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HIV, syphilis, and viral hepatitis among Latin American indigenous peoples and Afro-descendants: a systematic review
Article em En | PAHOIRIS | ID: phr-49727
Biblioteca responsável: US1.1
ABSTRACT
[ABSTRACT]. Objective. To identify and summarize existing literature on the burden of HIV, sexually transmitted infections (STIs), and viral hepatitis (VH) in indigenous peoples and Afrodescendants in Latin America to provide a broad panorama of the quantitative data available and highlight problematic data gaps. Methods. Published and grey literature were systematically reviewed to identify documents published in English, Spanish, or Portuguese with data collected between January 2000 and April 2016 on HIV, STI, and VH disease burden among indigenous peoples and Afrodescendants in 17 Latin American countries. Results. Sixty-two documents from 12 countries were found. HIV prevalence was generally low (< 1%) but pockets of high prevalence (> 5%) were noted in some indigenous communities in Venezuela (Warao) (9.6%), Peru (Chayahuita) (7.5%), and Colombia (Wayuu females) (7.0%). High active syphilis prevalence (> 5%) was seen in some indigenous communities in Paraguay (11.6% and 9.7%) and Peru (Chayahuita) (6.3%). High endemicity (> 8%) of hepatitis B was found in some indigenous peoples in Mexico (Huichol) (9.4%) and Venezuela (Yanomami 14.3%; Japreira 29.5%) and among Afro-descendant quilombola populations in Brazil (Frechal 12.5%; Furnas do Dionísio 8.4% in 2008, 9.2% in 2003). Conclusions. The gaps in existing data on the burden of HIV, STIs, and VH in indigenous peoples and Afro-descendants in Latin America highlight the need to 1) improve national surveillance, by systematically collecting and analyzing ethnicity variables, and implementing integrated biobehavioral studies using robust methodologies and culturally sensitive strategies; 2) develop a region-wide response policy that considers the needs of indigenous peoples and Afro-descendants; and 3) implement an intercultural approach to health and service delivery to eliminate health access barriers and improve health outcomes for these populations.
Assuntos

Texto completo: 1 Coleções: 04-international_org Base de dados: PAHOIRIS Assunto principal: Sífilis / Infecções Sexualmente Transmissíveis / HIV / Saúde de Populações Indígenas / Hepatite Viral Humana / América Latina Tipo de estudo: Prognostic_studies / Risk_factors_studies / Systematic_reviews Aspecto: Determinantes_sociais_saude Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 04-international_org Base de dados: PAHOIRIS Assunto principal: Sífilis / Infecções Sexualmente Transmissíveis / HIV / Saúde de Populações Indígenas / Hepatite Viral Humana / América Latina Tipo de estudo: Prognostic_studies / Risk_factors_studies / Systematic_reviews Aspecto: Determinantes_sociais_saude Idioma: En Ano de publicação: 2019 Tipo de documento: Article