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Perfil de morbidade da população indígena infantil referenciada para a Casa de Saúde Indígena (CASAI) de Rio Branco; Morbidity profile of indigenous children referred to the Indigenous Nursing House (CASAI) of Rio Branco

Dantas, Fernanda Lage Lima
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 22/11/2010 PT
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56.46%
RESUMO Pouco se conhece sobre o perfil epidemiológico da população indígena infantil, principalmente na Amazônia Ocidental. O conhecimento das morbidades e da demanda aos serviços auxilia na estruturação dos sistemas de saúde. A Casa de Saúde Indígena (CASAI) funciona como unidade de apoio, recebendo os indígenas referenciados para tratamento de saúde na rede do Sistema Único de Saúde. A CASAI de Rio Branco atende aos indígenas dos Distritos Sanitários Especiais Indígenas (Dsei) do Alto Rio Purus e do Alto Rio Juruá. Com o objetivo de traçar o perfil epidemiológico das crianças indígenas referenciadas no Estado do Acre e adjacências, foram avaliados todos os prontuários das crianças menores de 10 anos de idade que passaram pela CASAI de Rio Branco entre janeiro de 2003 e dezembro de 2007. As causas mais freqüentes de internação na CASAI foram as doenças infecciosas e parasitárias (cap. I do CID 10) com 19por cento , seguidas das doenças do aparelho respiratório (cap. X do CID 10) com 16,5por cento . A malária foi a quinta causa mais encontrada. Em 23por cento dos casos não foi encontrado registro sobre a causa da internação. Houve aumento na participação das malformações congênitas (cap. XVII do CID 10) 8 nos anos finais do estudo...

Prevalência do Transtorno de Déficit de Atenção e Hiperatividade (TDAH) em uma População de Crianças e Adolescentes Índias da Etnia Karajá.; Prevalence of the disorder attention-deficit Hyperactivity disorder (ADHD) in a Population of Children and Adolescents of ethnic Karajá Indies.

AZEVÊDO, Paulo Verlaine Borges e
Fonte: Universidade Federal de Goiás; BR; UFG; Mestrado em Ciências da Saúde; Ciências da Saúde - Medicina Publicador: Universidade Federal de Goiás; BR; UFG; Mestrado em Ciências da Saúde; Ciências da Saúde - Medicina
Tipo: Dissertação Formato: application/pdf
POR
Relevância na Pesquisa
56.27%
Few studies have been carried out worldwide about ADHD among indigenous children and no study has been conducted in Brazil so far. This study aims to evaluate the estimated prevalence of ADHD among the indigenous populations of Karajá children and adolescents aged 7 to 14 years old. Three of the largest settlements pertaining to this ethnic group were investigated and a sample of 144 subjects of a total population of 350 individuals was collected. The sample was randomly collected and stratified according to the age bands and gender (male and female) proportionally to the size of each participating settlement. Both the CBCL/6-18 (Child Behavior Checklist for ages 6 18) and the TRF (Teacher s Report Form 6-18) were used as instruments of epidemiological tracking of behavioral and emotional problems. Of these instruments, the data used were those compatible with the DSM-IV and ADHD diagnoses as well as Affective Disorder, Anxiety Disorders, Oppositional Defiant Disorders and Conduct Disorders comorbidities. The results indicate a prevalence of 10.4% (95% CI 6.6 14.2) when the respondents are either the parents or the guardians and 2.8% (95% CI 0.7 4.8) when the respondents are the teachers. Of the 144 interviewed participants...

Child Labor, School Attendance, and Indigenous Households: Evidence from Mexico

Bando, Rosangela G.; Lopez-Calva, Luis F.; Patrinos, Harry Anthony
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
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56.45%
The authors use panel data for Mexico for 1997 to 1999 to test several assumptions regarding the impact of a conditional cash transfer program on child labor, emphasizing the differential impact on indigenous households. Using data from the conditional cash transfer program in Mexico PROGRESA (OPORTUNIDADES) they investigate the interaction between child labor and indigenous households. While indigenous children had a greater probability of working in 1997, this probability is reversed after treatment in the program. Indigenous children also had lower school attainment compared with Spanish-speaking or bilingual children. After the program, school attainment among indigenous children increased, reducing the gap.

