Carlos E. A. Coimbra Jr

Carlos E. A. Coimbra Jr
Fundação Oswaldo Cruz | FIOCRUZ · Sergio Arouca National School of Public Health (ENSP)

Ph.D.

About

257
Publications
28,157
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Introduction
Carlos E. A. Coimbra Jr., Ph.D. is professor of medical anthropology and public health at the National School of Public Health, Oswaldo Cruz Foundation (FIOCRUZ), in Rio de Janeiro. For over twenty years, his research has documented major and emergent health issues faced by indigenous peoples in Brazil. He has published over 150 papers and chapters, mostly in international journals in the fields of public health, anthropology, and human ecology, and served on the boards of numerous journals.
Additional affiliations
January 1996 - January 2022
Fundação Oswaldo Cruz
Position
  • Senior Researcher
March 1983 - June 1985
Rondonia State Health Secretariat
Position
  • Researcher
Description
  • Co-Coordinator of the Diagnostic of the Health Conditions in Rondônia, financed by the World Bank
January 1983 - July 1998
Universidade Federal de Rondônia
Position
  • Adjunct professor (Professor Colaborador)
Description
  • Tought undergraduate classes in Social Sciences and Health
Education
July 1995 - August 1999
Indiana University Bloomington
Field of study
  • Anthropology

Publications

Publications (257)
Article
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Following boom-and-bust economic cycles provoked by Brazilian governmental attempts to integrate Indigenous peoples into national society, it is approximately since the beginning of the 2000s that Brazilian Indigenous peoples came to be viewed officially as "poor" and victims of "hunger." Consequently, the national indigenist agency and other State...
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Scientific research that purports to evaluate Indigenous fire regimes in the absence of ethnographically contextualized ecological data runs the risk of exacerbating the fire blame game and providing evidence to support distorted narratives advanced by anti-Indigenous advocates. Spatial analysis of fire scars in Indigenous territories can be an eff...
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Our objective is to critically review the literature addressing the strategic role of nurses in the daily primary care of arterial hypertension in Indigenous communities in Brazil. We selected studies based on an initial keyword search of major bibliographic indexing databases for the years 2000 to 2020 and manual search. Further selection was base...
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Research in several Latin American countries points to violence, loss of traditional territories, and seeking education, health, and wage labor as key variables in triggering rural–urban migration among Indigenous people. This study presents an analysis of the migration patterns of Indigenous people in Brazil, compared to non-indigenous people, bas...
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Birth weight is an important predictor of perinatal, infant, and preschool-age children morbimortality. However, information about indigenous children’s birth weight is still scarce. This study aimed to analyze the birth weight of indigenous children based on data from the First National Survey of Indigenous People’s Health and Nutrition, Brazil (2...
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The objective of the present study was to characterize the food profiles in Indigenous households participating in the First National Survey of Indigenous People’s Health and Nutrition in Brazil. Multiple correspondence analysis was used to estimate distances between regions and foods from three sources (local Indigenous production, purchased, and...
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Indigenous and traditional peoples worldwide ignite vegetation to promote resource availability, diversity, and resilience. Their burning traditions are indispensable for sustenance, territorial management, and cultural expression. In some countries, Indigenous peoples are key partners in developing fire policies and interventions. The Brazilian fe...
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Resumo Estima-se que no Brasil existam cerca de 900 mil indígenas (0,4% da popula-ção do país) pertencentes a mais de 300 etnias diferentes. Porém, informações sobre a epidemiologia do câncer e sobre os medicamentos antineoplásicos uti-lizados no tratamento desses indivíduos são escassas. Os objetivos do presente estudo são identificar os medicamen...
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Queremos aqui tecer alguns comentários sobre um artigo recém-publicado em PLoS One por Leal et al. 3 que, nos parece, é particularmente ilustrativo de uma ênfase que, equivocadamente, secundariza a perspectiva dos determinantes sociais no campo da saúde nos povos indígenas. É um estudo específico sobre fatores de risco para tuberculose, mas que pod...
