Prevalence of anemia among Indigenous children in Latin America: a systematic review
OBJECTIVE: To describe the prevalence pattern of anemia among Indigenous children in Latin America. METHODS: PRISMA guidelines were followed. Records were identified from the databases PubMed, Google Scholar, and Lilacs by two independent researchers between May and June 2021. Studies were included...
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| Main Authors: | , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2022-11-18
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| In: |
Revista de saúde pública
Year: 2022, Volume: 56, Pages: 1-22 |
| ISSN: | 1518-8787 |
| DOI: | 10.11588/heidok.00035871 |
| Online Access: | Resolving-System, Volltext: https://doi.org/10.11588/heidok.00035871 Verlag, Volltext: https://www.revistas.usp.br/rsp/article/view/204921 
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| Author Notes: | Carlos Rosas-Jiménez, Engin Tercan, Olaf Horstick, Ekeoma Igboegwu, Peter Dambach, Valérie R. Louis, Volker Winkler, Andreas Deckert |
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| 520 | |a OBJECTIVE: To describe the prevalence pattern of anemia among Indigenous children in Latin America. METHODS: PRISMA guidelines were followed. Records were identified from the databases PubMed, Google Scholar, and Lilacs by two independent researchers between May and June 2021. Studies were included if the following criteria were met: a) studied Indigenous people b) was about children (from 0 to 12 years old); c) reported a prevalence estimate of anemia; d) had been conducted in any of the countries of Latin America; e) was published either in English, Portuguese, or Spanish; f) is a peer-reviewed article; and g) was published at any date. RESULTS: Out of 2,401 unique records retrieved, 42 articles met the inclusion criteria. A total of 39 different Indigenous communities were analyzed in the articles, and in 21 of them (54.0%) child anemia was a severe public health problem (prevalence ≥ 40%). Those communities were the Aymara (Bolivia); Aruak, Guaraní, Kamaiurá, Karapotó, Karibe, Kaxinanuá, Ma-cro-Jê, Suruí, Terena, Xavante (Brazil); Cabécar (Costa Rica), Achuar, Aguaruna, Awajún, Urarina, Yomybato (Peru); Piaroa and Yucpa (Venezuela); and Quechua (Peru and Bolivia). Children below two years had the highest prevalence of anemia (between 16.2% and 86.1%). Among Indigenous people, risk factors for anemia include nutrition, poor living conditions, access to health services, racism, and discrimination. Bolivia and Guatemala are scarcely studied, despite having the highest proportion of Indigenous communities in Latin America. CONCLUSIONS: Anemia constitutes a poorly documented public health problem among Indigenous children in 21 Indigenous communities in Bolivia, Brazil, Colombia, Costa Rica, Ecuador, Guatemala, Mexico, and Peru. In all Indigenous communities included in this study child anemia was an issue, especially in younger children. | ||
| 520 | |a OBJETIVO: Describir el patrón de prevalencia de la anemia en niños indígenas de América Latina. MÉTODOS: Se siguieron las directrices PRISMA. Los registros fueron identificados en las bases de datos PubMed, Google Scholar y Lilacs por dos investigadores independientes entre mayo y junio de 2021. Los estudios se incluyeron si cumplían los siguientes criterios: a) estudiaban a indígenas; b) eran sobre niños (de 0 a 12 años); c) reportaban una estimación de prevalencia de anemia; d) se habían realizado en cualquiera de los países de América Latina; e) se publicaron en