Fatores associados ao peso ao nascer de crianças indígenas Terena, residentes na área urbana de Campo Grande, Mato Grosso do Sul, Brasil

Abstract

Resumo: O objetivo do estudo foi verificar a associação do peso ao nascer de crianças Terena, residentes na área urbana de Campo Grande, Mato Grosso do Sul, Brasil, com variáveis demográficas, socioeconômicas e de saúde, e descrever a frequência de baixo peso ao nascer. Os dados foram coletados em visitas domiciliares com formulários aplicados às mães e baseando-se em informações contidas nas Cadernetas da Gestante e da Criança. Foram incluídas todas as mulheres Terena que tiveram filhos nascidos vivos no período de 1º de junho de 2017 a 31 de julho de 2018 e residentes nas aldeias Água Bonita, Darcy Ribeiro, Marçal de Souza e Tarsila do Amaral. O peso ao nascer foi considerado desfecho e as variáveis demográficas, socioeconômicas e de saúde foram consideradas exposição. Participaram do estudo 43 mães e crianças. A frequência de baixo peso ao nascer foi de 2,3%. No modelo final, as crianças que residiam em domicílios com fossa séptica ou rudimentar apresentaram peso ao nascer menor quando comparadas às que residiam em domicílios com rede coletora de esgoto; e aquelas filhas de mães obesas antes da gestação apresentaram maior peso ao nascer quando comparadas às que nasceram de mães eutróficas segundo o índice de massa corporal pré-gestacional. Os dados buscam trazer à tona discussões sobre as condições de saúde e nutrição dessa importante parcela da população indígena que vive em áreas urbanas.

Exclusive breastfeeding duration within a cohort of indigenous Terena living in the urban area of Campo Grande, Central-West Region, Brazil

“…As described in this study, 52.4% of the Terena infants were being bottle-fed at three months of age, 76.2% at six months, and 92.9% at 12 months. The prevalence of bottle-feeding at six months of age among the Terena is concerning, since it was almost three times higher than the proportion registered in the National Indigenous Survey in 2008/2009 (29.9%) 13 and approximately 20% higher than the prevalence registered for non-indigenous two-year-olds (51.2%) in 2019 23 .The use of baby bottles, the lower exclusive breastfeeing duration registered in this study, and the high frequency of surgical deliveries registered among the Terena in previous study 41 represent components that reflect the medicalization of childbirth and childcare practices in these communities 19 , 63 , 64 . Also note that in Brazil, barring some exceptions, the health care available for indigenous living in urban area is the system designed for non-indigenous populations.…”

“…A previous study conducted with the Terena infants living in the urban area of Campo Grande (same population of this study) found that the prevalence of low birthweight was 2.3% and that infants had, on average, lower birth weight if they were living in households with makeshift cesspools (compared with those living in households connected to the public sewage disposal system). Infants from mothers who were obese prior to the pregnancy were, on average, grams heavier at birth than those born from eutrophic mothers 41 .…”

“…Most previous studies investigating the Terena’s health profile were limited to those living in Indigenous Lands, which are located in rural areas 38 , 39 , 40 and only one included those living in urban area 41 . Among the Terena living in rural areas, studies reported high prevalence of stunting among children under five years old, ranging from 16% to 44.4% 38 , 39 , 40 .…”

Prevalence of iron deficiency anemia in Brazilian women of childbearing age: a systematic review with meta-analysis

“…Of these, 237 were selected for full-text reading. Finally, 91 studies were included for the qualitative synthesis and 83 for the meta-analysis ( Américo & Ferraz, 2011 ; Araf et al, 2010 ; Araújo, 2012 ; Araújo et al, 2013 ; Arruda, 1990 ; Arruda, 1997 ; Bagni, Luiz & Da Veiga, 2013 ; Batista Filho & Romani, 2002 ; Bezerra et al, 2018 ; Borges et al, 2016 ; Bresan et al, 2018 ; Bresani et al, 2007 ; Carvalho et al, 2017 ; Cavalcanti et al, 2014 ; Cavalcanti, Diniz & Arruda, 2019 ; Cintra, 2018 ; Clemente, 2019 ; Coelho, 2011 ; Côrtes, 2006 ; Da Costa et al, 2013 ; Da Silva, 2015 ; Dal Pizzol, Giugliani & Mengue, 2009 ; Dani et al, 2008 ; De Camargo et al, 2013 ; De Carli et al, 2018 ; De Castro et al, 2019 ; De França, 2006 ; De Oliveira, De Barros & Ferreira, 2015 ; De Sá et al, 2015 ; De Souza, 2011 ; Dell Agnolo, 2009 ; Deméio, Teles-Santos & Dos Santos, 2017 ; Dos Santos et al, 2020 ; Dos Santos et al, 2018 ; Einloft et al, 2010 ; Fabian et al, 2007 ; Fávaro, 2011 ; Ferreira et al, 1998 ; Ferreira et al, 2007 ; Ferreira, Moura & Cabral Júnior, 2008 ; Ferreira, 2016 ; Frota, 2013 ; Fujimori, Szarfarc & De Oliveira, 1996 ; Fujimori et al, 1999 ; Fujimori et al, 2011 ; Guerra et al, 1990 ; Hirata et al, 2017 ; Instituto Nacional de Alimentação e Nutrição, 1998 ; Leite, 1998 ; Lerner, 1994 ; Lopes et ...…”

Birth weight of indigenous children in Brazil: results of the First National Survey of Indigenous People’s Health and Nutrition

“…Recent studies reported pronounced health disparities separating Brazilian non-indigenous from indigenous children, who experience elevated rates of mortality, chronic undernutrition, preventable infectious diseases, and inadequate prenatal care 5,6,7 . Information about indigenous children's birth weight is scarce and often restricted to a limited number of people within specific ethnic groups 8,9,10 .…”