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In the region that is today Brazil, presence of pineapple in the food of Indigenous peoples was noted early by the Portuguese and other European explorers, who described the presence of the plant in Indigenous gardens and around villages along the Atlantic coast and in the interior. The objective of this paper is to contribute to the ethnobotany an...
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Objective This article assesses the nutritional status of Indigenous women from 14 to 49 years of age in Brazil. Design Sample size was calculated for each region considering a prevalence of 50 % for all disease outcomes, a relative error of 5 % and a CI of 95 %. In the initial data analysis, the prevalence of excess weight and obesity was calcula...
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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 smo...
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Objective: The Xavante Longitudinal Health Study was developed to permit granular tracking of contemporary health challenges faced by indigenous communities in Brazil, taking into consideration ongoing historical processes that may be associated with increases in child undernutrition, adult obesity, and cardiovascular disease risks. Methods: Thi...
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Resumo: Este estudo avalia a atenção pré-natal de mulheres indígenas com idades entre 14-49 anos, com filhos menores de 60 meses no Brasil. O Primeiro Inquérito Nacional de Saúde e Nutrição dos Povos Indígenas avaliou 3.967 mulheres que atendiam a tais requisitos, sendo 41,3% da Região Norte; 21,2% do Centro-oeste; 22,2% do Nordeste; e 15% do Sul/S...
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Resumo: Os poucos estudos que abordam o tema de saúde e nutrição em indígenas da macrorregião Nordeste do Brasil sinalizaram situações diferenciadas em alguns aspectos, quando comparados principalmente à realidade de indígenas do Norte e Centro-oeste. Este trabalho objetivou estimar a magnitude das prevalências e risco de sobrepeso e excesso de pes...
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This community study evaluates complex interactions between macro and micro determinants of oral health in a local Indigenous population based on a theoretical framework of demographic, economic, and healthcare transformation over the last half century. The study population included all residents of eight Xavante villages in Central Brazil. Our hyp...
Data
Interview questions utilized in statistical analyses, presented in Portuguese (original language) and translated into English. (PDF)
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Objetivo: Avaliar a prevalência de anemia, os níveis médios de hemoglobina e os principais fatores nutricionais, demográficos e socioeconômicos associados em crianças Xavante, em Mato Grosso, Brasil. Métodos: Realizou-se inquérito em duas comunidades indígenas Xavante na Terra Indígena Pimentel Barbosa visando avaliar todas as crianças com menos d...
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Background Among numerous factors linked to nutrition transition globally, physical inactivity has been identified as a key triggering factor. At present, little is known about physical activity patterns among the Indigenous population in Brazil, which exhibits higher prevalence rates of excess weight than the non-Indigenous population. The present...
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Background: The nutritional profile of Indigenous children in Brazil is comparable to those observed in some of the least developed regions of the world. Aim: Weight and height growth curves were characterised based on longitudinal data from a local Indigenous population experiencing the double burden of child undernutrition and adult obesity....
Article
Background: International studies of the health of Indigenous and tribal peoples provide important public health insights. Reliable data are required for the development of policy and health services. Previous studies document poorer outcomes for Indigenous peoples compared with benchmark populations, but have been restricted in their coverage of...
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Anemia is recognized as a major public health problem that disproportionately affects vulnerable populations. Indigenous women of reproductive age in Brazil are thought to be at high risk, but lack of nationwide data limits knowledge about the burden of disease and its main determinants. This study aimed to assess the prevalence of anemia and assoc...
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Background: Globally, diarrhea is the second leading cause of death among children under five. In Brazil, mortality due to diarrhea underwent a significant reduction in recent decades principally due to expansion of the primary healthcare network, use of oral rehydration therapy, reduced child undernutrition, and improved access to safe drinking w...
