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Indigenous children and adolescent mortality inequity in Brazil: What can we learn from the 2010 National Demographic Census?
Indigenous peoples worldwide are highly disadvantaged compared to national baseline populations. Given historical challenges to accessing relevant data for Brazil, the present study innovates by using 2010 Brazilian National Demographic Census data to estimate mortality curves in Indigenous children...
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Published in: | SSM - population health 2020-04, Vol.10, p.100537-100537, Article 100537 |
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creator | Santos, Ricardo Ventura Borges, Gabriel Mendes Campos, Marden Barbosa de Queiroz, Bernardo Lanza Coimbra, Carlos E.A. Welch, James R. |
description | Indigenous peoples worldwide are highly disadvantaged compared to national baseline populations. Given historical challenges to accessing relevant data for Brazil, the present study innovates by using 2010 Brazilian National Demographic Census data to estimate mortality curves in Indigenous children and adolescents |
doi_str_mv | 10.1016/j.ssmph.2020.100537 |
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Given historical challenges to accessing relevant data for Brazil, the present study innovates by using 2010 Brazilian National Demographic Census data to estimate mortality curves in Indigenous children and adolescents <20 years. The non-parametric smoothing approach TOPALS (tool for projecting age-specific rates using linear splines) was employed. Analyses included stratifications by sex, rural or urban residence, and geopolitical region. The mortality of children and adolescents classified as Indigenous was higher for all analyzed strata. Mortality of Indigenous and non-Indigenous individuals in rural areas was higher than those in urban areas in almost all strata analyzed. Mortality levels in the Indigenous segment exceed those of children and adolescents classified as non-Indigenous in all four geopolitical regions, with few exceptions. This is the first study to compare mortality curves of children and adolescents in Brazil according to social variables based on national census data. More Indigenous children and adolescents die than their non-Indigenous counterparts, including those classified as black or brown, in both rural and urban residential settings. Indigenous children and adolescents are consistently at the most disadvantaged end of a marked gradient of ethnic-racial inequality in Brazil, independently of sex, age, and geopolitical region.</description><identifier>ISSN: 2352-8273</identifier><identifier>EISSN: 2352-8273</identifier><identifier>DOI: 10.1016/j.ssmph.2020.100537</identifier><identifier>PMID: 31989016</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescent mortality ; Child mortality ; Ethnicity ; Health disparity ; Indigenous peoples</subject><ispartof>SSM - population health, 2020-04, Vol.10, p.100537-100537, Article 100537</ispartof><rights>2020 The Authors</rights><rights>2020 The Authors.</rights><rights>2020 The Authors 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c525t-c7b0dfee43187aa394c86330c569c064466793a80dee09f9cc49fdac6163328c3</citedby><cites>FETCH-LOGICAL-c525t-c7b0dfee43187aa394c86330c569c064466793a80dee09f9cc49fdac6163328c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970167/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S2352827319303180$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,3549,27924,27925,45780,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31989016$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Santos, Ricardo Ventura</creatorcontrib><creatorcontrib>Borges, Gabriel Mendes</creatorcontrib><creatorcontrib>Campos, Marden Barbosa de</creatorcontrib><creatorcontrib>Queiroz, Bernardo Lanza</creatorcontrib><creatorcontrib>Coimbra, Carlos E.A.</creatorcontrib><creatorcontrib>Welch, James R.</creatorcontrib><title>Indigenous children and adolescent mortality inequity in Brazil: What can we learn from the 2010 National Demographic Census?</title><title>SSM - population health</title><addtitle>SSM Popul Health</addtitle><description>Indigenous peoples worldwide are highly disadvantaged compared to national baseline populations. Given historical challenges to accessing relevant data for Brazil, the present study innovates by using 2010 Brazilian National Demographic Census data to estimate mortality curves in Indigenous children and adolescents <20 years. The non-parametric smoothing approach TOPALS (tool for projecting age-specific rates using linear splines) was employed. Analyses included stratifications by sex, rural or urban residence, and geopolitical region. The mortality of children and adolescents classified as Indigenous was higher for all analyzed strata. Mortality of Indigenous and non-Indigenous individuals in rural areas was higher than those in urban areas in almost all strata analyzed. Mortality levels in the Indigenous segment exceed those of children and adolescents classified as non-Indigenous in all four geopolitical regions, with few exceptions. This is the first study to compare mortality curves of children and adolescents in Brazil according to social variables based on national census data. More Indigenous children and adolescents die than their non-Indigenous counterparts, including those classified as black or brown, in both rural and urban residential settings. Indigenous children and adolescents are consistently at the most disadvantaged end of a marked gradient of ethnic-racial inequality in Brazil, independently of sex, age, and geopolitical region.