Ciencia & saude coletiva最新文献

Factors associated with death among indigenous and non-indigenous pregnant and postpartum women hospitalized for COVID-19 in Brazil. 巴西因COVID-19住院的土著和非土著孕妇和产后妇女死亡相关因素

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-12-01 Epub Date: 2024-05-02 DOI: 10.1590/1413-812320242912.07432024

Adryelle Katheline D'Elia de Moura, Glênio Alves de Freitas, Renata Palópoli Pícoli

{"title":"Factors associated with death among indigenous and non-indigenous pregnant and postpartum women hospitalized for COVID-19 in Brazil.","authors":"Adryelle Katheline D'Elia de Moura, Glênio Alves de Freitas, Renata Palópoli Pícoli","doi":"10.1590/1413-812320242912.07432024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.07432024","url":null,"abstract":"The present article aimed to analyze the association between sociodemographic and hospitalization characteristics with the outcome of indigenous and non-indigenous pregnant and postpartum women, as well as factors associated with deaths among indigenous women hospitalized for Severe Acute Respiratory Syndrome (SARS) due to COVID-19 in Brazil. This is a cross-sectional and analytical study, with secondary data of pregnant and postpartum women of reproductive age, classified into race/skin color (indigenous and non-indigenous), extracted from the Obstetric Observatory, which uses data from the Influenza Epidemiological Surveillance Information System. The outcome variables were analyzed using the chi-square test or Fisher's exact test, and logistic regression was performed for the factors associated with the death of indigenous people. The highest proportion of deaths occurred among non-indigenous women who were in the 2nd trimester of pregnancy (99.7%), who lived in urban/peri-urban areas (99.8%), as well as in the South/Southeast (99.8%) and Northeast (99.5%) regions. Indigenous people who lived in rural areas and in the North and Midwest regions have a greater chance of death when compared to indigenous people who lived in urban areas and in the South/Southeast regions.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e07432024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Body composition versus anthropometric results of the Khisêdjê Indigenous of Xingu - MT/Brazil. 巴西新古- MT/ Khisêdjê土著人的身体组成与人体测量结果。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-12-01 Epub Date: 2024-04-05 DOI: 10.1590/1413-812320242912.05862024

Lalucha Mazzucchetti, Patrícia Paiva de Oliveira Galvão, Mário Luiz da Silva Tsutsui, Kennedy Maia Dos Santos, Douglas Antônio Rodrigues, Vânia Fernandes Rabelo, Suely Godoy Agostinho Gimeno

{"title":"Body composition versus anthropometric results of the Khisêdjê Indigenous of Xingu - MT/Brazil.","authors":"Lalucha Mazzucchetti, Patrícia Paiva de Oliveira Galvão, Mário Luiz da Silva Tsutsui, Kennedy Maia Dos Santos, Douglas Antônio Rodrigues, Vânia Fernandes Rabelo, Suely Godoy Agostinho Gimeno","doi":"10.1590/1413-812320242912.05862024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.05862024","url":null,"abstract":"This study aimed to evaluate the body composition of the Khisêdjê, an Indigenous people residing in the Xingu Indigenous Territory, and compare it to the results obtained by anthropometry. One hundred seventy-nine individuals aged above 20 of both genders were included. The nutritional status was classified per the cutoff proposed by the WHO (1995). The body composition was identified using measures derived directly from a bioelectrical impedance device (resistance - R, reactance - Xc, and phase angle - PA). Data were analyzed using the Student t-test, chi-square, Pearson correlation, and analysis of variance, and 57% of the sample was male. The mean age of the population was 37.5 years, and 48% of subjects had some overweight level (BMI ≥ 25,0 kg/m2). We identified a positive correlation between BMI with waist (WC) and arm (AC) circumference, and PA measurements, and an inverse correlation between BMI and R and Xc measurements. R and Xc mean values decreased with increasing BMI. In contrast, mean PA increased with greater weight. The results suggest that being overweight among the Khisêdjê Indigenous people was associated with higher muscle mass amounts.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e05862024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Living conditions, nutrition, and maternal and child health in the Baniwa Indigenous people, Northwest Amazon, Brazil. 巴西亚马逊西北部巴尼瓦土著人民的生活条件、营养和妇幼保健。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-12-01 Epub Date: 2024-04-25 DOI: 10.1590/1413-812320242912.07152024