Footprints in time: the longitudinal study of Indigenous children: guide for the uninitiated

Dodson, Mick; Hunter, Boyd; McKay, Matthew
Fonte: Australian Institute of Family Studies; http://www.aifs.gov.au/ Publicador: Australian Institute of Family Studies; http://www.aifs.gov.au/
Tipo: Journal article; Published Version Formato: 14 pages
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56.36%
The Longitudinal Study of Indigenous Children is arguably a landmark for the development of an effective policy to address Indigenous disadvantage early in the life cycle. This paper highlights how the study might inform policy-makers by providing some historical context about the survey design and collection. The brief history of LSIC provides an extended rationale for the need for the data and directly reflects on the survey design and methodology. The paper includes an analysis of the strengths and weaknesses of LSIC, with reference to a few selected variables that may be useful in potential research. Some useful research questions are identified that LSIC data may be used to address, and the authors reflect on growing research that is using LSIC data. The community engagement strategy has been integral key to maximising participation and retention rates, especially the use of Indigenous interviewers to elicit potentially sensitive information. The main constraint for analysing the study is the relatively small sample size, which limits the statistical power of the resulting analysis.; "This paper uses unit record data from the Longitudinal Study of Indigenous Children (LSIC). LSIC was initiated and is funded and managed by FaHCSIA. The findings and views reported in this paper...

Oral health inequalities among indigenous and nonindigenous children in the Northern Territory of Australia

Jamieson, L.; Armfield, J.; Roberts-Thomson, K.
Fonte: Blackwell Munksgaard Publicador: Blackwell Munksgaard
Tipo: Artigo de Revista Científica
Publicado em //2006 EN
Relevância na Pesquisa
46.55%
Objective: To describe oral health inequalities among indigenous and nonindigenous children in the Northern Territory of Australia using an area-based measure of socioeconomic status (SES). Methods: Data were obtained from indigenous and nonindigenous 4–13-year-old children enrolled in the Northern Territory School Dental Service in 2002–2003. The Socio-Economic Indices For Areas (SEIFA) were used to determine socioeconomic relationships with dental disease experience. Results: Some 12,584 children were examined, 35.1% of whom were indigenous. Across all age-groups, socially disadvantaged indigenous children experienced higher mean dmft and DMFT levels than their similarly aged, similarly disadvantaged nonindigenous counterparts. Indigenous children aged 5 years had almost four times the dmft of their nonindigenous counterparts in the same disadvantage category (P < 0.05), while indigenous children aged 10 years had almost five times the DMFT of similarly disadvantaged nonindigenous children (P < 0.05). A distinct social gradient was apparent among indigenous and nonindigenous children, respectively, whereby those with the highest dmft/DMFT levels were in the most disadvantaged SES category and those least disadvantaged had the lowest dmft/DMFT levels. In most age-groups...

Indigenous children and receipt of hospital dental care in Australia

Jamieson, L.; Roberts-Thomson, K.
Fonte: Blackwell Publishing Ltd. Publicador: Blackwell Publishing Ltd.
Tipo: Artigo de Revista Científica
Publicado em //2006 EN
Relevância na Pesquisa
56.6%
Objective. The aim of this study was to investigate dental procedures received under hospital general anaesthetic by indigenous and non-indigenous Australian children in 2002–2003. Methods. Separation data from 1297 public and private hospitals were obtained from the Australian Institute of Health and Welfare National Hospital Morbidity Database for 2002–2003. The dependant variable was the admission rate of children receiving four categories of dental care (i.e. extraction, pulpal, restoration or other). The explanatory variables included sex, age group, indigenous status and location (i.e. major city, regional or remote). Rates were calculated using estimated resident population counts. Results. The sample included 24 874 children aged from 2 to 14 years. Some 4·3% were indigenous (n = 1062). Admission rates for indigenous and non-indigenous children were similar, with indigenous males having 1·2 times the admission rate of indigenous females (P < 0·05). Indigenous children aged < 5 years had 1·4 times the admission rate of similarly aged non-indigenous children (P < 0·001) and 5·0 times the admission rate of 10–14-year-old indigenous children (P < 0·001). Remote-living indigenous children had 1·5 times the admission rate of their counterparts in major cities or regional areas (P < 0·001)...

