Nutritional status of indigenous children: findings from the First National Survey of Indigenous People’s Health and Nutrition in Brazil

Detalhes bibliográficos
Autor(a) principal: Horta, Bernardo Lessa
Data de Publicação: 2013
Outros Autores: Santos, Ricardo Ventura, Welch, James R., Cardoso, Andrey Moreira, Santos, Janaína Vieira dos, Assis, Ana Marlucia de Oliveira, Lira, Pedro Israel Cabral de, Coimbra Junior, Carlos Everaldo Alvares
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/13974
Resumo: p. 1-13
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spelling Horta, Bernardo LessaSantos, Ricardo VenturaWelch, James R.Cardoso, Andrey MoreiraSantos, Janaína Vieira dosAssis, Ana Marlucia de OliveiraLira, Pedro Israel Cabral deCoimbra Junior, Carlos Everaldo Alvares2013-11-27T18:31:04Z2013-11-27T18:31:04Z20131475-9276http://repositorio.ufba.br/ri/handle/ri/13974v. 12, n. 23p. 1-13Introduction: The prevalence of undernutrition, which is closely associated with socioeconomic and sanitation conditions, is often higher among indigenous than non-indigenous children in many countries. In Brazil, in spite of overall reductions in the prevalence of undernutrition in recent decades, the nutritional situation of indigenous children remains worrying. The First National Survey of Indigenous People’s Health and Nutrition in Brazil, conducted in 2008–2009, was the first study to evaluate a nationwide representative sample of indigenous peoples. This paper presents findings from this study on the nutritional status of indigenous children < 5 years of age in Brazil. Methods: A multi-stage sampling was employed to obtain a representative sample of the indigenous population residing in villages in four Brazilian regions (North, Northeast, Central-West, and Southeast/South). Initially, a stratified probabilistic sampling was carried out for indigenous villages located in these regions. Households in sampled villages were selected by census or systematic sampling depending on the village population. The survey evaluated the health and nutritional status of children < 5 years, in addition to interviewing mothers or caretakers. Results: Height and weight measurements were taken of 6,050 and 6,075 children, respectively. Prevalence rates of stunting, underweight, and wasting were 25.7%, 5.9%, and 1.3%, respectively. Even after controlling for confounding, the prevalence rates of underweight and stunting were higher among children in the North region, in low socioeconomic status households, in households with poorer sanitary conditions, with anemic mothers, with low birthweight, and who were hospitalized during the prior 6 months. A protective effect of breastfeeding for underweight was observed for children under 12 months. Conclusions: The elevated rate of stunting observed in indigenous children approximates that of non-indigenous Brazilians four decades ago, before major health reforms greatly reduced its occurrence nationwide. Prevalence rates of undernutrition were associated with socioeconomic variables including income, household goods, schooling, and access to sanitation services, among other variables. Providing important baseline data for future comparison, these findings further suggest the relevance of social, economic, and environmental factors at different scales (local, regional, and national) for the nutritional status of indigenous peoples.Submitted by Santiago Fabio (fabio.ssantiago@hotmail.com) on 2013-11-27T17:46:21Z No. of bitstreams: 1 222222.pdf: 1331879 bytes, checksum: 1a61c058a9f62e7d53ce960fcd44c272 (MD5)Approved for entry into archive by Flávia Ferreira (flaviaccf@yahoo.com.br) on 2013-11-27T18:31:04Z (GMT) No. of bitstreams: 1 222222.pdf: 1331879 bytes, checksum: 1a61c058a9f62e7d53ce960fcd44c272 (MD5)Made available in DSpace on 2013-11-27T18:31:04Z (GMT). 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dc.title.pt_BR.fl_str_mv Nutritional status of indigenous children: findings from the First National Survey of Indigenous People’s Health and Nutrition in Brazil
dc.title.alternative.pt_BR.fl_str_mv International Journal for Equity in Health
title Nutritional status of indigenous children: findings from the First National Survey of Indigenous People’s Health and Nutrition in Brazil
spellingShingle Nutritional status of indigenous children: findings from the First National Survey of Indigenous People’s Health and Nutrition in Brazil
Horta, Bernardo Lessa
Brazil
Indigenous peoples
Health surveys
Nutrition surveys
Health status indicators
Epidemiologic measurements
Child health
Nutritional status
title_short Nutritional status of indigenous children: findings from the First National Survey of Indigenous People’s Health and Nutrition in Brazil
title_full Nutritional status of indigenous children: findings from the First National Survey of Indigenous People’s Health and Nutrition in Brazil
title_fullStr Nutritional status of indigenous children: findings from the First National Survey of Indigenous People’s Health and Nutrition in Brazil
title_full_unstemmed Nutritional status of indigenous children: findings from the First National Survey of Indigenous People’s Health and Nutrition in Brazil
title_sort Nutritional status of indigenous children: findings from the First National Survey of Indigenous People’s Health and Nutrition in Brazil
author Horta, Bernardo Lessa
author_facet Horta, Bernardo Lessa
Santos, Ricardo Ventura
Welch, James R.
Cardoso, Andrey Moreira
Santos, Janaína Vieira dos
Assis, Ana Marlucia de Oliveira
Lira, Pedro Israel Cabral de
Coimbra Junior, Carlos Everaldo Alvares
author_role author
author2 Santos, Ricardo Ventura
Welch, James R.
Cardoso, Andrey Moreira
Santos, Janaína Vieira dos
Assis, Ana Marlucia de Oliveira
Lira, Pedro Israel Cabral de
Coimbra Junior, Carlos Everaldo Alvares
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Horta, Bernardo Lessa
Santos, Ricardo Ventura
Welch, James R.
Cardoso, Andrey Moreira
Santos, Janaína Vieira dos
Assis, Ana Marlucia de Oliveira
Lira, Pedro Israel Cabral de
Coimbra Junior, Carlos Everaldo Alvares
dc.subject.por.fl_str_mv Brazil
Indigenous peoples
Health surveys
Nutrition surveys
Health status indicators
Epidemiologic measurements
Child health
Nutritional status
topic Brazil
Indigenous peoples
Health surveys
Nutrition surveys
Health status indicators
Epidemiologic measurements
Child health
Nutritional status
description p. 1-13
publishDate 2013
dc.date.accessioned.fl_str_mv 2013-11-27T18:31:04Z
dc.date.available.fl_str_mv 2013-11-27T18:31:04Z
dc.date.issued.fl_str_mv 2013
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/13974
dc.identifier.issn.none.fl_str_mv 1475-9276
dc.identifier.number.pt_BR.fl_str_mv v. 12, n. 23
identifier_str_mv 1475-9276
v. 12, n. 23
url http://repositorio.ufba.br/ri/handle/ri/13974
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv International Journal for Equity in Health
publisher.none.fl_str_mv International Journal for Equity in Health
dc.source.pt_BR.fl_str_mv http://www.equityhealthj.com/content/pdf/1475-9276-12-23.pdf
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