Hernane Guimarães Dos Santos Junior, Aline Alves Ferreira, Mirian Carvalho de Souza, Luiza Garnelo

{"title":"Living conditions, nutrition, and maternal and child health in the Baniwa Indigenous people, Northwest Amazon, Brazil.","authors":"Hernane Guimarães Dos Santos Junior, Aline Alves Ferreira, Mirian Carvalho de Souza, Luiza Garnelo","doi":"10.1590/1413-812320242912.07152024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.07152024","url":null,"abstract":"Epidemiological surveys by ethnic groups are scarce in Brazil. The health and nutrition conditions of indigenous peoples who face situations of social inequities and inequalities, negatively influence their health indicators. This study is the widest investigation on the subject ever carried out on the Baniwa ethnic group, one of the most numerous in the country. The survey aimed to analyze the living conditions and nutritional profile of children aged under 60 months and women aged 14 to 49 years of the Baniwa ethnic group, residing in the northwest region of the state of Amazonas, in the Indigenous Land of Alto Rio Negro, an area that serves as a border connecting Brazil, Colombia, and Venezuela. The results show a high prevalence of chronic malnutrition in 52.5% (95%CI 48.9-56.1) and anemia in 68.3% (95%CI 64-5-71.8) of children under 60 months, in addition to overweight in 26.3% (95%CI 18.4-27.0) and anemia in 52.3% (95%CI 43.6-53.6) of the women. The situations of food insecurity observed in this study are linked to poor income and sanitation conditions. The magnitude of these injuries expresses the low effectiveness of primary care actions offered by the health system, with a significant percentage of hospitalizations resulting from injuries sensitive to basic care at the primary care level.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e07152024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The meanings of differential health care given by health professionals of the Alto Rio Negro DSEI-AM, Brazil. 巴西Alto里约热内卢Negro DSEI-AM保健专业人员对差别保健的意义。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-12-01 Epub Date: 2024-04-25 DOI: 10.1590/1413-812320242912.07052024

Maria Rosineide Gama Feitosa, Ana Lucia de Moura Pontes

{"title":"The meanings of differential health care given by health professionals of the Alto Rio Negro DSEI-AM, Brazil.","authors":"Maria Rosineide Gama Feitosa, Ana Lucia de Moura Pontes","doi":"10.1590/1413-812320242912.07052024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.07052024","url":null,"abstract":"This article discusses the meanings of differentiated health care guideline given by health professionals from the Indigenous Health Multidisciplinary Team (EMSI) who work at the Alto Rio Negro Special Indigenous Health District (DSEI-ARN). This exploratory, descriptive, analytical, and qualitative study conducted 15 semi-structured interviews with professionals from the Indigenous Health Multidisciplinary Teams of the DSEI-ARN, which were submitted to content analysis. The four meaning cores identified from the analyses were: Differentiated care as a way of providing primary care in the territory; Actions conducted under the population's cultural differences; Self-care, traditional medicine, and the construction of therapeutic itineraries; and Professionals' challenges and difficulties in addressing traditional indigenous health care. In the professionals' perspective, differentiated health care is linked to the conditions for working in this primary care type. For their performance, they refer to the need to respect the cultural differences of the Indigenous population. Professionals recognize the use and effectiveness of Indigenous practices, knowledge, and regional specificities.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e07052024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sociodemographic profiles of Indigenous households in the 1991, 2000, and 2010 censuses. 1991年、2000年和2010年人口普查中土著家庭的社会人口概况。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-12-01 Epub Date: 2024-04-22 DOI: 10.1590/1413-812320242912.13382023

