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Revista de Salud Pública
Print version ISSN 0124-0064
Abstract
RIOS-GARCIA, Ana L. et al. Social determinants and malnutrition of infants from two Colombian indigenous communities. Rev. salud pública [online]. 2021, vol.23, n.4, pp.1-. Epub Jan 22, 2023. ISSN 0124-0064. https://doi.org/10.15446/rsap.v23n4.88442.
Objetive
To identify the relationship between the Health's Social Determinants and the nutritional status of children belonging to two indigenous communities on the Colombian Caribbean coast, the Wayú and the Zenú.
Methods
Cross-sectional study that addresses nutritional status in wayúes and zenúes at preschool and school age. Also including the estimation of health's social determinants, referred by minor's caregivers, which addresses some aspects of structural ¡nequality axes (ethnicity, territory, age, and sex) and intermediates: housing, environment, and networks, through health instruments family. Metrics for height, weight, and inputs for the familiogram and ecomap were standardized. Descriptive measures of frequencies and central tendency were estimated. Odds ratio and its relationship with ¡ndependent variables were estimated.
Results
The prevalence of global malnutrition in the Wayú ethnic group was 59.1% (47.5-69.8) and in the Zenú ethnic group 22.4% (15.9-30.4) for a p<0.001. This difference is related to intermedíate risk factors with sanitation: inadequate excreta with OR=2.54; CI (1.42-4.53) p=0.002, lack of employment OR=1.94; CI (1.09-3.46) P=0.03 and lack of access to western health services OR=2.42; IC (1.34-4.40) p=0.005.
Conclusions
Improvement in nutrition requires the intervention of intermediate determinants related to sanitation, health model, intersectoriality of health policies plus an ethnic-cultural and territorial focus.
Keywords : Indigenous people; child nutrition disorder; social determinants; health disparity (source: MeSH, NLM).