Please use this identifier to cite or link to this item: http://ds.saudeindigena.icict.fiocruz.br/handle/bvs/1234
Title: Diarrhea and health inequity among Indigenous children in Brazil: results from the First National Survey of Indigenous People's Health and Nutrition
Authors: Escobar, Ana Lúcia
Coimbra Junior, Carlos E. A.
Welch, James R.
Horta, Bernardo L.
Santos, Ricardo Ventura
Cardoso, Andrey Moreira
Affilliation: Universidade Federal de Rondônia. Departamento de Medicina. Porto Velho, RO, Brasil
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.
Universidade Federal de Pelotas. Pelotas, RS, Brasil
Fundação 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, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.
Abstract: BACKGROUND: Globally, diarrhea is the second leading cause of death among children under five. In Brazil, mortality due to diarrhea underwent a significant reduction in recent decades principally due to expansion of the primary healthcare network, use of oral rehydration therapy, reduced child undernutrition, and improved access to safe drinking water. The First National Survey of Indigenous People's Health and Nutrition in Brazil, conducted in 2008-2009, was the first survey based on a nationwide representative sample to study the prevalence of diarrhea and associated factors among Indigenous children in the country. METHODS: The survey assessed the health and nutritional status of Indigenous children < 5 years of age based on a representative sample of major Brazilian geopolitical regions. A stratified probabilistic sampling was carried out for Indigenous villages. Within villages, children < 5 years of age in sampled households were included in the study. Interviews were based on a seven day recall period. Prevalence rates of acute diarrhea were calculated for independent variables and hierarchical multivariable analyses were conducted to assess associations. RESULTS: Information on diarrhea was obtained for 5,828 children (95.1% of the total sample). The overall prevalence of diarrhea was 23.5%. Regional differences were observed, with the highest rate being in the North (38.1%). Higher risk of diarrhea was observed among younger children and those who had less maternal schooling, lower household socioeconomic status, undernutrition (weight-for-age deficit), presence of another child with diarrhea in the household, and occurrence of upper respiratory infection. CONCLUSIONS: According to results of the First National Survey of Indigenous People's Health and Nutrition, almost a quarter of Indigenous children throughout the country had diarrhea during the previous week. This prevalence is substantially higher than that documented in 2006 for Brazilian children < 5 years generally (9.4%). Due to its exceedingly multicausal nature, the set of associated variables that remained associated with child diarrhea in the final multivariable model provide an excellent reflection of the diverse social and health inequities faced by Indigenous peoples in contemporary Brazil.
Keywords: Brasil
Índios Sul-Americanos
Região Norte
Saúde de Populações Indígenas
Região Nordeste
Epidemiologia
Região Centro-Oeste
Região Sul
Região Sudeste
Saúde da Criança
Diarréia
Determinantes Sociais da Saúde
Estudos Epidemiológicos
Desigualdades em Saúde
Doenças Infecciosas e Parasitárias
Inquéritos Nutricionais
Inquéritos Epidemiológicos
Inquérito Nacional de Saúde e Nutrição
DeCS: Brasil
Saúde de Populações Indígenas
Índios Sul-Americanos
Epidemiologia
Saúde da Criança
Diarreia
Disparidades nos Níveis de Saúde
Inquéritos Epidemiológicos
Inquéritos Nutricionais
Doenças Infecciosas
Doenças Parasitárias
Issue Date: 2015
Publisher: BMC
Citation: ESCOBAR, Ana Lúcia. et al. Diarrhea and health inequity among Indigenous children in Brazil: results from the first national survey of indigenous people's health and nutrition. BMC Public Health, v. 15, n. 191, p. 01-11, 2015.
metadata.dc.identifier.doi: 10.1186/s12889-015-1534-7
ISSN: 1471-2458
Copyright: open access
Appears in Collections:AN - Artigos de Periódicos

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