Leandro Okamoto da Silva, Cleber Nascimento do Carmo, Ricardo Ventura Santos

{"title":"Sociodemographic profiles of Indigenous households in the 1991, 2000, and 2010 censuses.","authors":"Leandro Okamoto da Silva, Cleber Nascimento do Carmo, Ricardo Ventura Santos","doi":"10.1590/1413-812320242912.13382023","DOIUrl":"https://doi.org/10.1590/1413-812320242912.13382023","url":null,"abstract":"This article analyzes the sociodemographic composition of the Indigenous population in Brazil in the 1991, 2000, and 2010 demographic censuses, in addition to investigating inequalities in access to basic sanitation and electricity based on the 2010 Census. A methodology is proposed that classifies households with Indigenous residents as \"homogeneous\", \"mixed\" with an Indigenous in the category \"household head\", and mixed with a non-Indigenous in the category \"household head\". Regional and situational differences overlapped with differences by type of household and location, with better conditions in urban than rural areas and in the Southeast and South. The North was the region with the least access in general. Regional differences and differences between urban/rural areas were observed, highlighting better urban conditions in the Southeast and South. These inequalities reflect fragmented public policies, economic pressures, and deterritorialization, among other factors. The development of new techniques and critical debate is essential to understanding and addressing racial inequalities in the country and promoting public policies appropriate to Indigenous peoples.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e13382023"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adaptation of prenatal care offered to indigenous women: maternal characteristics and health services. 适应向土著妇女提供的产前护理：产妇特征和保健服务。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-12-01 Epub Date: 2024-05-23 DOI: 10.1590/1413-812320242912.08722024

Gislaine Recaldes de Abreu, Renata Pálopi Picoli, James Robert Welch, Carlos E A Coimbra Junior

{"title":"Adaptation of prenatal care offered to indigenous women: maternal characteristics and health services.","authors":"Gislaine Recaldes de Abreu, Renata Pálopi Picoli, James Robert Welch, Carlos E A Coimbra Junior","doi":"10.1590/1413-812320242912.08722024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.08722024","url":null,"abstract":"This study aimed to analyze the adaptation of prenatal care offered to Indigenous women and its association with maternal characteristics and health services. This is a cross-sectional study, conducted with 461 Indigenous women who gave birth and/or received immediate postpartum care in the municipalities of Mato Grosso do Sul, between 2021 and 2022. An indicator of minimum prenatal adequacy was developed, which was classified as adequate when the woman started prenatal care in the 1st trimester of pregnancy, had ≥7 consultations, and had routine exams recorded. Logistic regression models were used to estimate the adjusted odds ratios and factors associated with prenatal adequacy. It was found that 67.2% began prenatal care in the 1st trimester, 51.8% had ≥7 consultations, and 40.6% had exam results recorded. About 1 in 4 Indigenous women achieved the proposed adequacy; the associated maternal characteristics were ethnicity, region of residence, and place of residence. Prenatal care revealed health inequities, with low adequacy rates in prenatal care and worse rates among women living in villages and settlements in the southern region of the state.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e08722024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Access to oral health services in the Xukuru do Ororubá Indigenous Territory (2017-2018): analysis of performance indicators. 在奥罗鲁布苏库鲁<e:1>土著领土获得口腔保健服务（2017-2018年）：绩效指标分析。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-12-01 Epub Date: 2024-04-26 DOI: 10.1590/1413-812320242912.07092024

Lucas Fernando Rodrigues Dos Santos, André Luiz Sá de Oliveira, Fabíola Bof de Andrade, Herika de Arruda Mauricio, Thatiana Regina Fávaro, Rafael da Silveira Moreira