The role of location in indigenous and non-indigenous child oral health

Jamieson, L.; Armfield, J.; Roberts-Thomson, K.
Fonte: AAPHD National Office Publicador: AAPHD National Office
Tipo: Artigo de Revista Científica
Publicado em //2006 EN
Relevância na Pesquisa
46.6%
Objective: To examine the role of location in Indigenous and non-Indigenous child oral health in three Australian states and territories. The Association of Indigenous status and residential location with caries prevalence, severity and unmet treatment need was examined. Methods: Data were collected as part of a national monitoring suivey of 4–14-year-old children enrolled in school dental services in New South Wales, South Australia and the Northern Territory, Australia. Results: Of the 326,099 children examined, 10,473 (3.2%) were Indigenous. Fewer 4–10-year-old rural Indigenous children were caries-free in the deciduous dentition than their non-Indigenous counterparts and rural Indigenous children had almost twice the mean number of decayed, missing and filled teeth (dmft) of rural non-Indigenous children. The % d/dmft was higher among rural Indigenous children than rural non-Indigenous children. Fewer 6–14-year-old rural Indigenous children were caries-free in the permanent dentition than their non-Indigenous counterparts and rural Indigenous children had almost twice the mean DMFT of rural non-Indigenous children. The % D/DMFT was higher in rural Indigenous than rural non-Indigenous children. Living in a rural location was the strongest indicator of canes prevalence...

Dental caries trends among indigenous and non-indigenous Australian children

Jamieson, L.; Armfield, J.; Roberts-Thomson, K.
Fonte: F D I World Dental Press Ltd Publicador: F D I World Dental Press Ltd
Tipo: Artigo de Revista Científica
Publicado em //2007 EN
Relevância na Pesquisa
46.59%
Objective To examine trends in dental caries among indigenous and non-indigenous children in an Australian territory. Basic Research Design Routinely-collected data from a random selection of 6- and 12-year-old indigenous and non-indigenous children enrolled in the Northern Territory School Dental Service from 1989–2000 were obtained. The association of indigenous status with caries prevalence (percent dmft or DMFT>0 and percent dmft>3 or DMFT>1), caries severity (mean dmft or DMFT) and treatment need (percent d/dmft or D/DMFT) was examined. Results Results were obtained for 10,687 6- and 12-year old indigenous children and 21,777 6- and 12year-old non-indigenous children from 1989–2000. Across all years, indigenous 6-year-olds had higher caries prevalence in the deciduous dentition, greater mean dmft and percent d/dmft, and indigenous 12-year-olds had greater percent D/DMFT than their non-indigenous counterparts (p<0.05). From 1996–2000 the mean dmft and percent d/dmft for indigenous 6-year-olds and mean DMFT and percent D/DMFT for indigenous 12-year-olds increased, yet remained relatively constant for their non-indigenous counterparts (p<0.05). From 1997–2000, the percent dmft>3 for 6-year-old indigenous children was more than double that of non-indigenous children...

The oral health of Indigenous children: A review of four nations

Parker, E.; Jamieson, L.; Broughton, J.; Albino, J.; Lawrence, H.; Roberts-Thomson, K.
Fonte: Blackwell Publishing Asia Publicador: Blackwell Publishing Asia
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
Relevância na Pesquisa
66.43%
This review of the oral health of children in Australia, New Zealand, Canada and the USA demonstrates that significant oral health inequalities exist in each nation. Despite traditionally low levels of disease in Indigenous communities, dental caries is now highly prevalent and of increased severity among Indigenous children in comparison to their non-Indigenous counterparts. Early childhood caries is particularly prevalent. The high level of dental disease experience at an early age is associated with increased rates of general anaesthesia and greater risk of dental caries in later life. The rates and severity of dental caries experienced by young Indigenous children are even more alarming when we consider that dental caries is essentially a preventable disease. The success of specific preventive programmes is encouraging; these approaches should be further evaluated and implemented as part of broader health promotion programmes for Indigenous children and families in order to decrease current oral health disparities.; Eleanor J Parker, Lisa M Jamieson, John Broughton, Judith Albino, Herenia P Lawrence and Kaye Roberts-Thomson

Does fluoride in the water close the dental caries gap between Indigenous and non-Indigenous children?