inglés, portugués o español; f) eran artículos revisados por pares; y g) se publicaron en cualquier fecha. RESULTADOS: De los 2.401 registros únicos recuperados, 42 artículos cumplían los criterios de inclusión. Un total de 39 comunidades indígenas diferentes fueron analizadas en los artículos, y en 21 de ellas (54,0%) la anemia infantil era un problema grave de salud pública (prevalencia ≥ 40%). Esas comunidades eran aymara (Bolivia); aruak, guaraní, kamaiurá, karapotó, karibe, kaxinanuá, ma-cro-jê, suruí, terena, xavante (Brasil); cabécar (Costa Rica), achuar, aguaruna, awajún, urarina, yomybato (Perú); piaroa y yucpa (Venezuela); y quechua (Perú y Bolivia). Los niños menores de dos años presentaban la mayor prevalencia de anemia (entre el 16,2% y el 86,1%). Entre los indígenas, los factores de riesgo de la anemia son la nutrición, las malas condiciones de vida, el acceso a los servicios sanitarios, el racismo y la discriminación. Bolivia y Guatemala están escasamente estudiados, a pesar de tener la mayor proporción de comunidades indígenas de América Latina. CONCLUSIONES: La anemia constituye un problema de salud pública poco documentado entre los niños indígenas de 21 comunidades indígenas de Bolivia, Brasil, Colombia, Costa Rica, Ecuador, Guatemala, México y Perú. En todas las comunidades indígenas incluidas en este estudio, la anemia infantil era un problema, especialmente en los niños más pequeños. | ||
| 520 | |a ZIEL: Beschreibung des Prävalenzmusters von Anämie bei indigenen Kindern in Lateinamerika. METHODEN: Es wurde nach den PRISMA-Richtlinien vorgegangen. Zwischen Mai und Juni 2021 identifizierten zwei unabhängige Forscher Datensätze aus den Datenbanken PubMed, Google Scholar und Lilacs. Studien wurden einbezogen, wenn sie folgende Kriterien erfüllten: a) Untersuchung indigener Bevölkerungsgruppen; b) Fokus auf Kinder (0 bis 12 Jahre); c) Angabe einer geschätzten Anämie-Prävalenz; d) Durchführung in einem lateinamerikanischen Land; e) Veröffentlichung auf Englisch, Portugiesisch oder Spanisch; f) Peer-Review-Verfahren; g) Veröffentlichung zu einem beliebigen Zeitpunkt. ERGEBNISSE: Von 2.401 ermittelten, nicht-duplizierten Datensätzen erfüllten 42 Artikel die Einschlusskriterien. Insgesamt wurden 39 verschiedene indigene Gemeinschaften untersucht; in 21 davon (54,0 %) stellte Anämie bei Kindern ein schwerwiegendes Problem der öffentlichen Gesundheit dar (Prävalenz ≥ 40 %). Zu diesen Gemeinschaften gehörten: Aymara (Bolivien); Aruak, Guaraní, Kamaiurá, Karapotó, Karibe, Kaxinanuá, Macro-Jê, Suruí, Terena, Xavante (Brasilien); Cabécar (Costa Rica); Achuar, Aguaruna, Awajún, Urarina, Yomybato (Peru); Piaroa und Yucpa (Venezuela); sowie Quechua (Peru und Bolivien). Die höchste Anämie-Prävalenz (zwischen 16,2 % und 86,1 %) wurde bei Kindern unter zwei Jahren festgestellt. Zu den Risikofaktoren für Anämie bei indigenen Bevölkerungsgruppen zählen Ernährung, schlechte Lebensbedingungen, Zugang zur Gesundheitsversorgung, Rassismus und Diskriminierung. Bolivien und Guatemala sind bisher kaum erforscht, obwohl sie den größten Anteil indigener Gemeinschaften in Lateinamerika aufweisen. SCHLUSSFOLGERUNGEN: Anämie stellt ein unzureichend dokumentiertes Problem der öffentlichen Gesundheit bei indigenen Kindern in 21 indigenen Gemeinschaften in Bolivien, Brasilien, Kolumbien, Costa Rica, Ecuador, Guatemala, Mexiko und Peru dar. In allen in diese Studie einbezogenen indigenen Gemeinschaften war Anämie bei Kindern ein Problem, insbesondere bei jüngeren Kindern. [Mit KI übersetzt] | ||
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