{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:02:15Z","timestamp":1787068935202,"version":"build-2736575974"},"reference-count":59,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T00:00:00Z","timestamp":1648598400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","award":["301869\/2017-0"],"award-info":[{"award-number":["301869\/2017-0"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","award":["442522\/2019-3"],"award-info":[{"award-number":["442522\/2019-3"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017425","name":"Pr\u00f3-Reitoria de Pesquisa e P\u00f3s-Gradua\u00e7\u00e3o, Universidade Federal do Par\u00e1","doi-asserted-by":"publisher","award":["PAPQ\/2022"],"award-info":[{"award-number":["PAPQ\/2022"]}],"id":[{"id":"10.13039\/100017425","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>Human T-lymphotropic viruses 1 and 2 (HTLV-1 and HTLV-2) are retroviruses that originated on the African continent and dispersed throughout other continents through human migratory flows. This study describes the prevalence of HTLV-1 and HTLV-2 infection in residents of 11 quilombo remnant communities in the state of Par\u00e1, Brazil, and the associated risk factors. A total of 859 individuals (334 men and 525 women), aged between 7 and 91 years, participated in the study. All subjects answered a questionnaire with questions on sociodemographic characteristics and on risk factors associated with HTLV infection, and blood samples were collected and separated into plasma and leukocytes. An immunoenzymatic assay (ELISA; Murex HTLV-I+II, DiaSorin, Dartford, UK) was used as a screening test, and positive samples were subjected to line immunoassay confirmatory tests (Inno-LIA HTLV I\/II Score FUJIREBIO) and DNA extraction for subsequent real-time PCR to differentiate the viral type. Four of the 859 individuals were seropositive for HTLV. HTLV-1 infection was confirmed in one individual from the Itamoari community (0.92%), and HTLV-2 infection was confirmed in two individuals from S\u00e3o Benedito (3.17%) and in one individual from Arimandeua (2.22%). Blood transfusion was the only risk factor associated with HTLV infection in this study. This study reports the occurrence of HTLV-1 and HTLV-2 in quilombo remnant communities in the state of Par\u00e1. Considering the African origin of the virus and its introduction into Brazil from the slave trade, the continued evaluation of quilombola communities in the state of Par\u00e1 is essential to better characterize the distribution of infections in these populations and to create public health policies for the control of the spread of the virus and associated diseases.<\/jats:p>","DOI":"10.3389\/fpubh.2022.871865","type":"journal-article","created":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T09:49:55Z","timestamp":1648633795000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":12,"title":["Prevalence and Risk Factors for HTLV-1\/2 Infection in Quilombo Remnant Communities Living in the Brazilian Amazon"],"prefix":"10.3389","volume":"10","author":[{"given":"Wandrey Roberto dos Santos","family":"Brito","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greice de Lemos","family":"Cardoso-Costa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lourival Marques","family":"Roland Junior","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keise Adrielle Santos","family":"Pereira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe Teixeira","family":"Lopes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernardo Cintra dos","family":"Santos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aline Cecy Rocha","family":"de Lima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella Nogueira","family":"Abreu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos Neandro Cordeiro","family":"Lima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra Souza","family":"Lima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Izaura M. Vieira","family":"Cayres Vallinoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo Jos\u00e9 Melo dos","family":"Santos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o Farias","family":"Guerreiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Carlos Ros\u00e1rio","family":"Vallinoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,3,30]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"7415","DOI":"10.1073\/pnas.77.12.7415","article-title":"Detection and isolation of type C retrovirus particles from fresh and cultured lymphocytes of a patient with cutaneous T-cell lymphoma","volume":"77","author":"Poiesz","year":"1980","journal-title":"Proc Natl Acad Sci U S A."