Repercussions of the Bolsa Família Program on food and nutrition security in families in Paraíba State, Brazil, 2017-2018
DOI:
https://doi.org/10.17533/udea.rfnsp.e347929Keywords:
Food and nutrition security, Anthropometry, Nutritional status, Child, Social vulnerabilityAbstract
Objective: To analyze the repercussions of the Bolsa Família Program on food and nutrition security in families in Paraíba State, Brazil.
Methods: Cross-sectional study developed in Brazilian priority municipalities for preventing childhood obesity. A questionnaire focused on changes in the family’s diet with the help received by the Bolsa Família Program was used, verifying its relation with the food security and with the anthropometric indices of Height/Age, Weight/Age and Weight/Height of the children. Food security was measured with the Brazilian Food Insecurity Scale, considering the moderate and severe levels at risk. The chi-square test and odds ratio were used to determine the relationship between variables.
Results: Of the 586 families, 30.2% were with moderate/severe food insecurity. Of the children, 7.0% were stunting, 7.2% high Weight/Age and 13.7% high Weight/Height. Food as the main consumption item acquired with the financial resources of the Bolsa Família Program was mentioned in 87.2% of cases. Improvements in the amount and variety of food were reported by 83.6% and 77.5% of the families, respectively. Food security was associated with an improvement in the quantity of meat, chicken and fish; while Weight/Height was associated with an improvement in the variety of food.
Conclusion: Improvements in food with the financial resources of the Bolsa Família Program positively reflected on the food security and on the children’s weight.
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References
World Health Organization. Global nutrition targets 2025: Policy brief series. Geneva: WHO (WHO/NMH/NHD/14.2) [internet]; 2014 [citado 2022 abr. 3] Disponible en: https://www.who.int/publications/i/item/WHO-NMH-NHD-14.2
Organización de las Naciones Unidas para la Agricultura y la Alimentación, Fondo Internacional de Desarrollo Agrícola, Organización Panamericana de la Salud, Programa Mundial de Alimentos, Fondo de las Naciones Unidas para la Infancia. Panorama de la seguridad alimentaria y nutrición en América Latina y el Caribe 2020. Santiago de Chile: FAO [internet]; 2020 [citado 2022 abr. 3] Disponible en:.https://www.fao.org/3/cb2242es/cb2242es.pdf
Câmara Interministerial de Segurança Alimentar e Nutricional. Compromissos do Brasil para a Década de Ação das Nações Unidas para a nutrição (2016-2025). Brasília: CAISAN; 2015.
Poblacion AP, Marín-León L, Segall-Corrêa AM, et al. Insegurança alimentar em domicílios brasileiros com crianças menores de cinco anos. Cad Saúde Pública. 2014;30(5):1067-78. DOI: https://doi.org/10.1590/0102-311X00072713
Morais DC, Lopes SO, Priore SE. Indicadores de avaliação da Insegurança Alimentar e Nutricional e fatores associados: revisão sistemática. Ciênc Saúde Colet. 2020;25(7):2687-700. DOI: https://doi.org/10.1590/1413-81232020257.23672018
