Please use this identifier to cite or link to this item: http://ds.saudeindigena.icict.fiocruz.br/handle/bvs/1275
Title: Anemia among indigenous women in Brazil: findings from the First National Survey of Indigenous People’s Health and Nutrition
Authors: Borges, Maria Carolina
Buffarini, Romina
Santos, Ricardo Ventura
Cardoso, Andrey Moreira
Welch, James R.
Garnelo, Luiza
Coimbra Junior, Carlos E. A.
Horta, Bernardo L.
Affilliation: Universidade Federal de Pelotas. Faculdade de Medicina. Departamento de Medicina Social. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil
Universidade Federal de Pelotas. Faculdade de Medicina. Departamento de Medicina Social. Programa de Pós-Graduação em Epidemiologia. 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 Sérgio Arouca. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Leônidas e Maria Deane. Manaus, AM, Brasil
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil
Universidade Federal de Pelotas. Faculdade de Medicina. Departamento de Medicina Social. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil
Abstract: Background: Anemia is recognized as a major public health problem that disproportionately affects vulnerable populations. Indigenous women of reproductive age in Brazil are thought to be at high risk, but lack of nationwide data limits knowledge about the burden of disease and its main determinants. This study aimed to assess the prevalence of anemia and associated factors in this population using data from The First National Survey of Indigenous People’s Health and Nutrition in Brazil. Methods: Data were collected from Indigenous women between 15 and 49 years old based on a nationwide sample of villages. The outcomes of interest were hemoglobin levels (g/dL) and anemia (< 12 g/dL for nonpregnant and < 11 g/dL for pregnant women). Multilevel models were used to explore associations with contextual (village) and individual (household/woman) level variables. Results: Based on data for 6692 Indigenous women, the nationwide mean hemoglobin level was 12.39 g/dL (95 % CI: 12.29–12.50). Anemia prevalence was high (33.0 %; 95 % CI: 30.40–35.61 %) and showed pronounced regional disparities. No village-level characteristics were associated with anemia or hemoglobin levels in the multilevel model. Even after controlling for upper level variables, socioeconomic status, parity, body mass index, and having been treated for malaria were associated with anemia and hemoglobin levels. Conclusion: The prevalence of anemia in Brazilian Indigenous women was 12 % greater than the national estimates for women of reproductive age. Anemia prevalence and mean hemoglobin levels among Indigenous women appear to be partly explained by some previously recognized risk factors, such as socioeconomic status, body mass index, and malaria; however, part of the variability in these outcomes remains unexplained. Knowledge of health status and its potential determinants is essential to guide public policies aimed at controlling anemia burden in Indigenous communities
Keywords: Brasil
Índios Sul-Americanos
Região Norte
Saúde de Populações Indígenas
Região Nordeste
Epidemiologia
Região Centro-Oeste
Região Sul
Região Sudeste
Antropometria
Saúde da Mulher
Anemia
Avaliação Nutricional
Saúde Materna
Indicadores Básicos de Saúde
Deficiências Nutricionais
Condições Socioeconômicas
Inquéritos Nutricionais
Inquérto Nacional de Saúde e Nutrição de Povos Indígenas
Inquéritos de Saúde
DeCS: Brasil
Saúde de Populações Indígenas
Índios Sul-Americanos
Epidemiologia
Antropometria
Saúde da Mulher
Anemia
Avaliação Nutricional
Deficiências Nutricionais
Saúde Materna
Inquéritos Epidemiológicos
Inquéritos Nutricionais
Issue Date: 2015
Publisher: BMC
Citation: BORGES, Maria Carolina. et al. Anemia among indigenous women in Brazil: findings from the First National Survey of Indigenous People’s Health and Nutrition. BMC Women's Health, v. 16, n. 7, p. 2-12, 2015.
metadata.dc.identifier.doi: 10.1186/s12905-016-0287-5
ISSN: 1472-6874
Copyright: open access
Appears in Collections:AN - Artigos de Periódicos
EPI - Artigos de Periódicos

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