Publications by authors named "Janaina Calu Costa"

Article Synopsis
  • The study analyzes gestational weight gain (GWG) in low- and middle-income countries (LMICs) to identify women at risk for negative health outcomes during pregnancy.
  • Using demographic surveys, researchers calculated average GWG by considering various factors like gestational age and socioeconomic status, resulting in predictions for 2020 GWG across 70 LMICs.
  • Results showed a wide range of country-specific GWG estimates (2.6 to 13.5 kg), with most countries not meeting the Institute of Medicine's recommendations, highlighting the insufficient GWG particularly in lower-income nations.
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Characterizing the timing of menarche and the factors that are associated with it is important for understanding a population's reproductive health needs and long-term health trajectories. We estimated the age at the menstrual onset among adolescent girls and the association between dietary and nutritional factors and menarche in four sub-Saharan African urban sites. We used cross-sectional school-based data from 2307 female adolescents aged 10-14 years collected by the Africa Research, Implementation Science, and Education (ARISE) Network in Ouagadougou, Burkina Faso; Addis Ababa, Ethiopia; Khartoum, Sudan; and Dar es Salaam, Tanzania.

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  • - Antenatal balanced energy and protein (BEP) supplements improve pregnancy outcomes, but distribution challenges exist in low- and middle-income countries.
  • - A study in Addis Ababa, Ethiopia, will assess the effectiveness and cost-effectiveness of various strategies for delivering BEP supplements to pregnant women based on their nutritional status and weight gain.
  • - The study involves 5400 pregnant women across four different treatment groups, with follow-ups to monitor maternal and infant health until delivery.
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  • - This study examines the social factors influencing stunting among children in India from 2005 to 2021, using data from the National Family Health Survey, which included over 443,000 children under 5 years.
  • - Results show that while stunting prevalence decreased overall, the rate of reduction slowed between 2015 and 2021, with findings indicating that wealth and maternal education significantly impacted stunting rates, especially when combined.
  • - The research highlights ongoing social disparities, notably affecting marginalized groups and boys, suggesting that efforts to reduce stunting must consider these intersectional challenges alongside a focus on wealth and education.
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Identifying and classifying poor and rich groups in cities depends on several factors. Using data from available nationally representative surveys from 38 sub-Saharan African countries, we aimed to identify, through different poverty classifications, the best classification in urban and large city contexts. Additionally, we characterized the poor and rich groups in terms of living standards and schooling.

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Rapid urbanization is likely to be associated with suboptimal access to essential health services. This is especially true in cities from sub-Saharan Africa (SSA), where urbanization is outpacing improvements in infrastructure. We assessed the current situation in regard to several markers of maternal, newborn, and child health, including indicators of coverage of health interventions (demand for family planning satisfied with modern methods, at least four antenatal care visits (ANC4+), institutional birth, and three doses of DPT vaccine[diphtheria, pertussis and tetanus]) and health status (stunting in children under 5 years, neonatal and under-5 mortality rates) among the poor and non-poor in the most populous cities from 38 SSA countries.

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Background: Quantifying women's empowerment has become the focus of attention of many international organizations and scholars. We aimed to describe quantitative indicators of women's empowerment that are based on individual-level data.

Methods: In this scoping review, we searched PubMed, Scopus, Web of Science, Science Direct, Google, and Google Scholar for publications describing the operationalization of measures of women's empowerment.

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Article Synopsis
  • Latin America and the Caribbean have the second highest adolescent fertility rates globally, prompting an exploration of trends in adolescent childbearing and associated inequities in the region.
  • The study utilized national household surveys from 21 countries to analyze early childbearing rates and adolescent fertility rates over time, focusing on differences by wealth, location, and ethnicity.
  • Findings showed a decrease in early childbearing in 13 countries, with significant declines noted among rural women, while some countries like Colombia and Mexico saw increases; overall, reductions in adolescent fertility rates were observed in all nine countries analyzed.
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Objective: To evaluate food consumption in Brazil by race/skin color of the population.

Methods: Food consumption data from the Pesquisa de Orçamentos Familiares (POF - Household Budget Survey) 2017-2018 were analyzed. Food and culinary preparations were grouped into 31 items, composing three main groups, defined by industrial processing characteristics: 1 - in natura/minimally processed, 2 - processed, and 3 - ultra-processed.

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Objective: To evaluate changes in socioeconomic inequalities in food consumption in Brazil over a 10-year period.

Methods: Data on 24-h recalls of adults (aged 20 years or more) from the 2008/9 ( = 26,327) and 2017/8 ( = 37,689). Brazilian Dietary Survey were analyzed.

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Background: Afrodescendants are systematically affected by discrimination in the Americas and few multi-country studies addressed ethnic inequalities in health and wellbeing in the region. We aimed to investigate gaps in coverage of key health outcomes and socioeconomic inequalities between Afrodescendants and non-Afrodescendants populations in Latin American and Caribbean countries.

Methods: Using national household surveys (2011-2019) from ten countries, we analyzed absolute inequalities between Afrodescendants and a comparison group that includes non-Afrodescendants and non-Indigenous individuals (henceforth non-Afrodescendants) across 17 indicators in the continuum of reproductive, maternal, newborn, child, and adolescent health.