},{"key":"B2","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1126\/science.6981847","article-title":"A new subtype of human T-cell leukemia virus (HTLV-II) associated with a T-cell variant of hairy cell leukemia","volume":"218","author":"Kalyanaraman","year":"1982","journal-title":"Science."},{"key":"B3","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1084\/jem.176.1.293","article-title":"In vivo cellular tropism of human T cell leukemia virus type II (HTLV-II)","volume":"176","author":"Ijichi","year":"1992","journal-title":"J Exp Med."},{"key":"B4","doi-asserted-by":"publisher","first-page":"5682","DOI":"10.1128\/jvi.64.11.5682-5687.1990","article-title":"In vivo cellular tropism of human T-cell leukemia virus type 1","volume":"64","author":"Richardson","year":"1990","journal-title":"J Virol."},{"key":"B5","unstructured":"Taxonomy History (ICTV): Primate T-Lymphotropic Virus 12019"},{"key":"B6","doi-asserted-by":"publisher","first-page":"2693","DOI":"10.1128\/jvi.68.4.2693-2707.1994","article-title":"Phylogenetic associations of human and simian T-cell leukemia\/lymphotropic virus type I strains: evidence for interspecies transmission","volume":"68","author":"Koralnik","year":"1994","journal-title":"J Virol."},{"key":"B7","doi-asserted-by":"publisher","first-page":"4041","DOI":"10.1073\/pnas.92.9.4041","article-title":"Isolation and molecular characterization of a human T-cell lymphotropic virus type II (HTLV-II), subtype B, from a healthy Pygmy living in a remote area of Cameroon: an ancient origin for HTLV-II in Africa","volume":"92","author":"Gessain","year":"1995","journal-title":"Proc Natl Acad Sci U S A."},{"key":"B8","doi-asserted-by":"publisher","first-page":"4327","DOI":"10.1128\/JVI.72.5.4327-4340.1998","article-title":"African origin of human T-lymphotropic virus type 2 (HTLV-2) supported by a potential new HTLV-2d subtype in Congolese Bambuti Efe Pygmies","volume":"72","author":"Vandamme","year":"1998","journal-title":"J Virol."},{"key":"B9","doi-asserted-by":"publisher","first-page":"2031","DOI":"10.1073\/pnas.79.6.2031","article-title":"Isolation and characterization of retrovirus from cell lines of human adult T-cell leukemia and its implication in the disease","volume":"79","author":"Yoshida","year":"1982","journal-title":"Proc Natl Acad Sci U S A."},{"key":"B10","doi-asserted-by":"publisher","first-page":"1031","DOI":"10.1016\/S0140-6736(86)91298-5","article-title":"HTLV-I associated myelopathy, a new clinical entity","volume":"1","author":"Osame","year":"1986","journal-title":"Lancet."},{"key":"B11","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1016\/0165-5728(89)90143-4","article-title":"Activated T lymphocytes in cerebrospinal fluid of patients with HTLV-I-associated myelopathy (HAM\/TSP)","volume":"25","author":"Ijichi","year":"1989","journal-title":"J Neuroimmunol."},{"key":"B12","doi-asserted-by":"publisher","first-page":"2159","DOI":"10.1007\/s10792-017-0659-3","article-title":"Turning a blind eye: HTLV-1-associated uveitis in Indigenous adults from Central Australia","volume":"38","author":"Chew","year":"2018","journal-title":"Int Ophthalmol."},{"key":"B13","doi-asserted-by":"publisher","first-page":"943","DOI":"10.1093\/infdis\/166.4.943","article-title":"Uveitis associated with human T lymphotropic virus type I: seroepidemiologic, clinical, and virologic studies","volume":"166","author":"Mochizuki","year":"1992","journal-title":"J Infect Dis."},{"key":"B14","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1016\/S0140-6736(89)90038-X","article-title":"Chronic inflammatory arthropathy associated with HTLV-I","volume":"1","author":"Nishioka","year":"1989","journal-title":"Lancet."},{"key":"B15","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1186\/s12977-020-00543-z","article-title":"Human T-cell leukaemia virus type 1 associated pulmonary disease: clinical and pathological features of an under-recognised complication of HTLV-1 infection","volume":"18","author":"Einsiedel","year":"2021","journal-title":"Retrovirology."