The impact of training for day-care educators on childhood anaemia in nurseries: an institutional randomised clinical trial
Autor: | Mariana de Novaes Oliveira, José Augusto Ac Taddei, F. A. B. Colugnati, Domingos Palma, Tulio Konstantyner |
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Rok vydání: | 2010 |
Předmět: |
Male
medicine.medical_specialty Health Status Iron Mothers Medicine (miscellaneous) Child Nutrition Sciences Day care Family income Schools Nursery Logistic regression Interviews as Topic Nursing Risk Factors Intervention (counseling) Humans Medicine Infant Nutritional Physiological Phenomena Health Education Nutrition and Dietetics business.industry Public Health Environmental and Occupational Health Infant Anemia Child Day Care Centers Anthropometry Clinical trial Logistic Models Health promotion Child Preschool Family medicine Female Health education business Brazil |
Zdroj: | Public Health Nutrition. 14:1450-1457 |
ISSN: | 1475-2727 1368-9800 |
DOI: | 10.1017/s1368980010001977 |
Popis: | ObjectiveTo test the impact of training for educators on the health of children enrolled in public and philanthropic day-care nurseries.DesignA randomised, institutional, non-blind clinical trial was conducted. An educational intervention was performed in four day-care centres and the control group consisted of four other day-care centres. Interviews with the mothers, collection of blood from the children by digital puncture and anthropometry were performed. The chosen indicator for the improvement of health was anaemia (Hb P ≤ 0·05 as statistically significant.SettingEight day-care centres in the city of Sao Paulo, Brazil.SubjectsTwo hundred and fifty-two children from day-care nurseries.ResultsThe children from the day-care centres that were not subject to intervention presented a 2·11 times greater risk (95% CI 1·04, 4·30; P = 0·40) of having anaemia at the end of the study independent of the control variables (sex, age, time in the day-care centre, anaemia at the beginning of the study, maternal age, use of oral iron supplements, number of siblings, per capita family income, use of antibiotics and the necessity of avoidable hospitalisations) used in the construction of the final logistical model.ConclusionsThe assessed educational intervention promoted significant changes in the health status of the children, reinforcing the importance of training for professionals who care for young children in day-care centres in developing countries in order to promote child health. |
Databáze: | OpenAIRE |
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