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Background: Obesity, a complex public health problem, is generally associated with other chronic diseases. The association of obesity with health service utilization has been little investigated in low- and middle-income countries. This study aimed to analyze the association between obesity and health service utilization (considering those services related to hypertension and/or diabetes).

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Introduction: Although boys tend to be more affected by linear growth faltering than girls, little is known about sex differences across distinct age groups. We aimed to compare sex differences in linear growth throughout the first 5 years of life among children from low-income and middle-income countries.

Methods: We analysed 87 cross-sectional Demographic and Health Surveys and Multiple Cluster Indicator Surveys (2010-2019).

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Article Synopsis
  • - The study investigates how community sex preferences and discrimination in health care contribute to differences in under-five mortality rates (U5MR) between boys and girls in low- and middle-income countries.
  • - Using data from 80 countries, researchers measured male-to-female sex ratios in U5MR and found that negative residuals indicated potential gender bias, particularly in areas where boys received more health care than girls.
  • - The results suggest that in countries where girls face higher mortality than boys, there is a corresponding healthcare disparity favoring boys, highlighting a need for more research on why this gender bias exists and for better reporting on child mortality by sex.
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The scope of this study was to describe the consumption of fruit in Brazil and its association with the intake of ultra-processed (UP) foods in a representative sample of 32,900 individuals from the 2008-2009 Household Budget Survey. The association between calory contribution of fruit to the diet and quintiles of UP food intake was analyzed using linear regression. Fruit accounted for just over 5% of the calories, about half of which (2.

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Background: While assessment of sex differentials in child mortality is straightforward, their interpretation must consider that, in the absence of gender bias, boys are more likely to die than girls. The expected differences are also influenced by levels and causes of death. However, there is no standard approach for determining expected sex differences.

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We reviewed the scientific production on maternal health and the health of children under ten years of age, published in Journal Ciência & Saúde Coletiva during the last 25 years, focusing on quantitative studies. The authors' characteristics, populations under study, thematic areas, and methodology are described. A total of 170 publications were identified and grouped into 12 major themes.

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Objective: To assess whether the observed prevalence of the double burden of malnutrition (DBM) would be higher than expected on the basis of chance, through analyses at national, wealth quintile and individual child levels.

Design: We selected nationally representative surveys from low- and middle-income countries (LMIC) carried out since 2005 with anthropometric measures on children under 5 years of age. Household wealth was assessed through asset indices.

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Background: The UN Sustainable Development Goals (SDGs) call for stratification of social indicators by ethnic groups; however, no recent multicountry analyses on ethnicity and child survival have been done in low-income and middle-income countries (LMICs).

Methods: We used data from Demographic and Health Surveys and Multiple Indicator Cluster Surveys collected between 2010 and 2016, from LMICs that provided birth histories and information on ethnicity or a proxy variable. We calculated neonatal (age 0-27 days), post-neonatal (age 28-364 days), child (age 1-4 years), and under-5 mortality rates (U5MRs) for each ethnic group within each country.

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Purpose: Body image-related norms can be imposed by parents and can shape adolescents' body satisfaction in consequential ways, yet evidence on long-term effects is scarce. Longitudinal data from a country with strong body image focus provided a unique opportunity to investigate long-term influences of normative parent-related perceptions.

Methods: Multinomial logistic regression was used on data from a 1993 birth cohort in Brazil to investigate the association of normal-body mass index (BMI) adolescents' perception of their parent's opinion of their weight at age 11 years with their weight control attempts at 18 years, testing a mediating role for body dissatisfaction at age 15 years.

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Purpose: Brazilian society is characterized by deep socioeconomic inequalities. Using data from a population-based birth cohort, we explored how the intersectionality of family income and gender may affect adolescent health and behavioral outcomes.

Methods: Children born in 1993 in the Brazilian city of Pelotas have been followed up prospectively at the age of 15 years when the follow-up rate was 85.

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Background: Although religious affiliation has been identified as a potential barrier to immunization in some African countries, there are no systematic multi-country analyses, including within-country variability, on this issue. We investigated whether immunization varied according to religious affiliation and sex of the child in sub-Saharan African (SSA) countries.

Methods: We used data from 15 nationally representative surveys from 2010 to 2016.

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The aim of the study was to analyze how economic crises affect child health globally and between subgroups of countries with different levels of income. Data from the World Bank and the World Health Organization were used for 127 countries between 1995 and 2014. A fixed effects model was used, evaluating the effect of the change on macroeconomic indicators (GDP per capita, unemployment and inflation rates and misery index) in neonatal, infant and under-five mortality rates.

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The Sustainable Development Goal (SDG) 17.18 recommends efforts to increase the availability of data disaggregated by income, gender, age, race, ethnicity, migratory status, disability and geographic location in developing countries. Surveys will continue to be the leading data source for disaggregated data for most dimensions of inequality.

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Purpose: Asthma is a highly prevalent noncommunicable lung disease. The aim of this study was to evaluate the longitudinal association of obesity/adiposity with wheezing and atopy.

Methods: The population of the study was composed of participants from the 1993 Pelotas (Brazil) Birth Cohort.

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