Relationship between alcohol drinking and arterial hypertension in indigenous people of the Mura ethnics, Brazil
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open access
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Article
Date
2017
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Public Library of Science (Estados Unidos)
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Universidade Federal do Amazonas. Escola de Enfermagem de Manaus. Manaus, AM, Brasil
Universidade Federal do Amazonas. Escola de Enfermagem de Manaus. Manaus, AM, Brasil
Universidade Federal do Amazonas. Escola de Enfermagem de Manaus. Manaus, AM, Brasil/ Fundação Oswaldo Cruz. Instituto Leônidas e Maria Deane. Manaus, AM, Brasil
Universidade de São Paulo. Escola de Enfermagem. São Paulo, SP, Brasil
Universidade de São Paulo. Escola de Enfermagem. São Paulo, SP, Brasil
Universidade Federal do Amazonas. Escola de Enfermagem de Manaus. Manaus, AM, Brasil
Universidade Federal do Amazonas. Escola de Enfermagem de Manaus. Manaus, AM, Brasil/ Fundação Oswaldo Cruz. Instituto Leônidas e Maria Deane. Manaus, AM, Brasil
Universidade de São Paulo. Escola de Enfermagem. São Paulo, SP, Brasil
Universidade de São Paulo. Escola de Enfermagem. São Paulo, SP, Brasil
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Abstract
Abstract
Objective To identify the consumption of alcoholic beverage and the relation with hypertension, their prevalence and associated factors, in indigenous Mura, Brazil. Methods A cross-sectional population-based study was conducted with 455 adult indigenous aged 18 years or more of Mura ethnics in Amazonia, Brazil. Interview was conducted and the alcohol intake was assessed by the Alcohol Use Disorders Identification Test. Blood pressure was measured in three measurements and the mean of the last two measurements was used. Physical examination included the following data: weight, height, waist and neck circumference, bioimpedance, and capillary measurement of glucose, triglycerides and cholesterol. Through multivariate Logistic regression in stepwise, the odds ratios for alcohol consumption and associated factors were identified. Results The prevalence of alcoholic beverage was 40.2%, with no significant difference for hypertension in those who drink (23.0%) and those who did not drink (29.0%). Referred hypertension in indigenous was associated to less use of alcoholic beverages (14.2% vs 24.3%, P = 0.009). After an adjusted analysis (Odds Ratio, 95% CI), there was a positive association between alcoholic drink intake and male sex (10.27, CI: 5.76–18.30), smoking (4.72, CI: 2.35–9.46) and live in rural areas (9.77, CI: 5.08–18.79). On the other hand, age (0.95, IC: 0.94–0.97), and absence of dyslipidemia (0.41, CI: 0.19–0.89) were associated to lower alcohol consumption. Conclusion The prevalence of alcoholic beverage was high and associated with referred hypertension, but this association was not maintained after adjusted analysis. Changes to habits and inappropriate lifestyles in indigenous populations and living in urban areas may contribute to increase risk for cardiovascular diseases. Therefore, health policies should be implemented to meet the uniqueness of indigenous people
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Região Amazônica, Murá, Doenças e Agravos Não Transmissíveis
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Brasil, Saúde de Populações Indígenas, Índios Sul-Americanos, Consumo de Bebidas Alcoólicas, Estudos Epidemiológicos
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FERREIRA, Alaidistania Aparecida; et al. Relationship between alcohol drinking and arterial hypertension in indigenous people of the Mura ethnics, Brazil. PLoS ONE, v. 12, n. 8, 2017
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1932-6203
DOI
10.1371/journal.pone.0182352