Nutritional status of indigenous children: findings from the First National Survey of Indigenous People's Health and Nutrition in Brazil

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dc.contributor.authorHorta, Bernardo L.
dc.contributor.authorSantos, Ricardo Ventura
dc.contributor.authorWelch, James R.
dc.contributor.authorCardoso, Andrey Moreira
dc.contributor.authorSantos, Janaína Vieira dos
dc.contributor.authorAssis, Ana Marlúcia Oliveira
dc.contributor.authorLira, Pedro C. I.
dc.contributor.authorCoimbra Junior, Carlos Everaldo Alvares
dc.creator.affilliationUniversidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasilen_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública. 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. Rio de Janeiro, RJ, Brasil.en_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.en_US
dc.creator.affilliationUniversidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasilen_US
dc.creator.affilliationUniversidade Federal da Bahia. Escola de Nutrição. Salvador, BA, Brasilen_US
dc.creator.affilliationUniversidade Federal de Pernambuco. Departamento de Nutrição. Recife, PE, Brasilen_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasilen_US
dc.date.accessioned2019-10-14T18:26:36Z
dc.date.available2019-10-14T18:26:36Z
dc.date.issued2013
dc.description.abstractenIntroduction: The prevalence of undernutrition, which is closely associated with socioeconomic and sanitation conditions, is often higher among indigenous than non-indigenous children in many countries. In Brazil, in spite of overall reductions in the prevalence of undernutrition in recent decades, the nutritional situation of indigenous children remains worrying. The First National Survey of Indigenous People’s Health and Nutrition in Brazil, conducted in 2008–2009, was the first study to evaluate a nationwide representative sample of indigenous peoples. This paper presents findings from this study on the nutritional status of indigenous children < 5 years of age in Brazil. Methods: A multi-stage sampling was employed to obtain a representative sample of the indigenous population residing in villages in four Brazilian regions (North, Northeast, Central-West, and Southeast/South). Initially, a stratified probabilistic sampling was carried out for indigenous villages located in these regions. Households in sampled villages were selected by census or systematic sampling depending on the village population. The survey evaluated the health and nutritional status of children < 5 years, in addition to interviewing mothers or caretakers. Results: Height and weight measurements were taken of 6,050 and 6,075 children, respectively. Prevalence rates of stunting, underweight, and wasting were 25.7%, 5.9%, and 1.3%, respectively. Even after controlling for confounding, the prevalence rates of underweight and stunting were higher among children in the North region, in low socioeconomic status households, in households with poorer sanitary conditions, with anemic mothers, with low birthweight, and who were hospitalized during the prior 6 months. A protective effect of breastfeeding for underweight was observed for children under 12 months. Conclusions: The elevated rate of stunting observed in indigenous children approximates that of non-indigenous Brazilians four decades ago, before major health reforms greatly reduced its occurrence nationwide. Prevalence rates of undernutrition were associated with socioeconomic variables including income, household goods, schooling, and access to sanitation services, among other variables. Providing important baseline data for future comparison, these findings further suggest the relevance of social, economic, and environmental factors at different scales (local, regional, and national) for the nutritional status of indigenous peoples.en_US
dc.identifier.citationHORTA, Bernardo L. et al. Nutritional status of indigenous children: findings from the First National Survey of Indigenous People's Health and Nutrition in Brazil. International Journal for Equity in Health, v. 12, n. 23, 2013.en_US
dc.identifier.doi10.1186/1475-9276-12-23
dc.identifier.issn1475-9276
dc.identifier.urihttps://repositorio.bvspovosindigenas.fiocruz.br/handle/bvs/1258
dc.language.isoeng
dc.publisherBMCen_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.decsSaúde da Criançaen_US
dc.subject.decsAntropometriaen_US
dc.subject.decsEstado Nutricionalen_US
dc.subject.decsAvaliação Nutricionalen_US
dc.subject.decsDesnutrição Infantilen_US
dc.subject.decsNanismo Nutricionalen_US
dc.subject.decsCondições Socioeconômicasen_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.otherRegião Sulen_US
dc.subject.otherRegião Sudesteen_US
dc.subject.otherSaúde da Criançaen_US
dc.subject.otherAntropometriaen_US
dc.subject.otherEstado Nutricionalen_US
dc.subject.otherAvaliação Nutricionalen_US
dc.subject.otherIndicadores Básicos de Saúdeen_US
dc.subject.otherDesigualdades em Saúdeen_US
dc.subject.otherPerfil de Saúdeen_US
dc.subject.otherBaixa Estatura para Idadeen_US
dc.subject.otherBaixo Peso para Idadeen_US
dc.subject.otherCondições Socioeconômicasen_US
dc.subject.otherInquéritos Nutricionaisen_US
dc.subject.otherDesnutrição Infantilen_US
dc.subject.otherInquérito Nacional de Saúde e Nutrição de Povos Indígenasen_US
dc.subject.otherCresimento Infantilen_US
dc.subject.otherNanismo Nutricionalen_US
dc.subject.otherAlimentação e Nutriçãoen_US
dc.titleNutritional status of indigenous children: findings from the First National Survey of Indigenous People's Health and Nutrition in Brazilen_US
dc.typeArticleen_US
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