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Does race matter? Children’s height in Brazil and South Africa

Demography volume 39, pages 763–790 (2002)Cite this article

Abstract

I examine racial differences in child stunting in mid-1990s South Africa and Brazil, two multiracial societies with different histories of legal support for racial discrimination. Using data from nationally representative household samples linked to community-level measures, the analysis shows that racial inequality in the distribution of socioeconomic resources across households and communities explains much of the racial difference in stunting in both countries. Even after these factors are controlled, however, the results indicate that in South Africa, nonwhite children are still at greater risk of growth faltering than are white children. The nature of socioeconomic and racial differences in children’s growth is examined, and major determinants are discussed. These findings suggest that although state-sanctioned racism may help to explain the greater racial inequality in stunting in South Africa than in Brazil, the eradication of a disadvantage for nonwhites will depend on changes in the same fundamental socioeconomic inequalities that characterize both nations.

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References

  • Andersson, N. and S. Marks. 1988. “Apartheid and Health in the 1980s.” Social Science and Medicine 27:667–81.

    Article  Google Scholar 

  • Barrera, A. 1990. “The Role of Maternal Schooling and Its Interaction With Public Health Programs in Child Health Production.” Journal of Development Economics 32:69–91.

    Article  Google Scholar 

  • Becker, G. 1981. A Treatise on the Family. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Behrman, J.R. and B.L. Wolf. 1987. “Women’s Schooling and Children’s Health: Are the Effects Robust With Adult Sibling Control for the Woman’s Childhood Background?” Journal of Health Economics 6:239–54.

    Article  Google Scholar 

  • BEMFAM/DHS. 1996. Preliminary Results: 1996 DHS Survey of Brazil. Columbia, MD: Macro International.

    Google Scholar 

  • BEMFAM/IRD. 1998. South Africa—Demographic and Health Survey. Preliminary Report. Calverton, MD: Macro International.

    Google Scholar 

  • Boerma, J.T. 1996. Child Survival in Developing Countries: Can Demographic and Health Surveys Help to Understand the Determinants? Amsterdam: Royal Tropical Institute.

    Google Scholar 

  • Bollen, K.A., J.L. Glanville, and G. Stecklov. 2001. “Socioeconomic Status and Class in Studies of Fertility and Health in Developing Countries.” Annual Review of Sociology 27:153–85.

    Article  Google Scholar 

  • Botha, J.L. and D. Bradshaw. 1985. “African Vital Statistics—A Black Hole?” South African Medical Journal 67:977–81.

    Google Scholar 

  • Buss, P. and P. Gadelha. 1996. “Health Care Systems in Transition: Brazil Part I: An Outline of Brazil’s Health Care System Reforms.” Journal of Public Health Medicine 18:289–95.

    Google Scholar 

  • Chaning-Pearce, S.M. and L. Solomon. 1986. “A Longitudinal Study of Height and Weight in Black and White Johannesburg Children.” South African Medical Journal 70:743–46.

    Google Scholar 

  • Christopher, A.J. 1994. The Atlas of Apartheid. New York: Routledge.

    Google Scholar 

  • DATASUS. 1996. Informaes de Saude. Available on-line at http://tabnet.datasus.gov.br/tabnet/ tabnet.htm

  • DaVanzo, J. and P. Gertler. 1991. “Household Production of Health: A Micro-economic Perspective on Health Transitions.” Pp. 85–101 in The Health Transition: Methods and Measures, edited by J. Cleland and A.G. Hill. Canberra: Australian National University Press.

    Google Scholar 

  • Degler, C.N. [1971] 1986. Neither Black nor White: Slavery and Race Relations in Brazil and the United States. Madison: University of Wisconsin Press.

    Google Scholar 

  • Filmer, D. and L.H. Pritchett. 2001. “Estimating Wealth Effects Without Expenditure Data—or Tears: An Application to Educational Enrollments in States of India.” Demography 38:115–32.

    Google Scholar 

  • Frank, R. 2001. “The Misuse of Biology in Demographic Research on Racial/Ethnic Differences: A Reply to van den Oord and Rowe.” Demography 38:563–68.

    Article  Google Scholar 

  • Glei, D. and N. Goldman. 2000. “Understanding Ethnic Variation in Pregnancy-Related Behaviors, Health Care and Birth Outcomes in Rural Guatemala.” Ethnicity and Health 5:5–22.

    Article  Google Scholar 

  • Habicht J-P., R. Martorell, C. Yarbrough, R. Malina, and R.E. Klein. 1974. “Height and Weight Standards for Pre-school Children: How Relevant Are Ethnic Differences in Growth Potential?” Lancet 1:611–15.

    Article  Google Scholar 

  • Hasenbalg, C.A. 1985. “Race and Socioeconomic Inequalities in Brazil.” Chap. 3 in Race, Class, and Power in Brazil, edited by P.M. Fontaine. Los Angeles: UCLA Center for Afro-American Studies.

    Google Scholar 

  • Horton, S. 1986. “Child Nutrition and Family Size in the Philippines.” Journal of Development Economics 23:161–76.

