Objetivo: mapear as evidências disponíveis acerca da COVID-19 na população indígena. Método: revisão de escopo conforme Scoping reviews e Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR), orientada pelo Joanna Briggs Institute. As fontes de dados foram: MEDLINE/PubMed, Cochrane Library, Embase, Web of Science, SCOPUS, LILACS, ClinicalTrials.gov, WHO ICTRP, além de British Library, Google Scholar e Preprints, sem restrições de data ou idioma. Dois pesquisadores independentes realizaram a seleção, mapeamento e síntese dos dados, com auxílio do EndNote e Rayyan. Resultados: inicialmente foram identificados 2.224 estudos, resultando em uma amostra final de 47. Os países com mais publicações foram EUA, Brasil e México, com concentração em 2021 (42,6%). Observou-se maior número de óbitos entre indígenas do sexo masculino com mais de 60 anos. As comorbidades mais prevalentes foram doenças cardiovasculares, diabetes, hipertensão arterial e obesidade. Taxas de incidência e mortalidade foram maiores entre indígenas comparados a outras raças. Conclusão: a COVID-19 segue sendo uma ameaça à saúde indígena, sendo necessário intensificar a vacinação e adotar outras medidas preventivas para evitar surtos e mitigar os efeitos da doença, dada a maior vulnerabilidade dessa população.
Palavras-chave:
Revisão de Escopo; COVID-19; Indígenas.
Abstract:
Objective: map the available evidence about COVID-19 in the indigenous population. Methods: scoping review according to Scoping reviews and Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for PRISMA-ScR, guided by the Joanna Briggs Institute. Data sources were MEDLINE/PubMed, Cochrane Library, Embase, Web of Science, SCOPUS, LILACS, ClinicalTrials.gov, WHO ICTRP, British Library, Google Scholar and Preprints, without date or language restrictions. Two independent researchers performed data selection, mapping and synthesis, with the help of EndNote and Rayyan. Results: initially, 2,224 studies were identified, resulting in a final sample of 47. The countries with the most publications were the USA, Brazil and Mexico, with a concentration in 2021 (42.6%). A higher number of deaths was observed among indigenous men over 60 years of age. The prevalent comorbidities were cardiovascular diseases, diabetes, hypertension and obesity. Incidence and mortality rates were higher among indigenous people compared to other races. Conclusion: COVID-19 continues to be a threat to indigenous health, and it is necessary to intensify vaccination and adopt other preventive measures to avoid outbreaks and mitigate the effects of the disease, given the greater vulnerability of this population.
COVID-19 in the indigenous population: scoping review
Resumo (abstract):
Objective: map the available evidence about COVID-19 in the indigenous population. Methods: scoping review according to Scoping reviews and Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for PRISMA-ScR, guided by the Joanna Briggs Institute. Data sources were MEDLINE/PubMed, Cochrane Library, Embase, Web of Science, SCOPUS, LILACS, ClinicalTrials.gov, WHO ICTRP, British Library, Google Scholar and Preprints, without date or language restrictions. Two independent researchers performed data selection, mapping and synthesis, with the help of EndNote and Rayyan. Results: initially, 2,224 studies were identified, resulting in a final sample of 47. The countries with the most publications were the USA, Brazil and Mexico, with a concentration in 2021 (42.6%). A higher number of deaths was observed among indigenous men over 60 years of age. The prevalent comorbidities were cardiovascular diseases, diabetes, hypertension and obesity. Incidence and mortality rates were higher among indigenous people compared to other races. Conclusion: COVID-19 continues to be a threat to indigenous health, and it is necessary to intensify vaccination and adopt other preventive measures to avoid outbreaks and mitigate the effects of the disease, given the greater vulnerability of this population.
