ArticleInternational journal for equity in health2019
Health need assessment in an indigenous high-altitude population living on an island in Lake Titicaca, Perú.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence of metabolic syndrome and its components according to altitude levels: a systematic review and meta-analysis.Scientific reports · 2024Pooled it
- Prevalence of hypertension in adults living at altitude in Latin America and the Caribbean: A systematic review and meta-analysis.PloS one · 2023Pooled it
- Cultural values and HIV prevention intentions: integrating Hofstede's dimensions and the theory of planned behavior in Amazonian Indigenous communities.Frontiers in psychology · 2026Article
- Access to Blood Glucose Testing in Peru: Who Is Getting Tested?Epidemiologia (Basel, Switzerland) · 2025Article
- Clinical utility of the GAD-7 for detecting generalized anxiety in Quechua indigenous people.Frontiers in psychiatry · 2025Article
- Assessing essential service provision for prevention and management of violence against women in a remote indigenous community in Amantaní, Peru.International journal for equity in health · 2023Article
- Time elapsed since peruvian children's last dental care and head of household educational attainment: findings from a national database.BMC oral health · 2023Article
- Peru - Progress in health and sciences in 200 years of independence.Lancet regional health. Americas · 2022Review
- Article
- Undiagnosed hypertension in Peru: analysis of associated factors and socioeconomic inequalities, 2019.Heliyon · 2021Article
- Decolonising violence against women research: a study design for co-developing violence prevention interventions with communities in low and middle income countries (LMICs).BMC public health · 2021Article
- Barriers to Access to Treatment for Hypertensive Patients in Primary Health Care of Less Developed Northwest China: A Predictive Nomogram.International journal of hypertension · 2021Article
- Peruvian Children's Access to Oral Health Information during the COVID- 19 Pandemic.Journal of International Society of Preventive & Community DentistryArticle
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13 authors.
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Abstract
backgroundHealth needs and access to health care is a huge challenge in developing countries, especially in some isolated indigenous communities. Amantani is an island located at 3854 m above sea level in Lake Titicaca, Peru. There is no official date on key local health needs and determinants, which precludes the prioritization and efficient implementation of health interventions. The objective of this study is to validate a health need assessment tool and ascertain the main health needs of the indigenous high-altitude population living on Amantani.
methodsWe conducted a cross-sectional study to describe the health needs of the indigenous population of Amantani using a questionnaire based on the "Peruvian Demographic and Health Survey". The questionnaire underwent expert and field-work validation. We selected a random sample of the island residents using two-stage cluster sampling. We estimated the prevalence of key health needs and determinants, and evaluated their distribution by age, sex and education through prevalence ratio. All analyses accounted for the complex sampling design.
resultsWe surveyed 337 individuals (223 adults and 144 children) in 151 houses. The most frequent health needs were: (i) lack of access to medical screening for a)non-communicable diseases (> 63.0%) and b)eye problems (76.5%); and (ii) poor knowledge about communicable diseases (> 54.3%), cancer (71.4%) and contraception (> 32.9%). Smoking and alcohol use was more frequent in males (PR = 4.70 IC95%:1.41-15.63 and PR = 1.69 95% CI:1.27-2.25, respectively). People with higher education had more knowledge about TB/HIV and cancer prevention (p < 0.05). Regarding children's health, > 38% have never undergone eye or dental examination. Corporal punishment and physical bullying at school in the last month were relatively common (23 and 33%, respectively).
conclusionThe main health needs in Amantani are related to poor healthcare access and lack of awareness of disease prevention. Our findings can be used to develop and implement efficient health interventions to improve the health and quality of life of indigenous populations living in the islands in Southern Peru/Northern Bolivia.
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