia Afonso Jordão Junior, Alceu Israel Cabral de Lira, Pedro Kac, Gilberto on Child Nutrition, Brazilian Consortium |
author_role |
author |
author2 |
Normando, Paula Rodrigues Farias, Dayana Lelis Berti, Talita Machado Schincaglia, Raquel Gomes Andrade, Pedro Bertoni, Neilane Maria de Aquino Lacerda, Elisa Antonio dos Anjos, Luiz Siqueira Boccolini, Cristiano Citelli dos Reis, Marta Fioruci Bezerra, Flávia de Fátima Campos Pedrosa, Lúcia Afonso Jordão Junior, Alceu Israel Cabral de Lira, Pedro Kac, Gilberto on Child Nutrition, Brazilian Consortium |
author2_role |
author author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Rugani Ribeiro de Castro, Inês Normando, Paula Rodrigues Farias, Dayana Lelis Berti, Talita Machado Schincaglia, Raquel Gomes Andrade, Pedro Bertoni, Neilane Maria de Aquino Lacerda, Elisa Antonio dos Anjos, Luiz Siqueira Boccolini, Cristiano Citelli dos Reis, Marta Fioruci Bezerra, Flávia de Fátima Campos Pedrosa, Lúcia Afonso Jordão Junior, Alceu Israel Cabral de Lira, Pedro Kac, Gilberto on Child Nutrition, Brazilian Consortium |
dc.subject.por.fl_str_mv |
Pré-escolar; Micronutrientes; Determinantes Sociais da Saúde; Inquéritos e Questionários Preescolar; Micronutrientes; Determinantes Sociales de la Salud; Encuestas y Cuestionarios Preeschool Child; Micronutrients; Social Determinants of Health; Surveys and Questionnaires |
topic |
Pré-escolar; Micronutrientes; Determinantes Sociais da Saúde; Inquéritos e Questionários Preescolar; Micronutrientes; Determinantes Sociales de la Salud; Encuestas y Cuestionarios Preeschool Child; Micronutrients; Social Determinants of Health; Surveys and Questionnaires |
description |
Factors associated with anemia and vitamin A deficiency were investigated in 7,716 children 6-59 months of age studied in the Brazilian National Survey on Child Nutrition (ENANI-2019). We adopted a hierarchical approach based on a United Nations Children’s Fund (UNICEF) theoretical model with three levels, stratifying by age (6-23; 24-59 months). Prevalence ratio (PR) and 95% confidence interval (95%CI) were estimated. Enabling determinants: a higher prevalence of anemia was observed in children 6-23 months whose mothers had ≤ 7 years of schooling (PR = 1.92; 95%CI: 1.10; 3.34), < 20 years old (PR = 2.47; 95%CI: 1.34; 4.56) or 20-30 years old (PR = 1.95; 95%CI: 1.11; 3.44), mixed-race (PR = 1.57; 95%CI: 1.06; 2.23); and in children 24-59 months in the North Region (PR = 3.11; 95%CI: 1.58; 6.13). A higher prevalence for vitamin A deficiency was observed in children 6-23 months from Central-West (PR = 2.32; 95%CI: 1.33; 4.05), and in children 24-59 months living in the North (PR = 1.96; 95%CI: 1.16; 3.30), South (PR = 3.07; 95%CI: 1.89; 5.01), and Central-West (PR = 1.91; 95%CI: 1.12; 3.25) and whose mothers were 20-34 years (PR = 1.62; 95%CI: 1.11; 2.35). Underlying determinants: the presence of more than one child < 5 years old in the household was associated with a higher prevalence of anemia (PR = 1.61; 95%CI: 1.15; 2.25) and vitamin A deficiency (PR = 1.82; 95%CI: 1.09; 3.05) in children 6-23 months. Immediate determinants: consumption of 1-2 groups of ultra-processed foods in children 24-59 months (PR = 0.44; 95%CI: 0.25; 0.81) and lack of breastfeeding in the day before in children 6-23 months (PR = 0.56; 95%CI: 0.36; 0.95) were associated with lower prevalence of anemia and vitamin A deficiency. Public policies focused on geographically and socially vulnerable groups are needed to promote equity. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-09-12 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8366 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8366 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8366/18679 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8366/18680 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Cadernos de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Cadernos de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/xml application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 39 No. Suplemento 2 (2023) Cadernos de Saúde Pública; v. 39 n. Suplemento 2 (2023) 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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1798943399480393728 |