},{"key":"B16","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1093\/cid\/cir766","article-title":"Bronchiectasis is associated with human T-lymphotropic virus 1 infection in an Indigenous Australian population","volume":"54","author":"Einsiedel","year":"2012","journal-title":"Clin Infect Dis."},{"key":"B17","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1016\/S1473-3099(19)30402-5","article-title":"Association between HTLV-1 infection and adverse health outcomes: a systematic review and meta-analysis of epidemiological studies","volume":"20","author":"Schierhout","year":"2020","journal-title":"Lancet Infect Dis."},{"key":"B18","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1590\/S0004-282X1995000500011","article-title":"HTLV-I associated uveitis, myelopathy, rheumatoid arthritis and Sj\u00f6gren's syndrome","volume":"53","author":"Pinheiro","year":"1995","journal-title":"Arq Neuropsiquiatr."},{"key":"B19","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1016\/S0140-6736(88)92744-4","article-title":"T-lymphocyte alveolitis, tropical spastic paresis, and Sj\u00f6gren syndrome","volume":"1","author":"Vernant","year":"1988","journal-title":"Lancet."},{"key":"B20","doi-asserted-by":"publisher","first-page":"645","DOI":"10.1016\/0140-6736(92)90797-7","article-title":"Chronic neurodegenerative disease associated with HTLV-II infection","volume":"339","author":"Hjelle","year":"1992","journal-title":"Lancet."},{"key":"B21","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1002\/ana.410330411","article-title":"Isolation of HTLV-II from a patient with chronic, progressive neurological disease clinically indistinguishable from HTLV-I-associated myelopathy\/tropical spastic paraparesis","volume":"33","author":"Jacobson","year":"1993","journal-title":"Ann Neurol."},{"key":"B22","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1590\/0037-8682-0232-2013","article-title":"Sexual transmission of human T-cell lymphotropic virus type 1","volume":"47","author":"Paiva","year":"2014","journal-title":"Rev Soc Bras Med Trop."},{"key":"B23","doi-asserted-by":"publisher","first-page":"555","DOI":"10.7326\/0003-4819-111-7-555","article-title":"Sexual transmission of human T-lymphotropic virus type I (HTLV-I)","volume":"111","author":"Murphy","year":"1989","journal-title":"Ann Intern Med."},{"key":"B24","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1159\/000466190","article-title":"A retrospective study on transmission of adult T cell leukemia virus by blood transfusion: seroconversion in recipients","volume":"46","author":"Okochi","year":"1984","journal-title":"Vox Sang."},{"key":"B25","doi-asserted-by":"publisher","first-page":"14750","DOI":"10.1038\/s41598-019-51383-7","article-title":"Human T-lymphotropic virus 1 and 2 among people who used illicit drugs in the state of Par\u00e1, northern Brazil","volume":"9","author":"Oliveira-Filho","year":"2019","journal-title":"Sci Rep."},{"key":"B26","first-page":"322","article-title":"Transmission of adult T-cell leukemia retrovirus (HTLV-I) from mother to child: comparison of bottle- with breast-fed babies","volume":"78","author":"Ando","year":"1987","journal-title":"Jpn J Cancer Res."},{"key":"B27","first-page":"37","article-title":"Mother-to-child transmission of human T-cell lymphotropic virus type I associated with prolonged breast-feeding","volume":"1","author":"Wiktor","year":"1997","journal-title":"J Hum Virol."},{"key":"B28","doi-asserted-by":"publisher","first-page":"388","DOI":"10.3389\/fmicb.2012.00388","article-title":"Epidemiological aspects and world distribution of HTLV-1 infection","volume":"3","author":"Gessain","year":"2012","journal-title":"Front Microbiol."},{"key":"B29","doi-asserted-by":"publisher","first-page":"305","DOI":"10.5694\/mja16.00285","article-title":"The prevalence and clinical associations of HTLV-1 infection in a remote Indigenous community","volume":"205","author":"Einsiedel","year":"2016","journal-title":"Med J Aust."},{"key":"B30","doi-asserted-by":"publisher","first-page":"1658","DOI":"10.1002\/jmv.25239","article-title":"Fine-scale geographic clustering pattern of human T-cell leukemia virus type 1 infection among blood donors in Kyushu-Okinawa, Japan","volume":"90","author":"Sagara","year":"2018","journal-title":"J Med Virol."