Temporal trend in the prevalence of malnutrition in children under five assisted by the Brazilian Income Transfer Program (2008-2019)
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8505 |
Resumo: | This study aimed to analyze the temporal trend of malnutrition in children aged under five years assisted by the Brazilian Income Transfer Program from 2008 to 2019, by exploring regional inequalities and seeking to determine the impact of the economic and political crises aggravated in 2014, and the government’s adherence to fiscal austerity policies on the trend. The analyses were performed using aggregated data from infants (0-23 months) and preschoolers (24-59 months), extracted from the Brazilian Food and Nutritional Surveillance System (SISVAN) assisted by the Brazilian Income Transfer Program (n = 34,272,024). Trends were analyzed using generalized linear models with age-specific mixed effects (negative binomial distribution and log linkage function). The regional inequalities were analyzed based on the grouping of Federative Units according to the Social Vulnerability Index (SVI) and the influence of crises and austerity policies on the prevalence of malnutrition by the interaction between “year” and “crisis” (2008-2013 vs. 2014-2019). There was a reduction in the prevalence of child malnutrition until mid-2013, when the trends became stationary for preschoolers and upward for infants. There was also a higher risk of malnutrition in Federative Units with medium- and high-social vulnerability, when compared to those with low-social vulnerability. The inflection points in the trends corroborate the hypothesis that the political and economic crises, and the governmental responses to these crises, negatively impacted the nutritional status of children in poverty and extreme poverty in Brazil. |
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Temporal trend in the prevalence of malnutrition in children under five assisted by the Brazilian Income Transfer Program (2008-2019)Tendencia temporal de la prevalencia de desnutrición en niños menores de cinco años atendidos por el Programa Bolsa Familia (2008-2019)Tendência temporal da prevalência de desnutrição em crianças menores de 5 anos assistidas pelo Programa Bolsa Família (2008-2019)Criança; Desnutrição; Vigilância Alimentar e Nutricional; Desigualdade em SaúdeNiño; Desnutrición; Vigilancia Alimentaria y Nutricional; Desigualdad en SaludChild; Malnutrition; Food and Nutritional Surveillance; Health Status DisparitiesThis study aimed to analyze the temporal trend of malnutrition in children aged under five years assisted by the Brazilian Income Transfer Program from 2008 to 2019, by exploring regional inequalities and seeking to determine the impact of the economic and political crises aggravated in 2014, and the government’s adherence to fiscal austerity policies on the trend. The analyses were performed using aggregated data from infants (0-23 months) and preschoolers (24-59 months), extracted from the Brazilian Food and Nutritional Surveillance System (SISVAN) assisted by the Brazilian Income Transfer Program (n = 34,272,024). Trends were analyzed using generalized linear models with age-specific mixed effects (negative binomial distribution and log linkage function). The regional inequalities were analyzed based on the grouping of Federative Units according to the Social Vulnerability Index (SVI) and the influence of crises and austerity policies on the prevalence of malnutrition by the interaction between “year” and “crisis” (2008-2013 vs. 2014-2019). There was a reduction in the prevalence of child malnutrition until mid-2013, when the trends became stationary for preschoolers and upward for infants. There was also a higher risk of malnutrition in Federative Units with medium- and high-social vulnerability, when compared to those with low-social vulnerability. The inflection points in the trends corroborate the hypothesis that the political and economic crises, and the governmental responses to these crises, negatively impacted the nutritional status of children in poverty and extreme poverty in Brazil.El objetivo de este estudio fue analizar la tendencia temporal de la desnutrición en niños menores de cinco años atendidos por el Programa Bolsa Familia entre los años 2008 y 2019, explorando desigualdades regionales y buscando determinar el impacto de las crisis económica y política que se intensificaron en 2014, así como la adhesión del gobierno a políticas de austeridad fiscal en esta tendencia. Los análisis se realizaron utilizando datos agregados de lactantes (0-23 meses) y preescolares (24-59 meses), extraídos del