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The Fertility Effects of the C677T Mutation in the Methylenetetrahydrofolate Reductase Gene: A Cross-Site Systematic Review and Meta-Analysis 亚甲基四氢叶酸还原酶基因C677T突变对育性的影响:一项跨位点系统评价和荟萃分析
IF 1.7 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-08-11 DOI: 10.1002/ajhb.70119
Caroline A. MacLean, Miguel Dimanlig, David Godfrey, Lorena Madrigal

Introduction

In this research, we seek to understand the evolutionary forces which have resulted in the distribution of the MTHFR C677T single nucleotide polymorphism, which is associated with fertility-related, cardiovascular, cancerous, and neurological morbidities. Due to the negative effects of the gene, it is likely frequent due to genetic drift or natural selection.

Methods

Using secondary data gathered by systematic review, we test proposals stating that under conditions of ample folate, individuals who are heterozygous (CT) and homozygous (TT) for the MTHFR C677T polymorphism would suffer from fewer or no deleterious pregnancy or birth outcomes. Using descriptive and bivariate statistics, we determined if significant differences exist between pregnancy or birth outcomes based on genotype. We then modeled the effects of genotype, folate, cobalamin, and homocysteine (and their interactions) on the frequency of the pregnancy outcomes.

Results

Even with ample and high serum folate, CT and TT women sampled had worse pregnancy outcomes. Folate (sometimes interacting with insolation) mediates pregnancy outcomes in a genotype-dependent fashion. For this reason, we caution against the use of a “one size fits all” approach to clinical treatment for CT and TT individuals.

Conclusions

We conclude that natural selection is the primary force of evolution acting on this mutation despite its numerous negative effects. We reject the hypothesis that in conditions of ample folate supply, CT or TT pregnant people might have a fitness advantage. Genotype was a strong predictor of birth outcomes, indicating that for this polymorphism, there is a strong folate-genotypic and genotype-insolation interaction.

在这项研究中,我们试图了解导致MTHFR C677T单核苷酸多态性分布的进化力量,该多态性与生育相关、心血管、癌症和神经系统疾病有关。由于基因的负面影响,它很可能是由于遗传漂变或自然选择而频繁发生的。方法利用系统评价收集的次要数据,我们验证了在叶酸充足的条件下,MTHFR C677T多态性的杂合(CT)和纯合(TT)个体会遭受更少或没有有害的妊娠或分娩结局。使用描述性和双变量统计,我们确定了基于基因型的妊娠或分娩结局之间是否存在显著差异。然后,我们模拟了基因型、叶酸、钴胺素和同型半胱氨酸(及其相互作用)对妊娠结局频率的影响。结果即使血清叶酸充足且较高,CT和TT抽样的妇女妊娠结局较差。叶酸(有时与日照相互作用)以基因型依赖的方式介导妊娠结局。出于这个原因,我们警告不要使用“一刀切”的方法对CT和TT个体进行临床治疗。我们得出结论,自然选择是作用于这种突变的进化的主要力量,尽管它有许多负面影响。我们拒绝假设,在充足的叶酸供应条件下,CT或TT孕妇可能有健康优势。基因型是出生结果的一个强有力的预测因子,表明这种多态性存在强烈的叶酸-基因型和基因型-日照相互作用。
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引用次数: 0
Is There Any Possible Relationship Between Antenatal Hydronephrosis and Prenatal Androgen Exposure? An Analysis Using the 2D:4D Digit Ratio 产前肾积水与产前雄激素暴露有关系吗?使用2D:4D数字比的分析
IF 1.7 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-08-05 DOI: 10.1002/ajhb.70114
Sinan Kılıç, Çiğdem Kılıç

Objectives

The ratio of the index finger to the ring finger length (2D:4D) differs between sexes; it is typically higher in females than in males. This difference is thought to be related to intrauterine androgen exposure. Antenatal hydronephrosis is the most frequently detected anomaly during prenatal ultrasonographic evaluation of fetal development. This study aims to investigate the relationship between the 2D:4D ratio in newborns and the presence of congenital hydronephrosis.

Methods

Between July 2023 and April 2024, the lengths of the second and fourth digits and medical birth records of newborns were documented. Infants who were followed antenatally for hydronephrosis and exhibited persistent findings on postnatal renal ultrasonography were included in the study group. The control group consisted of newborns without any antenatal or postnatal renal abnormalities.

