Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-23T05:33:31.143Z Has data issue: false hasContentIssue false

Impact of the health and living conditions of migrant and non-migrant Senegalese adolescent girls on their nutritional status and growth

Published online by Cambridge University Press:  16 August 2007

Denis Garnier*
Affiliation:
UR24 ‘Epidémiologie et Prévention’, Institut de recherche pour le développement (IRD), BP 64501, 34394 Montpellier Cedex 5, France
Kirsten B Simondon
Affiliation:
UR24 ‘Epidémiologie et Prévention’, Institut de recherche pour le développement (IRD), BP 64501, 34394 Montpellier Cedex 5, France
Thierry Hoarau
Affiliation:
Laboratoire de Nutrition, Institut de recherche pour le développement (IRD), BP 1386, Dakar, Senegal
Eric Benefice
Affiliation:
UR24 ‘Epidémiologie et Prévention’, Institut de recherche pour le développement (IRD), BP 64501, 34394 Montpellier Cedex 5, France
*
*Corresponding author: Email:[email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Objective:

To describe the living conditions of Senegalese adolescent girls according to their migration status, and to define the main socio-economic and biological determinants of their nutritional and growth status.

Design:

Health and living conditions, sexual maturation, and nutritional and growth status of adolescent girls were determined within the framework of a longitudinal study on growth.

Settings:

The capital city of Senegal (Dakar) and a rural community (Niakhar), 120 km south-east of Dakar.

Subjects:

Three hundred and thirty-one girls, 14.5–16.6 years of age, were recruited from the same villages. Thirty-six per cent of the sample remained in the villages to attend school and/or to help with household subsistence tasks (non-migrants). The remaining (64%) migrated to cities to work as maids (migrants) and lived in two different socio-economic environments: at the home of a guardian during the night and in the house of the employer during the daytime.

Results:

Family rural environment and guardian and employer urban environments were socio-economically different (P < 0.001). Living conditions in urban areas were better than in rural areas and the employer's environment was socio-economically more favourable. Migrants had more advanced sexual maturation and higher body mass index (BMI), fat mass index (FMI) and mid-upper arm circumference than non-migrants. However, migrants were smaller than non-migrants. BMI, FMI and weight-for-age were related to socio-economic levels and duration of migration. Schooling was positively related to height and negatively related to BMI.

Conclusions:

Migrants enjoyed better living conditions than non-migrants. This could be partly due to the better socio-economic environment of the employer. It was associated with earlier puberty and better nutritional status, but not with a better growth.

