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Validade de estimativas obtidas por inquérito telef?nico: compara??o entre VIGITEL 2008 e inquérito Saúde em Beagá
Ferreira, Aline Dayrell;César, Cibele Comini;Malta, Deborah Carvalho;Souza Andrade, Amanda Cristina de;Ramos, Cynthia Graciane Carvalho;Proietti, Fernando Augusto;Bernal, Regina Tomie Ivata;Caiaffa, Waleska Teixeira;
Revista Brasileira de Epidemiologia , 2011, DOI: 10.1590/S1415-790X2011000500003
Abstract: objective: to assess the validity of the estimates obtained through telephone survey and to measure the impact of the post-stratification weighting factor to adjust estimates. methods: the same questionnaire was completed by two independent samples of the population living in the municipality of belo horizonte city (barreiro and west regions). one sample (n=440) completed the questionnaire of vigitel 2008 (telephone survey), and the other (n=4,048) of saúde em beagá (face to face household interview). the results of the two samples for 18 health-related variables were compared by means of test statistics. at first, residents who had a landline telephone line were compared to those who reported not having a telephone line; then, vigitel estimates, with and without post-stratification weight, were compared with saúde em beagá estimates. results: subjects who owned a landline telephone line had indicators for better economic conditions (housing, schooling, and skin color); higher prevalence of chronic diseases; lower exposure to risk factors for chronic diseases; and improved access to health services, compared to the those who reported not having a telephone line. most vigitel estimates (without post-stratification weight) were similar to the sample of saúde em beagá that reported owning a residential landline, showing no major impact of the methodology to obtain this data (lower information bias). even without post-stratification weight, vigitel estimates were similar to those of saúde em beagá. with post-stratification weight, the estimates of "number of residents", "skin color" and "physical activity" did not differ from those obtained by the face to face survey. conclusion: the results of both surveys were very similar. because of the lower cost, the telephone interview is a good option in public health for the behavioral risk-factor surveillance system.
Fatores de risco e prote??o para doen?as cr?nicas: vigilancia por meio de inquérito telef?nico, VIGITEL, Brasil, 2007
Moura, Erly Catarina;Silva, Sara Araújo da;Malta, Deborah Carvalho;Morais Neto, Otaliba Libanio;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011000300009
Abstract: this article describes the prevalence of risk and protective factors for chronic non-communicable diseases in brazil, using data collected in 2007 through the telephone disease surveillance system (vigitel). we evaluated 54,252 adults residing in brazil's state capitals and federal district. men showed higher rates of smoking, overweight, consumption of soft drinks and fatty meat, sufficient leisure-time physical activity, sedentary lifestyle, and binge drinking; women showed higher consumption of fruits and vegetables. for men with more schooling, the probability of smoking decreased by 42% and consumption of fatty meat decreased by 31%; overweight increased 86%, sedentary lifestyle 42%, regular consumption of fruits and vegetables 89%, and leisure-time physical activity 78%. for women with more schooling, the probability of smoking decreased 31%, overweight 26%, and consumption of fatty meat 35%; sedentary lifestyle increased 76%, leisure-time physical activity 77%, regular consumption of fruits and vegetables 48%, and recommended consumption of fruits and vegetables 75%.
