Mortality among Guarani Indians in Southeastern and Southern Brazil
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2011001400010 |
Resumo: | Worldwide, indigenous peoples display a high burden of disease, expressed by profound health inequalities in comparison to non-indigenous populations. This study describes mortality patterns among the Guarani in Southern and Southeastern Brazil, with a focus on health inequalities. The Guarani population structure is indicative of high birth and death rates, low median age and low life expectancy at birth. The crude mortality rate (crude MR = 5.0/1,000) was similar to the Brazilian national rate, but the under-five MR (44.5/1,000) and the infant mortality rate (29.6/1,000) were twice the corresponding MR in the South and Southeast of Brazil. The proportion of post-neonatal infant deaths was 83.3%, 2.4 times higher than general population. The proportions of ill-defined (15.8%) and preventable causes (51.6%) were high. The principal causes of death were respiratory (40.6%) and infectious and parasitic diseases (18.8%), suggesting precarious living conditions and deficient health services. There is a need for greater investment in primary care and interventions in social determinants of health in order to reduce the health inequalities. |
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Mortality among Guarani Indians in Southeastern and Southern BrazilSouth American IndiansRespiratory Tract InfectionsMortalityHealth InequalitiesWorldwide, indigenous peoples display a high burden of disease, expressed by profound health inequalities in comparison to non-indigenous populations. This study describes mortality patterns among the Guarani in Southern and Southeastern Brazil, with a focus on health inequalities. The Guarani population structure is indicative of high birth and death rates, low median age and low life expectancy at birth. The crude mortality rate (crude MR = 5.0/1,000) was similar to the Brazilian national rate, but the under-five MR (44.5/1,000) and the infant mortality rate (29.6/1,000) were twice the corresponding MR in the South and Southeast of Brazil. The proportion of post-neonatal infant deaths was 83.3%, 2.4 times higher than general population. The proportions of ill-defined (15.8%) and preventable causes (51.6%) were high. The principal causes of death were respiratory (40.6%) and infectious and parasitic diseases (18.8%), suggesting precarious living conditions and deficient health services. There is a need for greater investment in primary care and interventions in social determinants of health in order to reduce the health inequalities.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2011-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2011001400010Cadernos de Saúde Pública v.27 suppl.2 2011reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/S0102-311X2011001400010info:eu-repo/semantics/openAccessCardoso,Andrey MoreiraCoimbra Jr.,Carlos E. A.Barreto,Carla Tatiana GarciaWerneck,Guilherme LoureiroSantos,Ricardo Venturaeng2011-07-15T00:00:00Zoai:scielo:S0102-311X2011001400010Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2011-07-15T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
Mortality among Guarani Indians in Southeastern and Southern Brazil |
title |
Mortality among Guarani Indians in Southeastern and Southern Brazil |
spellingShingle |
Mortality among Guarani Indians in Southeastern and Southern Brazil Cardoso,Andrey Moreira South American Indians Respiratory Tract Infections Mortality Health Inequalities |
title_short |
Mortality among Guarani Indians in Southeastern and Southern Brazil |
title_full |
Mortality among Guarani Indians in Southeastern and Southern Brazil |
title_fullStr |
Mortality among Guarani Indians in Southeastern and Southern Brazil |
title_full_unstemmed |
Mortality among Guarani Indians in Southeastern and Southern Brazil |
title_sort |
Mortality among Guarani Indians in Southeastern and Southern Brazil |
author |
Cardoso,Andrey Moreira |
author_facet |
Cardoso,Andrey Moreira Coimbra Jr.,Carlos E. A. Barreto,Carla Tatiana Garcia Werneck,Guilherme Loureiro Santos,Ricardo Ventura |
author_role |
author |
author2 |
Coimbra Jr.,Carlos E. A. Barreto,Carla Tatiana Garcia Werneck,Guilherme Loureiro Santos,Ricardo Ventura |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Cardoso,Andrey Moreira Coimbra Jr.,Carlos E. A. Barreto,Carla Tatiana Garcia Werneck,Guilherme Loureiro Santos,Ricardo Ventura |
dc.subject.por.fl_str_mv |
South American Indians Respiratory Tract Infections Mortality Health Inequalities |
topic |
South American Indians Respiratory Tract Infections Mortality Health Inequalities |
description |
Worldwide, indigenous peoples display a high burden of disease, expressed by profound health inequalities in comparison to non-indigenous populations. This study describes mortality patterns among the Guarani in Southern and Southeastern Brazil, with a focus on health inequalities. The Guarani population structure is indicative of high birth and death rates, low median age and low life expectancy at birth. The crude mortality rate (crude MR = 5.0/1,000) was similar to the Brazilian national rate, but the under-five MR (44.5/1,000) and the infant mortality rate (29.6/1,000) were twice the corresponding MR in the South and Southeast of Brazil. The proportion of post-neonatal infant deaths was 83.3%, 2.4 times higher than general population. The proportions of ill-defined (15.8%) and preventable causes (51.6%) were high. The principal causes of death were respiratory (40.6%) and infectious and parasitic diseases (18.8%), suggesting precarious living conditions and deficient health services. There is a need for greater investment in primary care and interventions in social determinants of health in order to reduce the health inequalities. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2011001400010 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2011001400010 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0102-311X2011001400010 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
dc.source.none.fl_str_mv |
Cadernos de Saúde Pública v.27 suppl.2 2011 reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1754115732036124672 |