A comparison of the socio-economic determinants of growth retardation in South African and Filipino infants

Dados Bibliográficos

ID15090208
AutoresLaura L Jones (0000-0002-7379-2550), Laura Jones (0000-0002-1342-5433, Loughborough University, autor correspondente), Paula L Griffiths, P Griffiths (0000-0002-0591-9724, University of the Witwatersrand), Linda S Adair (0000-0002-3670-8073, University of North Carolina at Chapel Hill), Shane A Norri (0000-0001-7124-3788, University of the Witwatersrand), Shane A Norris, L M Richter (0000-0002-3654-3192, Human Sciences Research Council), Noël Cameron (0000-0001-8316-047X, University of the Witwatersrand)
Ano2008
Volume11
Fascículo12
Páginas1220-1228
Data de publicação2008-12-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoPublic Health Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1368-9800 • E-ISSN: 1475-2727
EditoraCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980008002498
PMID18462561
PMCIDPMC2939971
OpenAlexW2107862438
IdiomaEN
Citações recebidas11
Referências citadas28

Objective To examine the association between household socio-economic status (SES) at birth and poor infant growth such as small for gestational age (SGA) and stunting across two different socio-cultural settings: South Africa and the Philippines. Design Data were from two longitudinal birth cohorts, the Birth to Twenty (Bt20) study in South Africa and the Cebu Longitudinal Health and Nutrition Survey (CLHNS) in the Philippines. Subjects Bt20 infants ( n 2293 total; reduced to 758 (SGA), 450 (stunting 1 year) and 401 (stunting 2 years)) and CLHNS infants ( n 2513 total; reduced to 2161 (SGA), 1820 (stunting 1 year) and 1710 (stunting 2 years)). Results CLHNS infants were significantly more likely to be born SGA (20·9 v . 11·7 %) and be stunted at 1 year (32·6 v . 8·7 %) and 2 years (48·9 v . 21·1 %) compared with Bt20 infants. Logistic regression analyses showed that SES (index) was a significant predictor of stunting at 1 and 2 years of age in the CLHNS cohort. SES (index or individual variables) was not a significant predictor of SGA in either cohort, or of stunting in the Bt20 cohort. Maternal education, ownership of a television and toilet facilities were all independent predictors of stunting in the CLHNS cohort. Conclusions The social and economic milieu within the Philippines appears to place CLHNS infants at greater risk of being born SGA and being stunted compared with Bt20 infants. The present research highlights the importance of investigating the individual SES variables that predict infantile growth faltering, to identify the key areas for context-specific policy development and intervention

Biology · Birth weight · Cohort · Cohort study · Index (typography · Logistic regression · Pregnancy · Small for gestational age · Birth, Development, and Health · Child Nutrition and Water Access · Demography · Medicine · Obesity, Physical Activity, Diet · Pediatrics