Lalloo, R.; Jamieson, L.M.; Ha, D.; Ellershaw, A.; Luzzi, L.
Fonte: Wiley Publicador: Wiley
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
56.57%
BACKGROUND: Indigenous children experience significantly more dental caries than non-Indigenous children. This study assessed if access to fluoride in the water closed the gap in dental caries between Indigenous and non-Indigenous children. METHODS: Data from four States and two Territories were sourced from the Child Dental Health Survey (CDHS) conducted in 2010. The outcomes were dental caries in the deciduous and permanent dentitions and the explanatory variables were Indigenous status and access to fluoridated water (≥0.5 mg/L) prior to 2008. RESULTS: Dental caries prevalence and severity, for Indigenous and non-Indigenous children, in both dentitions, was lower in fluoridated areas compared to non-fluoridated areas. Among non-Indigenous children, there was a 50.9% difference in mean dmft scores in fluoridated (1.70) compared to non-fluoridated (2.86) areas. The difference between Indigenous children in fluoridated (3.29) compared to non-fluoridated (4.16) areas was 23.4%. Among non-Indigenous children there was a 79.7% difference in the mean DMFT scores in fluoridated (0.68) compared to non-fluoridated (1.58) areas. The difference between Indigenous children in fluoridated (1.59) and non-fluoridated (2.23) areas was 33.5%. CONCLUSION: Water fluoridation is effective in reducing dental caries...

Retrospective review of 200 children hospitalised with acute asthma. Identification of intervention points: a single centre study

Giarola, B.F.; McCallum, G.B.; Bailey, E.J.; Morris, P.S.; Maclennan, C.; Chang, A.B.
Fonte: Wiley Publicador: Wiley
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
46.55%
AIM: Indigenous Australians with asthma have higher morbidity and mortality compared with non-Indigenous Australians. In children hospitalised with acute asthma, we aimed to (i) determine if acute severity, risk factors and management differed between Indigenous and non-Indigenous children; and (ii) identify intervention points to reduce morbidity and mortality of asthma. METHODS: Retrospective review of 200 children hospitalised to Royal Darwin Hospital with asthma. We compared admission characteristics, severity indices, treatment, discharge plans and readmissions in Indigenous and non-Indigenous children. RESULTS: Median age was 3.6 years (interquartile range 2.2, 6.8). A significantly higher proportion of Indigenous children (95.2%) were exposed to tobacco smoke compared with non-Indigenous children (45.7%). The difference in proportions was -0.41 (95% confidence interval (CI) -0.60, -0.22). Other risk factors, asthma severity (moderate 83.9% vs. 83.3%; severe 16% vs. 16.1%), length of stay (1.9 vs. 1.3 days) and readmission rate (27.4% vs. 27.5%) were similar between Indigenous and non-Indigenous children. Indigenous children were significantly more likely to be followed up in a community clinic (difference in proportions = 0.10...

A comprehensive approach to health promotion for the reduction of dental caries in remote Indigenous Australian children: a clustered randomised controlled trial.

Roberts-Thomson, K.; Slade, G.; Bailie, R.; Endean, C.; Simmons, B.; Leach, A.; Raye, I.; Morris, P.
Fonte: F D I World Dental Press Ltd Publicador: F D I World Dental Press Ltd
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
Relevância na Pesquisa
56.39%
AIM: To evaluate the effect of a community-oriented primary health care (CPHC) intervention on oral health behaviours of Indigenous preschool children living in remote communities of Australia's Northern Territory. METHODS: The study was a community-clustered randomised controlled trial over two years, set in 30 remote Indigenous communities in the Northern Territory of Australia. Children aged 18-47 months at baseline were enrolled in the study. The intervention included fluoride varnish applications, training of primary care workers, and health promotion for oral health at an individual, family and community level. Intervention communities received six-monthly visits over two years and control communities were visited at baseline and two years later with no contact in the intervening period. The outcome measures reported in this paper are the impact of the intervention on two secondary endpoints: oral health promotion activities in the community and personal oral health practice of children. RESULTS: The intervention did not produce any significant change in oral health behaviours, clinical measures of oral hygiene, or community programmes promoting oral health. Dental caries can be reduced but will continue to be a problem among young remote Indigenous children while they experience major social disadvantage.; K. F. Roberts-Thomson...

