Health status of particularly vulnerable tribal groups (PVTGs) of Odisha: a narrative review.


Journal

Journal of health, population, and nutrition
ISSN: 2072-1315
Titre abrégé: J Health Popul Nutr
Pays: Bangladesh
ID NLM: 100959228

Informations de publication

Date de publication:
30 Oct 2024
Historique:
received: 24 06 2024
accepted: 19 10 2024
medline: 31 10 2024
pubmed: 31 10 2024
entrez: 31 10 2024
Statut: epublish

Résumé

There are 75 identified Particularly Vulnerable Tribal Groups (PVTGs) in India of which the highest numbers i.e., 13 PVTGs reside in Odisha. Particularly Vulnerable Tribal Groups (PVTGs) are indigenous communities distinguished by their unique cultural practices, traditional lifestyles, and geographical isolation. Their health status is often precarious due to strong traditional health practices, limited access to healthcare, inadequate nutrition, and exposure to community-acquired diseases. This review aims to explore the health status of all 13 PVTGs in Odisha, analyzing 67 studies from various sources/databases between 2000 and 2023. These studies include peer-reviewed published papers, grey literature, and brief reports. The findings showed that nutritional status among PVTGs varies widely while low BMI and undernutrition exist at different rates in different tribes. Deficiency diseases like goitre and anemia, infectious ailments such as tuberculosis and leprosy, and non-communicable diseases like hypertension and diabetes were reported with significant prevalence. Additionally, hemoglobinopathies, oral health issues, eye problems, undernutrition, poor mental health, and various other health challenges affect these tribes. Furthermore, behavioral issues like high tobacco consumption, alcoholism and menstrual health and hygiene disparities are other major challenges. Health disparities in diverse PVTGs arise from socioeconomic factors, cultural norms, and healthcare access. PVTGs face unique hurdles like major geographic isolation and traditional cultural influences which significantly shape their health choices. Addressing their poor health status demands cultural understanding, community engagement, and interventions targeting root inequalities for inclusive healthcare and improved well-being.

Identifiants

pubmed: 39478584
doi: 10.1186/s41043-024-00671-8
pii: 10.1186/s41043-024-00671-8
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

176

Informations de copyright

© 2024. The Author(s).

