Caroline Dalabona - Academia.edu (original) (raw)

Papers by Caroline Dalabona

Introdução - O estudo dos fatores comportamentais associados ao estado nutricional na adolescênci... more Introdução - O estudo dos fatores comportamentais associados ao estado nutricional na adolescência é relevante para a análise da tendência de aumento do excesso de peso observada nas últimas décadas entre os adolescentes do Brasil. Objetivo - Estimar a prevalência de excesso de peso e os principais comportamentos associados ao excesso de peso entre adolescentes da rede escolar do município de São Paulo/SP. Métodos - Foram estudados 759 adolescentes matriculados nas redes pública e privada do Distrito de Pinheiros do Município de São Paulo. Foram coletados dados de peso, altura, consumo alimentar e atividade física. O excesso de peso foi classificado segundo valores Índice de Massa Corporal (IMC) recomendados pela IOTF. A análise da associação entre excesso de peso e características do consumo alimentar ou da atividade física foi estratificada por sexo e rede escolar. Resultados - A prevalência de excesso de peso foi de 25,2% (homens 27,3%; mulheres 23,8%). O excesso de peso se mostr...

Revista de Saúde Pública, 2021

OBJECTIVE To investigate the association between child care attendance since birth and developmen... more OBJECTIVE To investigate the association between child care attendance since birth and development in two-years-old Brazilian children. METHODS The study used longitudinal data from the 2015 Pelotas Birth Cohort. The childhood development (cognitive, fine and gross motor skills, and language) at two-years-old children was assessed using INTER-NDA (INTERGROWTH-21st Neurodevelopment Assessment). The child care attendance was measured at ages one and two years and categorized as: a) never attended child care; b) attended some child care (one or two years); and c) always attended child care (one and two years). Demographic, socioeconomic, health, and child stimulation variables were considered as confounders. Crude and adjusted analyses of child care attendance and development were carried out using linear regression. RESULTS Out of the 3,870 infants included in the analyses, around 1/3 attended center-based child care. In crude analyses, attending center-based child care was associated...

Revista Brasileira de Saúde Materno Infantil, 2020

Abtract Objectives: to describe the knowledge of infant feeding on breastfeeding and the introduc... more Abtract Objectives: to describe the knowledge of infant feeding on breastfeeding and the introduction of complementary feeding among mothers of children under one-year-old in São Luís, MA. Methods: a cross-sectional descriptive study using a single questionnaire, standardized by trained interviewers, who visited all the residents in 20 communities chosen by convenience. This questionnaire searched for socioeconomic, demographic information, care received during pregnancy, and the knowledge about infant feeding. The analysis was performed through the creation of knowledge scores, frequency listing, central tendency and dispersion measurements. Results: among the 709 interviewees, 53.5% presented satisfactory knowledge. The score on the percentage mean of knowledge on infant feeding was 66.7%. The specific score on the introduction of complementary feeding was 60.7% and breastfeeding was71.4%. The benefits of breastfeeding for the babies were better known than the advantages it confer...

