How, what, and why: housing, water & sanitation and wealth patterns in a cross-sectional study of the Guarani Birth Cohort, the first Indigenous birth cohort in Brazil
| Main Author: | |
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| Publication Date: | 2023 |
| Other Authors: | , , , , , , , , , |
| Format: | Article |
| Language: | eng |
| Source: | Repositório Institucional da FIOCRUZ (ARCA) |
| DOI: | 10.1016/j.lana.2023.100496 |
| Download full: | https://arca.fiocruz.br/handle/icict/58961 |
Summary: | Inclui errata |
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Caldas, Aline Diniz RodriguesNobre, Aline AraújoBrickley, ElizabethAlexander, NealWerneck, Guilherme LoureiroFarias, Yasmin NascimentoFerrão, Carla Tatiana Garcia BarretoTavares, Felipe GuimarãesPantoja, Lídia de NazaréDuarte, Márcia Cristina da LuzCardoso, Andrey Moreira2023-06-06T23:50:32Z2023-06-06T23:50:32Z2023CALDAS, Aline Diniz Rodrigues et al. How, what, and why: housing, water & sanitation and wealth patterns in a cross-sectional study of the Guarani Birth Cohort, the first Indigenous birth cohort in Brazil. Lancet Regional Health. Americas, v. 21, p. 1-16, May 2023.2667-193Xhttps://arca.fiocruz.br/handle/icict/5896110.1016/j.lana.2023.1004962667-193XInclui errataNational Council for Scientific and Technological Development, Brazil (CNPq); Oswaldo Cruz Foundation, Brazil (Fiocruz); Research Foundation of the State of Rio de Janeiro, Brazil (FAPERJ).Oswaldo Cruz Foundation. National School of Public Health Sergio Arouca. Rio de Janeiro, RJ, Brazil.Oswaldo Cruz Foundation. Presidency. Scientific Computing Program. Rio de Janeiro, RJ, Brazil.Department of Infectious Disease Epidemiology. Faculty of Epidemiology and Population Health. London School of Hygiene and Tropical Medicine. London, UK.Federal University of Rio de Janeiro. Institute of Studies in Public Health. Rio de Janeiro, RJ, Brazil.Federal University of Rio de Janeiro. Institute of Studies in Public Health. Rio de Janeiro, RJ, Brazil.Estácio de Sá University. Institute of Medical Education. Rio de Janeiro, RJ, Brazil.State University of Rio de Janeiro. Piquet Carneiro Polyclinic. Rio de Janeiro, RJ, Brazil.Fluminense Federal University. Institute of Collective Health. Department of Epidemiology and Biostatistics. Niterói, RJ, Brazil.Health Surveillance Coordination. Municipal Health Foundation. Niterói, RJ, Brazil.Federal University of Rio de Janeiro. Institute of Biology. Rio de Janeiro, RJ, Brazil.Oswaldo Cruz Foundation. National School of Public Health Sergio Arouca. Rio de Janeiro, RJ, Brazil.Background: Despite the importance of social determinants of health, studies on the effects of socioeconomic, sanitary, and housing conditions on Indigenous child health are scarce worldwide. This study aims to identify patterns in housing, water & sanitation, and wealth (HSW) in the first Indigenous birth cohort in Brazil-The Guarani Birth Cohort. Methods: Cross-sectional study using baseline data from The Guarani Birth Cohort. We used Multiple Correspondence Analysis and Cluster Analysis. The clusters identified were ordered in increasing degrees of access to public policies and wealth, defining the patterns of HSW. Finally, we explored the association between the patterns and one of the health outcomes, hospitalization, in the birth cohort. Findings: Three patterns were identified for housing and water & sanitation, and four for wealth status, resulting in 36 combinations of patterns (3 × 3 × 4). More than 62% of children in the cohort were found with the lowest wealth patterns. The distribution of children across patterns in one dimension was not fully determined by the other two dimensions. Statistically significant associations were found between precarious households and extreme poverty, and hospitalization. Interpretation: