Titre :
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No improvement in weight-for-age of young children in southern Senegal, 1969-1992, despite a drastic reduction in mortality. Evidence from a growth monitoring programme : Perinatal and paediatric epidemiology. (2004)
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Auteurs :
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Sybil PINCHINAT ;
Géraldine Duthé ;
Catherine ENEL ;
LAGARDE (Emmanuel) : FRA. U88. Institut National de la Santé et de la Recherche Médicale (Inserm). Hôpital National de Saint-Maurice. Saint Maurice. ;
Gilles Pison ;
Francois SIMONDON ;
Kirsten-B SIMONDON ;
Institut de Recherche pour le Développement. (I.R.D.). Ur024. Montpellier. FRA
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Type de document :
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Article
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Dans :
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International journal of epidemiology (vol. 33, n° 6, 2004)
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Pagination :
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1202-1208
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Langues:
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Anglais
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Mots-clés :
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Maladie nutrition
;
Mortalité
;
Poids corporel
;
Développement staturopondéral
;
Epidémiologie
;
Mortalité infantile
;
Enfant
;
Homme
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Résumé :
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[BDSP. Notice produite par INIST-CNRS ZUZR0xjW. Diffusion soumise à autorisation]. Background : Undernutrition is associated with an increased risk of death among young children in developing countries. Infant and child nutritional status and mortality were monitored in a rural area of Casamance, Senegal. Methods : Analysis of weight measurements taken at 3-24 months of age during routine growth monitoring in the community's private dispensary 1969-1992 (3912 children, 4642 child-years) and of mortality rates of children estimated from maternal recall for 1960-1985 and yearly census 1985-1995. Results : Between 1960-1964 and 1990-1994, under-5 and child (1-4 years) mortality rates decreased from 312 to 127 and from 201 to 68 per 1000, respectively. About 90% of resident children attended growth monitoring in 1985-1992. Mean weight-for-age was at a minimum at 15 months of age (-1.60 z-scores [SD : 0.95]) ; the prevalence of underweight was 33.2% (95% CI : 31.5,34.9). The latter increased significantly over time, both when comparing all years of follow-up (P for trend
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