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Acta Paulista de Enfermagem
On-line version ISSN 1982-0194
MOMOI, Cristiane et al. Child health: risk factors applied in programs of primary health care. Acta paul. enferm. [online]. 2012, vol.25, n.2, pp.231-237. ISSN 1982-0194. http://dx.doi.org/10.1590/S0103-21002012000200012.
OBJECTIVE:To compare the frequency of risk factors in children attending basic health units (UBS) in two periods (1988-1989 and 2005-2006) and to analyze the association of these factors with malnutrition, hospitalization and death. METHODS: A retrospective study using a quantitative approach with a random cohort sample (n = 414) of children under one year of age, enrolled in two UBS of Embu (SP) in 2005-2006. Independent variables: high risk and presence of risk factors. Outcomes: unfavorable weight gain, malnutrition, hospitalization and death. Statistics: Chi-square and Odds Ratio. RESULTS: In 2005-2006, we found: a higher frequency of neonatal complications and adolescent mothers; lower rates of malnutrition or death of a sibling <5 years; unfavorable weight gain (1.6%); nutritional deficit (2.9%); BMI > 2z (17.9%); hospitalizations (21.8%); no deaths. Low birth weight was associated with hospitalization (OR = 4.04, 95% : 1,35-12, 04). CONCLUSIONS: Low birth weight remains an important risk factor and the proportion of overweight / obesity indicates a need for redirection of child health activities.
Keywords : Child health (Public health); Epidemiology; Primary health care; Risk factors.