Type
Research Article
Copyright
Copyright © The Authors 2003

References

1Delpeuch, F, Traissac, P, Martin-Prével, Y, Massamba, JP, Maire, B. Economic crisis and malnutrition: socioeconomic determinants of anthropometric status of preschool children and their mothers in an African urban area. Public Health Nutrition 2000; 3: 3947.CrossRefGoogle Scholar
2Islam, MA, Rahman, MM, Mahalanabis, D. Maternal and socioeconomic factors and the risk of severe malnutrition in a child: a case–control study. European Journal of Clinical Nutrition 1994; 48: 416–24.Google Scholar
3Martin-Prével, Y, Delpeuch, F, Traissac, P, Massamba, JP, Adoua-Oyila, G, Coudert, K, et al. Deterioration in the nutritional status of young children and their mothers in Brazzaville, Congo, following the 1994 devaluation of the CFA franc. Bulletin of the World Health Organization 2000; 78: 108–18.Google ScholarPubMed
4Nube, M, Asenso-Okyere, WK, van den Boom, GJ. Body mass index as indicator of standard of living in developing countries. European Journal of Clinical Nutrition 1998; 52: 136–44.CrossRefGoogle ScholarPubMed
5Eveleth, PB, Tanner, JM. Worldwide Variation in Human Growth. Cambridge: Cambridge University Press, 1990.Google Scholar
6United Nations Population Fund (UNFPA). Footprints and Milestones: Population and Environmental Change – The State of the World Population 2001. New York: UNFPA, 2001.Google Scholar
7Durkin, MS, Islam, S, Hasan, ZM, Zaman, SS. Measures of socioeconomic status for child health research: comparative results from Bangladesh and Pakistan. Social Science and Medicine 1994; 38: 1289–97.CrossRefGoogle ScholarPubMed
8McDade, TW, Adair, LS. Defining the ‘urban’ in urbanization and health: a factor analysis approach. Social Science and Medicine 2001; 53: 5570.CrossRefGoogle Scholar
9Adair, LS, Vanderslice, J, Zohoori, N. Urban–rural differences in growth and diarrhoeal morbidity of Filipino infants. In: Schell, LM, Smith, MT, Bilsborough, A, eds. Urban Ecology and Health in the Third World (Society for the Study of Human Biology, Symposium 32). Cambridge: Cambridge University Press, 1993; 7598.CrossRefGoogle Scholar
10Haddad, L, Ruel, MT, Garrett, JL. Are urban poverty and undernutrition growing? Some newly assembled evidence. World Development 1999; 27: 1891–904.CrossRefGoogle Scholar
11Popkin, BM, Bisgrove, EZ. Urbanization and nutrition in low-income countries. Food and Nutrition Bulletin 1988; 10: 323.CrossRefGoogle Scholar
12United Nations Children's Fund (UNICEF), ed. Rural/urban nutrition gaps identified. In: The Progress of Nations 1999. New York: UNICEF, 1999; 13.Google Scholar
13Delpeuch, F, Cornu, A, Massamba, JP, Traissac, P, Maire, B. Is body mass index sensitively related to socio-economic status and to economic adjustment? A case study from the Congo. European Journal of Clinical Nutrition 1994; 48(Suppl. 3): S141–7.Google ScholarPubMed
14Panter-Brick, C, Todd, A, Baker, R. Growth status of Homeless Nepali boys: do they differ from rural and urban controls? Social Science and Medicine 1996; 43: 441–51.CrossRefGoogle ScholarPubMed
15Martin-Prével, Y, Maire, B, Delpeuch, F. Nutrition, urbanization and poverty in subSaharan Africa [in French]. Medecine Tropicale 2000; 60: 179–91.Google ScholarPubMed
16Menon, P, Ruel, MT, Morris, SS. Socio-economic differentials in child stunting are consistently larger in urban than in rural areas. Food and Nutrition Bulletin 2000; 21: 282–9.CrossRefGoogle Scholar
17Proos, LA, Hofvander, Y, Tuvemo, T. Menarcheal age and growth pattern of Indian girls adopted in Sweden. II. Catch-up growth and final height. Indian Journal of Pediatrics 1991; 58: 105–14.CrossRefGoogle ScholarPubMed
18Bogin, B, Loucky, J. Plasticity, political economy, and physical growth status of Guatemala Maya children living in the United States. American Journal of Physical Anthropology 1997; 102: 1732.3.0.CO;2-A>CrossRefGoogle ScholarPubMed