We observed substantial heterogeneity in the distribution of children across the 36 combinations. These findings highlight that, should the dimensions of HSW be associated with health outcomes, as seen for hospitalization, they should be considered separately in multivariable models, in order to improve the estimation of their independent effects.engElsevierHow, what, and why: housing, water & sanitation and wealth patterns in a cross-sectional study of the Guarani Birth Cohort, the first Indigenous birth cohort in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleBrazilChildHealth indicatorsHealth status disparitiesHousing; Indigenous peoplesMultivariate analysisPopulation groupsSanitationSocial determinants of health01 Erradicação da pobreza10 Redução das desigualdades11 Cidades e comunidades sustentáveisinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://arca.fiocruz.br/bitstreams/afacfe68-4264-4373-9430-2c407c50eb36/download5a560609d32a3863062d77ff32785d58MD51falseAnonymousREADORIGINALve_Aline_Caldas_etal_ENSP_PROCC_2023.pdfve_Aline_Caldas_etal_ENSP_PROCC_2023.pdfapplication/pdf1742420https://arca.fiocruz.br/bitstreams/04b3920a-dc4d-4d08-b8c2-d29e5f008a70/download2e4aaf740b052ed33c55c0917dd9e583MD52trueAnonymousREADCORRIGENDUM_ve_Aline_Caldas_etal_ENSP_PROCC_2023.pdfCORRIGENDUM_ve_Aline_Caldas_etal_ENSP_PROCC_2023.pdfapplication/pdf88187https://arca.fiocruz.br/bitstreams/6e7934db-5074-4da4-967c-1ad5d1155c66/download3e7f4e807d5c04d57115425454ffb62aMD53falseAnonymousREADTEXTve_Aline_Caldas_etal_ENSP_PROCC_2023.pdf.txtve_Aline_Caldas_etal_ENSP_PROCC_2023.pdf.txtExtracted texttext/plain72405https://arca.fiocruz.br/bitstreams/c9630607-d634-4fbb-a414-32b7a395d408/downloadac24f7d3d7b866ecec032d9d523a1804MD516falseAnonymousREADCORRIGENDUM_ve_Aline_Caldas_etal_ENSP_PROCC_2023.pdf.txtCORRIGENDUM_ve_Aline_Caldas_etal_ENSP_PROCC_2023.pdf.txtExtracted texttext/plain3773https://arca.fiocruz.br/bitstreams/ffaf19b4-38a3-4260-9e16-7af9ac4f5193/download61db97ab2037f46fceb5664ff3126efeMD518falseAnonymousREADTHUMBNAILve_Aline_Caldas_etal_ENSP_PROCC_2023.pdf.jpgve_Aline_Caldas_etal_ENSP_PROCC_2023.pdf.jpgGenerated Thumbnailimage/jpeg6153https://arca.fiocruz.br/bitstreams/cb4a6c66-12b2-46ae-b7c0-1c86aa0bbd86/downloada26e2d4faea68911970b8a6a56df5d50MD517falseAnonymousREADCORRIGENDUM_ve_Aline_Caldas_etal_ENSP_PROCC_2023.pdf.jpgCORRIGENDUM_ve_Aline_Caldas_etal_ENSP_PROCC_2023.pdf.jpgGenerated Thumbnailimage/jpeg4662https://arca.fiocruz.br/bitstreams/a64a815c-3ede-42e8-8657-d39a7ae411d1/download9939e8defaafcb9f83bb016658e22cb4MD519falseAnonymousREADicict/589612025-07-29 23:30:05.102open.accessoai:arca.fiocruz.br:icict/58961https://arca.fiocruz.brRepositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352025-07-30T02:30:05Repositório Institucional da FIOCRUZ (ARCA) - 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| dc.title.none.fl_str_mv |
How, what, and why: housing, water & sanitation and wealth patterns in a cross-sectional study of the Guarani Birth Cohort, the first Indigenous birth cohort in Brazil |
| title |
How, what, and why: housing, water & sanitation and wealth patterns in a cross-sectional study of the Guarani Birth Cohort, the first Indigenous birth cohort in Brazil |
| spellingShingle |
How, what, and why: housing, water & sanitation and wealth patterns in a cross-sectional study of the Guarani Birth Cohort, the first Indigenous birth cohort in Brazil Caldas, Aline Diniz Rodrigues Brazil Child Health indicators Health status disparities Housing; Indigenous peoples Multivariate analysis Population groups Sanitation Social determinants of health 01 Erradicação da pobreza 10 Redução das desigualdades 11 Cidades e comunidades sustentáveis |
| title_short |