    Article  Google Scholar 

  • Jinabhai, C.C., H.M. Coovadia, and S.S. Abdool-Karim. 1986. “Socio-medical Indicators of Health in South Africa.” International Journal of Health Services 16:163–76.

    Article  Google Scholar 

  • Kaufman, C.E. 1998. “Contraceptive Use in South Africa Under Apartheid.” Demography 35:421–34.

    Article  Google Scholar 

  • Krieger, N., D.L. Rowley, A.A. Herman, B. Avery, and M.T. Phillips. 1993. “Racism, Sexism, and Social Class: Implications for Studies of Health, Disease, and Well-being.” American Journal of Preventive Medicine 9(Suppl.):82–122.

    Google Scholar 

  • Lam, D. 1999. “Generating Extreme Inequality: Schooling, Earnings, and Intergenerational Transmission of Human Capital in South Africa and Brazil.” Unpublished manuscript, Department of Economics and Population Studies Center, University of Michigan.

  • LaVeist, T. 1996. “Why We Should Continue to Study Race … But Do a Better Job: An Essay on Race, Racism, and Health.” Ethnicity and Health 6:21–29.

    Google Scholar 

  • Liang, K.-Y. and S.L. Zeger. 1986. “Longitudinal Data Analysis Using Generalized Linear Models.” Biometrika 73:13–22.

    Article  Google Scholar 

  • Lillie-Blanton, M., P.E. Parsons, H. Gayle, and A. Dievler. 1996. “Racial Differences in Health: Not Just Black and White, but Shades of Gray.” Annual Review of Public Health 17:411–48.

    Google Scholar 

  • Lovell, P.A. and C.H. Wood. 1998. “Skin Color, Racial Identity, and Life Chances in Brazil.” Latin American Perspectives 25:90–110.

    Article  Google Scholar 

  • Madise, N.J., Z. Matthews, and B. Margetts. 1999. “Heterogeneity of Child Nutritional Status Between Households: A Comparison of Six Sub-Saharan African Countries.” Population Studies 53:331–43.

    Article  Google Scholar 

  • Martorell, R. and J.-P. Habicht. 1986. “Growth in Early Childhood in Developing Countries.” Pp. 241–62 in Human Growth: A Comprehensive Treatise: Volume 3, edited by F. Falkner and J.M. Tanner. New York: Plenum Press.

    Google Scholar 

  • Mendez, M.A. and L.S. Adair. 1999. “Severity and Timing of Stunting in the First Two Years of Life Affect Performance on Cognitive Tests in Late Childhood.” Journal of Nutrition 129:1555–62.

    Google Scholar 

  • Monteiro, C.A., M.H. D’A. Benicio, and N.C. Gouveia. 1994. “Secular Growth Trends in Brazil Over Three Decades.” Annals of Human Biology 21:381–90.

    Article  Google Scholar 

  • Monteiro, C.A., M.H. D’A. Benicio, R. Iunes, N.C. Gouveia, J.A.A.C. Taddei, and M.A.A. Cardoso. 1992. “Nutritional Status of Brazilian Children: Trends From 1975 to 1989.” Bulletin of the World Health Organization 70:657–66.

    Google Scholar 

  • Mosley, W.H. and L.C. Chen. 1984. “An Analytical Framework for the Study of Child Survival in Developing Countries.” In Child Survival: Strategies for Research, edited by W.H. Mosley and L.C. Chen. Population and Development Review 10(Suppl.):5–45.

  • National Economic Research Associates. 1996. The Health Care System in South Africa. Financing Health Care With Particular Reference to Medicines, Volume 19. Basle: Pharmaceutical partners; London: National Economic Research Associates.

    Google Scholar 

  • Pan American Health Organization. 2001. “Brazil: Basic Country Health Profiles.” Available online at http://www.paho.org/english/SHA/prflbra.htm

  • Pebley, A.R. and N. Goldman. 1995. “Social Inequality and Children’s Growth in Guatemala.” Health Transition Review 5:1–20.

    Article  Google Scholar 

  • Pelletier, D.L. 1991. “Relationships Between Child Anthropometry and Mortality in Developing Countries: Implications for Policy, Programs, and Future Research.” Monograph 12. Ithaca, NY: Food and Nutrition Policy Program, Cornell University.

    Google Scholar 

  • —. 1998. “Malnutrition, Morbidity, and Child Mortality in Developing Countries.” Pp. 109–32 in Too Young to Die: Genes or Gender? New York: United Nations.

    Google Scholar 

  • Pelletier, D.L., E. Frongillo, and J-P. Habicht. 1993. “Epidemiological Evidence for a Potentiating Effect of Malnutrition on Child Mortality.” American Journal of Public Health 83:1130–33.

    Article  Google Scholar 

  • Reichmann, R., ed. 1999. Race in Contemporary Brazil: From Indifference to Inequality. University Park: University of Pennsylvania Press.