Background: The first years of life are the most important for human development, which is influe... more Background: The first years of life are the most important for human development, which is influenced by diverse factors, such as childcare attendance. Yet, little is known about the longitudinal influence of childcare in diverse domains of development. The aim of the present study was to assess the development and to measure potential influences of childcare attendance in two-year-olds from the 2015 Pelotas (Brazil) Birth Cohort Study. Methods: The present study used longitudinal data from the 2015 Pelotas Birth Cohort. Childhood development at two-year-olds was assessed throughout INTER-NDA (INTERGROWTH-21st Neurodevelopment Assessment). Childcare attendance was measured at ages 1 and 2 years old and categorized as: a) never went to childcare; b) attended some childcare (either at 12 or 24 months); c) always attended childcare (both 12 and 24 months). Demographic, socioeconomic, health, and child stimulation variables were considered as confounders. Crude and adjusted analysis of childcare attendance and early childhood development were performed using linear regression. Results: Among the 3,870 infants included in the analyses, around 2/3 never went to childcare. In the crude analyses, any exposure to childcare was positively associated with development, except for in the motor domain. It was also perceived a trend positive association and higher mean values for the always category. In the adjusted analyses only children who always went to childcare had higher development scores in the total (β: 0.17, 95% CI: 0.06; 0.28), cognitive (β: 0.10, 95% CI:-0.003; 0.21) and language (β:0.10, 95% CI:-0.003; 0.21) domains, even after adjustment for stimulation variables. Conclusions: This study suggests that childcare may help improve early childhood development. The association was particularly strong for the total global development domain, even after adjusting for stimulation, but there was no association with motor development. Considering the low prevalence of children in childcare, and that it may support child development it is recommended to improve childcare opportunities in early childhood. environment affecting multiple domains of development, including motor, language, cognitive, socioemotional and self-regulation skills (2). Recent evidence suggest that, in low and middle income countries, about 80 million children at ages 3 and 4 years, experienced low cognitive and/or socio-emotional development in 2010 (3). A more recent study, including data from over 330,000 children from 63 low and middle-income countries, found that a quarter of the children were suspected to have developmental delay (4). Thus, strategies to promote adequate development such as nurturing care, physical health, adequate early learning opportunities, and security and safety are critical in these countries (5). A large body of work has considered how childcare environments can influence developmental outcomes. A review showed that most early education and care programs, based on care centers, had positive short-term effects and small positive long-term effects on cognitive development (6). Yet, the literature in low and middle-income countries is scarce, especially considering a longitudinal and/or dose-response of the childcare in the infant development. Considering the 4th Goal of the Sustainable Development Goals, which include: "by 2030, ensure that all girls and boys have access to quality early childhood development, care and preprimary education so that they are ready for primary education" (7), it is important to understand the role of childcare for early child development (ECD), especially in middle-income countries. The aim of this study was to investigate the association between childcare attendance from birth to 2 years and development at 2 years in a large population based cohort study in Brazil. Methods Study design and population We analyzed data from the 2015 Pelotas (Brazil) Birth Cohort Study. Pelotas is a city in southern Brazil, with around 340,000 inhabitants. All hospital-delivered children live born in Pelotas between 1 January and 31 December 2015, whose mother lived in the urban area of the city, were eligible for the study (8). From the 4,333 eligible live births, 4,275 were assessed at birth (response rate 98.7%). All these children and their mothers were invited to follow-up measures at 3, 12 and 24 months. Further information about the 2015 Pelotas Birth Cohort is available elsewhere (8, 9).

Revista de Saúde Pública, 2019

OBJECTIVE: To estimate the use of the first dose of antibiotics in the health care unit in childr... more OBJECTIVE: To estimate the use of the first dose of antibiotics in the health care unit in children from the 2015 Pelotas Birth Cohort at 24 months. METHODS: A total of 4,014 children were monitored. We used descriptive statistics and Poisson regression to analyze the association between socioeconomic and demographic variables, participation in daycare units, in the activities of the Pastoral da Criança and in the Primeira Infância Melhor program, low birth weight, hospitalization between 12 and 24 months, place of medical appointment, prevalence of medical appointment in the last 30 days, prescription of antibiotics, and administration of the first dose in the health care unit. RESULTS: A total of 1,044 children had medical appointments in the last 30 days, of which 45% were prescribed antibiotics and only 10.5% were administered the first dose of this medication in the health care unit. Children with brown, yellow or indigenous skin color were administered 2.5 times more antibioti...

A Deus, que me deu força e coragem para não desanimar. Ao Prof. Dr. Wolney Lisboa Conde, meu orie... more A Deus, que me deu força e coragem para não desanimar. Ao Prof. Dr. Wolney Lisboa Conde, meu orientador, pela oportunidade e confiança em mim depositada. A toda equipe envolvida no trabalho. Obrigada pela dedicação e esforço. À Profa. Isabela da Costa Ribeiro, pelo exemplo de dedicação e competência. Obrigada por sua amizade e suas palavras de incentivo.

Religion and Development, 2022

The COVID-19 crisis is affecting millions of lives and has wreaked some of its greatest havoc and... more The COVID-19 crisis is affecting millions of lives and has wreaked some of its greatest havoc and suffering among the vulnerable and marginalised populations of the world, many of whom belong to religious and faith-based communities. In times of crisis and difficulty, religion and faith are a source of hope and strength for many. In this paper, we underscore the critical role and impact that some faith-based organisations have had in the pandemic crisis response and management of three countries: Brazil, Indonesia and Sri Lanka. In Brazil, Pastoral da Criança is leveraging their mobile phone application to fight mis-information about COVID-19. In Indonesia, Muhammadiyah launched a COVID-19 command centre to support treatment in hospitals, to disseminate guidelines for religious activities backed by science, and to provide water, sanitation and hygiene packages, food and financial support to the most vulnerable and neglected. In Sri Lanka, Sarvodaya is working closely with religious and community leaders on risk communication and community engagement messages and is also providing hygiene care and economic relief packages to the marginalised. We further discuss some of the challenges these organisations have faced and propose recommendations for greater engagement with this group of global public health actors to maximise their contributions and impact in the crisis management of and response to future infectious disease outbreaks, epidemics or pandemics in low-resource settings.