Results

A total of 82 newborns were included in the analysis. Among them, 50 had no antenatal or postnatal renal anomalies and comprised the control group. In 32 newborns, both antenatal and postnatal hydronephrosis were diagnosed. The 2D:4D was significantly higher in the hydronephrosis group compared to the control group (p < 0.001). No significant differences were found between right and left hand 2D:4D measurements within either group (p > 0.05).

Conclusion

The observation of significantly higher 2D:4D ratios in newborns with antenatal hydronephrosis may suggest a possible association with decreased prenatal androgen exposure. While the 2D:4D ratio is generally expected to be higher in females and lower in males, the finding of higher ratios in newborns with hydronephrosis may indicate a reduced androgen effect during fetal development in these cases. Although this finding is consistent with the fact that hydronephrosis is more frequently observed in male fetuses, it should be interpreted with caution and supported by further studies.

目的两性食指与无名指长度之比(2D:4D)存在差异;通常情况下,女性的这一比例高于男性。这种差异被认为与宫内雄激素暴露有关。产前肾积水是胎儿发育超声检查中最常见的异常。本研究旨在探讨新生儿2D:4D比值与先天性肾积水的关系。方法对2023年7月~ 2024年4月出生的新生儿进行二、四指长度和出生病历的记录。在产前进行肾积水随访并在产后肾超声检查中表现出持续表现的婴儿被纳入研究组。对照组为未出现任何产前或产后肾脏异常的新生儿。结果共纳入82例新生儿。其中50例无产前或产后肾异常,作为对照组。在32例新生儿中,诊断为产前和产后肾积水。肾积水组的2D:4D明显高于对照组(p < 0.001)。两组的右手和左手2D:4D测量结果均无显著差异(p > 0.05)。结论产前肾积水新生儿2D:4D比值明显增高,可能与产前雄激素暴露减少有关。一般认为,2D:4D比值在女性中较高,而在男性中较低,但在新生儿肾积水中发现较高的比值可能表明,在这些情况下,胎儿发育过程中雄激素作用降低。尽管这一发现与在男性胎儿中更常观察到肾积水的事实相一致,但应谨慎解释,并得到进一步研究的支持。
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引用次数: 0
The Ecology and Human Biology of Pastoralists: Building on the Contributions of Michael A. Little 牧民的生态学和人类生物学:基于Michael A. Little的贡献
IF 1.7 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-08-04 DOI: 10.1002/ajhb.70115
William R. Leonard

Human biologists have long studied the ecology, health, and adaptive patterns of pastoralist populations around the world. Over the last 20 years, research among pastoralists has increasingly focused on how ongoing climatic and socioeconomic changes are influencing these populations and threatening this lifeway. Additionally, with the development and broader use of “field friendly” methods for measuring energy expenditure, metabolism, and diverse biomarkers of physiological health, we are now able to gain a much more detailed and dynamic picture of the adaptive strategies of pastoralists. This Virtual Special Issue of the American Journal of Human Biology, “Human Biology of Pastoralists Populations” (Edited by Benjamin Campbell), showcases important advancements in this research domain and highlights the foundational contributions of Michael A. Little to our understanding of the biology and health of pastoralist societies.

人类生物学家长期以来一直在研究世界各地牧民的生态、健康和适应模式。在过去的20年里,对牧民的研究越来越关注持续的气候和社会经济变化如何影响这些人口并威胁到他们的生活方式。此外,随着“野外友好”方法的发展和广泛使用,用于测量能量消耗、新陈代谢和生理健康的各种生物标志物,我们现在能够获得更详细和动态的牧民适应策略图片。《美国人类生物学杂志》的虚拟特刊“牧民群体的人类生物学”(本杰明·坎贝尔编辑)展示了这一研究领域的重要进展,并强调了迈克尔·a·利特尔对我们理解牧民社会的生物学和健康的基础贡献。
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引用次数: 0
Systematic Review and Meta-Analysis of the Prevalence of Physical Activity in South American Children 南美儿童体育活动流行率的系统回顾和荟萃分析
IF 1.7 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-08-01 DOI: 10.1002/ajhb.70112
Luciana Leite Silva Barboza, Raphael Henrique de Oliveira Araujo, Maria Luiza Felix Pessoa, Danilo Rodrigues Pereira da Silva, Clarice Maria de Lucena Martins, the South American Physical Activity and Sedentary Behavior Network (SAPASEN) Collaborators

Objectives

This study aimed to systematically review and apply meta-analytic procedures to investigate the prevalence and time spent in different physical activity (PA) intensities among South American children across the childhood spectrum, according to sex and protocol used.