19Benyoussef, A, Cutler, JL, Baylet, R, Collomb, H, Diop, S, Lacombe, B, et al. Health, migration and urbanization: a collaborative study in Senegal [in French]. Bulletin of the World Health Organization 1973; 49: 517–37.Google ScholarPubMed
20Bénéfice, E, Cames, C, Simondon, KB. Growth and maturation of Sereer adolescent girls (Senegal) in relation to seasonal migration for labor. American Journal of Human Biology 1999; 11: 539–50.3.0.CO;2-G>CrossRefGoogle Scholar
21Garnier, D, Bénéfice, E. Habitual physical activity of Senegalese adolescent girls under different working conditions, as assessed by a questionnaire and movement registration. Annals of Human Biology 2001; 28: 7997.Google ScholarPubMed
22Simondon, KB, Simon, I, Simondon, F. Nutritional status and age at menarche of Senegalese adolescents. Annals of Human Biology 1997; 24: 521–32.CrossRefGoogle ScholarPubMed
23Ellis, F. Household strategies and rural livelihood diversification. Journal of Development Studies 1998; 35: 138.CrossRefGoogle Scholar
24Delaunay, V. Le travail des fillettes en Afrique sub-saharienne. Conditions de vie et de travail des jeunes migrantes Sereer à Dakar. In: Schlemmer, B, ed. Colloque International – L'enfant exploité – mise au travail et prolétarisation. Bondy, France: ORSTOM, 1994; 310.Google Scholar
25Delaunay, V, Etard, JF, Marra, A, Préziosi, MP, Simondon, F. Decline of infant and child mortality rates in rural Senegal over a 37-year period (1963–1999). International Journal of Epidemiology 2001; 30: 1286–93.CrossRefGoogle Scholar
26Kodio, B. Niveaux, causes et facteurs de risque de la mortalité maternelle en milieu rural au Sénégal 1984–1998. PhD dissertation, Victor Segalen Bordeaux II, Bordeaux, 2001.Google Scholar
27Garin, P, Guigou, B, Lericollais, A. Les pratiques paysannes dans le Sine. In: Lericollais, A, ed. Paysans sereer. Dynamiques agraires et mobilités au Sénégal. Paris: Institut de Recherche pour le Développement, 1999; 210–98.Google Scholar
28 Food and Agriculture Organization. Sénégal: Présentation générale, 2001. Available at http://www.fao.org/giews/french/basedocs/sen/sengen1f.stm.Google Scholar
29Salem, G. La santé dans la ville. Géographie d'un petit espace dense: Pikine (Sénégal). Paris: Karthala–ORSTOM, 1998.Google Scholar
30Bénéfice, E, Garnier, D, Simondon, KB, Malina, RM. Relationship between stunting in infancy and growth and fat distribution during adolescence in Senegalese girls. European Journal of Clinical Nutrition 2001; 55: 50–8.CrossRefGoogle ScholarPubMed
31Garenne, M, Maire, B, Fontaine, O, Dieng, K, Briend, A. Risques de décés associés à différents états nutritionnels chez l'enfant d'âge préscolaire: Etude réalisée à Niakhar (Sénégal), 1983–1986. Paris: Centre Français sur la Population et le Développement, 2000.Google Scholar
32Simondon, KB, Simondon, F, Simon, I, Diallo, A, Benefice, E, Traissac, P, et al. Preschool stunting, age at menarche and adolescent height: a longitudinal study in rural Senegal. European Journal of Clinical Nutrition 1998; 52: 412–8.CrossRefGoogle ScholarPubMed
33Lohman, TG, Roche, AF, Martorell, R. Anthropometric Standardization Reference Manual. Champaign, IL: Human Kinetics Books, 1988.Google Scholar
34Dean, AG, Dean, JA, Coulombier, D, Brendel, KA, Smith, DC, Burton, AH, et al. Epi Info, Version 6: A Word-Processing, Database, and Statistics Program for Public Health on Microcomputers. Atlanta, GA: Centers for Disease Control and Prevention, 1995.Google Scholar
35World Health Organization (WHO). Use and interpretation of anthropometric indicators of nutritional status. WHO Working Group. Bulletin of the World Health Organization 1986; 64: 929–41.Google Scholar
36Tanner, JM. Growth at Adolescence, 2nd ed. Oxford: Blackwell Scientific, 1962.Google Scholar
37Traissac, P, Delpeuch, D, Maire, B, Martin-Prével, Y, Cornu, A, Tresche, S. Building a summary index of the household's economic level in nutritional surveys. Application examples in the Congo [in French]. Revue d'Épidémiologie et de Santé Publique 1997; 45(Suppl. 1): S114–5.Google Scholar
