@article{fdi:010026013,
  title = {{D}ecreased attendance at routine health activities mediates deterioration in nutritional status of young {A}frican children under worsening socioeconomic conditions},
  author = {{M}artin-{P}r{\'e}vel, {Y}ves and {T}raissac, {P}ierre and {D}elpeuch, {F}rancis and {M}aire, {B}ernard},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground : {E}conomic crisis and sociopolitical instability are generally associated with worsening health and nutrition in developing countries. {T}his study examines the role played by the attendance rate of young children at routine health activities in the deterioration of their nutritional status under adverse social and economic conditions. {M}ethods : {T}wo nutritional cross-sectional surveys were carried out in two districts of {B}razzavile, capital city of {T}he {C}ongo, in 1993 and 1996. {T}hey included respectively 2807 and 1695 randomly selected children 4-23 months old. {T}he children's nutritional status was assessed by height-for-age in z-scores. {U}sing embedded general linear regression models, explanatory variables (routine health activities index, socio-demographic context, household economic level, prenatal factors) were tested as potential mediators for the effect of the year of survey on child mean height-for age. {R}esults : {T}he routine health activities index declined sharply from 1993 to 1996. {I}ts introduction in the regression model including all other explanatory variables led to a sharp decrease in the effect of the year on children's nutritional status, showing the important mediating effect of routine health activities. {T}his result was encountered across all economic categories of households. {O}ther explanatory variables showed more limited mediating effect. {C}onclusions : {A}ttendance at preventive health activities should be fostered in {A}frican urbain communities facing harsh socioeconomic situations to prevent further deterioration in the nutritional status of children. ({R}{\'e}sum{\'e} d'auteur)},
  keywords = {{SANTE} {PUBLIQUE} ; {SOINS} {DE} {SANTE} {PRIMAIRES} ; {ENFANT} {D}'{AGE} {PRESCOLAIRE} ; {ETAT} {NUTRITIONNEL} ; {CRISE} {ECONOMIQUE} ; {STATUT} {SOCIOECONOMIQUE} ; {ENQUETE} {NUTRITIONNELLE} ; {ANALYSE} {STATISTIQUE} ; {MODELISATION} ; {CONGO} ; {BRAZZAVILLE}},
  booktitle = {},
  journal = {{I}nternational {J}ournal of {E}pidemiology},
  volume = {30},
  numero = {3},
  pages = {493--500},
  ISSN = {0300-5771},
  year = {2001},
  DOI = {10.1093/ije/30.3.493},
  URL = {https://www.documentation.ird.fr/hor/fdi:010026013},
}