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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)

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...

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Autores principales: de Castro, Inês Rugani Ribeiro, Normando, Paula, Farias, Dayana Rodrigues, Berti, Talita Lelis, Schincaglia, Raquel Machado, Andrade, Pedro Gomes, Bertoni, Neilane, Lacerda, Elisa Maria de Aquino, dos Anjos, Luiz Antonio, Boccolini, Cristiano Siqueira, dos Reis, Marta Citelli, Bezerra, Flávia Fioruci, Pedrosa, Lucia Fatima Campos, Jordão, Alceu Afonso, de Lira, Pedro Israel Cabral, Kac, Gilberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10552616/
https://www.ncbi.nlm.nih.gov/pubmed/37792880
http://dx.doi.org/10.1590/0102-311XEN194922
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author de Castro, Inês Rugani Ribeiro
Normando, Paula
Farias, Dayana Rodrigues
Berti, Talita Lelis
Schincaglia, Raquel Machado
Andrade, Pedro Gomes
Bertoni, Neilane
Lacerda, Elisa Maria de Aquino
dos Anjos, Luiz Antonio
Boccolini, Cristiano Siqueira
dos Reis, Marta Citelli
Bezerra, Flávia Fioruci
Pedrosa, Lucia Fatima Campos
Jordão, Alceu Afonso
de Lira, Pedro Israel Cabral
Kac, Gilberto
author_facet de Castro, Inês Rugani Ribeiro
Normando, Paula
Farias, Dayana Rodrigues
Berti, Talita Lelis
Schincaglia, Raquel Machado
Andrade, Pedro Gomes
Bertoni, Neilane
Lacerda, Elisa Maria de Aquino
dos Anjos, Luiz Antonio
Boccolini, Cristiano Siqueira
dos Reis, Marta Citelli
Bezerra, Flávia Fioruci
Pedrosa, Lucia Fatima Campos
Jordão, Alceu Afonso
de Lira, Pedro Israel Cabral
Kac, Gilberto
author_sort de Castro, Inês Rugani Ribeiro
collection PubMed
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.
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spelling pubmed-105526162023-10-06 Factors associated with anemia and vitamin A deficiency in Brazilian children under 5 years old: Brazilian National Survey on Child Nutrition (ENANI-2019) de Castro, Inês Rugani Ribeiro Normando, Paula Farias, Dayana Rodrigues Berti, Talita Lelis Schincaglia, Raquel Machado Andrade, Pedro Gomes Bertoni, Neilane Lacerda, Elisa Maria de Aquino dos Anjos, Luiz Antonio Boccolini, Cristiano Siqueira dos Reis, Marta Citelli Bezerra, Flávia Fioruci Pedrosa, Lucia Fatima Campos Jordão, Alceu Afonso de Lira, Pedro Israel Cabral Kac, Gilberto Cad Saude Publica Article 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. Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz 2023-09-25 /pmc/articles/PMC10552616/ /pubmed/37792880 http://dx.doi.org/10.1590/0102-311XEN194922 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Article
de Castro, Inês Rugani Ribeiro
Normando, Paula
Farias, Dayana Rodrigues
Berti, Talita Lelis
Schincaglia, Raquel Machado
Andrade, Pedro Gomes
Bertoni, Neilane
Lacerda, Elisa Maria de Aquino
dos Anjos, Luiz Antonio
Boccolini, Cristiano Siqueira
dos Reis, Marta Citelli
Bezerra, Flávia Fioruci
Pedrosa, Lucia Fatima Campos
Jordão, Alceu Afonso
de Lira, Pedro Israel Cabral
Kac, Gilberto
Factors associated with anemia and vitamin A deficiency in Brazilian children under 5 years old: Brazilian National Survey on Child Nutrition (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)
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_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_sort factors associated with anemia and vitamin a deficiency in brazilian children under 5 years old: brazilian national survey on child nutrition (enani-2019)
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10552616/
https://www.ncbi.nlm.nih.gov/pubmed/37792880
http://dx.doi.org/10.1590/0102-311XEN194922
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