Introdução - O estudo dos fatores comportamentais associados ao estado nutricional na adolescênci... more Introdução - O estudo dos fatores comportamentais associados ao estado nutricional na adolescência é relevante para a análise da tendência de aumento do excesso de peso observada nas últimas décadas entre os adolescentes do Brasil. Objetivo - Estimar a prevalência de excesso de peso e os principais comportamentos associados ao excesso de peso entre adolescentes da rede escolar do município de São Paulo/SP. Métodos - Foram estudados 759 adolescentes matriculados nas redes pública e privada do Distrito de Pinheiros do Município de São Paulo. Foram coletados dados de peso, altura, consumo alimentar e atividade física. O excesso de peso foi classificado segundo valores Índice de Massa Corporal (IMC) recomendados pela IOTF. A análise da associação entre excesso de peso e características do consumo alimentar ou da atividade física foi estratificada por sexo e rede escolar. Resultados - A prevalência de excesso de peso foi de 25,2% (homens 27,3%; mulheres 23,8%). O excesso de peso se mostr...

Revista de Saúde Pública, 2021

OBJECTIVE To investigate the association between child care attendance since birth and developmen... more OBJECTIVE To investigate the association between child care attendance since birth and development in two-years-old Brazilian children. METHODS The study used longitudinal data from the 2015 Pelotas Birth Cohort. The childhood development (cognitive, fine and gross motor skills, and language) at two-years-old children was assessed using INTER-NDA (INTERGROWTH-21st Neurodevelopment Assessment). The child care attendance was measured at ages one and two years and categorized as: a) never attended child care; b) attended some child care (one or two years); and c) always attended child care (one and two years). Demographic, socioeconomic, health, and child stimulation variables were considered as confounders. Crude and adjusted analyses of child care attendance and development were carried out using linear regression. RESULTS Out of the 3,870 infants included in the analyses, around 1/3 attended center-based child care. In crude analyses, attending center-based child care was associated...

Revista Brasileira de Saúde Materno Infantil, 2020

Abtract Objectives: to describe the knowledge of infant feeding on breastfeeding and the introduc... more Abtract Objectives: to describe the knowledge of infant feeding on breastfeeding and the introduction of complementary feeding among mothers of children under one-year-old in São Luís, MA. Methods: a cross-sectional descriptive study using a single questionnaire, standardized by trained interviewers, who visited all the residents in 20 communities chosen by convenience. This questionnaire searched for socioeconomic, demographic information, care received during pregnancy, and the knowledge about infant feeding. The analysis was performed through the creation of knowledge scores, frequency listing, central tendency and dispersion measurements. Results: among the 709 interviewees, 53.5% presented satisfactory knowledge. The score on the percentage mean of knowledge on infant feeding was 66.7%. The specific score on the introduction of complementary feeding was 60.7% and breastfeeding was71.4%. The benefits of breastfeeding for the babies were better known than the advantages it confer...

