Severe Acute Respiratory Syndrome (SARS) in the Context of the COVID-19 Pandemic Among Indigenous Peoples of Brazil: Epidemiology and Risk Factors Associated with Death.

التفاصيل البيبلوغرافية
العنوان:	Severe Acute Respiratory Syndrome (SARS) in the Context of the COVID-19 Pandemic Among Indigenous Peoples of Brazil: Epidemiology and Risk Factors Associated with Death.
المؤلفون:	Novaes TER; Medical School of the Federal University of Fronteira Sul, Campus Passo Fundo, Passo Fundo, Brazil. thiago.novaes@estudante.uffs.edu.br., Lara DM; Medical School of the Federal University of Fronteira Sul, Campus Passo Fundo, Passo Fundo, Brazil., da Silva SG; Post-Graduate Program in Biomedical Sciences, School of Medicine, Federal University of Fronteira Sul, Campus Passo Fundo, Passo Fundo, Brazil.
المصدر:	Journal of racial and ethnic health disparities [J Racial Ethn Health Disparities] 2024 Aug; Vol. 11 (4), pp. 1908-1917. Date of Electronic Publication: 2023 Jun 14.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Springer International Publishing Country of Publication: Switzerland NLM ID: 101628476 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2196-8837 (Electronic) Linking ISSN: 21968837 NLM ISO Abbreviation: J Racial Ethn Health Disparities Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: [Cham] : Springer International Publishing
مواضيع طبية MeSH:	COVID-19/ethnology , COVID-19/mortality , Severe Acute Respiratory Syndrome/ethnology , Severe Acute Respiratory Syndrome/mortality, Humans ; Brazil/epidemiology ; Male ; Female ; Adult ; Middle Aged ; Risk Factors ; Adolescent ; Young Adult ; Child ; Aged ; Child, Preschool ; Infant ; Indigenous Peoples/statistics & numerical data ; Indians, South American/statistics & numerical data
مستخلص:	Introduction: Severe Acute Respiratory Syndrome (SARS) represents a serious public health problem for the indigenous peoples of Brazil, since acute respiratory infections are the main causes of morbidity and mortality in this population. Objective: To assess cases of SARS in Brazilian indigenous peoples in the context of the COVID-19 pandemic, as well as sociodemographic and health factors associated with deaths from SARS in this population. Methods: Ecological study carried out based on secondary data from the Brazilian Database for Epidemiological Surveillance of Influenza referring to the Brazilian indigenous population with SARS in 2020. The variables included sociodemographic factors and health conditions. Statistical analyses were carried out considering absolute (n) and relative (%) frequencies and logistic regression with odds ratios (OR), with death as the outcome of interest. Results: A total of 3062 cases were reported in the analyzed period. Of these, there was a predominance of men (54.6%), adults (41.4%), with comorbidities (52.3%), with low levels of schooling (67.4%) and residents of rural areas (55.8%). Cases and deaths were concentrated in the states of Amazonas and Mato Grosso do Sul, states in the North and Midwest of Brazil. A greater chance of death was observed in elderly indigenous people (OR = 6.29; 95%CI 4.71-8.39), with low levels of schooling (OR = 1.72; 95%CI 1.22-2.28), residents of rural areas (OR = 1.35; 95%CI 1.12-1.62), and with comorbidities (OR = 1.87; 95%CI 1.42-2.46), especially obesity (OR = 2.56; 95%CI 1.07-6.11). Conclusion: The study was able to trace the clinical-epidemiological profile, as well as identify the groups of indigenous people most vulnerable to SARS as a result of COVID-19 and evolution to death in Brazil. The findings show the high impact on the morbidity and mortality of the Brazilian indigenous population exposed to SARS and are relevant for epidemiological health surveillance, since they can guide preventive public policy actions and quality of life measures for this ethnic group in Brazil. (© 2023. W. Montague Cobb-NMA Health Institute.)
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فهرسة مساهمة:	Keywords: COVID-19; Health of indigenous populations; Public health; Severe Acute Respiratory Syndrome; Vulnerable populations
تواريخ الأحداث:	Date Created: 20230614 Date Completed: 20240710 Latest Revision: 20240710
رمز التحديث:	20240711
DOI:	10.1007/s40615-023-01660-z
PMID:	37314690
قاعدة البيانات:	MEDLINE

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تدمد:	2196-8837
DOI:	10.1007/s40615-023-01660-z