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  1. Childhood malnutrition and postwar reconstruction in rural El Salvador : A community-based survey.

    Article - En anglais

    Context The 1992 peace settlement that ended the civil war in El Salvador included land redistribution and other provisions designed to improve the socioeconomic status of ex-combatants and vulnerable civilians.

    Objective To describe associations between postwar social and economic assistance programs, especially land reform, and current child health status as reflected by nutrition in a population of resettled rural refugees.

    Design A population-based cross-sectional survey of child nutritional status and principal elements of the reconstruction process.

    Setting A single rural municipality in northern El Salvador.

    Participants A representative sample of 761 children younger than 5 years, living in 27 villages.

    Main Outcome Measure Prevalence of stunting (low height for age) in children younger than 5 years.

    Results Prevalence of stunting was 32.4%.

    Stunting was significantly more prevalent among children whose families cultivated less land (odds ratio [OR] for stunting per additional hectare of redistributed land cultivated, 0.64 ; 95% confidence interval [CI], 0.44-0.93).

    Less than half of newly transferred land was being cultivated by its owners.

    Most of the children (84.7%) lived in families cultivating 2 hectares or less of redistributed land.

    Stunting was also more prevalent among children whose households lacked piped water (adjusted OR, 2.72 ; 95% CI, 1.87-3.96) vs those who had had piped water since before the cease-fire. (...)

    Mots-clés Pascal : Salvador, Amérique Centrale, Amérique, Zone rurale, Etat nutritionnel, Enfant, Homme, Exploration, Santé, Reconstruction, Prévalence, Malnutrition, Trouble nutrition

    Mots-clés Pascal anglais : El Salvador, Central America, America, Rural area, Nutritional status, Child, Human, Exploration, Health, Reconstruction, Prevalence, Malnutrition, Nutrition disorder

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0085075

    Code Inist : 002B30A01A2. Création : 31/05/1999.