Pereira IFS, Andrade LMB, et al. Estado nutricional de menores de 5 anos de idade no Brasil: evidências da polarização epidemiológica nutricional. Ciênc Saúde Colet. 2017;22(10):3341-52. doi: https://doi.org/10.1590/1413-812320172210.25242016
Canuto R, Fanton M, Lira PIC. Iniquidades sociais no consumo alimentar no Brasil: uma revisão crítica dos inquéritos nacionais. Ciênc Saúde Colet. 2019;24(9):3193-212. DOI: https://doi.org/10.1590/1413-81232018249.26202017
Universidade Federal do Rio de Janeiro. Estado nutricional antropométrico da criança e da mãe: prevalência de indicadores antropométricos de crianças brasileiras menores de 5 anos de idade e suas mães biológicas: ENANI 2019. Río de Janeiro: UFRJ [internet]; 2022 [citado 2022 abr. 3]. Disponible en: https://enani.nutricao.ufrj.br/wp-content/uploads/2022/02/Relatorio_Estado_Nutricional-5.pdf
Groot R, Palermo T, Handa S, et al. Cash transfers and child nutrition: Pathways and impacts. Dev Policy Rev. 2017;35(5):621-43. DOI: https://doi.org/10.1111/dpr.12255
Wolf MR, Barros Filho AA. Estado nutricional dos beneficiários do Programa Bolsa Família no Brasil – uma revisão sistemática. Ciênc Saúde Colet. 2014;19(5):1331-8. DOI: https://doi.org/10.1590/1413-81232014195.05052013
Carvalho TFB, Sá TS, Ruas JPP, et al. Estado nutricional e segurança alimentar de famílias beneficiadas pelo Programa Bolsa Família: revisão integrativa. Rev de Pesquisa Cuidado Fundamental Online. 2020;12:593-602. DOI: https://doi.org/10.9789/2175-5361.rpcfo.v12.8961
Cotta RMM, Machado JC. Programa Bolsa Família e segurança alimentar e nutricional no Brasil: revisão crítica da literatura. Rev Panam Salud Publica [internet] 2013 [citado 2022 abr. 3]; 33(1):54-60. Disponible em: https://iris.paho.org/bitstream/handle/10665.2/9220/a08v33n1.pdf?sequence=1&isAllowed=y
Bezerra TA, Olinda RA, Figueroa Pedraza D. Insegurança alimentar no Brasil segundo diferentes cenários sociodemográficos. Ciênc Saúde Colet. 2017;22(2):637-51. doi: https://doi.org/10.1590/1413-81232017222.19952015
Santos LP, Gigante DP. Relação entre insegurança alimentar e estado nutricional de crianças brasileiras menores de cinco anos. Rev Bras Epidemiol. [internet]. 2013 [citado 2022 abr. 3]; 16(4):984-94. Disponible em: https://www.scielo.br/j/rbepid/a/DQJhcFRFBsq8Nh6mTxh6Htq/?lang=pt&format=pdf
Sousa CPC, Olinda RA, Figueroa Pedraza D. Prevalence of stunting and overweight/obesity among Brazilian children according to different epidemiological scenarios: Systematic review and meta-analysis. Sao Paulo Med J. 2016;34(3):251-62. DOI: https://doi.org/10.1590/1516-3180.2015.0227121
Brasil. Portaria nº 2.706, de 18 de outubro de 2017. Lista os municípios que finalizaram a adesão ao Programa Saúde na Escola para o ciclo 2017/2018 e os habilita ao recebimento do teto de recursos financeiros pactuados em Termo de Compromisso e repassa recursos financeiros para Municípios prioritários para ações de prevenção da obesidade infantil com escolares. Diário Oficial da União. 2017 out. 20; Seção 1. p. 49.
Associação Brasileira de Empresas de Pesquisa. Critério de classificação econômica Brasil. São Paulo: ABEP; 2016.
