Hepatitis B epidemiology and cultural practices in Amerindian populations of Amazonia: the Tupí-Mondé and the Xavánte from Brazil

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open access
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1996
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Elsevier
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Universidade Federal do Rio de Janeiro. Museu Nacional. Departamento de Antropologia. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Departamento de Endemias. Rio de Janeiro, RJ, Brasil
Universidade Federal do Rio de Janeiro. Museu Nacional. Departamento de Antropologia. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Departamento de Endemias. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Departamento de Virologia. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Departamento de Virologia. Rio de Janeiro, RJ, Brasil
City University of New York. Hunter College. Department of Anthropology. New York, NY, USA
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Hospital Evandro Chagas. Rio de Janeiro, RJ, Brasil
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Abstract
Abstract
Hepatitis B infection and disease are highly endemic in South America. Prevalences of positivity are particularly high in Amazonia, and among Amerindian peoples in particular. This paper reports the results of a seroepidemiological survey for hepatitis B virus (HBV) carried out among four Amerindian populations from the Brazilian Amazon region: Gavião, Surui, Zoro and Navate. Rates of positivity to HBV serological markers (HBsAg, anti-HBs and or anti-HBc) are very high for the four groups, ranging from 62.8 to 95.7%. It is argued that the high rates of positivity in the Amerindian groups dealt with in this study, as well as for other Amazonian populations, are related to a complex of cultural practices which enhance the likelihood of HBV transmission (bloodletting, scarification, tattooing and orally processed food, among others). The authors suggest that, due to unique patterns of interaction between sociocultural and environmental factors. HBV infection assumes a specific profile in native Amazonian societies.
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Brasil, Índios Sul-Americanos, Região Norte, Saúde de Populações Indígenas, Mato Grosso, Região Amazônica, Epidemiologia, Região Centro-Oeste, Gavião, Suruí, Rondônia, Mortalidade, Xavante, Zoró, Morbidade, Hepatite B, Xavánte, Características Culturais, Sorologia, Doenças Infecciosas e Parasitárias, Doenças Endêmicas, Grupos de Risco, HBV
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Brasil, Saúde de Populações Indígenas, Índios Sul-Americanos, Ecossistema Amazônico, Epidemiologia, Mortalidade, Morbidade, Hepatite B, Características Culturais, Sorologia, Doenças Endêmicas, Vírus da Hepatite B, Doenças Infecciosas
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COIMBRA JUNIOR, Carlos Everaldo Alvares. et al.Hepatitis B epidemiology and cultural practices in Amerindian populations of Amazonia: the Tupí-Mondé and the Xavánte from Brazil. Social Science & Medicine, v. 42, n. 12, p. 1735-1743, 1996.
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0277-9536/96
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