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Qualitative Health Research, Vol. 16, No. 4, 503-516 (2006)
DOI: 10.1177/1049732306286820
© 2006 SAGE Publications

The Social Construction of Anemia in School Shelters for Indigenous Children in Mexico

Bernardo Turnbull

Unidad de Investigación en Epidemiología Nutricional (UIEN), Instituto Méxicano del Seguro Social (IMSS), México D.F., México

Gloria Martínez-Andrade

Miguel Klünder

Tania Carranco

Ximena Duque-López

Rosa Isela Ramos-Hernández

Marco González-Unzaga

Sergio Flores-Hernández

Homero Martínez-Salgado

Unidad de Investigación en Epidemiología Nutricional, Instituto Méxicano del Seguro Social, México D.F., México

Indigenous children in school shelters in Mexico suffer from anemia in spite of food that is subsidized, prepared, and served to them. Economically and biomedically centered strategies to reduce anemia have achieved only partial and short-term success. An interdisciplinary team investigated the food security system of the school shelters and collected data through interviews and participant observation. The analysis revealed that the children's nutrition depends on a frail chain of events in which a single link's failure can lead to nutritional insecurity. The authors conclude that the social actors involved in the process are mainly considering the economic aspects of nutrition, but anemia persists as a social construction of the faulty relationship between the institution that runs the shelters and the indigenous culture. The authors make suggestions for an intervention that empowers the community by involving it actively in solving the problem.

Key Words: indigenous children • nutrition • social construction • anemia • Mexico


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J. M. Morse
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Qual Health Res, December 1, 2006; 16(10): 1315 - 1316.
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