Segall-Corrêa AM, Marin-León L, et al. Refinement of the Brazilian Household Food Insecurity Measurement Scale: Recommendation for a 14-item EBIA. Rev Nutr. 2014;27(2):41-51. DOI: https://doi.org/10.1590/1415-52732014000200010
World Health Organization (WHO). WHO child growth standards: length height-for age, weight-for-age, weight-for-leight, weight-for-height and body mass index-for-age – methods and development. Geneva: Department of Nutrition for Health and Development, World Health Organization [internet]; 2006 [citado 2022 abr. 3]. Disponible em: https://www.who.int/publications/i/item/924154693X
Sousa LRM, Segall-Corrêa AM, et al. Food security status in times of financial and political crisis in Brazil. Cad Saúde Pública. 2019;35(7):e00084118. DOI: https://doi.org/10.1590/0102-311X00084118
Alpino TMA, Santos CRB, et al. COVID-19 e (in)segurança alimentar e nutricional: ações do Governo Federal brasileiro na pandemia frente aos desmontes orçamentários e institucionais. Cad Saúde Pública. 2020;36(8):e00161320. DOI: https://doi.org/10.1590/0102-311X00161320
Guedes DP, Mello ERB. Prevalência de sobrepeso e obesidade em crianças e adolescentes brasileiros: revisão sistemática e metanálise. ABCS Health Sci. 2021;46:e021301. DOI: https://doi.org/10.7322/abcshs.2019133.1398
Coelho PL, Melo ASSA. Impacto do Programa “Bolsa Família” sobre a qualidade da dieta das famílias de Pernambuco no Brasil. Ciênc Saúde Colet. 2017;22(2):393-402. DOI: https://doi.org/10.1590/1413-81232017222.13622015
Segura-Pérez S, Grajeda R, Pérez-Escamilla R. Conditional cash transfer programs and the health and nutrition of Latin American children. Rev Panam Salud Publica [internet]; 2016 [citado 2022 abr. 3]; 40(2):124-37. Disponible em: https://iris.paho.org/bitstream/handle/10665.2/31184/v40n2a12_124-137.pdf?sequence=1&isAllowed=y
Werneck AO, Silva DR, Malta DC, et al. Associations of sedentary behaviours and incidence of unhealthy diet during the COVID-19 quarantine in Brazil. Public Health Nut. 2021;24(3):422-6. DOI: https://doi.org/10.1017/S1368980020004188
Headey D, Heidkamp R, Osendarp S, et al. Impacts of COVID-19 on childhood malnutrition and nutrition-related mortality. Lancet. 2020;396(10250):517. DOI: https://doi.org/10.1016/S0140-6736(20)31647-0
Nascimento EC, Carvalho JPL, et al. O papel do Programa Bolsa Família na segurança alimentar das famílias do Território do Marajó, PA. Interações. 2017;18(2):59-70. DOI: https://doi.org/10.20435/inter.v18i2.1414
Southier N, Triches RM. Programa Bolsa Família: impacto na alimentação e papel da aquisição não monetária no meio urbano e rural. Interações. 2020;21(4):871-84. DOI: https://doi.org/10.20435/inter.v21i4.2348
Instituto Brasileiro de Análises Sociais e Econômicas. Repercussões do programa Bolsa Família na segurança alimentar e nutricional das famílias beneficiadas. Rio de Janeiro: Ibase; 2009.
Almeida ATC, Mesquita CP, Silva MVB. Impactos do Programa Bolsa Família sobre a diversificação do consumo de alimentos no Brasil. PPE [internet]. 2016 [citado 2022 abr. 3]; 46(1):7-39. Disponible em: http://repositorio.ipea.gov.br/bitstream/11058/6645/1/PPE_v46_n01_Impactos.pdf
Morais DC, Dutra LV, et al. Insegurança alimentar e indicadores antropométricos, dietéticos e sociais em estudos brasileiros: uma revisão sistemática. Ciênc Saúde Colet. 2014;19(5):1475-88. DOI: https://doi.org/10.1590/1413-81232014195.13012013
Rodriguez LA, Mundo-Rosas V, Méndez-Gómez-Humarán V, et al. Dietary quality and household food insecurity among Mexican children and adolescents. Matern Child Nutr. 2017;13:e12372. DOI: https://doi.org/10.1111/mcn.12372
Humphries DL, Dearden KA, Crookston BT, et al. Cross-sectional and longitudinal associations between household food security and child anthropometry at ages 5 and 8 years in Ethiopia, India, Peru, and Vietnam. J Nutr. 2015;145(8):1924-33. DOI: https://doi.org/10.3945/jn.115.210229
Maitra C. A review of studies examining the link between food insecurity and malnutrition. Technical Paper. Rome: FAO [internet]. 2018 [citado 2022 abr. 3]. Disponible em: https://www.fao.org/publications/card/es/c/CA1447EN/
Almeida JÁ, Santos AS, Nascimento MAO, et al. Fatores associados ao risco de insegurança alimentar e nutricional em famílias de assentamentos rurais. Ciênc Saúde Colet. 2017;22(2):479-88. doi: https://doi.org/10.1590/1413-81232017222.27102015
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