Hilton P Silva1, Cristina Padez2, Edila A F Moura3, Lígia A Filgueiras1,4. 1. a Programa de Pós-Graduação em Antropologia & Programa de Pós-Graduação em Saúde , Ambiente e Sociedade na Amazônia, Laboratório de Estudos Bioantropológicos em Saúde e Meio Ambiente, Instituto de Filosofia e Ciências Humanas, Universidade Federal do Pará , Belém , PA , Brazil ; 2. b Department of Life Sciences , Research Centre for Anthropology and Health, University of Coimbra , Portugal ; 3. c Programa de Pós-Graduação em Sociologia e Antropologia , Instituto de Filosofia e Ciências Humanas, Universidade Federal do Pará & Instituto de Desenvolvimento Sustentável Mamirauá , Belém , PA , Brazil ; 4. d Universidade do Estado do Pará-Departamento de Ciências Naturais, Centro de Ciências Sociais e de Educação , Belém , PA , Brazil.
Abstract
BACKGROUND: The health and nutritional situation of adults from three rural vulnerable Amazonian populations are investigated in relation to the Social Determinants of Health (SDH) and the epidemiologic transition. AIM: To investigate the role of the environment and the SDH on the occurrence of chronic-degenerative diseases in these groups. SUBJECTS AND METHODS: Anthropometric, blood pressure and demographic data were collected in adults from the RDS Mamirauá, AM (n = 149), Flona Caxiuanã, PA (n = 148) and quilombolas, PA (n = 351), populations living in a variety of socio-ecological environments in the Brazilian Amazon. RESULTS: Adjusting for the effect of age, quilombola men are taller (F = 9.85; p < 0.001) and quilombola women present with higher adiposity (F = 20.43; p < 0.001) and are more overweight/obese. Men from Mamirauá present higher adiposity (F = 9.58; p < 0.001). Mamirauá women are taller (F = 5.55; p < 0.01) and have higher values of waist circumference and subscapular/triceps index. Quilombolas present higher prevalence of hypertension in both sexes and there are significant differences in rates of hypertension among the women (χ(2) = 17.45; p < 0.01). The quilombolas are more dependent on government programmes, people from Mamirauá have more economic resources and the group from Caxiunã have the lowest SES. CONCLUSION: In these populations, the SDH play a key role in the ontogeny of diseases and the 'diseases of modernity' occur simultaneously with the always present infectoparasitic pathologies, substantially increasing social vulnerability.
BACKGROUND: The health and nutritional situation of adults from three rural vulnerable Amazonian populations are investigated in relation to the Social Determinants of Health (SDH) and the epidemiologic transition. AIM: To investigate the role of the environment and the SDH on the occurrence of chronic-degenerative diseases in these groups. SUBJECTS AND METHODS: Anthropometric, blood pressure and demographic data were collected in adults from the RDS Mamirauá, AM (n = 149), Flona Caxiuanã, PA (n = 148) and quilombolas, PA (n = 351), populations living in a variety of socio-ecological environments in the Brazilian Amazon. RESULTS: Adjusting for the effect of age, quilombola men are taller (F = 9.85; p < 0.001) and quilombola women present with higher adiposity (F = 20.43; p < 0.001) and are more overweight/obese. Men from Mamirauá present higher adiposity (F = 9.58; p < 0.001). Mamirauá women are taller (F = 5.55; p < 0.01) and have higher values of waist circumference and subscapular/triceps index. Quilombolas present higher prevalence of hypertension in both sexes and there are significant differences in rates of hypertension among the women (χ(2) = 17.45; p < 0.01). The quilombolas are more dependent on government programmes, people from Mamirauá have more economic resources and the group from Caxiunã have the lowest SES. CONCLUSION: In these populations, the SDH play a key role in the ontogeny of diseases and the 'diseases of modernity' occur simultaneously with the always present infectoparasitic pathologies, substantially increasing social vulnerability.