<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0036-3634</journal-id>
<journal-title><![CDATA[Salud Pública de México]]></journal-title>
<abbrev-journal-title><![CDATA[Salud pública Méx]]></abbrev-journal-title>
<issn>0036-3634</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0036-36342017000400003</article-id>
<article-id pub-id-type="doi">10.21149/8487</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Severe functional difficulties and disabilities in children and adolescents and the Sustainable Development Goals]]></article-title>
<article-title xml:lang="es"><![CDATA[Dificultades funcionales severas y discapacidades en niños y adolescentes frente a los Objetivos de Desarrollo Sostenible]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Castro]]></surname>
<given-names><![CDATA[Filipa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hubert]]></surname>
<given-names><![CDATA[Celia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Strand]]></surname>
<given-names><![CDATA[Erika]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Prado]]></surname>
<given-names><![CDATA[Eva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Braverman]]></surname>
<given-names><![CDATA[Ariela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Salud Pública Centro de Investigación en Salud Poblacional Dirección de Salud Reproductiva]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Salud Pública Conacyt-Dirección de Salud Reproductiva ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Unicef Fondo de las Naciones Unidas para la Infancia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<volume>59</volume>
<numero>4</numero>
<fpage>354</fpage>
<lpage>360</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0036-36342017000400003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0036-36342017000400003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0036-36342017000400003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective:  To report prevalence of severe child functional difficulties and disability (CFD) in a nationally representative sample of 2 to 17 year-old children in Mexico and describe the inequities faced by children with CFD in relation to a set of Sustainable Development Goals (SDG)-related outcomes.  Materials and methods:  Using data from the National Survey of Children and Women (ENIM 2015) we estimate prevalence with 95% confidence intervals for the selected indicators. We use chi-square test and confidence intervals inspection to report significant differences between children with and without CFD.  Results:  8% of children present at least one CFD. CFD is associated with higher prevalence of underweight and child labor and lower prevalence of adequate early child development. Conclusion. Children with CFD present worst outcomes and require targeted efforts to ensure they meet health and wellbeing targets in the frame of the SDGs.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo:  Reportar la prevalencia de problemas severos de funcionamiento y discapacidad (CFD) en una muestra representativa de niños y niñas de 2 a 17 años en México y describir las inequidades enfrentadas por los niños y niñas con CFD respecto a un conjunto de indicadores relacionados con los objetivos de desarrollo sustentable (ODS).  Material y métodos:  A partir de datos de la Encuesta Nacional de Niñas, Niños y Mujeres en México (ENIM 2015), se estiman prevalencias e intervalos de confianza al 95% para indicadores seleccionados. Se usa prueba de ji cuadrada e intervalos de confianza para reportar diferencias significativas entre niños/as con y sin CFD.  Resultados:  8% de los niños presentan al menos un CFD. Los CFD se asocian con mayor prevalencia de bajo-peso y trabajo infantil, y con menor prevalencia de desarrollo infantil temprano adecuado.  Conclusión:  Los niños con CFD presentan resultados desventajosos, y requieren esfuerzos enfocados que garanticen el alcance de las metas de salud y bienestar en el contexto de los ODS.]]></p></abstract>
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<kwd lng="en"><![CDATA[disability]]></kwd>
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<kwd lng="en"><![CDATA[child advocacy]]></kwd>
<kwd lng="en"><![CDATA[United Nations]]></kwd>
<kwd lng="en"><![CDATA[child development]]></kwd>
<kwd lng="es"><![CDATA[discapacidad]]></kwd>
<kwd lng="es"><![CDATA[desigualdad en salud]]></kwd>
<kwd lng="es"><![CDATA[defensa del niño]]></kwd>
<kwd lng="es"><![CDATA[Naciones Unidas]]></kwd>
<kwd lng="es"><![CDATA[desarrollo infantil]]></kwd>
</kwd-group>
</article-meta>
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<surname><![CDATA[Loeb]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Altman]]></surname>
<given-names><![CDATA[BM]]></given-names>
</name>
</person-group>
<source><![CDATA[BMC Public Health]]></source>
<year>2011</year>
<volume>11</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>S4</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
