Determinantes sociales de la salud asociados con deficiencia de vitamina A e infecciones en población infantil de 1 a 4 años. ensin 2015 Thesis

short description

  • Master's thesis

Thesis author

  • Panche Castellanos, Karen C’ayw’ce

external tutor

  • Forero Torres, Ana Yibby


  • Vitamin A deficiency in children ages 1-4 years represents a public health problem in Colombia. Vitamin A deficiency contributes to a cycle where the lack of this vitamin makes children more vulnerable to infection and, in turn prolonging the infectious state and the associated malnutrition. Objective: To analyze the association between the social determinants of health, Vitamin A deficiency, and the presence of infection in children ages 1-4 years. Methodology: Analytical cross-sectional study based on 6371 records from ENSIN 2015. Results: The social determinants associated with Vitamin A deficiency (DVA) were living in the Atlantic region increased the probability of DVA by 32% (CI = 29 - 34%; p = 0.000) while residing in the Pacific region increased the probability of DVA by 28% (CI = 24 - 32%; p = 0.018). Belonging to the Afro-Colombian ethnicity increased the probability of DVA by 34% (CI = 29 - 39%; p = 0.004) and residing within a household income located in the lowest quartile of wealth increased the probability of DVA by 30% (CI = 28 - 33%; p = 0.003). Increased CRP (infection marker) was also associated with DVA, where it was observed that these children were 52% more likely to suffer from DVA Conclusion: Coexistence of Vitamin A deficiency and the state of infection were more evident in Afro-Colombian children and residing in the Atlantic region and Bogotá. These social-economic criteria are determined by the maternal educational level as observed in the interaction analysis carried out.

publication date

  • June 25, 2020 4:09 PM


  • C Reactive Protein
  • Infectious Diseases
  • Social Determinants of Health
  • Vitamin A deficiency

Document Id

  • 7d2c1fd5-23e9-4626-b8a7-f14e244dbe03