Saúde da criança: fatores de risco aplicados em programas de atenção básica à saúde

• Autor(a) principal: Momoi, Cristiane
• Data de Publicação: 2012
• Outros Autores: Vasconcelos, Silvane Ramos dos Santos, Silva, Edina Mariko Koga da [UNIFESP], Strufaldi, Maria Wany Louzada [UNIFESP], Terao, Suely Midori, Puccini, Rosana Fiorini [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002012000200012; http://repositorio.unifesp.br/handle/11600/6875
• topic: Child health (Public health); Epidemiology; Primary health care; Risk factors; Saúde da criança; Epidemiologia; Atenção primária à saúde; Fatores de risco

OBJECTIVE:To compare the frequency of risk factors in children attending basic health units (UBS) in two periods (1988-1989 and 2005-2006) and to analyze the association of these factors with malnutrition, hospitalization and death. METHODS: A retrospective study using a quantitative approach with a random cohort sample (n = 414) of children under one year of age, enrolled in two UBS of Embu (SP) in 2005-2006. Independent variables: high risk and presence of risk factors. Outcomes: unfavorable weight gain, malnutrition, hospitalization and death. Statistics: Chi-square and Odds Ratio. RESULTS: In 2005-2006, we found: a higher frequency of neonatal complications and adolescent mothers; lower rates of malnutrition or death of a sibling <5 years; unfavorable weight gain (1.6%); nutritional deficit (2.9%); BMI > 2z (17.9%); hospitalizations (21.8%); no deaths. Low birth weight was associated with hospitalization (OR = 4.04, 95% : 1,35-12, 04). CONCLUSIONS: Low birth weight remains an important risk factor and the proportion of overweight / obesity indicates a need for redirection of child health activities.