Zilmar Augusto de Souza Filho1,2, Alaidistânia Aparecida Ferreira1,2, Bernardo Dos Santos3, Angela Maria Geraldo Pierin3. 1. Universidade de São Paulo, Escola de Enfermagem, Programa Interunidades, Pós-Graduação em Enfermagem na Saúde do Adulto, São Paulo, SP, Brazil. 2. Universidade Federal do Amazonas, Escola de Enfermagem, Programa Interunidades, Pós-Graduação em Enfermagem na Saúde do Adulto, Manaus, AM, Brazil. 3. Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica, São Paulo, SP, Brazil.
Abstract
OBJECTIVE: Evaluating the evidence of hypertension prevalence among indigenous populations in Brazil through a systematic review and meta-analysis. METHODS: A search was performed by two reviewers, with no restriction of date or language in the databases of PubMed, LILACS, SciELO, Virtual Health Library and Capes Journal Portal. Also, a meta-regression model was designed in which the last collection year of each study was used as a moderating variable. RESULTS: 23 articles were included in the review. No hypertension was found in indigenous populations in 10 studies, and its prevalence was increasing and varied, reaching levels of up to 29.7%. Combined hypertension prevalence in Indigenous from the period of 1970 to 2014 was 6.2% (95% CI, 3.1% - 10.3%). In the regression, the value of the odds ratio was 1.12 (95% CI, 1.07 - 1.18; p <0.0001), indicating a 12% increase every year in the probability of an indigenous person presenting hypertension. CONCLUSION: There has been a constant increase in prevalence despite the absence of hypertension in about half of the studies, probably due to changes in cultural, economic and lifestyle habits, resulting from indigenous interaction with non-indigenous society.
OBJECTIVE: Evaluating the evidence of hypertension prevalence among indigenous populations in Brazil through a systematic review and meta-analysis. METHODS: A search was performed by two reviewers, with no restriction of date or language in the databases of PubMed, LILACS, SciELO, Virtual Health Library and Capes Journal Portal. Also, a meta-regression model was designed in which the last collection year of each study was used as a moderating variable. RESULTS: 23 articles were included in the review. No hypertension was found in indigenous populations in 10 studies, and its prevalence was increasing and varied, reaching levels of up to 29.7%. Combined hypertension prevalence in Indigenous from the period of 1970 to 2014 was 6.2% (95% CI, 3.1% - 10.3%). In the regression, the value of the odds ratio was 1.12 (95% CI, 1.07 - 1.18; p <0.0001), indicating a 12% increase every year in the probability of an indigenous person presenting hypertension. CONCLUSION: There has been a constant increase in prevalence despite the absence of hypertension in about half of the studies, probably due to changes in cultural, economic and lifestyle habits, resulting from indigenous interaction with non-indigenous society.
Authors: Alaidistania Aparecida Ferreira; Zilmar Augusto Souza-Filho; Maria Jacirema F Gonçalves; Juliano Santos; Angela Maria G Pierin Journal: PLoS One Date: 2017-08-04 Impact factor: 3.240
Authors: Zilmar Augusto de Souza Filho; Alaidistânia Aparecida Ferreira; Juliano Dos Santos; Karina Cardoso Meira; Angela Maria Geraldo Pierin Journal: BMC Public Health Date: 2018-11-13 Impact factor: 3.295