Cover Image

Perceptions and factors associated with arterial hypertension in indigenous populations: an integrative review

Márcia Cristine Pires Travassos, Mitsi Silva Moisés, Noeli das Neves Toledo


Aim: To identify in the scientific productions of the national and international literature the perceptions and factors associated with hypertension in indigenous populations. Methods: Integrative literature review, carried out in the LILACS, PUBMED and Web of Science databases, in November and December 2017, with a 10-year time cut. Results: Ten articles were identified in accordance with the established criteria. Of these, six were published in Portuguese; and seven are cross-sectional studies. The prevalence of hypertension among the different ethnic groups ranged from 2.8% to 46.2% and the main risk factors associated with hypertension among natives were behavioral and socioeconomic. It was observed that the perception and belief about the onset of hypertension is related to the change in diet, access to industrialized foods and the difficulty of coping with the disease. Conclusion: Current trends related to blood pressure levels point to the need for comprehensive indigenous care in the health-disease process


População Indígena; Saúde da População indígena; Hipertensão; Fatores de Risco; Percepções


Coimbra Junior CEA, Santos RV, Welch JR, Cardoso AM, Souza MC, Garnelo L, Rassi E, Foller M, Horta BL. The First National Survey of Indigenous People’s Health and Nutrition in Brazil: rationale, methodology, and overview of results. BMC Public Health. [internet]. 2013 Jan 9 [Cited 2017 Nov 7]; 13(52):2-19. Available from: [included in the review]

Massimo EAL, Souza HNF, Freitas MIF. Chronic non-communicable diseases, risk and health promotion: social construction of Vigitel participants. Ciência & Saúde Coletiva (Online). [internet]. 2015 Mar [Cited 2017 Nov 12]; 20(3):679-688. Available from:

Rodrigues Kn, Santos NSS. The perception of xerente indigenous about systemic arterial hypertension, in Tocantins. J. res. fundam. Care (Online) [internet]. 2016 Apr/jun [Cite 2017 Dec 7]; 8(2):4549-4562. Available from: [incluída na revisão]

Tavares FG, Coimbra Junior CEA, Cardoso AM. Níveis tensionais de adultos indígenas Suruí, Rondônia, Brasil. Ciência & Saúde Coletiva (Online) [internet].2013 [Cited 2017 Dec 7]; 18(5):1399-1409. Available from: [included in the review]

Souza Filho ZA, Ferreira AA, Santos B, Pierin AMG. Hypertension prevalence among indigenous populations in Brazil: a systematic review with meta-analysis. Rev Esc Enferm USP (Online) [internet]. 2015 [Cited 2017 Dec 8]; 49(6):1016-1026. Available from:

Bresan D, Basto JL, Leite MS. Epidemiology of high blood pressure among the Kaingang people on the Xapecó Indigenous Land in Santa Catarina State, Brazil, 2013. Cad. Saúde Pública (Online) [internet]. 2015 [Cited 2017 Dec 7]; 31(2):1-14. Available from: [included in the review]

Gimeno SGA, Rodrigues D, Pagliaro H, Lima EES, Baruzzi RG. Perfil metabólico e antropométrico de índios Aruák: Mehináku, Waurá e Yawalapití, Alto Xingu, Brasil Central, 2000/2002.Cad. Saúde Pública (Online) [internet]. 2007 Aug [Cited 2017 Nov 7]; 23(8). Available from: [included in the review]

Ribas DLB, Concone MHVB, Pícoli RP. Diseases and therapeutic practices among the Teréna in Mato Grosso do Sul, Brazil. Saúde Soc. São Paulo (Online) [internet]. 2016 [Cited 2017 Dec 10]; 25(1):160-170. Available from: [included in the review]

Sena AJ, Gugick JFB, Radovanovic CAT, Barreto MS. Blood Pressure Elevation in Patients Assisted in an Emergency Unit: cross-sectional study. Online braz j nurs [internet] 2014 Sep [cited year month day]; 13(4):568-78. Available from: http://www.

Sociedade Brasileira de Hipertensão (SBH).7ª Diretriz Brasileira de Hipertensão Arterial. Revista de Hipertensão. [internet]. 2016 [Cited 2017 Dec 8]; Oct-Nov;19(4).

Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & contexto enferm (Online) [internet] 2008. [Cited 2017 Dec 10]; 17(4):758-64. Available from:

Galvão TF, Pereira MG. Revisões sistemáticas da literatura: passos para sua elaboração. Epidemiol. Serv. Saúde (Online) [internet]. 2014 Jan [Cited 2017 2Dec 10]; Brasília, 23(1):183-184. Available from:

Burns PB, Rohrich RJ, Chung KC. The Levels of Evidence and their role in Evidence-Based Medicine. Plast Reconstr Surg (Online) [internet]. 2011 July [Cited 2017 Nov 29]; 128(1):305–310. Available from:

Almeida JB, Kian KO, Lima RC, Souza MCC. Total and Abdominal Adiposity and Hypertension in Indigenous Women in Midwest Brazil. PLoS One (Online) [internet]. 2016 Jun 2016[Cited 2017 Nov 27];11(6).

Available from: [included in the review]

Mazzucchetti L, Galvão PPO, Tsutsui MLS, Santos KM, Rodrigues DA, Mendonça SB, Gimeno SGA. Incidence of metabolic syndrome and related diseases in the Khisêdjê indigenous people of the Xingu, Central Brazil, from 1999-2000 to 2010-2011. Cad. Saúde Pública (Online) [internet]. 2014 Nov [Cited 2017 Dec 7] 30(11). Available from: [included in the review]

Oliveira GF, Oliveira TRR, Ikejiri AT, Andraus MP, Galvão TF, Silva MT, Pereira M. Prevalence of hypertension and associated factors in an indigenous community of central Brazil: a population-based study. PLoS One (Online) [internet]. 2014 Jan [Cited 2017 Dec 7];9(1). Available from: [included in the review]

Gimeno SGA, Rodrigues D, Canó EM, Lima EES, Schaper M, Pagliaro H, Lafer MM, Baruzzi RG. Cardiovascular risk factors among Brazilian Karib indigenous peoples: Upper Xingu, Central Brazil, 2000-3. J Epidemiol Community Health (Online) [internet]. 2009 apr [Cited 2017 Dec 2]; 63(4):299-304. Available from: [included in the review]

Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Vigitel Brasil 2016: Hábitos dos brasileiros impactam no crescimento da obesidade e aumentam prevalência de diabetes e hipertensão [internet]. 2016. Available from:

Soares LP, Fabro ALD, Silva AS, Sartorelli DS, Franco LF, Kuhn PC, Moises RS, Vieira-Filho JPB, Franco LJ. Prevalence of metabolic syndrome in the Brazilian Xavante indigenous population. Diabetol Metab Syndr. [internet]. 2015 [Cited 2017 Dec 2]; 7: 105. Available from:

Galvão, RRS, Soares DA. Prevalência de hipertensão arterial e fatores associados em adultos: uma revisão na literatura brasileira. Rev. Aps (Online) [internet]. 2016 jan/mar [Cited 2017 Apr 7]; 19(1): 139 - 149. Available from:



The articles published in Online Brazilian Journal of Nursing are indexed, classified, linked, or summarized by:


Affiliated to:

Sources of Support:

 Visit us:



The OBJN is linked also to the main Universities Libraries around the world.

Online Brazilian Journal of Nursing. ISSN: 1676-4285

Creative Commons License
This work is licensed under a Creative Commons:Noncommercial-No Derivative Works License.