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Este estudo transversal visa a descrever a distribuição de excesso de peso e obesidade e sua associação com variáveis demográficas e socioeconômicas entre 794 adultos indígenas, de 19 a 59 anos, da etnia Xukuru do Ororubá, povo indígena cujas terras estão localizadas no Município de Pesqueira, agreste de Pernambuco, Brasil. A análise da associação...
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Based on data from a nationally representative sample of indigenous villages in Brazilian indigenous reserves, the study sought to estimate the prevalence of pneumonia and evaluate associated factors among indigenous children under 5 years of age. Sociodemographic, clinical and reported data on child respiratory health from the First National Surve...
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To analyze hospital morbidity records due to paracoccidioidomycosis in Brazil, including its nationwide distribution in time and space, as well as key epidemiological and sociodemographic characteristics. Descriptive analysis of hospital morbidity records due to paracoccidioidomycosis covering the period January 1998 to December 2006. Hospital reco...
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The current configuration of indigenous peoples' health in Brazil results from a complex historical trajectory, responsible for major delays for this population segment in the countrywide social advances seen in recent decades, particularly in the fields of health, education, housing, and sanitation. The main focus of this contribution is to review...
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This article reports the results of a nutritional survey among Guarani indigenous children < 5 years of age in the States of Rio de Janeiro and São Paulo, Brazil. Prevalence rates for malnutrition according to various anthropometric indices were 50.4% (low stature-for-age), 7.9% (low weight-for-age), and 0.8% (low weight-for-stature). Prevalence of...
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International efforts to address climate change by reducing tropical deforestation increasingly rely on indigenous reserves as conservation units and indigenous peoples as strategic partners. Considered win-win situations where global conservation measures also contribute to cultural preservation, such alliances also frame indigenous peoples in div...
Chapter
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This chapter discusses some of the most recent studies that have been conducted among the indigenous Xavante people in Central Brazil by members of the research group Health, Epidemiology and Anthropology of Indigenous Peoples, coordinated by Ricardo Ventura Santos and Carlos E. A. Coimbra Jr., from the Oswaldo Cruz Foundation, Rio de Janeiro. Memb...
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This work addresses the context of the creation, as well as the structure and contents, of the Museum of Genetics (Museu da Genética), created in 2011 and located in the Department of Genetics of the Federal University of Rio Grande do Sul (Universidade Federal do Rio Grande do Sul), in Porto Alegre, Brazil. The materials available at the Museum of...
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Background Anemia is the most prevalent nutritional deficiency globally, affecting about a quarter of the world population. In Brazil, about one-fifth of children under five years of age are anemic. Previous case studies indicate prevalence rates much higher among indigenous peoples in the country. The First National Survey of Indigenous People’s H...
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Indigenous peoples in Brazil are experiencing rapid epidemiologic and nutritional transition, with non-communicable diseases such as hypertension emerging in their health profile. A cross-sectional study was conducted in 9 Suruí Indian villages (n-251 subjects) in Rondônia, Brazilian Amazon, in 2005, in order to assess blood pressure levels in adul...
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Introduction The prevalence of undernutrition, which is closely associated with socioeconomic and sanitation conditions, is often higher among indigenous than non-indigenous children in many countries. In Brazil, in spite of overall reductions in the prevalence of undernutrition in recent decades, the nutritional situation of indigenous children re...
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Objective: To assess risk factors associated with hospital admission due to acute lower respiratory tract infection (ALRTI) in indigenous Guarani children <5 years of age in southern Brazil. Methods: Population-based matched case-control study from May 2007 to June 2008 in 81 Guarani villages. Cases were defined as hospital admissions due to con...
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Background Although case studies indicate that indigenous peoples in Brazil often suffer from higher morbidity and mortality rates than the national population, they were not included systematically in any previous national health survey. Reported here for the first time, the First National Survey of Indigenous People’s Health and Nutrition in Braz...
Book
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O território recentemente identificada pela Fundação Nacional do Índio como Terra Indígena Wedezé, situado na porção leste do Rio das Mortes, Mato Grosso, figura de maneira proeminente nas vidas, memórias e identidades do povo indígena Xavante, autodenominado A’uwẽ. Nesse livro nos debruçamos sobre evidências históricas, demográficas (incluindo ind...