    Google Scholar 

  • Rosenzweig, M.R. and T.P. Schultz. 1982. “Child Mortality and Fertility in Columbia: Individual and Community Effects.” Health Policy and Education 2:305–48.

    Article  Google Scholar 

  • Silva, N. 1985. “Updating the Cost of Not Being White in Brazil.” Chap. 4 in Race, Class, and Power in Brazil, edited by P.M. Fontaine. Los Angeles: UCLA Center for Afro-American Studies.

    Google Scholar 

  • — 1999. “Racial Differences in Income: Brazil, 1988.” Pp. 68–82 in Race in Contemporary Brazil: From Indifference to Inequality, edited by R. Reichmann. University Park: Pennsylvania State University Press.

    Google Scholar 

  • Siqwala-Ndulo, N.W. 1993. Rural African Family Structure in the Transkei, South Africa. Unpublished doctoral dissertation, University of California at Los Angeles.

  • South African Labour Development Research Unit. 1994. “South Africans Rich and Poor: Baseline Household Statistics.” Cape Town, South Africa: University of Cape Town.

    Google Scholar 

  • StataCorp. 1999. Stata User’s Guide. Stata Statistical Software: Release 6.0. College Station, TX: Stata Corporation.

    Google Scholar 

  • Strauss, J. 1990. “Households, Communities and Preschool Child Nutrition Outcomes: Evidence From Rural Côte d’Ivoire.” Economic Development and Cultural Change 38:231–61.

    Article  Google Scholar 

  • Sullivan, K.M. and J. Gorstein. 1999. ANTHRO: Software for Calculating Anthropometry. Version 1.02. Atlanta: Centers for Disease Control and Prevention; Geneva: World Health Organization.

    Google Scholar 

  • Telles, E.E. 1992. “Residential Segregation by Skin Color in Brazil.” American Sociological Review 57:186–97.

    Article  Google Scholar 

  • Telles, E.E. and N. Lim. 1998. “Does It Matter Who Answers the Race Question? Racial Classification and Income Inequality in Brazil.” Demography 35:465–74.

    Article  Google Scholar 

  • Thomas, D., J. Strauss, and M.-H. Henriques. 1990. “Child Survival, Height for Age, and Household Characteristics in Brazil.” Journal of Development Economics 33:197–234.

    Article  Google Scholar 

  • —. 1991. “How Does Mother’s Education Affect Child Height?” Journal of Human Resources 26:183–211.

    Article  Google Scholar 

  • Treiman, D.J., M. McKeever, and E. Fodor. 1996. “Racial Differences in Occupational Status and Income in South Africa, 1980 and 1991.” Demography 33:111–32.

    Article  Google Scholar 

  • van den Oord, E.J.C.G. and D.C. Rowe. 2001. “A Step in Another Direction: Looking for Maternal Genetic and Environmental Effects on Racial Differences in Birth Weight.” Demography 38:573–76.

    Article  Google Scholar 

  • Waterlow, J., R. Buzina, W. Keller, J. Lane, M. Nichaman, and J. Tanner. 1977. “The Presentation and Use of Height and Weight Data for Comparing the Nutritional Status of Groups of Children Under the Age of Ten Years.” Bulletin of the World Health Organization 55:489–98.

    Google Scholar 

  • Williams, D.R. 1995. “Racism and Health: A Research Agenda.” Ethnicity and Disease 6:1–6.

    Google Scholar 

  • Williams, D.R. and C. Collins. 1995. “U.S. Socioeconomic and Racial Differences in Health: Patterns and Explanations.” Annual Review of Sociology 21:349–86.

    Article  Google Scholar 

  • Wood, C.H. and J.A.M.D. Carvalho. 1988. The Demography of Inequality in Brazil. New York: Cambridge University Press.

    Book  Google Scholar 

  • Wood, C.H. and P. Lovell. 1992. “Racial Inequality and Child Mortality in Brazil.” Social Forces 70:703–24.

    Article  Google Scholar 

  • Zenger, E. 1993. “Siblings’ Neonatal Mortality Risks and Birth Spacing in Bangladesh.” Demography 30:477–72.

    Article  Google Scholar 

  • Zuberi, T. 2001. “One Step Back in Understanding Racial Differences in Birth Weight.” Demography 38:569–72.

    Article  Google Scholar 

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Authors and Affiliations

  1. Departments of Sociology and Epidemiology, University of California at Los Angeles, 264 Haines Hall, 375 Portola Plaza, 90095-1551, Los Angeles, CA

    Sarah Burgard

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  1. Sarah Burgard
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Additional information

This research was made possible by a Mellon Fellowship in Latin American Sociology. I am grateful to Donald Treiman, Narayan Sastry, Edward Telles, and three anonymous reviewers for their valuable input on this article.

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Burgard, S. Does race matter? Children’s height in Brazil and South Africa. Demography 39, 763–790 (2002). https://doi.org/10.1353/dem.2002.0034

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  • DOI: https://doi.org/10.1353/dem.2002.0034

Keywords

  • Household Wealth
  • White Child
  • Black Child
  • Racial Inequality
  • Proximate Determinant