Fatores de risco e prote??o para doen?as cr?nicas n?o transmissíveis obtidos por inquérito telef?nico - VIGITEL Brasil - 2009
Iser, Betine Pinto Moehlecke;Claro, Rafael Moreira;Moura, Erly Catarina de;Malta, Deborah Carvalho;Morais Neto, Otaliba Libanio;
Revista Brasileira de Epidemiologia , 2011, DOI: 10.1590/S1415-790X2011000500010
Abstract: objective: to describe the risk and protection factors for non communicable diseases with data from telephone-based surveillance of risk and protective factors for chronic diseases (vigitel) in 2009. methodology: the prevalence of main risk and protective factors was estimated in adults (>18 years old), by telephone surveys in a probabilistic sample of the population covered by landline telephones in brazilian state capitals and the federal district, stratified by gender, age and schooling. results: data from 54,367 adults were collected. smokers and former smokers represented 15.5 and 22% of brazilian adults, respectively. excess weight affected 46.6% of adults; 33% reported the consumption of meat with visible fat and reported 18.9% alcohol abuse. these factors were more prevalent among men and, in general, young adults and people with low schooling. the prevalence of physical activity in leisure was 18.8% (95%ci 17.4-20.1) among men and 11.3% (95%ci 10.6-12.0) among women. physical inactivity affected 15.6% of population and increased with age. consumption of fruits and vegetables and physical activity in leisure time were more prevalent in men and women with 12 years of schooling or more. hypertension diagnosis was reported by 21.1% (95%ci 19.6-22.5) of men, and 27.2% (95%ci 25.8-28.5) of women. prevalence of diabetes was 5.8%. conclusion: the results point to different health behavior according to gender, age and schooling of the population and reinforce the decreasing smoking trend and increasing overweight trend in brazil.
Práticas preventivas de detec??o de cancer em mulheres: compara??o das estimativas dos inquéritos de saúde (ISA - Capital) e vigilancia de fatores de risco e prote??o para doen?as cr?nicas por inquérito telef?nico (VIGITEL - S?o Paulo)
Segri, Neuber José;Francisco, Priscila Maria S. Bergamo;Alves, Maria Cecília Goi Porto;Azevedo Barros, Marilisa Berti de;Cesar, Chester Luiz Galv?o;Goldbaum, Moisés;Malta, Deborah Carvalho;
Revista Brasileira de Epidemiologia , 2011, DOI: 10.1590/S1415-790X2011000500004
Abstract: objective: the aim of this study was to compare estimates of pap smear and mammogram screening obtained from household and telephone surveys in women living in s?o paulo in 2008, according to sociodemographic characteristics, and to measure the differences observed from those estimates. methods: the study compared data from isa - capital 2008, a household survey conducted in s?o paulo by universidade de s?o paulo (usp), universidade estadual de campinas (unicamp) and the state health department with support from the municipal health department, and vigitel - s?o paulo, a telephone-based surveillance of risk and protective factors for chronic diseases. estimates of pap smear and mammography, as well as their realization in the year prior to the interview, were compared according to type of survey (household/telephone) by poisson regression adjusted for age and education. results: there were no statistically significant differences between the estimates obtained by vigitel and isa - capital as to the prevalence of mammography in the year prior to the interview. however, global estimates of the pap smear at least once in life and in the past year, as well as mammograghy at least once in life, show statistically significant differences, with higher prevalence rates of coverage among those interviewed by telephone. conclusion: the results indicate a tendency to overestimate coverage of mammography and pap smear in the telephone survey data, which indicates the need for new studies that also contribute to a better understanding of the differences observed by different types of surveys.
Estratégia de recrutamento de fumantes no metr? do Rio de Janeiro, Brasil, para ampliar o acesso a linhas telef?nicas de apoio à cessa??o: impacto da novidade
Szklo, André Salem;Coutinho, Evandro da Silva Freire;Barros, Helena Maria Tannhauser;Perez, Cristina;Moreira, Taís de Campos;Figueiró, Luciana Rizzieri;Pinho, Mariana;Carvalho, Valeska Figueiredo;
Cadernos de Saúde Pública , 2009, DOI: 10.1590/S0102-311X2009001100022
Abstract: creative and innovative strategies to recruit smokers are essential for improving tobacco control activities. currently in brazil, through health warning messages on cigarette packs, there is a permanent and intense spread of messages that provoke feelings of loss associated with smoking, which is important to encourage access to smoking quitlines. the study analyzed the call rate for telephone counseling after introducing a new strategy for reactive recruitment focused on the theme "smoking causes shortness of breath", adapted to the subway setting in rio de janeiro, as compared to the rates for two existing reactive strategies. regardless of age bracket, there was a higher response to the new proposed strategy. despite the major awareness-raising in brazil concerning the ills of tobacco, new communications formats approaching personally relevant themes can increase the number and range of smokers recruited for telephone counseling to support cessation.
