The First National Survey of Indigenous People's Health and Nutrition in Brazil: rationale, methodology, and overview of results.

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dc.contributor.authorCoimbra Junior, Carlos Everaldo Alvares
dc.contributor.authorSantos, Ricardo Ventura
dc.contributor.authorWelch, James R.
dc.contributor.authorCardoso, Andrey Moreira
dc.contributor.authorSouza, Mirian Carvalho de
dc.contributor.authorGarnelo, Luiza
dc.contributor.authorRassi, Elias
dc.contributor.authorFollér, Maj-Lis
dc.contributor.authorHorta, Bernardo L.
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasilen_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Museu Nacional. Departamento de Antropologia. Rio de Janeiro, RJ, Brasilen_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasilen_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasilen_US
dc.creator.affilliationInstituto Nacional de Câncer. Divisão de Epidemiologia. Rio de Janeiro, RJ, Brasilen_US
dc.creator.affilliationFundação Oswaldo Cruz. Centro de Pesquisa Leônidas e Maria Deane. Manaus, AM, Brasilen_US
dc.creator.affilliationUniversidade Federal de Goiás. Instituto de Patologia Tropical e Saúde Pública. Departamento de Saúde Coletiva. Goiânia, GO, Brasil.en_US
dc.creator.affilliationUniversity of Gothenburg. School of Global Studies. Gotemburgo, Suéciaen_US
dc.creator.affilliationUniversidade Federal de Pelotas. Faculdade de Medicina. Departamento de Medicina Social. Pelotas, RS, Brasilen_US
dc.date.accessioned2019-10-01T15:13:21Z
dc.date.available2019-10-01T15:13:21Z
dc.date.issued2013
dc.description.abstractenBackground: Although case studies indicate that indigenous peoples in Brazil often suffer from higher morbidity and mortality rates than the national population, they were not included systematically in any previous national health survey. Reported here for the first time, the First National Survey of Indigenous People’s Health and Nutrition in Brazil was conducted in 2008–2009 to obtain baseline information based on a nationwide representative sample. This paper presents the study’s rationale, design and methods, and selected results. Methods: The survey sought to characterize nutritional status and other health measures in indigenous children less than 5 years of age and indigenous women from 14 to 49 years of age on the basis of a survey employing a representative probabilistic sample of the indigenous population residing in villages in Brazil, according to four major regions (North, Northeast, Central-West, and South/Southeast). Interviews, clinical measurements, and secondary data collection in the field addressed the major topics: nutritional status, prevalence of hypertension and diabetes mellitus in women, child hospitalization, prevalence of tuberculosis and malaria in women, access to health services and programs, and characteristics of the domestic economy and diet. Results: The study obtained data for 113 villages (91.9% of the planned sample), 5,305 households (93.5%), 6,692 women (101.3%), and 6,128 children (93.1%). Multiple household variables followed a pattern of greater economic autonomy and lower socioeconomic status in the North as compared to other regions. For non-pregnant women, elevated prevalence rates were encountered for overweight (30.3%), obesity (15.8%), anemia (32.7%), and hypertension (13.2%). Among children, elevated prevalence rates were observed for height-for-age deficit (25.7%), anemia (51.2%), hospitalizations during the prior 12 months (19.3%), and diarrhea during the prior week (23.6%). Conclusions: The clinical-epidemiological parameters evaluated for indigenous women point to the accentuated occurrence of nutrition transition in all regions of Brazil. Many outcomes also reflected a pattern whereby indigenous women’s and children’s health indicators were worse than those documented for the national Brazilian population, with important regional variations. Observed disparities in health indicators underscore that basic healthcare and sanitation services are not yet as widely available in Brazil’s indigenous communities as they are in the rest of the country.en_US
dc.identifier.citationCOIMBRA JUNIOR, Carlos Everaldo Alvares et al. The First National Survey of Indigenous People's Health and Nutrition in Brazil: rationale, methodology, and overview of results.. BMC Public Health, v. 13, n. 52, p. 1-19, 2013.en_US
dc.identifier.doi10.1186/1471-2458-13-52
dc.identifier.urihttps://repositorio.bvspovosindigenas.fiocruz.br/handle/bvs/1127
dc.language.isopor
dc.publisherElsevieren_US
dc.rightsopen accessen_US
dc.subject.decsBrasilen_US
dc.subject.decsSaúde de Populações Indígenasen_US
dc.subject.decsÍndios Sul-Americanosen_US
dc.subject.decsEpidemiologiaen_US
dc.subject.decsMaláriaen_US
dc.subject.decsDiabetes Mellitusen_US
dc.subject.decsSaneamentoen_US
dc.subject.decsDesnutriçãoen_US
dc.subject.decsSaúde da Criançaen_US
dc.subject.decsDiarreiaen_US
dc.subject.decsAntropometriaen_US
dc.subject.decsTuberculoseen_US
dc.subject.decsSaúde da Mulheren_US
dc.subject.decsPressão Arterialen_US
dc.subject.decsEstudos Epidemiológicosen_US
dc.subject.decsAnemiaen_US
dc.subject.decsHospitalizaçãoen_US
dc.subject.decsPerfil de Saúdeen_US
dc.subject.decsAlimentos, Dieta e Nutriçãoen_US
dc.subject.otherBrasilen_US
dc.subject.otherÍndios Sul-Americanosen_US
dc.subject.otherRegião Norteen_US
dc.subject.otherSaúde de Populações Indígenasen_US
dc.subject.otherRegião Nordesteen_US
dc.subject.otherEpidemiologiaen_US
dc.subject.otherRegião Centro-Oesteen_US
dc.subject.otherFUNASAen_US
dc.subject.otherMaláriaen_US
dc.subject.otherRegião Sulen_US
dc.subject.otherDiabetes Mellitusen_US
dc.subject.otherRegião Sudesteen_US
dc.subject.otherSaneamentoen_US
dc.subject.otherDesnutriçãoen_US
dc.subject.otherPolítica Nacional de Atenção à Saúde dos Povos Indígenasen_US
dc.subject.otherSaúde da Criançaen_US
dc.subject.otherDiarreiaen_US
dc.subject.otherAntropometriaen_US
dc.subject.otherTuberculoseen_US
dc.subject.otherMorbidadeen_US
dc.subject.otherSaúde da Mulheren_US
dc.subject.otherServiços de Saúdeen_US
dc.subject.otherPressão Arterialen_US
dc.subject.otherEstudos Epidemiológicosen_US
dc.subject.otherAnemiaen_US
dc.subject.otherEstado Nutricionalen_US
dc.subject.otherHospitalizaçãoen_US
dc.subject.otherSobrepeso e Obesidadeen_US
dc.subject.otherPerfil de Saúdeen_US
dc.subject.otherBaixa Estatura para Idadeen_US
dc.subject.otherAlimentação e Nutriçãoen_US
dc.titleThe First National Survey of Indigenous People's Health and Nutrition in Brazil: rationale, methodology, and overview of results.en_US
dc.typeArticleen_US
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