Sistema de Vigilancia Alimentaria y Nutricional (SISVAN) atendidos por el Programa Bolsa Familia (n = 34.272.024). Se analizaron las tendencias a través de modelos lineales generalizados con efectos mixtos específicos para los grupos de edad (distribución binomial negativa y función de enlace de logaritmo). Se analizaron las desigualdades regionales a partir del agrupamiento de las unidades federativas conforme el Índice de Vulnerabilidad Social (IVS) y la influencia de las crisis y de las políticas de austeridad en la prevalencia de desnutrición a través de la interacción entre “año” y “crisis” (2008-2013 vs. 2014-2019). Hubo una disminución en la prevalencia de desnutrición infantil hasta mediados de 2013, cuando las tendencias se volvieron estacionarias para preescolares y ascendentes para lactantes. También se observó un riesgo más alto de desnutrición en estados con vulnerabilidad social media y alta, en comparación con aquellos con vulnerabilidad social baja. Los puntos de inflexión en las tendencias corroboran la hipótesis de que las crisis política y económica, y las respuestas del gobierno para estas crisis, tuvieron un impacto negativo en el estado nutricional de niños en situación de pobreza y extrema pobreza en Brasil.O objetivo deste estudo foi analisar a tendência temporal da desnutrição em crianças menores de 5 anos de idade assistidas pelo Programa Bolsa Família entre 2008 e 2019, explorando desigualdades regionais e buscando determinar o impacto das crises econômica e política agravadas em 2014 e da adesão governamental às políticas de austeridade fiscal na tendência. As análises foram realizadas utilizando dados agregados de lactentes (0-23 meses) e pré-escolares (24-59 meses), extraídos do Sistema de Vigilância Alimentar e Nutricional (SISVAN) assistidas pelo Programa Bolsa Família (n = 34.272.024). As tendências foram analisadas por meio de modelos lineares generalizados, com efeitos mistos específicos para as faixas etárias (distribuição binomial negativa e função de ligação log). As desigualdades regionais foram analisadas a partir do agrupamento das Unidades Federativas segundo o Índice de Vulnerabilidade Social (IVS) e a influência das crises e das políticas de austeridade na prevalência de desnutrição por meio da interação entre “ano” e “crise” (2008-2013 vs. 2014-2019). Houve redução na prevalência de desnutrição infantil até meados de 2013, quando as tendências passaram a ser estacionárias para pré-escolares e ascendentes para lactentes. Observou-se, também, maior risco de desnutrição nos estados com média e alta vulnerabilidade social, quando comparadas àqueles com baixa vulnerabilidade social. Os pontos de inflexão nas tendências corroboram a hipótese de que as crises política e econômica, e as respostas governamentais a essas crises, provocaram impacto negativo sobre o estado nutricional de crianças em situação de pobreza e extrema pobreza no Brasil.Reports in Public HealthCadernos de Saúde Pública2024-02-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/xmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8505Reports in Public Health; Vol. 40 No. 1 (2024): JanuaryCadernos de Saúde Pública; v. 40 n. 1 (2024): Janeiro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8505/18961https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8505/18962Copyright (c) 2024 Cadernos de Saúde Públicainfo:eu-repo/semantics/openAccessVictor da Silveira Gouveia, AllanElyonara de Sousa Carvalho, RenataEduarda Guimarães Correia, MariaAugusto Cardoso da Silveira, Jonas2024-02-16T12:47:22Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/8505Revistahttps://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:2024-03-06T13:09:41.349719Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Temporal trend in the prevalence of malnutrition in children under five assisted by the Brazilian Income Transfer Program (2008-2019) Tendencia temporal de la prevalencia de desnutrición en niños menores de cinco años atendidos por el Programa Bolsa Familia (2008-2019) Tendência temporal da prevalência de desnutrição em crianças menores de 5 anos assistidas pelo Programa Bolsa Família (2008-2019) |
title |
Temporal trend in the prevalence of malnutrition in children under five assisted by the Brazilian Income Transfer Program (2008-2019) |
spellingShingle |
Temporal trend in the prevalence of malnutrition in children under five assisted by the Brazilian Income Transfer Program (2008-2019) Victor da Silveira Gouveia, Allan Criança; Desnutrição; Vigilância Alimentar e Nutricional; Desigualdade em Saúde Niño; Desnutrición; Vigilancia Alimentaria y Nutricional; Desigualdad en Salud Child; Malnutrition; Food and Nutritional Surveillance; Health Status Disparities |