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The use of a Lusura sp. (Lepidoptera: Notodontidae) caterpillar as food by the Suruí Indians from the southwestern Brazilian Amazon is reported in the context of family collecting excursions during arboreal infestations observed in July-August 1983. This caterpillar erupts in very large numbers on Brazil nut trees, denuding them of foliage. The pap...
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The aim of this study was to characterize the nutritional status of Xavante Indian children less than 10 years of age in Central Brazil and to evaluate the hypothesis of an association between child nutrition and socioeconomic differentiation in this population. A cross-sectional study was conducted in July 2006 that included all children under the...
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This study investigates the demographic and health behavior of the Xavante Indians of Mato Grosso State, Central Brazil. Data covering the period 1999 to 2004 was collected using information from household censuses and vital statistics. In addition to standard demographic analyses, survival analysis was carried out. Results show a young age structu...
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OBJECTIVES: to investigate the prevalence of and factors associated with the occurrence of anemia in indigenous Surui women aged between 15 and 49 years. METHODS: a cross-sectional study was carried out based on the 2005 census of Sete de Setembro indigenous territory in the Brazilian State of Rondônia. Hemoglobin measurement (Hb) was carried out u...
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Worldwide, indigenous peoples display a high burden of disease, expressed by profound health inequalities in comparison to non-indigenous populations. This study describes mortal-ity patterns among the Guarani in Southern and Southeastern Brazil, with a focus on health inequalities. The Guarani population structure is indicative of high birth and d...
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The objective of this note is to present preliminary results of an ongoing study of Xavánte perspectives regarding tuberculosis (TB) and their implications for treatment and control. Interviews conducted at the Pimentel Barbosa Indigenous Reserve, Mato Grosso State, Brazil, revealed multiple explanatory models for the illness. The Xavánte emphasize...
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Worldwide, indigenous peoples display a high burden of disease, expressed by profound health inequalities in comparison to non-indigenous populations. This study describes mortality patterns among the Guarani in Southern and Southeastern Brazil, with a focus on health inequalities. The Guarani population structure is indicative of high birth and de...
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The average incidence coefficient of tuberculosis in Suruí Indians from Rondônia was 2.500/100.000 inhabitants in 1991-2002. About 50% of these cases were reported in children < 15 years-old. This study aimed to describe the clinical and radiological characteristics of children and adolescents identified as TB case contacts. A score system for the...
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OBJECTIVES: to analyze female fertility among Suruí Indian women in the Brazilian Amazon. METHODS: a total of 88 reproductive and birth histories were collected by means of household interviews carried out in two Suruí villages in 2004. RESULTS: the average age of menarche was 12 years-old; the average ages of first marriage and of the delivering t...
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Despite broad availability of a national tuberculosis (TB) control program that has proved effective in Brazil, TB remains a major cause of morbidity and mortality among indigenous peoples. We report the results of an interdisciplinary investigation of TB epidemiology, healthcare services, and ethnomedicine among the Xavante Indians of Central Braz...
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The overall demographic and health characteristics of indigenous peoples in Brazil are well-known. They are influenced by factors such as territorial restriction, introduction of diseases, changes in social and economic patterns, reduced access to health services, education, all related to patterns of interaction with the Brazilian society. In this...
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Studies on hospital morbidity among Brazilian indigenous peoples are relatively recent, show limited coverage, and lack data sources capable of generating specific indicators according to ethnic group. The current study describes hospital morbidity in the indigenous population living in 83 Guarani villages in Southern and Southeastern Brazil (N=6,4...
Article
Full-text available
Studies on hospital morbidity among Brazilian indigenous peoples are relatively recent, show limited coverage, and lack data sources capable of generating specific indicators according to ethnic group. The current study describes hospital morbidity in the indigenous population living in 83 Guarani villages in Southern and Southeastern Brazil (N=6,4...