},{"key":"B31","doi-asserted-by":"publisher","first-page":"1483","DOI":"10.1111\/trf.15838","article-title":"High prevalence of human T-cell leukemia virus type-1b genotype among blood donors in Gabon, Central Africa","volume":"60","author":"Ramassamy","year":"2020","journal-title":"Transfusion."},{"key":"B32","doi-asserted-by":"publisher","first-page":"1316","DOI":"10.1093\/infdis\/jir031","article-title":"HTLV-2B strains, similar to those found in several Amerindian tribes, are endemic in central African Bakola Pygmies","volume":"203","author":"Maucl\u00e8re","year":"2011","journal-title":"J Infect Dis."},{"key":"B33","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1097\/00042560-199611010-00011","article-title":"Highly endemic human T-lymphotropic virus type II (HTLV-II) infection in a Venezuelan Guahibo Amerindian group","volume":"13","author":"Leon-Ponte","year":"1996","journal-title":"J Acquir Immune Defic Syndr Hum Retrovirol."},{"key":"B34","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1159\/000026194","article-title":"HTLV-II riskfactors in Native Americans in Florida","volume":"18","author":"Lowis","year":"1999","journal-title":"Neuroepidemiology."},{"key":"B35","doi-asserted-by":"publisher","first-page":"633","DOI":"10.1353\/hub.2002.0059","article-title":"Molecular epidemiology of human T-lymphotropic virus type II infection in Amerindian and urban populations of the Amazon region of Brazil","volume":"74","author":"Vallinoto","year":"2002","journal-title":"Hum Biol."},{"key":"B36","doi-asserted-by":"publisher","first-page":"813","DOI":"10.1089\/aid.1995.11.813","article-title":"Identification of human T cell lymphotropic virus type IIa infection in the Kayapo, an indigenous population of Brazil","volume":"11","author":"Ishak","year":"1995","journal-title":"AIDS Res Hum Retroviruses."},{"key":"B37","doi-asserted-by":"publisher","first-page":"veaa053","DOI":"10.1093\/ve\/veaa053","article-title":"HTLV in South America: origins of a silent ancient human infection","volume":"6","author":"Ishak","year":"2020","journal-title":"Virus Evol."},{"key":"B38","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1016\/j.virep.2015.05.002","article-title":"The origin of HTLV-1 in southern Bahia by phylogenetic, mtDNA and \u03b2-globin analysis","volume":"5","author":"Aleluia","year":"2015","journal-title":"Virol Rep."},{"key":"B39","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1089\/aid.1996.12.635","article-title":"Endemicity and phylogeny of the human T cell lymphotropic virus type II subtype A from the Kayapo Indians of Brazil: evidence for limited regional dissemination","volume":"12","author":"Switzer","year":"1996","journal-title":"AIDS Res Hum Retroviruses."},{"key":"B40","year":"2020","journal-title":"Preval\u00eancia da Infec\u00e7\u00e3o por HTLV-1\/2no Brasil"},{"key":"B41","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1186\/s12879-019-4041-0","article-title":"High prevalence of human T-lymphotropic virus 2 (HTLV-2) infection in villages of the Xikrin tribe (Kayapo), Brazilian Amazon region","volume":"19","author":"Bra\u00e7o","year":"2019","journal-title":"BMC Infect Dis"},{"key":"B42","doi-asserted-by":"publisher","first-page":"926","DOI":"10.1590\/S0102-311X2005000300027","article-title":"Heterogeneous geographic distribution of human T-cell lymphotropic viruses I andII (HTLV-I\/II): serological screening prevalence rates in blood donorsfrom large urban areas in Brazil","volume":"21","author":"Catalan-Soares","year":"2005","journal-title":"Cad Saude Publica."},{"key":"B43","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1590\/S0074-02762006000100020","article-title":"Identification of human T-cell lymphotropic virus infection in a semi-isolated Afro-Brazilianquilombo located in the Maraj\u00f3 Island (Par\u00e1, Brazil)","volume":"101","author":"Vallinoto","year":"2006","journal-title":"Mem Inst Oswaldo Cruz."},{"key":"B44","doi-asserted-by":"publisher","first-page":"e180018","DOI":"10.1590\/1980-549720180018","article-title":"Moderate endemicity of the human T-lymphotropic virus infection in the metropolitan region of Bel\u00e9m, Par\u00e1, Brazil","volume":"21","author":"Silva","year":"2018","journal-title":"Rev Bras Epidemiol."},{"key":"B45","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1186\/s12884-018-1753-x","article-title":"Seroprevalence of HIV, HTLV, CMV, HBV and rubella virus infections in pregnant adolescents who received care in the city of Bel\u00e9m, Par\u00e1, Northern Brazil","volume":"18","author":"Guerra","year":"2018","journal-title":"BMC Pregnan Childbirth."