How, what, and why: housing, water & sanitation and wealth patterns in a cross-sectional study of the Guarani Birth Cohort, the first Indigenous birth cohort in Brazil |
| title_full |
How, what, and why: housing, water & sanitation and wealth patterns in a cross-sectional study of the Guarani Birth Cohort, the first Indigenous birth cohort in Brazil |
| title_fullStr |
How, what, and why: housing, water & sanitation and wealth patterns in a cross-sectional study of the Guarani Birth Cohort, the first Indigenous birth cohort in Brazil |
| title_full_unstemmed |
How, what, and why: housing, water & sanitation and wealth patterns in a cross-sectional study of the Guarani Birth Cohort, the first Indigenous birth cohort in Brazil |
| title_sort |
How, what, and why: housing, water & sanitation and wealth patterns in a cross-sectional study of the Guarani Birth Cohort, the first Indigenous birth cohort in Brazil |
| author |
Caldas, Aline Diniz Rodrigues |
| author_facet |
Caldas, Aline Diniz Rodrigues Nobre, Aline Araújo Brickley, Elizabeth Alexander, Neal Werneck, Guilherme Loureiro Farias, Yasmin Nascimento Ferrão, Carla Tatiana Garcia Barreto Tavares, Felipe Guimarães Pantoja, Lídia de Nazaré Duarte, Márcia Cristina da Luz Cardoso, Andrey Moreira |
| author_role |
author |
| author2 |
Nobre, Aline Araújo Brickley, Elizabeth Alexander, Neal Werneck, Guilherme Loureiro Farias, Yasmin Nascimento Ferrão, Carla Tatiana Garcia Barreto Tavares, Felipe Guimarães Pantoja, Lídia de Nazaré Duarte, Márcia Cristina da Luz Cardoso, Andrey Moreira |
| author2_role |
author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Caldas, Aline Diniz Rodrigues Nobre, Aline Araújo Brickley, Elizabeth Alexander, Neal Werneck, Guilherme Loureiro Farias, Yasmin Nascimento Ferrão, Carla Tatiana Garcia Barreto Tavares, Felipe Guimarães Pantoja, Lídia de Nazaré Duarte, Márcia Cristina da Luz Cardoso, Andrey Moreira |
| dc.subject.en.none.fl_str_mv |
Brazil Child Health indicators Health status disparities Housing; Indigenous peoples Multivariate analysis Population groups Sanitation Social determinants of health |
| topic |
Brazil Child Health indicators Health status disparities Housing; Indigenous peoples Multivariate analysis Population groups Sanitation Social determinants of health 01 Erradicação da pobreza 10 Redução das desigualdades 11 Cidades e comunidades sustentáveis |
| dc.subject.ods.none.fl_str_mv |
01 Erradicação da pobreza 10 Redução das desigualdades 11 Cidades e comunidades sustentáveis |
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Inclui errata |
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2023 |
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2023-06-06T23:50:32Z |
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2023-06-06T23:50:32Z |
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2023 |
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CALDAS, Aline Diniz Rodrigues et al. How, what, and why: housing, water & sanitation and wealth patterns in a cross-sectional study of the Guarani Birth Cohort, the first Indigenous birth cohort in Brazil. Lancet Regional Health. Americas, v. 21, p. 1-16, May 2023. |
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https://arca.fiocruz.br/handle/icict/58961 |
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2667-193X |
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10.1016/j.lana.2023.100496 |
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2667-193X |
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CALDAS, Aline Diniz Rodrigues et al. How, what, and why: housing, water & sanitation and wealth patterns in a cross-sectional study of the Guarani Birth Cohort, the first Indigenous birth cohort in Brazil. Lancet Regional Health. Americas, v. 21, p. 1-16, May 2023. 2667-193X 10.1016/j.lana.2023.100496 |
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