Impact of the health and living conditions of migrant and non-migrant Senegalese adolescent girls on their nutritional status and growth

Impact of the health and living conditions of migrant and non-migrant Senegalese adolescent girls on their nutritional status and growth
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DOI:
10.1079/phn2003463
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发表时间:
2003-09-01
影响因子:
3.2
通讯作者:
Benefice, E
Benefice, E
中科院分区:
医学3区
文献类型:
--
作者:
Garnier, D;Simondon, KB;Benefice, E

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目的:根据她们的移徙状况描述塞内加尔少女的生活条件,并确定其营养和生长状况的主要社会经济和生物决定因素。设计:在生长纵向研究的框架内确定少女的健康和生活条件、性成熟以及营养和生长状况。地点:塞内加尔首都(达喀尔)和位于达喀尔东南 120 公里的一个农村社区(尼亚哈尔)。受试者:300 和从同一村庄招募了 31 名年龄在 14.5 至 16.6 岁之间的女孩。 36% 的样本留在村庄上学和/或帮助完成家庭生计任务(非移民)。其余(64%)进入城市做女佣(流动人口),生活在两种不同的社会经济环境中:晚上在监护人家里,白天在雇主家里。结果:家庭农村环境与监护人和雇主城市环境存在社会经济差异(P < 0.001)。城市地区的生活条件比农村地区好,用人环境在社会经济上也更加有利。与非移民相比,移民的性成熟较早,体重指数(BMI)、脂肪质量指数(FMI)和中上臂围较高。然而,移民人数少于非移民人数。 BMI、FMI 和年龄别体重与社会经济水平和移民持续时间相关。受教育程度与身高呈正相关,与BMI呈负相关。结论:流动人口比非流动人口享有更好的生活条件。这可能部分反映了雇主更好的社会经济环境。它与青春期提前和更好的营养状况有关,但与更好的生长无关。
Objective: To describe the living conditions of Senegalese adolescent girls according to their migration status, and to define the main socio-economic and biological determinants of their nutritional and growth status.Design: Health and living conditions, sexual maturation, and nutritional and growth status of adolescent girls were determined within the framework of a longitudinal study on growth.Settings: The capital city of Senegal (Dakar) and a rural community (Niakhar), 120 km south-east of Dakar.Subjects: Three hundred and thirty-one girls, 14.5-16.6 years of age, were recruited from the same villages. Thirty-six per cent of the sample remained in the villages to attend school and/or to help with household subsistence tasks (non-migrants). The remaining (64%) migrated to cities to work as maids (migrants) and lived in two different socio-economic environments: at the home of a guardian during the night and in the house of the employer during the daytime.Results: Family rural environment and guardian and employer urban environments were socio-economically different (P < 0.001). Living conditions in urban areas were better than in rural areas and the employer's environment was socio-economically more favourable. Migrants had more advanced sexual maturation and higher body mass index (BMI), fat mass index (FMI) and mid-upper arm circumference than non-migrants. However, migrants were smaller than non-migrants. BMI, FMI and weight-for-age were related to socio-economic levets and duration of migration. Schooling was positively related to height and negatively related to BMI.Conclusions: Migrants enjoyed better living conditions than non-migrants. This could be partly clue to the better socio-economic environment of the employer. It was associated with earlier puberty and better nutritional status, but not with a better growth.