Please use this identifier to cite or link to this item: http://ds.saudeindigena.icict.fiocruz.br/handle/bvs/1234
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dc.contributor.authorEscobar, Ana Lúcia-
dc.contributor.authorCoimbra Junior, Carlos Everaldo Alvares-
dc.contributor.authorWelch, James R.-
dc.contributor.authorHorta, Bernardo L.-
dc.contributor.authorSantos, Ricardo Ventura-
dc.contributor.authorCardoso, Andrey Moreira-
dc.date.accessioned2019-10-11T19:56:06Z-
dc.date.available2019-10-11T19:56:06Z-
dc.date.issued2015-
dc.identifier.citationESCOBAR, 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.en_US
dc.identifier.issn1471-2458-
dc.identifier.urihttp://ds.saudeindigena.icict.fiocruz.br/handle/bvs/1234-
dc.description.abstractBACKGROUND: 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.en_US
dc.language.isoeng-
dc.publisherBMCen_US
dc.rightsopen accessen_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.otherDiarréiaen_US
dc.subject.otherDeterminantes Sociais da Saúdeen_US
dc.subject.otherEstudos Epidemiológicosen_US
dc.subject.otherDesigualdades em Saúdeen_US
dc.subject.otherDoenças Infecciosas e Parasitáriasen_US
dc.subject.otherInquéritos Nutricionaisen_US
dc.subject.otherInquéritos Epidemiológicosen_US
dc.subject.otherInquérito Nacional de Saúde e Nutriçãoen_US
dc.subject.otherAlimentação e Nutriçãoen_US
dc.titleDiarrhea and health inequity among Indigenous children in Brazil: results from the First National Survey of Indigenous People's Health and Nutritionen_US
dc.typeArticleen_US
dc.creator.affilliationUniversidade Federal de Rondônia. Departamento de Medicina. Porto Velho, RO, 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. Pelotas, RS, 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, Brasil.en_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.en_US
dc.identifier.doi10.1186/s12889-015-1534-7-
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.decsDiarreiaen_US
dc.subject.decsDisparidades nos Níveis de Saúdeen_US
dc.subject.decsInquéritos Epidemiológicosen_US
dc.subject.decsInquéritos Nutricionaisen_US
dc.subject.decsDoenças Infecciosasen_US
dc.subject.decsDoenças Parasitáriasen_US
dc.subject.decsAlimentos, Dieta e Nutriçãoen_US
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