Time trend of the prevalence of malnutrition in children under five years of age assisted by the Bolsa Família Program (2008-2019)
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | preprint |
Idioma: | por |
Título da fonte: | SciELO Preprints |
Texto Completo: | https://preprints.scielo.org/index.php/scielo/preprint/view/4965 |
Resumo: | The objective of this study was to analyze the temporal trend of malnutrition in children under five years of age assisted by the Bolsa Família Program (PBF) between 2008 and 2019, exploring regional inequalities and seeking to determine the impact of the economic and political crises worsened in 2014 and of government adherence to fiscal austerity policies on the trend. Analyses were conducted using aggregate data from infants (0-23 months) and preschoolers (24-59 months) extracted from the Food and Nutrition Surveillance System (SISVAN) assisted by the PBF (n=34,272,024). Trends were analyzed using generalized linear models with age-specific mixed effects (negative binomial distribution and log-link function). Regional inequalities were analyzed by grouping the federative units according to the social vulnerability index (SVI) and the influence of crises and austerity policies on the prevalence of malnutrition by means of 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 trends became stationary for preschoolers and upward for infants. Higher risk of malnutrition was also observed in states with medium and high social vulnerability compared to those with low social vulnerability. The turning point in the trends supports the hypothesis that the political and economic crises, and government responses to these crises, have negatively impacted the nutritional status of children in poverty and extreme poverty in Brazil. |
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Time trend of the prevalence of malnutrition in children under five years of age assisted by the Bolsa Família Program (2008-2019)Tendência temporal da prevalência de desnutrição em crianças menores de cinco anos assistidas pelo Programa Bolsa Família (2008-2019)CriançaDesnutriçãoVigilância alimentar e nutricionaldesigualdade de saúdeChildmalnutritionFood and nutrition surveillancehealth inequalityThe objective of this study was to analyze the temporal trend of malnutrition in children under five years of age assisted by the Bolsa Família Program (PBF) between 2008 and 2019, exploring regional inequalities and seeking to determine the impact of the economic and political crises worsened in 2014 and of government adherence to fiscal austerity policies on the trend. Analyses were conducted using aggregate data from infants (0-23 months) and preschoolers (24-59 months) extracted from the Food and Nutrition Surveillance System (SISVAN) assisted by the PBF (n=34,272,024). Trends were analyzed using generalized linear models with age-specific mixed effects (negative binomial distribution and log-link function). Regional inequalities were analyzed by grouping the federative units according to the social vulnerability index (SVI) and the influence of crises and austerity policies on the prevalence of malnutrition by means of 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 trends became stationary for preschoolers and upward for infants. Higher risk of malnutrition was also observed in states with medium and high social vulnerability compared to those with low social vulnerability. The turning point in the trends supports the hypothesis that the political and economic crises, and government responses to these crises, have negatively impacted the nutritional status of children in poverty and extreme poverty in Brazil.O objetivo deste estudo foi analisar a tendência temporal da desnutrição em crianças menores de cinco anos de idade assistidas pelo Programa Bolsa Família (PBF) 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 PBF (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. O ponto de inflexão nas tendências corroboram a hipótese de que as crises política e econômica, e as respostas governamentais a estas crises, provocaram impacto negativo sobre o estado nutricional de crianças em situação de pobreza e extrema pobreza no Brasil.SciELO PreprintsSciELO PreprintsSciELO Preprints2022-11-03info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/496510.1590/SciELOPreprints.4965porhttps://preprints.scielo.org/index.php/scielo/article/view/4965/9713Copyright (c) 2022 Allan Victor da Silveira Gouveia, Renata Elyonara de Sousa Carvalho, Maria Eduarda Guimarães Correia, Jonas Augusto Cardoso Silveirahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGouveia, Allan Victor da SilveiraCarvalho, Renata Elyonara de SousaCorreia, Maria Eduarda GuimarãesSilveira, Jonas Augusto Cardosoreponame:SciELO Preprintsinstname:SciELOinstacron:SCI2022-11-03T13:26:46Zoai:ops.preprints.scielo.org:preprint/4965Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2022-11-03T13:26:46SciELO Preprints - SciELOfalse |