Références

Indigenous Peoples. 2024. World Bank. Accessed January on 2,2024.
India - IWGIA - International Work Group for Indigenous Affairs. 2023. IWGIA - International Work Group for Indigenous Affairs. 2023. Accessed on January 2, 2024.
Report Of The Expert Committee On Tribal Health-Tribal Health in India. Bridging the gap and a Roadmap for the Future. 2018. Ministry of Health and Family Welfare Government of India and Ministry of Tribal Affairs, Government of India. Accessed on January 2, 2024.
Registrar G, Government of India. & Census Commissioner, India. Census of India. Ministry of Home Affairs, ; 2011. https://censusindia.gov.in/2011-common/censusdata2011.html . Accessed on January 2,2024.
Ministry of Tribal Affairs. Government of India. Union Minister of State for Tribal affairs, Shri Durgadas Uikey in Lokshabha (Lok Sabha US Q488/654) on implementation of PM-JANMAN. 2024. Accessed on September 09, 2024.
Dhebar UN. India. Scheduled Areas and Scheduled Tribes Commission. 1960-61. Report of the Scheduled Areas and Scheduled Tribes Commission. Accessed on January 2,2024.
Scheduled Areas and Scheduled Tribes Commission. 2004.Report of the Scheduled Areas and Scheduled Tribes Commission. Accessed on January 2,2024.
Xaxa Commission. Report of the High Level Committee on Socio-Economic, Health and Educational Status of Tribal Communities of India. 2014. Ministry of Tribal Affairs, Government of India. Accessed on January 10,2024.
Network TK. Reports. 2024. Ministry of Tribal Affairs. https://knowledge.tribal.gov.in/reports/ , Accessed on January 10,2024.
Eswarappa K. The complexity of the tribal question in India: the case of the particularly vulnerable tribal groups. J Asian Afr Stud. 2024;59(3):858–75.
doi: 10.1177/00219096221123748
Mohanty SC, Ota AB. Particularly Vulnerable Tribal Groups (PTGs) of Odisha. 2015.
Sahay VS, Gupta U. Tribal Administration in India: Issues and Challenges. Administration in India.:15–29.
The Health of Indigenous Peoples; Inter-Agency Support Group On Indigenous Peoples’ Issues. 2014. United Nations Children’s Fund.
Report TH. India. First Comprehensive Report on Tribal Health in India. 2018. National Technical Report on Tribal Health.
Ota AB, Mohanty BN, Mohanty SC. Particularly vulnerable tribal groups of Odisha. 2021.
Base Line Survey of all Particularly Vulnerable Tribal. Groups (PVTGs) in the Micro Project Area & its surroundings and reported places outside the Micro Project areas. 2018-19. Scheduled Castes & Scheduled Tribes Research and Training Institute (SCSTRTI).
Linguistic Survey of India-Orissa. Office of the registrar general and census commissioner. Ministry of home affairs, Government of India; 2002.
Sahoo SP. M.Sc Dissertation. P.G Department of Anthropology, Vani Vihar, Bhubaneswar; 2023 (Unpublished).
Narreen NMS, Dissertation. An Anthropological Study of Health Status Among the Bondo Children (0–6) of Malkangiri District, Odisha. 2022 (Unpublished).
Baliarsingh S. PhD Thesis. A Comparative Study on Nutritional Status of Kutia Kandha and Panos of Belghar Panchayat of Kandhamal. 2017(Unpublished).
Naik M. MSc Dissertation. An Anthropological Study of Health Status Among Paudi Bhuyan Children (0–6) Years of Banspal Block of Keonjhar District, Odisha. 2023(Unpublished).
Goswami M. Anthropometric Characteristics and Chronic Energy Deficiency of the Mankidias-A PTG of Northern Odisha, India. Stud Tribes Tribals. 2015;13(1):88–93.
doi: 10.1080/0972639X.2015.11886715
Nanda S, Dhar RN. A study on nutritional status of adolescent girls of Dongria Kondh tribe. Int J Community Med Public Health. 2017;4(5):1573–6.
doi: 10.18203/2394-6040.ijcmph20171766
Kuiti BK, Acharya S, Satapathy KC, Barik DK, Patra PK. Assessment of Nutritional Status among children and adolescents of Juang Tribe in Keonjhar District of Odisha, India. Orient Anthropol. 2022;22(2):336–47.