Analyses of anthropometric data in the longitudinal study of Indigenous children and methodological implications

Thurber, Katherine Ann
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Thesis (PhD); Doctor of Philosophy (PhD)
EN_AU
Relevância na Pesquisa
66.46%
Although publications in the field of Indigenous health have increased in number in recent decades, their impact remains inadequate (1, 2). This is partially attributable to the continued reliance on descriptive studies (1, 3, 4) and the underrepresentation of urban environments in research. The Longitudinal Study of Indigenous Children (LSIC), administered by the Department of Family and Housing Community Services and Indigenous Affairs (FaHCSIA), addresses both concerns. LSIC is a cohort study of 1,759 Indigenous Australian children from environments ranging from very remote to urban. LSIC‘s retention rate has remained high; however, the dataset withstands a large amount of missing and implausible data. In the first section of this thesis, I evaluated the validity of LSIC anthropometric data. I developed a data cleaning method based on World Health Organization protocols, incorporating knowledge gained from interviews I conducted with LSIC data collectors. These conversations served to depict the process of conducting surveys and to exemplify barriers impeding data collection. They shed light upon the importance of the development of a trusting relationship between participants and the LSIC team, a difficult task within the rigid structure requisite of the conduct of a longitudinal study. Based on these interviews and quantitative analysis of the accuracy of LSIC data...

The Biopolitics of Indigenous Reproduction: Colonial Discourse and the Overrepresentation of Indigenous Children in the Canadian Child Welfare System

LANDERTINGER, LAURA
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado
EN; EN
Relevância na Pesquisa
56.51%
From its inception, Canada's 'Indian policy' has sought to undermine the bond between indigenous children and their communities. Each era has seen a new reason and corresponding tactic to remove indigenous children. They have been institutionalized in residential schools, placed in foster homes, provincial 'care' facilities, and adopted by Euro-Canadian families. While it is widely accepted that the forceful removal of indigenous children during the residential school era and the "Sixties Scoop" was a colonial strategy, contemporary child welfare practices seem to escape the same scrutiny. This seems to be the case even though indigenous children continue to be removed en masse and are vastly overrepresented in the Canadian child welfare system. Indeed, there are more indigenous children in 'care' today than ever before in Canadian history, including the residential school era and following the "Sixties Scoop". Given these trends the colonial effect of contemporary child welfare practices seems evident. This project thus seeks to problematize child welfare practices in relation to indigenous peoples. In particular, it is the aim of this thesis to shed light on some of the narratives that underlie these practices. Through a critical discourse analysis this thesis illuminates how news media in Alberta and Manitoba disseminate controlling images of indigenous peoples and their children. I argue that the discourses in both provinces normalize the removal of indigenous children while naturalizing colonial control.; Thesis (Master...

Attention deficit/hyperactivity disorder symptoms in indigenous children from the Brazilian Amazon

Azevêdo,Paulo Verlaine Borges e; Caixeta,Leonardo; Andrade,Laura Helena Silveira; Bordin,Isabel A
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2010 EN
Relevância na Pesquisa
56.4%
The clinical constructs of attention deficit/hyperactivity disorder (ADHD) have been described in several cultures worldwide. Yet this symptomatic presentation still remains to be assessed in remote population groups. OBJECTIVE: To explore the possibility of the existence of ADHD symptoms among settlement-dwelling indigenous children of the Karajá ethnic group in the Brazilian Amazon and to estimate the rate of ADHD symptoms among 7-16-year-olds. METHOD: All parents/caretakers of 7-16-year olds from all (N=5) most populated indigenous groups were invited to participate, if they were worried about their children emotional/behavioural problems. Fifty three parents spontaneously came for a psychiatric interview (DSM-IV criteria applied), individually conducted at the settlement's health post by a child psychiatrist. RESULTS: The estimated rate of ADHD symptoms in problematic indigenous children aged 7-16 years was 24.5% (95% CI: 13.6-35.4) since 13 out of 53 parents/caretakers reported the classical triad of ADHD symptoms (inattentiveness, hyperactivity, impulsiveness). CONCLUSION: ADHD is a clinically relevant construct in the Karajá indigenous population, representing a major concern among parents/caretakers of children and adolescents from this ethnic group.