dc.title.none.fl_str_mv |
Time trend of the prevalence of malnutrition in children under five years of age assisted by the Bolsa Família Program (2008-2019) Tendência temporal da prevalência de desnutrição em crianças menores de cinco anos assistidas pelo Programa Bolsa Família (2008-2019) |
title |
Time trend of the prevalence of malnutrition in children under five years of age assisted by the Bolsa Família Program (2008-2019) |
spellingShingle |
Time trend of the prevalence of malnutrition in children under five years of age assisted by the Bolsa Família Program (2008-2019) Gouveia, Allan Victor da Silveira Criança Desnutrição Vigilância alimentar e nutricional desigualdade de saúde Child malnutrition Food and nutrition surveillance health inequality |
title_short |
Time trend of the prevalence of malnutrition in children under five years of age assisted by the Bolsa Família Program (2008-2019) |
title_full |
Time trend of the prevalence of malnutrition in children under five years of age assisted by the Bolsa Família Program (2008-2019) |
title_fullStr |
Time trend of the prevalence of malnutrition in children under five years of age assisted by the Bolsa Família Program (2008-2019) |
title_full_unstemmed |
Time trend of the prevalence of malnutrition in children under five years of age assisted by the Bolsa Família Program (2008-2019) |
title_sort |
Time trend of the prevalence of malnutrition in children under five years of age assisted by the Bolsa Família Program (2008-2019) |
author |
Gouveia, Allan Victor da Silveira |
author_facet |
Gouveia, Allan Victor da Silveira Carvalho, Renata Elyonara de Sousa Correia, Maria Eduarda Guimarães Silveira, Jonas Augusto Cardoso |
author_role |
author |
author2 |
Carvalho, Renata Elyonara de Sousa Correia, Maria Eduarda Guimarães Silveira, Jonas Augusto Cardoso |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Gouveia, Allan Victor da Silveira Carvalho, Renata Elyonara de Sousa Correia, Maria Eduarda Guimarães Silveira, Jonas Augusto Cardoso |
dc.subject.por.fl_str_mv |
Criança Desnutrição Vigilância alimentar e nutricional desigualdade de saúde Child malnutrition Food and nutrition surveillance health inequality |
topic |
Criança Desnutrição Vigilância alimentar e nutricional desigualdade de saúde Child malnutrition Food and nutrition surveillance health inequality |
description |
The objective of this study was to analyze the temporal trend of malnutrition in children under five years of age assisted by the Bolsa Família Program (PBF) between 2008 and 2019, exploring regional inequalities and seeking to determine the impact of the economic and political crises worsened in 2014 and of government adherence to fiscal austerity policies on the trend. Analyses were conducted using aggregate data from infants (0-23 months) and preschoolers (24-59 months) extracted from the Food and Nutrition Surveillance System (SISVAN) assisted by the PBF (n=34,272,024). Trends were analyzed using generalized linear models with age-specific mixed effects (negative binomial distribution and log-link function). Regional inequalities were analyzed by grouping the federative units according to the social vulnerability index (SVI) and the influence of crises and austerity policies on the prevalence of malnutrition by means of 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 trends became stationary for preschoolers and upward for infants. Higher risk of malnutrition was also observed in states with medium and high social vulnerability compared to those with low social vulnerability. The turning point in the trends supports the hypothesis that the political and economic crises, and government responses to these crises, have negatively impacted the nutritional status of children in poverty and extreme poverty in Brazil. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-11-03 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/preprint info:eu-repo/semantics/publishedVersion |
format |
preprint |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/preprint/view/4965 10.1590/SciELOPreprints.4965 |
url |
https://preprints.scielo.org/index.php/scielo/preprint/view/4965 |
identifier_str_mv |
10.1590/SciELOPreprints.4965 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/article/view/4965/9713 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints - SciELO |
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