ArticleArquivos brasileiros de cardiologia2018
Urbanization is Associated with Increased Trends in Cardiovascular Mortality Among Indigenous Populations: the PAI Study.
Article in Arquivos brasileiros de cardiologia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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21 citing papers in PubMed, 35 citations in OpenAlex.
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- Mortality trends among Indigenous women of reproductive age in Brazil: a time series analysis.Lancet regional health. Americas · 2025Article
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- SARS-CoV-2 infection in the Indigenous Pataxó community of Southern Bahia, Brazil: second wave of transmission and vaccine effects.Cadernos de saude publica · 2025Article
- Distributive justice and equity in resource allocation: a temporal analysis of hospitalization costs in indigenous populations in Brazil.International journal for equity in health · 2024Article
- The Association Between Urbanization and Electrocardiogram Abnormalities in China: a Nationwide Longitudinal Study.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Article
- Impact of cardiopulmonary resuscitation duration on functional outcome, level of independence, and survival among patients with in-hospital cardiac arrests: A pilot study.Journal of education and health promotion · 2024Article
- Future of myocardial infarction mortality in Iran: a scenario-based study.Journal of health, population, and nutrition · 2023Article
- Urbanization and cardiovascular health among Indigenous groups in Brazil.Communications medicine · 2023Article
- Oral health of an indigenous population in northeastern Brazil: a cross-sectional Study of the Fulni-ô ethnic group.Sao Paulo medical journal = Revista paulista de medicina · 2023Article
- Urbanization and kidney dysfunction in Brazilian indigenous people: a burden for the youth.Revista da Associacao Medica Brasileira (1992) · 2023Article
- Social, Economic, Technological, and Environmental Factors Affecting Cardiovascular Diseases: A Systematic Review and Thematic Analysis.International journal of preventive medicine · 2022Review
- Anti-chikungunya virus seroprevalence in Indigenous groups in the São Francisco Valley, Brazil.PLoS neglected tropical diseases · 2021Article
- High blood pressure levels and cardiovascular risk among Munduruku indigenous people.Revista latino-americana de enfermagem · 2021Article
- Influence of Rapid Urbanization on Thyroid Autoimmune Disease in China.International journal of endocrinology · 2021Article
- The Effects of Green and Urban Walking in Different Time Frames on Physio-Psychological Responses of Middle-Aged and Older People in Chengdu, China.International journal of environmental research and public health · 2020Article
- Cohort profile: protocol and baseline survey for the Shanghai Suburban Adult Cohort and Biobank (SSACB) study.BMJ open · 2020Article
- Cardiovascular Diseases in Indigenous Populations: An Indicator Of Inequality.Arquivos brasileiros de cardiologia · 2018Article
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Authors and funding
10 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe cardiovascular risk burden among diverse indigenous populations is not totally known and may be influenced by lifestyle changes related to the urbanization process.
objectivesTo investigate the cardiovascular (CV) mortality profile of indigenous populations during a rapid urbanization process largely influenced by governmental infrastructure interventions in Northeast Brazil.
methodsWe 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.
resultsThere 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.
conclusionsUrbanization 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.
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