doi: 10.1177/0972558X221122945
Kuiti BK, Acharya S, Satapathy KC, Barik DK, Patra PK. Composite Index of Anthropometric Failure (CIAF) among Juang Children and adolescents of Keonjhar District in Odisha, India. Man Environ Soc. 2022;3(1):133–54.
doi: 10.47509/MES.2022.v03i01.10
Dash NC, Baral S, Mahanta T. Healthcare management and nutritional status of the Lodha tribe of Odisha. Adivasi. 2017;58(12):1–8.
Kanrar P, Goswami M. Sociodemographic profile, reproductive health and nutritional status among the Juangs—a particularly vulnerable tribal group of Odisha, India. Orient Anthropol. 2020;20(1):135–49.
doi: 10.1177/0972558X20913730
Bulliyya G. Ethnographic and health profile of the Dongria Kondhs: a primitive tribal group of Niyamgiri hills in Eastern Ghats of Orissa. Afro Asian J Anthropol Social Policy. 2010;1(1):11–25.
Bulliyya G, Mallick G, Sethy PG, Kar SK. Prevalence of Iodine Deficiency disorders among Dongria Kondh Primitive Tribal Community in Niyamgiri Mountain area of Rayagada District, Orissa. Orissa 2004-05.
Kerketta AS, Bulliyya G, Babu BV, Mohapatra SS, Nayak RN. Health status of the elderly population among four primitive tribes of Orissa, India: a clinico-epidemiological study. Zeitschrift für Gerontologie Und Geriatrie. 2009;42:53–9.
pubmed: 18398631 doi: 10.1007/s00391-008-0530-2
Mahapatra S. M.Sc. dissertation. The status of non-communicable diseases among the Paudi Bhuyan tribe of Keonjhar district. 2023(Unpublished).
Dixit S, Das A, Rana R, Khuntia HK, Ota AB, Pati S, Bal M, Ranjit M. A community-based study on haemoglobinopathies and G6PD deficiency among particularly vulnerable tribal groups in hard-to-reach malaria endemic areas of Odisha, India: implications on malaria control. Malar J. 2022;21(1):340.
pubmed: 36384674 pmcid: 9670505 doi: 10.1186/s12936-022-04358-5
Balgir RS, Dash BP, Murmu B. Blood groups, Hemoglobinopathy, and G-6-PD Deficiency investigations among Fifteen Major scheduled tribes of Orissa, India. Anthropologist. 2004;6(1):69–75.
doi: 10.1080/09720073.2004.11890830
Bhattacharya H, Parai D, Sahoo SK, Swain A, Pattnaik M, Mohapatra I, Choudhary H, Dash GC, Akhtar N, Kshatri JS, Bhattacharya D. Hepatitis B virus infection among the tribal and particularly vulnerable tribal population from an eastern state of India: findings from the serosurvey in seven tribal dominated districts, 2021–2022. Front Microbiol. 2023;14:1039696.
pubmed: 36950163 pmcid: 10025534 doi: 10.3389/fmicb.2023.1039696
Kar SK, Sabat J, Ho LM, Arora R, Dwibedi B. High prevalence of hepatitis C virus infection in primitive tribes of eastern India and associated socio-behavioral risks for transmission: a retrospective analysis. Health Equity. 2019;3(1):567–72.
pubmed: 31701081 pmcid: 6830531 doi: 10.1089/heq.2019.0005
Dwibedi B, Sabat J, Ho LM, Singh SP, Sahu P, Arora R, Kar SK. Molecular epidemiology of hepatitis B virus in primitive tribes of Odisha, eastern India. Pathogens Global Health. 2014;108(8):362–8.
pubmed: 25512185 pmcid: 4394669 doi: 10.1179/2047773214Y.0000000165
Satpathy KC, Patra PK, Chinara M, Barik DK, Bal SR. A study on blood pressure distribution among the Juangs: a particularly vulnerable tribal group (PVTGs) of Odisha. Adivasi. 2020;60(2):34–47.
Samal M. MPhil dissertation. An epidemiological study of blood pressure among the tribal communities of Nabarangpur district, Odisha. 2017(Unpublished).
Mohanty B. MSc dissertation. Non-communicable disease baseline survey of Bonda community of Khairput block of Malkangiri district, Odisha. 2022(Unpublished).
Balgir RS. Genetic burden of red cell enzyme glucose-6-phosphate dehydrogenase deficiency in two major scheduled tribes of Sundargarh district, Northwestern Orissa, India. Curr Sci. 2007;92(6):768–74.
Purohit P, Dehury S, Patel S, Patel DK. Prevalence of Deletional Alpha Thalassemia and Sickle Gene in a tribal dominated Malaria Endemic Area of Eastern India. Malar J. 2014;13:124.
