IJE Advance Access originally published online on March 12, 2007
International Journal of Epidemiology 2007 36(3):504-511; doi:10.1093/ije/dym016
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Cohort Profile: Mandela's children: The 1990 birth to twenty study in South Africa
1 Human Sciences Research Council and University of KwaZulu-Natal, South Africa.
2 University of the Witwatersrand, South Africa.
3 Rockefeller Foundation, USA.
4 Loughborough University, UK.
* Corresponding author. Child Youth Family and Social Development, Human Sciences Research Council, Private Bag X07, Dalbridge 4014, South Africa. E-mail: lrichter@hsrc.ac.za
Accepted 26 January 2007
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| How did the study come about? |
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The late 1980s were a period of profound sociopolitical change in South Africa. It was clear that the Apartheid state was crumbling and, amongst acts of civil disobedience which characterized the struggle, Black Africans
began to disregard restrictive legislation that constrained where they lived and worked. Very rapid unplanned urbanization began, and shanty towns mushroomed around formerly White cities and towns. It was anticipated that this rapid urbanization, with urban growth estimated at the time to be 3.5% per year1,2 would have profound effects on children's health and development. While improved access to health care, education and employment in urban areas could decrease preventable childhood morbidity and mortality, the inability of government to establish and maintain services to meet the needs of the growing urban population could exacerbate existing infectious diseases, such as HIV/AIDS and tuberculosis. Non-infectious conditions related to the interaction of lifestyle, urban stressors and socio-cultural changes—for example, | What does the study cover—and how has this changed? |
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| Who is in the sample? |
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| How often have they been followed up—and what is attrition like? |
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| What has been measured? |
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| What has been found? |
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Methodological issues
Nutrition
Growth and bone health
Infant, child and adolescent well-being
Sexual and lifestyle risk
Sexual risk
Metabolic disease risk
| What are the main strengths and weaknesses of the study? |
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| Can I get hold of the data? Where can I find out more? |
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