Banca de DEFESA: LIGIA REJANE SIQUEIRA GARCIA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : LIGIA REJANE SIQUEIRA GARCIA
DATA : 02/03/2018
HORA: 15:00
LOCAL: Departamento de Odontologia
TÍTULO:

CHILD STUNTING IN BENEFICIARIES OF BOLSA FAMILIA PROGRAM: DETERMINANTS AND INEQUALITIES IN BRAZIL

PALAVRAS-CHAVES:

Child Nutrition Disorders; Nutritional Epidemiology; Socioeconomic Factors; Health Inequalities

PÁGINAS: 103
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Epidemiologia
RESUMO:

This study aimed to identify social inequalities and the associations between life conditions and child stunting on beneficiaries of a Brazilian cash transfer program. It was developed from three different designs, using secondary data from the Department of Informatics of the Brazilian National Health System (DATASUS, from the Portuguese acronym) and from the Brazilian division of the United Nations Development Program (UNDP). The dependent variable was child stunting in beneficiaries of the Brazilian cash transfer program called “Programa Bolsa Família (PBF)” and the independent variables were those related to life conditions in the 5570 Brazilian municipalities, especially indicators for educational and socioeconomic status, sanitation, income inequality and human development, from 2009 to 2012. Regarding the analysis of determinants, it was initially performed a bivariate analysis using Chi-square test, followed by the estimation of adjusted Prevalence Ratios through the Poisson Regression modelling. The spatial dependence of child stunting prevalence was assessed by the Global Moran Index and the spatial correlation was verified by the Bivariate Moran Index. In order to assess the modifications in social inequalities between 2009 and 2012, the Slope Index of Inequality and the Relative Index of Inequality were calculated. For all tests, the significance threshold adopted was 5%. Results showed that the probability of having a high prevalence of child stunting was higher in those municipalities with low socioeconomic indicators (PR 1.43; 95% CI 1.25–1.64) and higher prioritization of Primary Health Care (0.78; 0.70–0.87). It was observed spatial dependence in the distribution of child stunting (I=0.52; p=0.010), with higher prevalence in North and Northeast regions. It was observed reduction in the prevalence of child stunting and an improvement in socioeconomic indicators, followed by a decrease in the absolute inequalities over the studied period (2009 to 2012). In conclusion, the child stunting in Brazil showed a significant reduction in the inequalities, a strong evidence of the social determination and a spatial dependence, when analysed in children beneficiaries of the “Bolsa Família” program.

MEMBROS DA BANCA:
Presidente - 1149540 - ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
Interno - 421717 - MARIA ANGELA FERNANDES FERREIRA
Externo ao Programa - 1891751 - URSULA VIANA BAGNI
Externo à Instituição - RAFAEL DA SILVEIRA MOREIRA - Fiocruz - PE
Externo à Instituição - RODRIGO PINHEIRO DE TOLEDO VIANNA - UFPB