Balgir RS, Mishra RK, Murmu B. Clinical and Hematological Profile of Hemoglobinopathies in two tribal communities of Sundargarh District in Orissa, India. Int J Hum Genet. 2003;3(4):209–16.
doi: 10.1080/09723757.2003.11885854
Balgir RS. Genetic diversity of hemoglobinopathies, G6PD deficiency, and ABO and Rhesus blood groups in two isolates of a primitive Kharia Tribe in Sundargarh District of Northwestern Orissa, India. Int J Anthropol. 2010;25(3):173–80.
Balgir RS. Prevalence of abnormal haemoglobin E gene in the Dhelki Kharia tribal population. Curr Sci. 2003;85(11):1604–8.
Balgir RS. Intervention and prevention of hereditary hemolytic disorders in India: a case study of two ethnic communities of Sundargarh district in Orissa. JAPI. 2008;56.
Dash BP. Sickle cell haemoglobinopathies in Orissa. Man Soc. 2005-2006;16:91–5.
International Institute for Population Sciences (IIPS). ICF. 2015–16. National Family Health Survey (NFHS-4). http://rchiips.org/NFHS/NFHS-4Reports/Odisha.pdf . Accessed on January 2,2024.
Pedi GK, Dash NC, Dash J. Reproductive Health Status of the Hill Kharias of Odisha, India. Bhubaneswar, Odisha, India: Journal of Scheduled Castes & Scheduled Tribes Research and Training Institute (SCSTRTI); 2013. p. 12.
Pattnaik S. MSc dissertation. An anthropological study of maternal health status among the Paudi Bhuyan tribe of Keonjhar district, Odisha. 2023(Unpublished).
Swain PP. MSc dissertation. An anthropological study of maternal health status among the Bondo tribe of Malkangiri district, Odisha. 2022.
Yap AU. Oral health equals total health: a brief review. J Dentistry Indonesia. 2017;24(2):59–62.
doi: 10.14693/jdi.v24i2.1122
Kirkengen AL, Lygre H. Exploring the relationship between childhood adversity and oral health: an anecdotal approach and integrative view. Med Hypotheses. 2015;85(2):134–40.
pubmed: 25978926 doi: 10.1016/j.mehy.2015.04.020
World Health Organization. 2024. Oral Health. https://www.who.int/health-topics/oral-health#tab=tab_1.Accessed on October 31, 2023.
Dash P, Kumar G. Assessment of oral Health Status among the Kutia Kandha Tribe-A particularly vulnerable Group Residing in Kandhamal District, Odisha. J Health Sci Med Res. 2023: 2023946.
Das D, Suresan V, Jnaneswar A, Khurana C, Bhadauria US, Saha D. Oral health status and treatment needs among the Juang tribe-a particularly vulnerable tribal group residing in Northern Odisha, India: a cross‐sectional study. Health Soc Care Commun. 2019;27(5):e752–9.
doi: 10.1111/hsc.12788
Padhy D, Das T, Majhi D, Khanna RC, Avhad K, Ota AB, Rout PP, Rath S. Prevalence of refractive error among Dongarias and use of folding Phoropter (FoFo) as a field device enabling implementation research in this indigenous community. Tribal Odisha Eye Disease Study (TOES) Report# 13. PLoS ONE. 2023;18(5):e0284790.
pubmed: 37167346 pmcid: 10174504 doi: 10.1371/journal.pone.0284790
Majhi D, Das T, Padhy D, Marmamula S, Khanna RC, Ota AB, Rout PP, Avhad K, Rath S. Prevalence and causes of visual impairment in Dongaria indigenous (tribal) community. Tribal Odisha eye disease study. Indian J Ophthalmol. 2023;71(7):2850–5.
pubmed: 37417133 pmcid: 10491089 doi: 10.4103/IJO.IJO_2788_22
Dash A. MPhil dissertation. A Study on Nutritional Status Among Juang Community, Kodiposa Panchayat, Keonjhar, Odisha. 2020(Unpublished).
Akash SU. MSc dissertation. Prevalence of non-communicable diseases and their risk factors among Juang people of Keonjhar district, Odisha: A community-based baseline survey. 2020(Unpublished).
Baral R. MPhil dissertation. Geriatric Health of Ageing People Among the Juang Community of Kundhei Village, Keonjhar District, Odisha. 2020(Unpublished).
Badanayak S. MSc dissertation. Alcohol and Tobacco Consumption Among the Bonda Tribe of Khairaput Block, Malkangiri District, Odisha. 2022(Unpublished).