title_short |
Temporal trend in the prevalence of malnutrition in children under five assisted by the Brazilian Income Transfer Program (2008-2019) |
title_full |
Temporal trend in the prevalence of malnutrition in children under five assisted by the Brazilian Income Transfer Program (2008-2019) |
title_fullStr |
Temporal trend in the prevalence of malnutrition in children under five assisted by the Brazilian Income Transfer Program (2008-2019) |
title_full_unstemmed |
Temporal trend in the prevalence of malnutrition in children under five assisted by the Brazilian Income Transfer Program (2008-2019) |
title_sort |
Temporal trend in the prevalence of malnutrition in children under five assisted by the Brazilian Income Transfer Program (2008-2019) |
author |
Victor da Silveira Gouveia, Allan |
author_facet |
Victor da Silveira Gouveia, Allan Elyonara de Sousa Carvalho, Renata Eduarda Guimarães Correia, Maria Augusto Cardoso da Silveira, Jonas |
author_role |
author |
author2 |
Elyonara de Sousa Carvalho, Renata Eduarda Guimarães Correia, Maria Augusto Cardoso da Silveira, Jonas |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Victor da Silveira Gouveia, Allan Elyonara de Sousa Carvalho, Renata Eduarda Guimarães Correia, Maria Augusto Cardoso da Silveira, Jonas |
dc.subject.por.fl_str_mv |
Criança; Desnutrição; Vigilância Alimentar e Nutricional; Desigualdade em Saúde Niño; Desnutrición; Vigilancia Alimentaria y Nutricional; Desigualdad en Salud Child; Malnutrition; Food and Nutritional Surveillance; Health Status Disparities |
topic |
Criança; Desnutrição; Vigilância Alimentar e Nutricional; Desigualdade em Saúde Niño; Desnutrición; Vigilancia Alimentaria y Nutricional; Desigualdad en Salud Child; Malnutrition; Food and Nutritional Surveillance; Health Status Disparities |
description |
This study aimed to analyze the temporal trend of malnutrition in children aged under five years assisted by the Brazilian Income Transfer Program from 2008 to 2019, by exploring regional inequalities and seeking to determine the impact of the economic and political crises aggravated in 2014, and the government’s adherence to fiscal austerity policies on the trend. The analyses were performed using aggregated data from infants (0-23 months) and preschoolers (24-59 months), extracted from the Brazilian Food and Nutritional Surveillance System (SISVAN) assisted by the Brazilian Income Transfer Program (n = 34,272,024). Trends were analyzed using generalized linear models with age-specific mixed effects (negative binomial distribution and log linkage function). The regional inequalities were analyzed based on the grouping of Federative Units according to the Social Vulnerability Index (SVI) and the influence of crises and austerity policies on the prevalence of malnutrition by the interaction between “year” and “crisis” (2008-2013 vs. 2014-2019). There was a reduction in the prevalence of child malnutrition until mid-2013, when the trends became stationary for preschoolers and upward for infants. There was also a higher risk of malnutrition in Federative Units with medium- and high-social vulnerability, when compared to those with low-social vulnerability. The inflection points in the trends corroborate the hypothesis that the political and economic crises, and the governmental responses to these crises, negatively impacted the nutritional status of children in poverty and extreme poverty in Brazil. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-02-08 |
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/8505 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8505 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8505/18961 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8505/18962 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2024 Cadernos de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2024 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. 40 No. 1 (2024): January Cadernos de Saúde Pública; v. 40 n. 1 (2024): Janeiro 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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Fundação Oswaldo Cruz (FIOCRUZ) |
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FIOCRUZ |
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FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
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Cadernos de Saúde Pública |
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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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1798943400142045184 |