Methods

We searched PubMed, Web of Science, Scopus, Latin American and Caribbean Health Sciences Literature (LILACS), and Scientific Electronic Library Online (SCiELO); only studies with children between 0 and 11 years were included. Random-effects meta-analysis models were used to calculate the pooled estimates with their respective 95% confidence intervals (CI). All analyses were conducted using Stata 18.0.

Results

The literature search yielded 12 217 articles, with 28 studies remaining relevant for this review. The main exclusion criteria for the manuscripts were lack of prevalence data and doubled data. Pooled estimates revealed that children spent 61.4 (95% CI, 54.4–68.5) min/day of moderate-vigorous PA (MVPA), with differences in the time spent between girls (mean: 49.8 [95% CI, 38.8–60.8]) and boys (mean: 63.4 [95% CI, 55.7–71.1]). We noticed a great variability in PA prevalence, which ranged from 1.7% to approximately 80%, and was consistently lower among girls. Studies using device-based measures tend to report lower levels of PA than those relying on self-reported data.

Conclusions

On average, South American children spend 61.4 min/day on MVPA, with high variability of both device-measured and self-reported PA. Regardless of the method used to measure PA, sex inequalities favorable to boys were noted.

本研究旨在系统回顾并应用荟萃分析程序,根据性别和使用的协议,调查南美儿童在整个儿童期中不同体育活动强度(PA)的患病率和花费的时间。方法检索PubMed、Web of Science、Scopus、Latin American and Caribbean Health Sciences Literature (LILACS)、Science Electronic Library Online (SCiELO);仅包括0至11岁儿童的研究。使用随机效应荟萃分析模型计算汇总估计值及其各自的95%置信区间(CI)。所有分析均使用Stata 18.0进行。结果文献检索得到12217篇文章,其中28篇与本综述相关。论文的主要排除标准是缺乏患病率数据和双重数据。汇总估计显示,儿童每天花61.4 (95% CI, 54.4-68.5)分钟进行中等强度PA (MVPA),女孩(平均值:49.8 [95% CI, 38.8-60.8])和男孩(平均值:63.4 [95% CI, 55.7-71.1])之间的时间存在差异。我们注意到PA患病率的差异很大,从1.7%到大约80%不等,女孩的患病率一直较低。使用基于设备的测量方法的研究报告的PA水平往往低于那些依赖于自我报告数据的研究。南美儿童平均每天在MVPA上花费61.4分钟,设备测量和自我报告的PA都具有很高的可变性。无论使用何种方法来测量PA,都注意到有利于男孩的性别不平等。
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引用次数: 0
The Effects of Meteorological Conditions on the Circadian Rhythm of Births. 气象条件对出生昼夜节律的影响。
IF 1.7 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-08-01 DOI: 10.1002/ajhb.70120
Alessio Fornasin, Laura Rizzi, Giovanni Fonseca

Objective: The aim of this study is to evaluate the influences exerted by temperature on the circadian rhythm of births.

Methods: In the past births occurred mainly between midnight and dawn, while today births tend to be less frequent during the night hours. Today, almost all births are hospitalized and, therefore, they may adapt to the organizational requirements of the health care structures and staff. This piece of research regards births in Udine, a city in north-eastern Italy, recorded at the beginning of the 19th century. The data on births come from the French civil register. Weather data come from very detailed daily collection with three measurements per day. From the statistical point of view, we apply methods developed for circular data. In order to highlight relationships between time of birth and explanatory variables, we estimate MANOVA (multivariate analysis of variance) models and perform a statistical test for comparison between groups.

