Health need assessment in an indigenous high-altitude population living on an island in Lake Titicaca, Perú.
| Title: | Health need assessment in an indigenous high-altitude population living on an island in Lake Titicaca, Perú. |
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| Authors: | Calderón M; London School of Hygiene and Tropical Medicine, London, UK. mariacalderon40@gmail.com.; Alvarado-Villacorta R; Universidad Peruana Cayetano Heredia, Lima, Peru.; Barrios M; Hospital Nacional Cayetano Heredia, Lima, Peru.; Quiroz-Robladillo D; Natural System and Life Care NGO, Lima, Peru.; Guzmán Naupay DR; Universidad Particular Inca Garcilaso de la Vega, Lima, Peru.; Obregon A; Hospital Nacional Cayetano Heredia, Lima, Peru.; Calderón Chávez S; Universidad Peruana Cayetano Heredia, Lima, Peru.; Glaser L; TARGET, Public Health England, London, UK.; Carnero AM; London School of Hygiene and Tropical Medicine, London, UK.; Cortez-Vergara C; Universidad Peruana Cayetano Heredia, Lima, Peru.; Iglesias Quilca D; GSK Vaccines, Lima, Peru.; Colque Gonzales J; Universidad Nacional de Ingenieria, Lima, Peru.; Moore D; London School of Hygiene and Tropical Medicine, London, UK. |
| Source: | International journal for equity in health [Int J Equity Health] 2019 Jun 18; Vol. 18 (1), pp. 94. Date of Electronic Publication: 2019 Jun 18. |
| Publication Type: | Journal Article; Research Support, Non-U.S. Gov't |
| Language: | English |
| Journal Info: | Publisher: BioMed Central Country of Publication: England NLM ID: 101147692 Publication Model: Electronic Cited Medium: Internet ISSN: 1475-9276 (Electronic) Linking ISSN: 14759276 NLM ISO Abbreviation: Int J Equity Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [London] : BioMed Central, 2002- |
| MeSH Terms: | Health Services Accessibility/*statistics & numerical data ; Needs Assessment/*statistics & numerical data ; Population Groups/*statistics & numerical data ; Rural Health Services/*organization & administration ; Rural Health Services/*statistics & numerical data; Peru/epidemiology ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Altitude ; Child ; Child, Preschool ; Cross-Sectional Studies ; Developing Countries ; Female ; Humans ; Infant ; Infant, Newborn ; Islands ; Lakes ; Male ; Middle Aged ; Prevalence ; Surveys and Questionnaires ; Young Adult |
| Abstract: | Background: Health needs and access to health care is a huge challenge in developing countries, especially in some isolated indigenous communities. Amantani is an island located at 3854 m above sea level in Lake Titicaca, Peru. There is no official date on key local health needs and determinants, which precludes the prioritization and efficient implementation of health interventions. The objective of this study is to validate a health need assessment tool and ascertain the main health needs of the indigenous high-altitude population living on Amantani.; Methods: We conducted a cross-sectional study to describe the health needs of the indigenous population of Amantani using a questionnaire based on the "Peruvian Demographic and Health Survey". The questionnaire underwent expert and field-work validation. We selected a random sample of the island residents using two-stage cluster sampling. We estimated the prevalence of key health needs and determinants, and evaluated their distribution by age, sex and education through prevalence ratio. All analyses accounted for the complex sampling design.; Results: We surveyed 337 individuals (223 adults and 144 children) in 151 houses. The most frequent health needs were: (i) lack of access to medical screening for a)non-communicable diseases (> 63.0%) and b)eye problems (76.5%); and (ii) poor knowledge about communicable diseases (> 54.3%), cancer (71.4%) and contraception (> 32.9%). Smoking and alcohol use was more frequent in males (PR = 4.70 IC95%:1.41-15.63 and PR = 1.69 95% CI:1.27-2.25, respectively). People with higher education had more knowledge about TB/HIV and cancer prevention (p |
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| Contributed Indexing: | Keywords: Amantani; Health need assessment; Indigenous; Peru |
| Entry Date(s): | Date Created: 20190620 Date Completed: 20191022 Latest Revision: 20200309 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC6582488 |
| DOI: | 10.1186/s12939-019-0993-3 |
| PMID: | 31215456 |
| Database: | MEDLINE |
Journal Article; Research Support, Non-U.S. Gov't