Determinantes socioeconómicos y ambientales e hipovitaminosis D en adolescentes del noreste de Brasil: un enfoque jerárquico
DOI:
https://doi.org/10.33448/rsd-v11i8.30496Palabras clave:
Hipovitaminosis D; Factores socioeconomicos; Abordagem jerárquica; Adolescente; Brasil.Resumen
Las condiciones sociales, económicas y del entorno familiar están asociadas con los resultados de salud y enfermedad en la infancia actuando en diferentes niveles en la determinación de estos eventos, afectando positiva o negativamente a los individuos. Métodos se adoptó un enfoque jerárquico para examinar la insuficiencia de vitamina D y los determinantes socioeconómicos en los niveles básico, intermedio e inmediato. Se utilizaron la regresión logística y la medida de asociación o la razón de possibilidades (OR) para evaluar la relación de interés. Se registró prevalencia de insuficiencia de vitamina D (10-29,9 ng/ml) en el 54,1% de los adolescentes, no hubo deficiencia de vitamina D (<10 ng/ml). En el nivel básico se observó un efecto protector del 52% (OR=0.48; p< 0.003) del estrato social y económico bajo, y la ocurrencia de niveles insuficientes de vitamina D que habitan en zonas rurales aumentó 2.35 veces más las posibilidades de tener niveles insuficientes de vitamina D (OR=2,35 p< 0,001). En el nivel intermedio, las condiciones sanitarias del ambiente domiciliario, ubicado en el nivel más bajo del tercil de distribución, resultó en un mayor riesgo de 1,41% (OR=2,41; p=0,034) asociado a insuficiencia de vitamina D, en el nivel inmediato , los resultados mostraron que los mayores de 14 años tenían 2,37 veces más probabilidades (OR=2,37; p<0,024) de tener color de piel marrón + negro (OR= 2,00; p<0,047) y se asociaron con insuficiencia de vitamina D. conclusión Factores socioeconómicos y el nivel individual se asociaron con insuficiencia de vitamina D en adolescentes.
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Derechos de autor 2022 Jonas Baltazar Daniel; Priscila Ribas de Farias Costa; Valterlinda Alves de Oliveira Queiroz; Elisabete de Jesus Pinto; Gildásio Carvalho da Conceição; Ana Marlúcia de Oliveira Assis
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