Author | Armstrong, Anderson da Costa | |
Author | Ladeia, Ana Marice Teixeira | |
Author | Marques, Juracy | |
Author | Armstrong, Dinani Matoso Fialho de Oliveira | |
Author | Silva, Antonio Marconi Leandro da | |
Author | Morais Junior, Jeová Cordeiro de | |
Author | Barral, Aldina Maria Prado | |
Author | Correia, Luis Claudio Lemos | |
Author | Barral Netto, Manoel | |
Author | Lima, João A. C | |
Access date | 2018-04-17T14:12:57Z | |
Available date | 2018-04-17T14:12:57Z | |
Document date | 2018 | |
Citation | ARMSTRONG, A. C. et al. Urbanization is Associated with Increased Trends in Cardiovascular Mortality Among Indigenous Populations: the PAI Study. Arquivos Brasileiros de Cardiologia, 2018. | pt_BR |
ISSN | 0066-782X | pt_BR |
URI | https://www.arca.fiocruz.br/handle/icict/25893 | |
Sponsorship | CNPq | pt_BR |
Language | eng | pt_BR |
Publisher | Sociedade Brasileira de Cardiologia | pt_BR |
Rights | open access | pt_BR |
Subject in Portuguese | População indigena | pt_BR |
Subject in Portuguese | Doenças Cardiovasculares / mortalidade | pt_BR |
Subject in Portuguese | Urbanização / tendências | pt_BR |
Subject in Portuguese | Mudança social | pt_BR |
Title | Urbanization is Associated with Increased Trends in Cardiovascular Mortality Among Indigenous Populations: the PAI Study | pt_BR |
Type | Article | pt_BR |
DOI | 10.5935/abc.20180026 | |
Abstract | The cardiovascular risk burden among diverse indigenous populations is not totally known and may be influenced by lifestyle changes related to the urbanization process. Objectives: To investigate the cardiovascular (CV) mortality profile of indigenous populations during a rapid urbanization
process largely influenced by governmental infrastructure interventions in Northeast Brazil.
Methods: We assessed the mortality of indigenous populations (≥ 30 y/o) from 2007 to 2011 in Northeast Brazil (Bahia
and Pernambuco states). Cardiovascular mortality was considered if the cause of death was in the ICD-10 CV disease
group or if registered as sudden death. The indigenous populations were then divided into two groups according to the
degree of urbanization based on anthropological criteria:9, 10 Group 1 - less urbanized tribes (Funi-ô, Pankararu, Kiriri, and
Pankararé); and Group 2 - more urbanized tribes (Tuxá, Truká, and Tumbalalá). Mortality rates of highly urbanized cities
(Petrolina and Juazeiro) in the proximity of indigenous areas were also evaluated. The analysis explored trends in the
percentage of CV mortality for each studied population. Statistical significance was established for p value < 0.05.
Results: There were 1,333 indigenous deaths in tribes of Bahia and Pernambuco (2007-2011): 281 in Group 1 (1.8% of the
2012 group population) and 73 in Group 2 (3.7% of the 2012 group population), CV mortality of 24% and 37%, respectively
(p = 0.02). In 2007-2009, there were 133 deaths in Group 1 and 44 in Group 2, CV mortality of 23% and 34%, respectively.
In 2009-2010, there were 148 deaths in Group 1 and 29 in Group 2, CV mortality of 25% and 41%, respectively.
Conclusions: Urbanization appears to influence increases in CV mortality of indigenous peoples living in traditional
tribes. Lifestyle and environmental changes due to urbanization added to suboptimal health care may increase CV risk
in this population. (Arq Bras Cardiol. 2018; [online].ahead print, PP.0-0) | pt_BR |
Affilliation | Universidade Federal do Vale do São Francisco. Petrolina, PE, Brasil / Universidade do Estado da Bahia. Salvador, BA, Brasil | pt_BR |
Affilliation | Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil | pt_BR |
Affilliation | Universidade do Estado da Bahia. Salvador, BA, Brasil | pt_BR |
Affilliation | Universidade Federal do Vale do São Francisco. Petrolina, PE, Brasil | pt_BR |
Affilliation | Universidade Federal do Vale do São Francisco. Petrolina, PE, Brasil | pt_BR |
Affilliation | Universidade Federal do Vale do São Francisco. Petrolina, PE, Brasil | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil | pt_BR |
Affilliation | Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil | pt_BR |
Affilliation | Johns Hopkins University. Baltimore, USA | pt_BR |
Subject | Indigenous Population | pt_BR |
Subject | Cardiovascular Diseases / mortality | pt_BR |
Subject | Urbanization / trends | pt_BR |
Subject | Social Change | pt_BR |
xmlui.metadata.dc.subject.ods | 03 Saúde e Bem-Estar | |
xmlui.metadata.dc.subject.ods | 11 Cidades e comunidades sustentáveis | |
xmlui.metadata.dc.subject.ods | 16 Paz, Justiça e Instituições Eficazes | |