</description><subject>Adolescent mortality</subject><subject>Child mortality</subject><subject>Ethnicity</subject><subject>Health disparity</subject><subject>Indigenous peoples</subject><issn>2352-8273</issn><issn>2352-8273</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp9Uk1v1DAQjRCIVqW_AAn5yGUXfyROjASoLF-VKriAOFqz9mTjlWNv7WxRkfjveJtStRdOHo_fe2O9eVX1nNElo0y-2i5zHnfDklN-6NBGtI-qYy4avuh4Kx7fq4-q05y3lBZaw5iQT6sjwVSnyv24-nMerNtgiPtMzOC8TRgIBEvARo_ZYJjIGNME3k3XxAW83M8FeZ_gt_Ovyc8BJmIgkF9IPEIKpE9xJNOAhFNGyVeYXAzgyQcc4ybBbnCGrDDkfX73rHrSg894enueVD8-ffy--rK4-Pb5fHV2sTANb6aFadfU9oi1YF0LIFRtOikENY1Uhsq6lrJVAjpqEanqlTG16i0YyQqKd0acVOezro2w1bvkRkjXOoLTN42YNhrS5IxHzRlHJhQVVMhaou1kjd26W9OO1tA0vGi9nbV2-_WI9uBQAv9A9OFLcIPexCstVVssb4vAy1uBFC_3mCc9umK09xCwrEFzUbcN44rRAhUz1KSYc8L-bgyj-pADvdU3OdCHHOg5B4X14v4P7zj_tl4Ab2YAFs-vHCadjcNg0LqEZiqmuP8O-AuijsT6</recordid><startdate>20200401</startdate><enddate>20200401</enddate><creator>Santos, Ricardo Ventura</creator><creator>Borges, Gabriel Mendes</creator><creator>Campos, Marden Barbosa de</creator><creator>Queiroz, Bernardo Lanza</creator><creator>Coimbra, Carlos E.A.</creator><creator>Welch, James R.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20200401</creationdate><title>Indigenous children and adolescent mortality inequity in Brazil: What can we learn from the 2010 National Demographic Census?</title><author>Santos, Ricardo Ventura ; Borges, Gabriel Mendes ; Campos, Marden Barbosa de ; Queiroz, Bernardo Lanza ; Coimbra, Carlos E.A. ; Welch, James R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c525t-c7b0dfee43187aa394c86330c569c064466793a80dee09f9cc49fdac6163328c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent mortality</topic><topic>Child mortality</topic><topic>Ethnicity</topic><topic>Health disparity</topic><topic>Indigenous peoples</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Santos, Ricardo Ventura</creatorcontrib><creatorcontrib>Borges, Gabriel Mendes</creatorcontrib><creatorcontrib>Campos, Marden Barbosa de</creatorcontrib><creatorcontrib>Queiroz, Bernardo Lanza</creatorcontrib><creatorcontrib>Coimbra, Carlos E.A.</creatorcontrib><creatorcontrib>Welch, James R.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>SSM - population health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Santos, Ricardo Ventura</au><au>Borges, Gabriel Mendes</au><au>Campos, Marden Barbosa de</au><au>Queiroz, Bernardo Lanza</au><au>Coimbra, Carlos E.A.</au><au>Welch, James R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Indigenous children and adolescent mortality inequity in Brazil: What can we learn from the 2010 National Demographic Census?</atitle><jtitle>SSM - population health</jtitle><addtitle>SSM Popul Health</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>10</volume><spage>100537</spage><epage>100537</epage><pages>100537-100537</pages><artnum>100537</artnum><issn>2352-8273</issn><eissn>2352-8273</eissn><abstract>Indigenous peoples worldwide are highly disadvantaged compared to national baseline populations. Given historical challenges to accessing relevant data for Brazil, the present study innovates by using 2010 Brazilian National Demographic Census data to estimate mortality curves in Indigenous children and adolescents <20 years. The non-parametric smoothing approach TOPALS (tool for projecting age-specific rates using linear splines) was employed. Analyses included stratifications by sex, rural or urban residence, and geopolitical region. The mortality of children and adolescents classified as Indigenous was higher for all analyzed strata. Mortality of Indigenous and non-Indigenous individuals in rural areas was higher than those in urban areas in almost all strata analyzed. Mortality levels in the Indigenous segment exceed those of children and adolescents classified as non-Indigenous in all four geopolitical regions, with few exceptions. This is the first study to compare mortality curves of children and adolescents in Brazil according to social variables based on national census data. More Indigenous children and adolescents die than their non-Indigenous counterparts, including those classified as black or brown, in both rural and urban residential settings. Indigenous children and adolescents are consistently at the most disadvantaged end of a marked gradient of ethnic-racial inequality in Brazil, independently of sex, age, and geopolitical region.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>31989016</pmid><doi>10.1016/j.ssmph.2020.100537</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent mortality Child mortality Ethnicity Health disparity Indigenous peoples |
title | Indigenous children and adolescent mortality inequity in Brazil: What can we learn from the 2010 National Demographic Census? |
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