Results: The test against the homogeneity of the hour-of-birth distributions across the 4 seasons is significant (p < 0.01). One-to-one comparison of the distributions is performed via Watson's two-sample test on data for each couple of seasons: the Summer-Autumn comparison is the only non-significant test of homogeneity. Moreover, we consider daily temperatures in the bivariate model in several different ways and transformations. The daily temperature effect is more significant if considered as the difference between the evening temperature of the day before the birth and the mean daily temperature of the same day, over the nine-year period 1807-1815. Finally, based on this division of the births, Watson's two-sample homogeneity test for the distribution of the hour of birth is significant (p < 0.05).

Conclusions: We found that the circadian rhythm of births is influenced by temperature, with an anticipation of the time of birth on warmer days. To our knowledge, our results are the first evidence of the effects of daily temperature on the time of birth.

目的:探讨温度对新生儿昼夜节律的影响。方法:过去的分娩主要发生在午夜至黎明之间,而今天在夜间分娩的次数较少。今天,几乎所有的分娩都住院,因此,它们可以适应保健机构和工作人员的组织要求。这项研究涉及19世纪初意大利东北部城市乌迪内的出生记录。出生数据来自法国的民事登记。天气数据来自非常详细的日常收集,每天有三次测量。从统计的角度来看,我们应用为循环数据开发的方法。为了突出出生时间和解释变量之间的关系,我们估计了MANOVA(多变量方差分析)模型,并对组间比较进行了统计检验。结论:我们发现,出生的昼夜节律受到温度的影响,在温暖的日子出生的时间是预期的。据我们所知,我们的结果是每日温度对出生时间影响的第一个证据。
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引用次数: 0
Correction to “Unlocking Adolescence: A Novel Approach to Approximate the Sociocultural Implications of Puberty in Medieval Spain” 对“解开青春期:一种接近中世纪西班牙青春期社会文化含义的新方法”的更正
IF 1.7 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-07-29 DOI: 10.1002/ajhb.70113

Doe D. M., N. Candelas González, J. A. Gutiérrez González, O. Cambra-Moo, A. González Martín. 2025. “Unlocking Adolescence: A Novel Approach to Approximate the Sociocultural Implications of Puberty in Medieval Spain.” American Journal of Human Biology 37, no. 5: e70054. https://doi.org/10.1002/ajhb.70054.

In the second paragraph of the Discussion section (page 9), the first sentence which reads “Skeletons with age-at-death estimations of 810 years were determined…” is incorrect. It should read “Skeletons with age-at-death estimations of 8, 9 and 10 years were determined…”

We apologize for this error.

Doe D. M., N. Candelas González, J. A. gutisamurez González, O. Cambra-Moo, A. González Martín。2025. “解开青春期:一种接近中世纪西班牙青春期社会文化含义的新方法”。《美国人类生物学杂志》第37期。5: e70054。https://doi.org/10.1002/ajhb.70054.In讨论部分(第9页)第二段,第一句“估计死亡年龄为810岁的骷髅被确定……”是不正确的。它应该是“骷髅的死亡年龄估计为8岁、9岁和10岁……”我们为这个错误道歉。
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引用次数: 0
Celebrating Over 10 Years of Human Milk Research in the Human Biology Association 人类生物学协会庆祝母乳研究超过10年
IF 1.7 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-07-29 DOI: 10.1002/ajhb.70111
Elizabeth M. Miller, Masako Fujita, Katie Hinde, Melanie A. Martin, Katherine Wander, Elizabeth A. Quinn

Since we published “Field and Laboratory Methods in Human Milk Research” in 2013, human milk research has increased dramatically in both number and diversity of studies. Anthropological human biologists and biological anthropologists have played key roles in the realization of this research, arguing that evolutionary, developmental, and biocultural perspectives as essential for understanding variation in human milk. The purpose of this review is to highlight human biologists' and biological anthropologists' contributions to our understanding of human milk, often made in broadly collaborative research, as part of the 50th anniversary of the Human Biology Association. In this review, we identify three areas where human biologists have made major contributions: (1) understanding milk as a phenotype, (2) sex-differentiated milk synthesis, and (3) the cultural ecology of milk. We end this review by discussing future research directions and the applied and translational potentials of milk research, calling on human biologists to continue our leadership in the field in the decades to come.