{"title":"Access to oral health services in the Xukuru do Ororubá Indigenous Territory (2017-2018): analysis of performance indicators.","authors":"Lucas Fernando Rodrigues Dos Santos, André Luiz Sá de Oliveira, Fabíola Bof de Andrade, Herika de Arruda Mauricio, Thatiana Regina Fávaro, Rafael da Silveira Moreira","doi":"10.1590/1413-812320242912.07092024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.07092024","url":null,"abstract":"This ecological study conducted with secondary data extracted from the Indigenous Health Care Information System (SIASI) analyzed the access to oral health services provided to Xukuru do Ororubá Indigenous peoples from 2017 to 2018. The units of analysis were the Indigenous villages. The services delivered by the oral health teams working in the context were analyzed, verifying access and performance indicators and their parameters. The socioeconomic and demographic conditions, the provision of services, and the spatial components of the territory were characterized. The correlation coefficients between indicators were estimated. The results showed a growing coverage of first dental appointments, the mean number of procedures per capita, the percentage of tooth extractions, the coverage of supervised tooth brushing, and a decrease in the rate of completed treatments. There were better access opportunities for the Xukuru do Ororubá Indigenous people in the period analyzed. However, there is a persistent need to strengthen the continuity of services to complete treatments. The study points to the need for indicators suitable for the context of Indigenous health and the potential of the SIASI for oral health surveillance.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e07092024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Scenarios of Indigenous Health and challenges for Public Policy. 土著居民健康状况和公共政策的挑战。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-12-01 DOI: 10.1590/1413-812320242912.11482024

Ricardo Ventura Santos, Luiza Garnelo, Felipe Guimarães Tavares, Inara do Nascimento Tavares, Ana Lucia de Moura Pontes

引用次数: 0

Challenges for implementing culturally competent obstetric services in an Indigenous context in Mexico. 在墨西哥土著环境中实施具有文化能力的产科服务的挑战。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-12-01 Epub Date: 2024-05-02 DOI: 10.1590/1413-812320242912.07332024

Clara Juárez-Ramírez

引用次数: 0

Analysis of cases of intimate partner violence against indigenous women reported in the macroregion of Dourados-MS, Brazil. 巴西杜拉多斯- ms大区域报告的针对土著妇女的亲密伴侣暴力案件分析

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2024-12-01 Epub Date: 2024-06-19 DOI: 10.1590/1413-812320242912.10312024

Glênio Alves de Freitas, Gláucia Elisete Barbosa Marcon, James Robert Welch, Cosme Marcelo Furtado Passos da Silva

{"title":"Analysis of cases of intimate partner violence against indigenous women reported in the macroregion of Dourados-MS, Brazil.","authors":"Glênio Alves de Freitas, Gláucia Elisete Barbosa Marcon, James Robert Welch, Cosme Marcelo Furtado Passos da Silva","doi":"10.1590/1413-812320242912.10312024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.10312024","url":null,"abstract":"The present study aimed to analyze notifications of intimate partner violence (IPV) against indigenous women in the macro-region of Dourados-MS, Brazil, from 2009 to 2020. This is a cross-sectional study with secondary data from registered reports in the Notifiable Diseases Information System (SINAN) of indigenous women who suffered violence. Descriptive statistics of the variables and Poisson regression were performed to determine the prevalence ratio (PR). IPV represented 56.6% of reports. The most reported types of violence were physical violence (93.3%) and psychological violence (27%). In the adjusted analysis, IPV was associated with women with partners (PR 1.32, 95%CI 1.19; 1.46), and women in situations of repeated violence (PR 1.15, 95%CI 1.05; 1.25) and at home as the place of occurrence (PR 1.13, 95%CI 1.01; 1.29). The majority of reports of violence against indigenous women registered in the Dourados health macro-region were perpetrated by an intimate partner. Knowledge of the profile of violence that arrives at health services, combined with associated factors, should enable the implementation of strategies aimed at reducing the number of cases.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e10312024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0