Social inequalities and health in rural Chiapas, Mexico: agricultural economy, nutrition, and child health in La Fraylesca Region

The objective of this study was to investigate the association between farmers' socioeconomic conditions and their children's health in La Fraylesca, Chiapas. Data were collected using a cross-sectional survey of 1046 households (5546 individuals) sampled from locations in two counties sit...

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Main Authors: Héctor Ochoa-Díaz López, Héctor Javier Sánchez-Pérez, Magdiel Ruíz-Flores, Michael Fuller
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
Series:Cadernos de Saúde Pública
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X1999000200011&lng=en&tlng=en
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author Héctor Ochoa-Díaz López
Héctor Javier Sánchez-Pérez
Magdiel Ruíz-Flores
Michael Fuller
author_facet Héctor Ochoa-Díaz López
Héctor Javier Sánchez-Pérez
Magdiel Ruíz-Flores
Michael Fuller
author_sort Héctor Ochoa-Díaz López
collection DOAJ
description The objective of this study was to investigate the association between farmers' socioeconomic conditions and their children's health in La Fraylesca, Chiapas. Data were collected using a cross-sectional survey of 1046 households (5546 individuals) sampled from locations in two counties situated in the study area. The survey included anthropometric measurements, a 24-hour dietary recall, stool tests, and childhood mortality data. Children of private farmers and "wealthy peasants" displayed better nutritional status, higher quality diet, lower prevalence of intestinal parasites, and a lower risk of dying than those whose parents were communal farmers, from ejidos, or "poor peasants". The results suggest that using volume of maize production as a classification method proved more valuable than land tenure to identify agricultural groups with different health status. It appears that the main determinants of health differentials are structural inequities in resource distribution. Thus, the impact of medical interventions on inequalities will be limited unless they are accompanied by redistribution of resources.
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spelling doaj.art-385f8864da8742b7958be0d1def38a772022-12-22T01:29:27ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública0102-311X1678-4464152261270S0102-311X1999000200011Social inequalities and health in rural Chiapas, Mexico: agricultural economy, nutrition, and child health in La Fraylesca RegionHéctor Ochoa-Díaz López0Héctor Javier Sánchez-Pérez1Magdiel Ruíz-Flores2Michael Fuller3El Colegio de La Frontera Sur (Ecosur)El Colegio de La Frontera Sur (Ecosur)El Colegio de La Frontera Sur (Ecosur)El Colegio de La Frontera Sur (Ecosur)The objective of this study was to investigate the association between farmers' socioeconomic conditions and their children's health in La Fraylesca, Chiapas. Data were collected using a cross-sectional survey of 1046 households (5546 individuals) sampled from locations in two counties situated in the study area. The survey included anthropometric measurements, a 24-hour dietary recall, stool tests, and childhood mortality data. Children of private farmers and "wealthy peasants" displayed better nutritional status, higher quality diet, lower prevalence of intestinal parasites, and a lower risk of dying than those whose parents were communal farmers, from ejidos, or "poor peasants". The results suggest that using volume of maize production as a classification method proved more valuable than land tenure to identify agricultural groups with different health status. It appears that the main determinants of health differentials are structural inequities in resource distribution. Thus, the impact of medical interventions on inequalities will be limited unless they are accompanied by redistribution of resources.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X1999000200011&lng=en&tlng=encondiciones socialessalud infantilsalud ruralestado nutricioantropometría
spellingShingle Héctor Ochoa-Díaz López
Héctor Javier Sánchez-Pérez
Magdiel Ruíz-Flores
Michael Fuller
Social inequalities and health in rural Chiapas, Mexico: agricultural economy, nutrition, and child health in La Fraylesca Region
Cadernos de Saúde Pública
condiciones sociales
salud infantil
salud rural
estado nutricio
antropometría
title Social inequalities and health in rural Chiapas, Mexico: agricultural economy, nutrition, and child health in La Fraylesca Region
title_full Social inequalities and health in rural Chiapas, Mexico: agricultural economy, nutrition, and child health in La Fraylesca Region
title_fullStr Social inequalities and health in rural Chiapas, Mexico: agricultural economy, nutrition, and child health in La Fraylesca Region
title_full_unstemmed Social inequalities and health in rural Chiapas, Mexico: agricultural economy, nutrition, and child health in La Fraylesca Region
title_short Social inequalities and health in rural Chiapas, Mexico: agricultural economy, nutrition, and child health in La Fraylesca Region
title_sort social inequalities and health in rural chiapas mexico agricultural economy nutrition and child health in la fraylesca region
topic condiciones sociales
salud infantil
salud rural
estado nutricio
antropometría
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X1999000200011&lng=en&tlng=en
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