自从我们在2013年发表了“母乳研究中的现场和实验室方法”以来,母乳研究在数量和多样性方面都有了显著的增长。人类人类学生物学家和生物人类学家在这项研究的实现中发挥了关键作用,他们认为进化、发育和生物文化的观点对于理解母乳的变化至关重要。这篇综述的目的是强调人类生物学家和生物人类学家对我们理解母乳的贡献,这些贡献通常是在广泛的合作研究中做出的,作为人类生物学协会50周年纪念的一部分。在这篇综述中,我们确定了人类生物学家做出重大贡献的三个领域:(1)理解牛奶作为一种表型,(2)性别分化的牛奶合成,以及(3)牛奶的文化生态。最后,我们讨论了未来的研究方向以及牛奶研究的应用和转化潜力,呼吁人类生物学家在未来几十年继续在该领域发挥领导作用。
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引用次数: 0
Gender/Sex Entanglement, Structural Sexism, and Injury: The Case of Australian Rules Football 性别/性别纠缠、结构性性别歧视和伤害:以澳式足球为例
IF 1.6 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-07-19 DOI: 10.1002/ajhb.70096
Madeleine Pape

This article considers how to approach sporting injury from the perspective of gender/sex entanglement. Taking the case of anterior cruciate ligament (ACL) injuries, I explore how the gender differences and inequalities that fundamentally shape many sporting environments may contribute to injury in women athletes. I look to Australian Rules football (Aussie Rules)—a male-dominated, high-contact, highly skilled running game and Australia's largest commercial sport—where, following the launch of a women's professional league in 2017, a marked gender disparity in ACL injury has been reported. Rather than attribute this reported disparity to essential biological differences between women and men, I consider how gendered practices and disparities may accumulate across the life course of athletes with consequences for the embodied experiences of women and girls. Building on the concept of structural sexism as a key determinant of health, I document gender-related differences and inequalities at the early childhood, youth, and elite levels of Aussie Rules football. Via this case, I contribute to calls for a dynamic, developmental, and fundamentally gendered approach to studies of injury both in and beyond sport.

本文从性别/性纠缠的角度考虑如何处理运动损伤。以前交叉韧带(ACL)损伤为例,我探讨了从根本上塑造许多运动环境的性别差异和不平等如何导致女运动员受伤。我研究了澳式足球(Australian Rules)——一项男性主导、高接触、高技能的跑步运动,也是澳大利亚最大的商业运动——在2017年成立女子职业联赛后,有报道称前交叉韧带受伤的性别差异明显。我并没有将这种报道中的差异归结为男女之间本质的生理差异,而是考虑了性别行为和差异如何在运动员的整个生命历程中积累,从而对女性和女孩的具体经历产生影响。基于结构性性别歧视是健康的关键决定因素的概念,我记录了澳大利亚规则足球的早期儿童,青年和精英水平的性别相关差异和不平等。通过这个案例,我呼吁对运动内外的伤害研究采取一种动态的、发展的、从根本上讲是性别化的方法。
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引用次数: 0
Physical Strength Is Not Associated With Facial Sexual Dimorphism and Asymmetry in Either Czechs or Cameroonians 在捷克人和喀麦隆人中,体力与面部性别二态性和不对称无关
IF 1.6 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-07-18 DOI: 10.1002/ajhb.70109
Olga Budnik, Karel Kleisner

Objectives

Handgrip strength is a widely used indicator of muscle strength and general health, but its association with facial morphology remains unclear. This study examined whether handgrip strength or its asymmetry is related to facial sexual shape dimorphism, perceived masculinity/femininity, and facial asymmetry in two culturally and genetically distinct populations: Cameroonian and Czech adults.

Methods

Geometric morphometric methods were applied to full-face portraits of 226 individuals (balanced by sex, aged 19–59), using 72 facial landmarks and semi-landmarks. Pearson correlations and a series of ANOVA analyses were then used to assess possible associations between facial traits and both absolute and asymmetric grip strength.

Results

Across all models and subgroups, associations between handgrip strength and facial morphology were weak and nonsignificant. None of the facial characteristics reliably predicted either handgrip strength or its asymmetry in either men or women.

Conclusions

These findings suggest that facial morphology on its own does not reliably reflect muscular strength. Further research should incorporate longitudinal and cross-cultural designs.

