Revisão Acesso aberto Produção Nacional Revisado por pares

Effects of early-life poverty on health and human capital in children and adolescents: analyses of national surveys and birth cohort studies in LMICs

2022; Elsevier BV; Volume: 399; Issue: 10336 Linguagem: Inglês

10.1016/s0140-6736(21)02716-1

ISSN

1474-547X

Autores

César G. Victora, Fernando Pires Hartwig, Luís Paulo Vidaletti, Reynaldo Martorell, Clive Osmond, Linda Richter, Aryeh D. Stein, Aluísio J. D. Barros, Linda S. Adair, Fernando C. Barros, Santosh K. Bhargava, Bernardo Lessa Horta, María F Kroker-Lobos, Sang Lee, Ana Maria Baptista Menezes, Joseph Murray, Shane A. Norris, Harshpal Singh Sachdev, Alan Stein, Jithin Sam Varghese, Zulfiqar A Bhutta, Robert E. Black,

Tópico(s)

Birth, Development, and Health

Resumo

The survival and nutrition of children and, to a lesser extent, adolescents have improved substantially in the past two decades. Improvements have been linked to the delivery of effective biomedical, behavioural, and environmental interventions; however, large disparities exist between and within countries. Using data from 95 national surveys in low-income and middle-income countries (LMICs), we analyse how strongly the health, nutrition, and cognitive development of children and adolescents are related to early-life poverty. Additionally, using data from six large, long-running birth cohorts in LMICs, we show how early-life poverty can have a lasting effect on health and human capital throughout the life course. We emphasise the importance of implementing multisectoral anti-poverty policies and programmes to complement specific health and nutrition interventions delivered at an individual level, particularly at a time when COVID-19 continues to disrupt economic, health, and educational gains achieved in the recent past.

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