Hortensia Reyes|Ricardo Pérez?Cuevas|Araceli Sandoval|Raúl Castillo|José Ignacio Santos|Svetlana V Doubova|Gonzalo Gutiérrez
The family as a determinant of stunting in children living in conditions of extreme poverty: a case-control study
Centro Medico Nacional Siglo XXI|Mexican Social Security Institute|Mexican Social Security Institute|Centro Medico Nacional Siglo XXI|Mexican Social Security Institute|Secretaria de Salud|Hospital Infantil de México Federico Gómez|Centro Medico Nacional Siglo XXI|Mexican Social Security Institute|Mexican Social Security Institute
malnutrition children consequence unfavourable socioeconomic conditions however families maintain adequate nutritional status children despite living poverty aim study ascertain whether familyrelated factors determinants stunting young mexican children living extreme poverty whether factors differ rural urban contexts casecontrol study conducted one rural one urban extreme poverty level areas mexico cases comprised stunted children aged 6 23 months controls wellnourished children independent variables defined five dimensions family characteristics family income household allocation resources family organisation social networks child health care information collected 108 cases 139 controls rural area 198 cases 211 controls urban area statistical analysis carried separately area unconditional multiple logistic regression analyses performed obtain best explanatory model stunting rural area greater risk stunting associated fathers occupation farmer presence family networks child care greatest protective effect found children cared exclusively mothers urban area risk factors stunting father unstable job presence small social networks low rate attendance well child program activities breastfeeding longer six months two variables within family characteristics dimension longer duration parents union migration rural urban area study suggests influence family nutritional status children two years age living extreme poverty areas factors associated stunting different rural urban communities therefore developing implementing health programs tackle malnutrition take account differences consequence social economic cultural contexts family lives