Tuberculosis in indigenous children in the Brazilian Amazon

Gava,Caroline; Malacarne,Jocieli; Rios,Diana Patrícia Giraldo; Sant'Anna,Clemax Couto; Camacho,Luiz Antônio Bastos; Basta,Paulo Cesar
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2013 EN
Relevância na Pesquisa
56.49%
OBJECTIVE: Assess the epidemiological aspects of tuberculosis in Brazilian indigenous children and actions to control it. METHODS: An epidemiological study was performed with 356 children from 0 to 14 years of age in Rondônia State, Amazon, Brazil, during the period 1997-2006. Cases of TB reported to the Notifiable Diseases Surveillance System were divided into indigenous and non-indigenous categories and analyzed according to sex, age group, place of residence, clinical form, diagnostic tests and treatment outcome. A descriptive analysis of cases and hypothesis test (χ²) was carried out to verify if there were differences in the proportions of illness between the groups investigated. RESULTS: A total of 356 TB cases were identified (125 indigenous, 231 non-indigenous) of which 51.4% of the cases were in males. In the indigenous group, 60.8% of the cases presented in children aged 0-4 years old. The incidence mean was much higher among indigenous; in 2001, 1,047.9 cases/100,000 inhabitants were reported in children aged < 5 years. Pulmonary TB was reported in more than 80% of the cases, and in both groups over 70% of the cases were cured. Cultures and histopathological exams were performed on only 10% of the patients. There were 3 cases of TB/HIV co-infection in the non-indigenous group and none in the indigenous group. The case detection rate was classified as insufficient or fair in more than 80% of the indigenous population notifications...

Nutritional status of indigenous children younger than five years of age in Mexico: results of a national probabilistic survey

Rivera,Juan A; Monterrubio,Eric A; González-Cossío,Teresa; García-Feregrino,Raquel; García-Guerra,Armando; Sepúlveda-Amor,Jaime
Fonte: Instituto Nacional de Salud Pública Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2003 EN
Relevância na Pesquisa
66.57%
OBJECTIVE: To compare the prevalence of undernutrition and anemia in indigenous and non-indigenous children <5 years of age at the national level, by region and by urban and rural areas, and to evaluate the degree to which the socioeconomic condition of the family predicts the differences. MATERIAL AND METHODS: A national probabilistic survey was conducted in Mexico in 1999. Indigenous families were identified as those in which at least one woman 12-49 years of age in the household spoke a native language. The prevalence of undernutrition (stunting, wasting and underweight) and anemia was compared between indigenous and non-indigenous children. Probability ratios (PR) were used to compare prevalences in indigenous and non-indigenous children adjusting for socioeconomic status (SES) of the family and for other covariates. RESULTS: The prevalences of stunting and underweight were greater in indigenous than in non-indigenous children. At the national level and in urban areas the prevalences were three times greater and in rural areas ~2 times greater (p<0.05). No differences were found in the prevalence of wasting (p>0.05). The prevalence of anemia in indigenous children was one third greater than in non-indigenous children at the national level (p<0.05) and was between 30 and 60% greater in urban areas and in the regions studied (p<0.05) but was not statistically significant (p>0.05) in rural areas. These differences were reduced to about half when adjusting for SES but remained significantly higher in indigenous children (p<0.05). CONCLUSIONS: Indigenous children have higher probabilities of stunting and underweight than non-indigenous children. The differences are larger in urban areas and in higher socioeconomic geographic regions and are explained mostly by socioeconomic factors. The overall difference in the probability of anemia is small...

Bioelectrical impedance values among indigenous children and adolescents in Rio Grande do Sul, Brazil

Barufaldi,Laura Augusta; Conde,Wolney Lisboa; Schuch,Ilaine; Duncan,Bruce Bartholow; Castro,Teresa Gontijo de
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/07/2011 EN
Relevância na Pesquisa
56.35%
OBJECTIVE: To describe the nutritional status of indigenous children and adolescents in Rio Grande do Sul, Brazil, through bioelectrical values, and to compare the nutritional classifications of the anthropometric method to those of the body composition method. METHODS: A cross-sectional survey was conducted of 3 204 subjects at 35 schools in the 12 Kaingang indigenous lands of Rio Grande do Sul, Brazil. Following World Health Organization recommendations, the weight and height (H) of each subject was measured twice and the body mass index/age (BMI/A) was classified. Body composition was assessed by Bioelectrical Impedance Vector Analysis (BIVA). Resistance (R) and reactance (Xc) were estimated using a bioelectrical impedance analyzer. Divergences between these two methods were performed on RXc graph. RESULTS: Of the sample, 56.8% were adolescents and 50.6% were males. The mean values of phase angle were higher in adolescents, in males, and in individuals overweight by BMI/A. Mean values of R, Xc, R/H, and Xc/H were higher among children and among those with BMI/A < +2 z scores. Divergences in overweight classification were: male children, 94.6%; male adolescents, 77.1%; female children, 85.4%; and female adolescents, 94.8%. CONCLUSIONS: The mean values of bioelectrical measures observed among the Kaingang children and adolescent were similar to those found for different populations in other studies. For both gender and age groups...