Background: The first years of life are the most important for human development, which is influe... more Background: The first years of life are the most important for human development, which is influenced by diverse factors, such as childcare attendance. Yet, little is known about the longitudinal influence of childcare in diverse domains of development. The aim of the present study was to assess the development and to measure potential influences of childcare attendance in two-year-olds from the 2015 Pelotas (Brazil) Birth Cohort Study. Methods: The present study used longitudinal data from the 2015 Pelotas Birth Cohort. Childhood development at two-year-olds was assessed throughout INTER-NDA (INTERGROWTH-21st Neurodevelopment Assessment). Childcare attendance was measured at ages 1 and 2 years old and categorized as: a) never went to childcare; b) attended some childcare (either at 12 or 24 months); c) always attended childcare (both 12 and 24 months). Demographic, socioeconomic, health, and child stimulation variables were considered as confounders. Crude and adjusted analysis of childcare attendance and early childhood development were performed using linear regression. Results: Among the 3,870 infants included in the analyses, around 2/3 never went to childcare. In the crude analyses, any exposure to childcare was positively associated with development, except for in the motor domain. It was also perceived a trend positive association and higher mean values for the always category. In the adjusted analyses only children who always went to childcare had higher development scores in the total (β: 0.17, 95% CI: 0.06; 0.28), cognitive (β: 0.10, 95% CI:-0.003; 0.21) and language (β:0.10, 95% CI:-0.003; 0.21) domains, even after adjustment for stimulation variables. Conclusions: This study suggests that childcare may help improve early childhood development. The association was particularly strong for the total global development domain, even after adjusting for stimulation, but there was no association with motor development. Considering the low prevalence of children in childcare, and that it may support child development it is recommended to improve childcare opportunities in early childhood. environment affecting multiple domains of development, including motor, language, cognitive, socioemotional and self-regulation skills (2). Recent evidence suggest that, in low and middle income countries, about 80 million children at ages 3 and 4 years, experienced low cognitive and/or socio-emotional development in 2010 (3). A more recent study, including data from over 330,000 children from 63 low and middle-income countries, found that a quarter of the children were suspected to have developmental delay (4). Thus, strategies to promote adequate development such as nurturing care, physical health, adequate early learning opportunities, and security and safety are critical in these countries (5). A large body of work has considered how childcare environments can influence developmental outcomes. A review showed that most early education and care programs, based on care centers, had positive short-term effects and small positive long-term effects on cognitive development (6). Yet, the literature in low and middle-income countries is scarce, especially considering a longitudinal and/or dose-response of the childcare in the infant development. Considering the 4th Goal of the Sustainable Development Goals, which include: "by 2030, ensure that all girls and boys have access to quality early childhood development, care and preprimary education so that they are ready for primary education" (7), it is important to understand the role of childcare for early child development (ECD), especially in middle-income countries. The aim of this study was to investigate the association between childcare attendance from birth to 2 years and development at 2 years in a large population based cohort study in Brazil. Methods Study design and population We analyzed data from the 2015 Pelotas (Brazil) Birth Cohort Study. Pelotas is a city in southern Brazil, with around 340,000 inhabitants. All hospital-delivered children live born in Pelotas between 1 January and 31 December 2015, whose mother lived in the urban area of the city, were eligible for the study (8). From the 4,333 eligible live births, 4,275 were assessed at birth (response rate 98.7%). All these children and their mothers were invited to follow-up measures at 3, 12 and 24 months. Further information about the 2015 Pelotas Birth Cohort is available elsewhere (8, 9).

Revista de Saúde Pública, 2019

OBJECTIVE: To estimate the use of the first dose of antibiotics in the health care unit in childr... more OBJECTIVE: To estimate the use of the first dose of antibiotics in the health care unit in children from the 2015 Pelotas Birth Cohort at 24 months. METHODS: A total of 4,014 children were monitored. We used descriptive statistics and Poisson regression to analyze the association between socioeconomic and demographic variables, participation in daycare units, in the activities of the Pastoral da Criança and in the Primeira Infância Melhor program, low birth weight, hospitalization between 12 and 24 months, place of medical appointment, prevalence of medical appointment in the last 30 days, prescription of antibiotics, and administration of the first dose in the health care unit. RESULTS: A total of 1,044 children had medical appointments in the last 30 days, of which 45% were prescribed antibiotics and only 10.5% were administered the first dose of this medication in the health care unit. Children with brown, yellow or indigenous skin color were administered 2.5 times more antibioti...

A Deus, que me deu força e coragem para não desanimar. Ao Prof. Dr. Wolney Lisboa Conde, meu orie... more A Deus, que me deu força e coragem para não desanimar. Ao Prof. Dr. Wolney Lisboa Conde, meu orientador, pela oportunidade e confiança em mim depositada. A toda equipe envolvida no trabalho. Obrigada pela dedicação e esforço. À Profa. Isabela da Costa Ribeiro, pelo exemplo de dedicação e competência. Obrigada por sua amizade e suas palavras de incentivo.

Religion and Development, 2022

The COVID-19 crisis is affecting millions of lives and has wreaked some of its greatest havoc and... more The COVID-19 crisis is affecting millions of lives and has wreaked some of its greatest havoc and suffering among the vulnerable and marginalised populations of the world, many of whom belong to religious and faith-based communities. In times of crisis and difficulty, religion and faith are a source of hope and strength for many. In this paper, we underscore the critical role and impact that some faith-based organisations have had in the pandemic crisis response and management of three countries: Brazil, Indonesia and Sri Lanka. In Brazil, Pastoral da Criança is leveraging their mobile phone application to fight mis-information about COVID-19. In Indonesia, Muhammadiyah launched a COVID-19 command centre to support treatment in hospitals, to disseminate guidelines for religious activities backed by science, and to provide water, sanitation and hygiene packages, food and financial support to the most vulnerable and neglected. In Sri Lanka, Sarvodaya is working closely with religious and community leaders on risk communication and community engagement messages and is also providing hygiene care and economic relief packages to the marginalised. We further discuss some of the challenges these organisations have faced and propose recommendations for greater engagement with this group of global public health actors to maximise their contributions and impact in the crisis management of and response to future infectious disease outbreaks, epidemics or pandemics in low-resource settings.