},{"key":"B46","doi-asserted-by":"publisher","first-page":"103","DOI":"10.5123\/S2176-62232010000300014","article-title":"Soropreval\u00eancia do v\u00edrus linfotr\u00f3pico de c\u00e9lulas T humanas em comunidades ribeirinhas da regi\u00e3o nordeste do Estado do Par\u00e1, Brasil","volume":"1","author":"Ferreira","year":"2010","journal-title":"Rev Pan-Amaz Saude."},{"key":"B47","doi-asserted-by":"publisher","first-page":"572381","DOI":"10.3389\/fmicb.2020.572381","article-title":"Prevalence and molecular epidemiology of human T-lymphotropic virus (HTLV) infection in people living with HIV\/AIDS in the Par\u00e1 State, Amazon Region of Brazil","volume":"11","author":"Alencar","year":"2020","journal-title":"Front Microbiol."},{"key":"B48","volume-title":"O Negro no Par\u00e1: Sob o Regime da Escravid\u00e3o","author":"Salles","year":"1971"},{"key":"B49","unstructured":"Condi\u00e7\u00f5es Habitacionais e de Sa\u00fade da Comunidade Remanescente de Quilombo Mangueiras, Ilha Do Maraj\u00f3, Par\u00e1, Brasil4359\n            SantosRP\n            Fran\u00e7aSAS\n            AredeANF\n            RamosEMLS\n          RESMA.102020"},{"key":"B50","unstructured":"Doen\u00e7as Cr\u00f4nicas e os Determinantes Sociais da Sa\u00fade em Comunidades Quilombolas do Par\u00e1, Amaz\u00f4nia, Brasil16889\n            MeloMFT\n            SilvaHP\n          Revista ABPN.72015"},{"key":"B51","doi-asserted-by":"publisher","first-page":"131","DOI":"10.18542\/rmi.v8i11.3246","article-title":"Educa\u00e7\u00e3o Em Sa\u00fade E Ambiente Em Comunidades Quilombolas Do Par\u00e1\/Brasil","volume":"8","author":"Tavares","year":"2016","journal-title":"Margens."},{"key":"B52","doi-asserted-by":"publisher","first-page":"657","DOI":"10.1590\/S0037-86822009000600009","article-title":"Preval\u00eancia da infec\u00e7\u00e3o pelo HTLV-1, em remanescentes de quilombos no Brasil Central","volume":"42","author":"Nascimento","year":"2009","journal-title":"Rev Soc Bras Med Trop."},{"key":"B53","doi-asserted-by":"publisher","first-page":"754","DOI":"10.1093\/infdis\/169.4.754","article-title":"Human T cell lymphotropic virus type I infection among female sex workers in Peru","volume":"169","author":"Gotuzzo","year":"1994","journal-title":"J Infect Dis."},{"key":"B54","doi-asserted-by":"publisher","first-page":"5736","DOI":"10.3390\/v7112904","article-title":"Human T-Lymphotropic Virus Type I (HTLV-1) infection among Iranian blood donors: first case-control study on the risk factors","volume":"7","author":"Hedayati-Moghaddam","year":"2015","journal-title":"Viruses."},{"key":"B55","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1186\/s12882-017-0484-y","article-title":"Prevalence and risk factors for Human T-Lymphotropic Virus Type 1 (HTLV-1) among maintenance hemodialysis patients","volume":"18","author":"Santos","year":"2017","journal-title":"BMC Nephrol."},{"key":"B56","volume-title":"Portaria 1376 de 19\/11\/1993.","year":"1993"},{"key":"B57","doi-asserted-by":"publisher","first-page":"e0009717","DOI":"10.1371\/journal.pntd.0009717","article-title":"Blocking HTLV-1\/2 silent transmission in Brazil: Current public health policies and proposal for additional strategies","volume":"15","author":"Rosadas","year":"2021","journal-title":"PLoS Negl Trop Dis."},{"key":"B58","doi-asserted-by":"publisher","first-page":"302","DOI":"10.36311\/jhgd.v31.11404","article-title":"Um olhar para a vulnerabilidade: an\u00e1lise da aus\u00eancia de acesso \u00e0 sa\u00fade pelos quilombolas no Brasil","volume":"31","author":"Mota","year":"2021","journal-title":"J Hum Growth."},{"key":"B59","volume-title":"Pol\u00edtica Nacional de Sa\u00fade Integral da Popula\u00e7\u00e3o Negra: Uma Pol\u00edtica do SUS","year":"2009"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2022.871865\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T09:50:04Z","timestamp":1648633804000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2022.871865\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,30]]},"references-count":59,"alternative-id":["10.3389\/fpubh.2022.871865"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2022.871865","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,30]]},"article-number":"871865"}}