Bhoi N. MSc dissertation. Alcohol and Tobacco Consumption Among Paudi Bhuyan Tribe of Keonjhar District. 2023(Unpublished).
Panda SS, Sahoo S, Kuiti BK, Satapathy KC, Chinara M, Patra PK. Prevalence and pattern of depression among the Juang (PVTG) adults of Odisha. Adivasi. 2021;61(1):16–25.
Mudi PK, Pradhan MR, Meher T. Menstrual health and hygiene among Juang women: a particularly vulnerable tribal group in Odisha, India. Reproductive Health. 2023;20(1):55.
pubmed: 36998075 pmcid: 10062283 doi: 10.1186/s12978-023-01603-1
Das D, Gautam RK. Problems and practices related to menstruation among adolescent girls of Dongria Kondh of Rayagada, Odisha, India. Frontier Anthropol. 2022;11:13–23.
Badamali J, Das A, Satapathy KC, Patra PK, Bhuyan R, Acharya SK. Patterns and distribution of tobacco use and its association with oral precancerous lesions among the tribes of Odisha. J Subst Use. 2023:1–1.
Kshatriya GK, Acharya SK. Gender disparities in the prevalence of undernutrition and the higher risk among the young women of Indian tribes. PLoS ONE. 2016;11(7):e0158308.
pubmed: 27379521 pmcid: 4933394 doi: 10.1371/journal.pone.0158308
Jena Samanta L, Parida J, Badamali J, Pradhan A, Singh PK, Mishra BK, Patra PK, Pati S, Kaur H, Acharya SK. The incidence, prevalence, and contributing factors of overweight and obesity among adolescent population of India: a scoping review protocol. PLoS ONE. 2022;17(9):e0275172.
pubmed: 36156092 pmcid: 9512208 doi: 10.1371/journal.pone.0275172
Rai RK, Kumar C, Singh L, Singh PK, Acharya SK, Singh S. Rising burden of overweight and obesity among Indian adults: empirical insights for public health preparedness. J Biosoc Sci. 2021;53(5):709–23.
pubmed: 32962795 doi: 10.1017/S0021932020000486
Kshatriya GK, Acharya SK. Prevalence and risks of hypertension among Indian tribes and its status among the lean and underweight individuals. Diabetes Metabolic Syndrome: Clin Res Reviews. 2019;13(2):1105–15.
doi: 10.1016/j.dsx.2019.01.028
Kuiti BK, Barik DK, Acharya SK, Satapathy KC, Patra PK. Prediction of the Progressive Level of Hypertension with risk score among adults Juang: consequences for Health. Social, Cultural and Health issues of the Juang. Maya Publishing House. 2022;1:191–211.
Kuiti BK, Barik DK, Acharya SK, Satapathy KC, Patra PK. Pattern of body composition and Mid-upeer Arm Based Nutritional Status of Adult Juang. Social, Cultural and Health issues of the Juang. Maya Publishing House. 2022;1:148–66.
Kuiti BK, Acharya SK, Satapathy KC, Barik DK, Patra PK. Intra-individual co-prevalence of under-nutrition and Central Obesity among adult Juangs of Keonjhar District in Odisha, India. Antrocom J Anthropol. 2022;18(2a):377–86.
Kshatriya GK, Kumari A, Acharya SK. Comparing the ability of anthropometric indicators in determining the prevalence of hypertension among Indian tribes. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2019;13(1):696–706.
Kshatriya GK, Acharya SK. Triple burden of obesity, undernutrition, and cardiovascular disease risk among Indian tribes. PLoS ONE. 2016;11(1):e0147934.
pubmed: 26808418 pmcid: 4726542 doi: 10.1371/journal.pone.0147934
Senapati RE, Jena S, Parida J, Panda A, Patra PK, Pati S, Kaur H, Acharya SK. The patterns, trends and major risk factors of suicide among Indian adolescents–a scoping review. BMC Psychiatry. 2024;24(1):35.
pubmed: 38195413 pmcid: 10775453 doi: 10.1186/s12888-023-05447-8
Samakya S, Pati S, Acharya SK. Neonatal and Infant Illnesses and Health seeking Behavior among Hilly (Porja) Tribal Community: a qualitative observational study. J Neonatology. 2023:09732179231210741.
Samakya S, Pati S, Acharya SK. Knowledge, beliefs, and practices around Newborn Resuscitation in Hilly Tribal Homebirth settings: a qualitative observational study. J Neonatology. 2023;37(3):196–204.
doi: 10.1177/09732179221143176
