Abstract
Inequitable access to healthcare has a profound impact on the health of marginalised groups that typically suffer an excess burden of infectious disease morbidity and mortality. The Yanomami are traditionally semi-nomadic people living in widely dispersed communities in Amazonian Venezuela and Brazil. Only communities living in the vicinity of a health post have relatively constant access to healthcare. To monitor the improvement in the development of Yanomami healthcare a cross-sectional survey of 183 individuals was conducted to investigate malaria and anaemia prevalence in communities with constant and intermittent access to healthcare. Demographic and clinical data were collected. Malaria was diagnosed by microscopy and haemoglobin concentration by HemoCue. Prevalence of malaria, anaemia, splenomegaly, fever and diarrhoea were all significantly higher in communities with intermittent access to healthcare (anaemia 80.8% vs. 53.6%, P<0.001; malaria 18.2% vs. 6.0%, P=0.013; splenomegaly 85.4% vs.12.5%, P<0.001; fever 50.5% vs. 28.6%, P=0.003; diarrhoea 30.3% vs.10.7% P=0.001). Haemoglobin level (10.0 g/dl vs. 11.5 g/dl) was significantly associated with access to healthcare when controlling for age, sex, malaria and splenomega...Continue Reading
References
May 1, 1992·Revista Do Instituto De Medicina Tropical De São Paulo·J O FerrariC S Ferreira
Jul 1, 1988·The American Journal of Tropical Medicine and Hygiene·J TorresC Botto
Feb 9, 1984·The New England Journal of Medicine·S L HoffmanH A Marwoto
May 1, 1994·The Journal of Nutrition·J W LawlessA M Pertet
Jan 1, 1994·The British Journal of Nutrition·S K RoyR Eeckels
Jun 6, 1998·Annals of Tropical Medicine and Parasitology·E EveV E Thatcher
Oct 7, 1998·Cadernos de saúde pública·R A MirandaR C Menezes
Jan 14, 1999·The American Journal of Tropical Medicine and Hygiene·S Pérez Mato
Apr 1, 2000·Pediatrics·B LozoffA W Wolf
Feb 13, 2001·The Journal of Nutrition·S J Oppenheimer
Feb 13, 2001·The Journal of Nutrition·S Grantham-McGregor, C Ani
Aug 7, 2002·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Carlos Larrea, Wilma Freire
Jan 30, 2004·Salud pública de México·Teresa Shamah-LevyEric A Monterrubio
Aug 24, 2004·Memórias do Instituto Oswaldo Cruz·Teodardo José MarcanoJosé Rodrigues Coura
Aug 27, 2004·The Journal of Antimicrobial Chemotherapy·Eric SennevilleYves Mouton
Sep 14, 2004·The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases·Alonso Soto TarazonaAllan Magill
Oct 16, 2004·Social Science & Medicine·Carlos Larrea, Ichiro Kawachi
Jul 28, 2005·Blood·Corinne LayezJürg Gysin
Oct 8, 2005·Blood·Krystal J EvansLouis Schofield
Jun 7, 2006·Lancet·Raul A Montenegro, Carolyn Stephens
Jul 19, 2006·Child Abuse & Neglect·Antonio FuertesCarmen Tabernero
Feb 23, 2007·Tropical Medicine & International Health : TM & IH·M MagrisJ Lines
Oct 9, 2007·Transactions of the Royal Society of Tropical Medicine and Hygiene·W G MetzgerM Magris
Dec 6, 2007·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Daniel Tarantola
Citations
Dec 17, 2009·Malaria Journal·Wolfram G MetzgerMagda Magris
Feb 18, 2012·Malaria Journal·Andreas BaumannWolfram G Metzger
Mar 19, 2013·BMC Infectious Diseases·Irene Ule Ngole SumbeleTheresa Nkuo-Akenji
May 30, 2013·Nutrition Journal·Maurício S LeiteAna Lúcia Escobar
May 14, 2010·Transactions of the Royal Society of Tropical Medicine and Hygiene·A C CabralF A Carvalho-Costa
Nov 28, 2015·BMC Infectious Diseases·Irene Ule Ngole SumbeleTheresa Nkuo-Akenji
Jun 8, 2012·Acta Tropica·Verner N OrishNnaemeka C Iriemenam
Nov 7, 2015·BMC Health Services Research·Carole Zen RuffinenAdele Schwartz Benzaken
Aug 25, 2016·Travel Medicine and Infectious Disease·G Dennis Shanks
Sep 9, 2011·Memórias do Instituto Oswaldo Cruz·Juan Pablo QuinteroSócrates Herrera Valencia
Mar 20, 2020·PloS One·Daniela Rocha RobortellaLuzia Helena Carvalho
Dec 3, 2011·Nutrition Reviews·Amina Z KhambaliaStanley H Zlotkin
Feb 6, 2014·PLoS Neglected Tropical Diseases·Peter J Hotez
Jun 6, 2019·Ciência & saúde coletiva·Jesem Douglas Yamall OrellanaPaulo Cesar Basta
Mar 23, 2021·American Journal of Human Biology : the Official Journal of the Human Biology Council·Alicia M DeLouizeLawrence S Sugiyama
Jun 28, 2021·Malaria Journal·Juan C Gabaldón-FigueiraLeopoldo Villegas