Fear, violence, inequality, and stunting in Guatemala
- PMID: 34125987
- DOI: 10.1002/ajhb.23627
Fear, violence, inequality, and stunting in Guatemala
Abstract
Background: Stunting is defined by the public health community as a length- or height-for-age <-2 SD of a growth standard or reference and is claimed to be caused by poor nutrition, repeated infection, and inadequate psychosocial stimulation.
Material and methods: Stunting is common at all income levels in middle- and low-income countries. At the higher income levels, stunting is unlikely to be caused by nutrient deficiency or infectious disease.
Results: In Guatemala, 17% of <5-year-olds in the highest family income quintile are stunted. Guatemala has a history of violence from armed conflict, current-day social and economic inequalities, government corruption, and threat of kidnapping for the wealthiest families.
Discussion and conclusion: The high level of persistent violence creates an ecology of fear, an extreme range of inequalities in Social-Economic-Political-Emotional resources, and biosocial stress that inhibits skeletal growth and causes stunting for people of all income levels.
© 2021 The Author. American Journal of Human Biology published by Wiley Periodicals LLC.
Similar articles
-
Socioeconomic disparities and the familial coexistence of child stunting and maternal overweight in Guatemala.Econ Hum Biol. 2012 Jul;10(3):232-41. doi: 10.1016/j.ehb.2011.08.002. Epub 2011 Aug 16. Econ Hum Biol. 2012. PMID: 21889428 Free PMC article.
-
Stunting rates in infants and toddlers born in metropolitan Quetzaltenango, Guatemala.Nutrition. 2013 Apr;29(4):655-60. doi: 10.1016/j.nut.2012.12.012. Nutrition. 2013. PMID: 23466051
-
Disentangling nutritional factors and household characteristics related to child stunting and maternal overweight in Guatemala.Econ Hum Biol. 2010 Jul;8(2):188-96. doi: 10.1016/j.ehb.2010.05.014. Epub 2010 May 27. Econ Hum Biol. 2010. PMID: 20541480
-
Understanding the association between stunting and child development in low- and middle-income countries: Next steps for research and intervention.Soc Sci Med. 2017 Nov;193:101-109. doi: 10.1016/j.socscimed.2017.09.039. Epub 2017 Sep 22. Soc Sci Med. 2017. PMID: 29028557 Review.
-
The association between stunting and psychosocial development among preschool children: a study using the South African Birth to Twenty cohort data.Child Care Health Dev. 2014 Nov;40(6):900-10. doi: 10.1111/cch.12143. Epub 2014 May 8. Child Care Health Dev. 2014. PMID: 24807234 Review.
Cited by
-
Coming of age in war: Early life adversity, age at menarche, and mental health.Psychoneuroendocrinology. 2024 Nov;169:107153. doi: 10.1016/j.psyneuen.2024.107153. Epub 2024 Aug 3. Psychoneuroendocrinology. 2024. PMID: 39128396 Review.
-
A biosocial analysis of perinatal and late neonatal mortality among Indigenous Maya Kaqchikel communities in Tecpán, Guatemala: a mixed-methods study.BMJ Glob Health. 2024 Apr 17;9(4):e013940. doi: 10.1136/bmjgh-2023-013940. BMJ Glob Health. 2024. PMID: 38631704 Free PMC article.
-
What North American retail food environment indices miss in Guatemala: Cultural considerations for the study of place and health.Appl Geogr. 2024;164:10.1016/j.apgeog.2024.103204. doi: 10.1016/j.apgeog.2024.103204. Appl Geogr. 2024. PMID: 38532832 Free PMC article.
-
Impact of integrated preventive and curative health package on nutritional status of children under 2 years of age in the health area of Tama, Tahoua region (Niger).Front Nutr. 2023 Oct 23;10:1259706. doi: 10.3389/fnut.2023.1259706. eCollection 2023. Front Nutr. 2023. PMID: 37941771 Free PMC article.
-
The now and future of human biology at the extremes: An introduction to the special issue.Am J Hum Biol. 2024 Mar;36(3):e24006. doi: 10.1002/ajhb.24006. Epub 2023 Oct 26. Am J Hum Biol. 2024. PMID: 37885124
References
REFERENCES
-
- Arlt, W., & Stewart, P. M. (2005). Adrenal corticosteroid biosynthesis, metabolism, and action. Endocrinology and Metabolism Clinics of North America, 34(2), 293-313. https://doi.org/10.1016/j.ecl.2005.01.002
-
- Barch, D. M., Shirtcliff, E. A., Elsayed, N. M., Whalen, D., Gilbert, K., Vogel, A. C., Tillman, R., & Luby, J. L. (2020). Testosterone and hippocampal trajectories mediate relationship of poverty to emotion dysregulation and depression. Proceedings of the National Academy of Sciences, 117(36), 22015-22023. https://doi.org/10.1073/pnas.2004363117
-
- Beaumont, J., Atkins, E.-C., Buckberry, J., Haydock, H., Horne, P., Howcroft, R., Mackenzie, K., & Montgomery, J. (2018). Comparing apples and oranges: Why infant bone collagen may not reflect dietary intake in the same way as dentine collagen. American Journal of Physical Anthropology, 167(3), 524-540. https://doi.org/10.1002/ajpa.23682
-
- Berger, J. M., Singh, P., Khrimian, L., Morgan, D. A., Chowdhury, S., Arteaga-Solis, E., Horvath, T. L., Domingos, A. I., Marsland, A. L., Yadav, V. K., Rahmouni, K., Gao, X. B., & Karsenty, G. (2019). Mediation of the acute stress response by the skeleton. Cell Metabolism, 30(5), 890-902.e8. https://doi.org/10.1016/j.cmet.2019.08.012
-
- Black, R. E., Allen, L. H., Bhutta, Z. A., Caulfield, L. E., de Onis, M., Ezzati, M., Mathers, C., Rivera, J., & Maternal and Child Undernutrition Study Group. (2008). Maternal and child undernutrition: Global and regional exposures and health consequences. Lancet, 371(9608), 243-260. https://doi.org/10.1016/S0140-6736(07)61690-0
MeSH terms
LinkOut - more resources
Full Text Sources
Medical