38Cortinovis, I, Vella, V, Ndiku, J. Construction of a socioeconomic index to facilitate analysis of health data in developing countries. Social Science and Medicine 1993; 36: 1087–97.CrossRefGoogle ScholarPubMed
39Hintze, JL. NCSS Statistical System for Windows, Version 2000. Kaysville, UT: Number Cruncher Statistical Systems, 1999.Google Scholar
40GrimmerSoft. StatBox Pro, Version 5.0. Paris: GRIMMER Logiciels, 2000.Google Scholar
41Searle, SR. General linear model. In: Kotz, S, Norman, LJ, Campbell, BR, eds. Encyclopedia of Statistical Sciences. New York: John Wiley & Sons Ltd, 1983; 357–72.Google Scholar
42Armitage, P. Comparison of several groups. In: Armitage, P, ed. Statistical Methods in Medical Research. Oxford: Blackwell Scientific Publications, 1994; 212.Google Scholar
43Must, A, Dallal, GE, Dietz, WH. Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2) – a correction. American Journal of Clinical Nutrition 1991; 54: 773.CrossRefGoogle Scholar
44World Health Organization (WHO). Physical Status: The Use and Interpretation of Anthropometry. WHO Technical Report Series No. 854. Geneva: WHO, 1995.Google Scholar
45Brockerhoff, M. Child survival in big cities: the disadvantages of migrants. Social Science and Medicine 1995; 40: 1371–83.CrossRefGoogle ScholarPubMed
46Bénéfice, E, Garnier, D, Ndiaye, G. High levels of habitual physical activity in West African adolescent girls and relationship to maturation, growth and nutritional status: results from a three-year prospective study. American Journal of Human Biology 2001; 13: 808–20.CrossRefGoogle Scholar
47Garnier, D, Bénéfice, E. Etat nutritionnel d'adolescentes sénégalaises selon leurs conditions de travail. Revue d'Épidémiologie et de Santé Publique 2000; 48: 3S151.Google Scholar
48Uyanga, J. Rural–urban migration and sickness/health care behaviour: a study of Eastern Nigeria. Social Science and Medicine 1983; 17: 579–83.CrossRefGoogle ScholarPubMed
49Pasquet, P, Biyong, AM, Rikong-Adie, H, Befidi-Mengue, R, Garba, MT, Froment, A. Age at menarche and urbanization in Cameroon: current status and secular trends. Annals of Human Biology 1999; 26: 8997.CrossRefGoogle ScholarPubMed
50Torun, B, Stein, AD, Schroeder, D, Grajeda, R, Conlisk, A, Rodriguez, M, et al. Rural-to-urban migration and cardiovascular disease risk factors in young Guatemalan adults. International Journal of Epidemiology 2002; 31: 218–26.CrossRefGoogle ScholarPubMed
51Schroeder, DG, Martorell, R, Flores, R. Infant and child growth and fatness and fat distribution in Guatemalan adults. American Journal of Epidemiology 1999; 149: 177–85.CrossRefGoogle ScholarPubMed
52He, J, Klag, MJ, Wu, Z, Qian, MC, Chen, JY, Mo, PS, et al. Effect of migration and related environmental changes on serum lipid levels in southwestern Chinese men. American Journal of Epidemiology 1996; 144: 839–48.CrossRefGoogle ScholarPubMed
53Cameron, N, Kgamphe, JS, Leschner, KF, Farrant, PJ. Urban–rural differences in the growth of South African black children. Annals of Human Biology 1992; 19: 2333.CrossRefGoogle ScholarPubMed
54Garnier, D, Ndiaye, G, Bénéfice, E. Growth, nutritional status and regional fat distribution in relation to seasonal urban migration for labour among Senegalese adolescent girls. Annals of Nutrition and Metabolism 2001; 45(Suppl. 1): 485.Google Scholar
55Malina, RM, Buschang, PH, Aronson, WL, Selby, HA. Childhood growth status of eventual migrants and sedentes in a rural zapotec community in the Valley of Oaxaca, Mexico. Human Biology 1982; 54: 709–16.Google Scholar
56Popkin, BM. The nutrition transition in low-income countries: an emerging crisis. Nutrition Reviews 1994; 52: 285–98.CrossRefGoogle ScholarPubMed
57Popkin, BM. Nutrition in transition: the changing global nutrition challenge. Asia Pacific Journal of Clinical Nutrition 2001; 10: S13–8.CrossRefGoogle ScholarPubMed