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Universidad y Salud

Print version ISSN 0124-7107On-line version ISSN 2389-7066

Abstract

BARRERA-DUSSAN, Nathaly; FIERRO-PARRA, Eder Pablo; PUENTES-FIERRO, Leidy Yohana  and  RAMOS-CASTANEDA, Jorge Andres. Prevalence and social determinants of malnutrition in children under 5 years affiliated to the SISBEN of the urban area of the municipality of Palermo in Colombia, 2017. Univ. Salud [online]. 2018, vol.20, n.3, pp.236-246. ISSN 0124-7107.  https://doi.org/10.22267/rus.182003.126.

Introduction:

Malnutrition includes undernourishment, overweight and obesity generated by food imbalance and the presence of social determinants of health (SDH) that mainly affects the child population.

Objective:

To identify the prevalence of malnutrition and its association with SDH in children under 5 years belonging to Sistema de Beneficiarios para Programas Sociales (SISBEN) program from the urban area of the municipality of Palermo.

Materials and methods:

A cross-sectional study with an analytical approach was conducted. The sample was 254 children under 5 belonging to the SISBEN and residents of the urban area of the municipality of Palermo. Socioeconomic information was collected by a survey and nutritional classification by anthropometric valuation.

Results:

6.7% showed malnutrition by deficit and 9.8% by excess. Association between chronic malnutrition with overcrowding (P = 0.03; RP = 1.9 IC: 95% 1.138 - 3.173) and low economic income was found (p = 0.004; RP = 1.96 IC: 95% 1.22 - 3.15); as well as between acute malnutrition and inadequate disposal of waste (P = 0.03; RP = 6 IC: 95% 4.2 - 8.7);and between global malnutrition with low economic income (P = 0.02; RP = 2.2 IC: 95% 1.11 - 4.35) and inadequate housing (p = 0.03; RP = 2.08 IC: 95% 1.06 - 4.06).

Conclusions:

The two extremes of malnutrition coexist: by excess and by defect. The latter is related to overcrowding, low family income and inadequate disposal of rubbish.

Keywords : Malnutrition; overweight; obesity; caregivers; social determinants of health.

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