Tuberculosis in indigenous children in the Brazilian Amazon

Gava,Caroline; Malacarne,Jocieli; Rios,Diana Patrícia Giraldo; Sant'Anna,Clemax Couto; Camacho,Luiz Antônio Bastos; Basta,Paulo Cesar
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2013 EN
Relevância na Pesquisa
56.49%
OBJECTIVE: Assess the epidemiological aspects of tuberculosis in Brazilian indigenous children and actions to control it. METHODS: An epidemiological study was performed with 356 children from 0 to 14 years of age in Rondônia State, Amazon, Brazil, during the period 1997-2006. Cases of TB reported to the Notifiable Diseases Surveillance System were divided into indigenous and non-indigenous categories and analyzed according to sex, age group, place of residence, clinical form, diagnostic tests and treatment outcome. A descriptive analysis of cases and hypothesis test (χ²) was carried out to verify if there were differences in the proportions of illness between the groups investigated. RESULTS: A total of 356 TB cases were identified (125 indigenous, 231 non-indigenous) of which 51.4% of the cases were in males. In the indigenous group, 60.8% of the cases presented in children aged 0-4 years old. The incidence mean was much higher among indigenous; in 2001, 1,047.9 cases/100,000 inhabitants were reported in children aged < 5 years. Pulmonary TB was reported in more than 80% of the cases, and in both groups over 70% of the cases were cured. Cultures and histopathological exams were performed on only 10% of the patients. There were 3 cases of TB/HIV co-infection in the non-indigenous group and none in the indigenous group. The case detection rate was classified as insufficient or fair in more than 80% of the indigenous population notifications...

Nutritional status of indigenous children younger than five years of age in Mexico: results of a national probabilistic survey

Rivera,Juan A; Monterrubio,Eric A; González-Cossío,Teresa; García-Feregrino,Raquel; García-Guerra,Armando; Sepúlveda-Amor,Jaime
Fonte: Instituto Nacional de Salud Pública Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2003 EN
Relevância na Pesquisa
66.57%
OBJECTIVE: To compare the prevalence of undernutrition and anemia in indigenous and non-indigenous children <5 years of age at the national level, by region and by urban and rural areas, and to evaluate the degree to which the socioeconomic condition of the family predicts the differences. MATERIAL AND METHODS: A national probabilistic survey was conducted in Mexico in 1999. Indigenous families were identified as those in which at least one woman 12-49 years of age in the household spoke a native language. The prevalence of undernutrition (stunting, wasting and underweight) and anemia was compared between indigenous and non-indigenous children. Probability ratios (PR) were used to compare prevalences in indigenous and non-indigenous children adjusting for socioeconomic status (SES) of the family and for other covariates. RESULTS: The prevalences of stunting and underweight were greater in indigenous than in non-indigenous children. At the national level and in urban areas the prevalences were three times greater and in rural areas ~2 times greater (p<0.05). No differences were found in the prevalence of wasting (p>0.05). The prevalence of anemia in indigenous children was one third greater than in non-indigenous children at the national level (p<0.05) and was between 30 and 60% greater in urban areas and in the regions studied (p<0.05) but was not statistically significant (p>0.05) in rural areas. These differences were reduced to about half when adjusting for SES but remained significantly higher in indigenous children (p<0.05). CONCLUSIONS: Indigenous children have higher probabilities of stunting and underweight than non-indigenous children. The differences are larger in urban areas and in higher socioeconomic geographic regions and are explained mostly by socioeconomic factors. The overall difference in the probability of anemia is small...