Acharya SK, Kshatriya GK. Social Change in Contemporary Tribal India: observations from changing Status of Ethnicity and Language Identity among Santals. East Anthropol. 2016;69(2):205–24.
Jena S, Parida J, Panda A, Behera SS, Pradhan A, Patra PK, Pati S, Kaur H, Acharya SK. Knowledge, practices and influencing factors defining unhealthy food behavior among adolescents in India: a scoping review. Front Psychol. 2023;14:1161319.
pubmed: 37359888 pmcid: 10285663 doi: 10.3389/fpsyg.2023.1161319
Mitra M, Kumar PV, Ghosh R, Bharati P. Growth pattern of the Kamars –A Primitive Tribe of Chhattisgarh, India. Coll Antropol. 2002;26(2):485–99.
pubmed: 12528272
Das S, Ghritlahre M, Siddiqui A, Meitei KS. Nutritional status of Hill Korwa preschool children of Jashpur: a particularly vulnerable tribal group of Chhattisgarh. BLDE Univ J Health Sci. 2020;5(1):20–5.
doi: 10.4103/bjhs.bjhs_43_19
Jai Prabhakar SC, Gangadhar MR. Nutritional status of Jenukuruba tribal children in Mysore district. Karnataka Anthropol. 2009;11:83–8.
doi: 10.1080/09720073.2009.11891087
Biswas S, Mahata LL, Gope S, Chandra K. Anthropometry based nutritional status among the adult Birhors: A Particularly Vulnerable Tribal Group (PVTG) of Purulia district, West Bengal, India. Antrocom: Online Journal of Anthropology. 2023;19(1).
Alam A, Rawat B, Pulamaghatta VN, Sharam J. A study of the Basic and Derived Anthropometric Indices among the healthy adults of Raji Tribe of Uttarakhand, India. Afro Asian J Anthropol Social Policy. 2014;5(1):66–72.
doi: 10.5958/2229-4414.2014.00186.0
Tiwari MK, Sharma KKN, Bharati S, Adak DK, Ghosh R. Bharati P. Growth and nutritional status of the Bharia–A primitive tribe of Madhya Pradesh. Coll Antropol. 2007;31(1):95–101.
pubmed: 17598387
Kundu RN, Biswas S, Bharati P. Blood pressure and its relationship with obesity among the young adults particularly vulnerable tribal groups of West Bengal, India. Nternational J Stat Sci. 2021;21(1):39–54. ISSN 1683–5603.
Shrivastav A, Maurya R, Shukla C, Sahu T, Chauhan N, Azad A, Dubey A. Oral hygiene and periodontal status in the primitive hidden tribe of Patalkot, a tribal area in Central India. J Indian Soc Periodontology. 2018;22(1):55–9.
doi: 10.4103/jisp.jisp_153_16
Ganesh B, Rajakumar T, Acharya SK, Kaur H. Sickle cell anemia/sickle cell disease and pregnancy outcomes among ethnic tribes in India: an integrative mini-review. J Maternal-Fetal Neonatal Med. 2022;35(25):4897–904.
doi: 10.1080/14767058.2021.1872536
Indian Council of Medical Research. Tribal Health Research Forum Report: 2010–2013. New Delhi: Indian Council of Medical Research. Accessed on January 2,2024.
Ganesh B, Rajakumar T, Acharya SK, Vasumathy S, Sowmya S, Kaur H. Particularly vulnerable tribal groups of Tamil Nadu, India: a sociocultural anthropological review. Indian J Public Health. 2021;65(4):403–9.
pubmed: 34975088 doi: 10.4103/ijph.IJPH_2_21
Odisha PVTG, Empowerment & Livelihoods Improvement Programme: OPELIP. 2020. ST & SC Development Department, Government of Odisha. https://opelip.org/ . Accessed on January 10, 2024.
Odisha State Commission for Women. Report on Witch Hunting in Odisha. 2021.Odisha State commission for women. Accessed January 10, 2024.
Government of India. Ministry of Health and Family Welfare. National Health Policy 2017. Ministry of Health and Family Welfare, Government of India. Accessed on January 10, 2024.
Mutatkar RK. Tribal health issues: need of tribal health policy. Indian J Med Res. 2022;156(2):182–5.
pubmed: 36629177 doi: 10.4103/ijmr.ijmr_3217_21

Auteurs

Nibedita Bhoi (N)

Indian Council of Medical Research-Regional Medical Research Centre, Bhubaneshwar, Odisha, India.

Subhendu Kumar Acharya (SK)

Indian Council of Medical Research-Regional Medical Research Centre, Bhubaneshwar, Odisha, India. a.subhendu@gmail.com.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH