Abstract
ObjectiveTo identify the consumption of alcoholic beverage and the relation with hypertension, their prevalence and associated factors, in indigenous Mura, Brazil.MethodsA cross-sectional population-based study was conducted with 455 adult indigenous aged 18 years or more of Mura ethnics in Amazonia, Brazil. Interview was conducted and the alcohol intake was assessed by the Alcohol Use Disorders Identification Test. Blood pressure was measured in three measurements and the mean of the last two measurements was used. Physical examination included the following data: weight, height, waist and neck circumference, bioimpedance, and capillary measurement of glucose, triglycerides and cholesterol. Through multivariate Logistic regression in stepwise, the odds ratios for alcohol consumption and associated factors were identified.ResultsThe prevalence of alcoholic beverage was 40.2%, with no significant difference for hypertension in those who drink (23.0%) and those who did not drink (29.0%). Referred hypertension in indigenous was associated to less use of alcoholic beverages (14.2% vs 24.3%, P = 0.009). After an adjusted analysis (Odds Ratio, 95% CI), there was a positive association between alcoholic drink intake and male sex (10.27, CI: 5.76–18.30), smoking (4.72, CI: 2.35–9.46) and live in rural areas (9.77, CI: 5.08–18.79). On the other hand, age (0.95, IC: 0.94–0.97), and absence of dyslipidemia (0.41, CI: 0.19–0.89) were associated to lower alcohol consumption.ConclusionThe prevalence of alcoholic beverage was high and associated with referred hypertension, but this association was not maintained after adjusted analysis. Changes to habits and inappropriate lifestyles in indigenous populations and living in urban areas may contribute to increase risk for cardiovascular diseases. Therefore, health policies should be implemented to meet the uniqueness of indigenous people.
Highlights
The prevalence of alcoholic beverage was high and associated with referred hypertension, but this association was not maintained after adjusted analysis
Epidemiological and demographic changes have occurred in the indigenous population of Brazil, which has high socio-cultural, economic and political diversity [1, 2]
A systematic review and meta-analysis of Brazilian indigenous populations showed that the pooled prevalence of hypertension in the period from 1970 to 2014 was 6.2%
Summary
Epidemiological and demographic changes have occurred in the indigenous population of Brazil, which has high socio-cultural, economic and political diversity [1, 2]. Hypertension and alcoholism are major public health problems in the chronic diseases. Both are multifactorial diseases, of high prevalence and considered a risk factor for other diseases [4]. The studies carried out in the 1970s and 1980s in Brazil showed that arterial hypertension was practically non-existent in indigenous populations [5,6,7,8,9]. The value of the odds ratio was 1.12 (95% CI: 1.07–1.18, P
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