目的握力是一种广泛使用的肌肉力量和整体健康指标,但其与面部形态的关系尚不清楚。这项研究在喀麦隆和捷克两种文化和基因不同的人群中调查了握力或其不对称是否与面部性别形状二态性、感知的男性/女性气质和面部不对称有关。方法采用几何形态计量学方法,对226名年龄19 ~ 59岁、性别均衡的被试进行全脸肖像分析,使用72个面部标志和半标志。然后使用Pearson相关性和一系列方差分析来评估面部特征与绝对握力和非对称握力之间可能存在的关联。结果在所有的模型和亚组中,握力和面部形态之间的关联很弱且不显著。面部特征都不能可靠地预测男性或女性的握力或不对称性。结论:面部形态本身并不能可靠地反映肌肉力量。进一步的研究应纳入纵向和跨文化设计。
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引用次数: 0
Multi-Scalar Spatial Analysis of Social Determinants of Undernutrition in Schoolchildren in Tucumán, Argentina 阿根廷Tucumán小学生营养不良社会决定因素的多标量空间分析
IF 1.6 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-07-18 DOI: 10.1002/ajhb.70108
María Laura Cordero, Eric D. Carter

Introduction

This study analyzes the spatial clustering and socioeconomic and demographic determinants of child undernutrition in Tucumán, Argentina.

Methods

We conducted an observational, cross-sectional study using data from over 11 000 school-aged children in Greater San Miguel de Tucumán, the largest metropolitan area in the Northwestern Greater Argentina (NGA) region. We examined undernutrition at the population level—focusing on stunting, wasting, and general undernutrition—by analyzing both individual-level factors (age, sex, birth weight, and preterm birth) and neighborhood-level factors (percentage of households with unmet basic needs and the presence of informal settlements). Spatial cluster analysis was performed using SaTScan to detect geographic patterns of stunting and wasting. We then described and compared area-level social determinants within the identified clusters. Statistical analyses were carried out using SPSS version 25, and mapping was conducted with QGIS version 3.10.

Results

In our study, about 6% of schoolchildren presented undernutrition of some kind, with similar percentages for stunting (2.77%) and wasting (2.98%). Multivariate analysis reveals these associations with stunting: age, low birth weight, preterm birth, and residence in high-poverty neighborhood; wasting was associated with preterm birth and residence in high-poverty neighborhood. Cluster analysis shows that undernutrition is concentrated spatially, in areas around informal settlements that lack clean water and modern sewers and have lower educational levels.

Conclusion

Our findings underscore the value of a multi-scalar and ecological approach to child undernutrition in rapidly growing urban areas. This study contributes to the growing body of evidence on nutritional inequalities and highlights the relevance of spatial justice in the development of targeted public health interventions.

本研究分析了阿根廷Tucumán地区儿童营养不良的空间聚类以及社会经济和人口统计学决定因素。方法:我们进行了一项观察性横断面研究,使用了来自大圣米格尔Tucumán的11000多名学龄儿童的数据,该地区是西北大阿根廷(NGA)地区最大的都市区。我们通过分析个人层面的因素(年龄、性别、出生体重和早产)和社区层面的因素(基本需求未得到满足的家庭百分比和非正规定居点的存在),在人口层面检查了营养不良,重点关注发育迟缓、消瘦和一般营养不良。使用SaTScan进行空间聚类分析,以检测发育迟缓和消瘦的地理模式。然后,我们描述并比较了确定集群内的区域级社会决定因素。统计分析采用SPSS版本25,制图采用QGIS版本3.10。结果约6%的小学生存在不同程度的营养不良,发育迟缓(2.77%)和消瘦(2.98%)的比例相近。多变量分析显示,与发育迟缓相关的因素有:年龄、低出生体重、早产和居住在高贫困社区;消瘦与早产和居住在高贫困社区有关。聚类分析表明,营养不良在空间上集中在缺乏清洁水和现代下水道、教育水平较低的非正式住区周围。结论我们的研究结果强调了多尺度和生态方法在快速发展的城市地区儿童营养不良中的价值。这项研究为营养不平等问题提供了越来越多的证据,并强调了空间公正在制定有针对性的公共卫生干预措施方面的相关性。
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引用次数: 0
期刊
American Journal of Human Biology
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