Desigualdades na utiliza o e no acesso a servi os odontológicos: uma avalia o em nível nacional
Barros Aluísio J. D.,Bertoldi Andréa D.
Ciência & Saúde Coletiva , 2002,
Abstract: Para avaliar a situa o de utiliza o e acesso aos servi os de odontologia no Brasil e estudar diferenciais entre os estratos socioecon micos, utilizaram-se dados da Pesquisa Nacional por Amostragem de Domicílios (PNAD) de 1998, realizada pelo IBGE. A análise, que levou em conta o desenho amostral, indicou um nível baixo de utiliza o de servi os odontológicos. Setenta e sete por cento das crian as de 0-6 anos e 4% dos adultos de 20-49 anos nunca haviam consultado um dentista. Entre estes adultos, comparando-se os 20% mais pobres com os 20% mais ricos, observou-se que o número de desassistidos era 16 vezes maior entre os primeiros. No grupo de 0-6 anos, as crian as ricas consultaram o dentista cinco vezes mais do que as pobres no ano anterior à entrevista. Cerca de 4% dos que procuraram atendimento odontológico n o o obtiveram, 8% dos quais entre os mais pobres e 1% entre os mais ricos. A maioria (68%) dos atendimentos do grupo mais pobre foi financiada pelo SUS, enquanto 63% deles foram pagos pelos mais ricos. As maiores desigualdades no acesso e na utiliza o de servi os odontológicos foram encontradas, exatamente, nos grupos de menor acesso ou utiliza o. A participa o do SUS nos atendimentos odontológicos é muito mais baixa do que na aten o médica.
Direitos, Fronteiras e Desigualdades em Saúde  [cached]
Vera Maria R. e Maria Geusina Nogueira e da Silva
Em Pauta : Teoria Social e Realidade Contemporanea , 2010,
Abstract: Este artigo explora a intercess o entre os direitos sociais, políticos e econ micos e as desigualdades territoriais em saúde nas áreas fronteiri as. Evidencia a interferência das concep es de fronteiras e territórios no acesso aos bens, a es e servi os públicos de saúde por parte da popula o estrangeira. Inicialmente, apresenta as altera es estruturais vivenciadas pelos países em desenvolvimento e seu impacto na cidadania social, destacando o debate atual acerca da fronteira e do território e seu potencial em dire o à amplia o dos direitos sociais. Constata como as no es tradicionais sobre fronteiras e territórios vêm sendo superadas em dire o à no o de territorialidade nas áreas de fronteiras, expressas nos acordos bilaterais assinados pelo Brasil e Uruguai e Brasil e Argentina, instituindo uma relativa ausência de limites entre estes Estados nacionais. Concluindo, aponta as possibilidades de garantia dos mesmos direitos para a popula o brasileira e estrangeira no campo da aten o à saúde. Palavras-chave: Direitos sociais; território; fronteiras; políticas públicas; desigualdades em saúde.
Desigualdades raciais no Brasil: síntese de indicadores e desafios no campo das políticas públicas  [cached]
Heringer Rosana
Cadernos de Saúde Pública , 2002,
Abstract: Este artigo pretende sistematizar e analisar indicadores que revelam a dimens o das desigualdades raciais no Brasil. Parte-se do princípio de que as desigualdades raciais, ao afetarem a capacidade de inser o dos negros na sociedade brasileira, comprometem o projeto de constru o de um país democrático e com oportunidades iguais para todos. Essas desigualdades est o presentes em diferentes momentos do ciclo de vida do indivíduo, desde a infancia, passando pelo acesso à educa o, à infra-estrutura urbana e cristalizando-se no mercado de trabalho e, por conseqüência, no valor dos rendimentos obtidos e nas condi es de vida como um todo. Também ser o apresentadas as principais vertentes do atual debate político sobre desigualdades raciais no Brasil, identificando as iniciativas por parte do Estado brasileiro e da sociedade civil destinadas a enfrentar a discrimina o e as desigualdades raciais. Finalmente, pretende-se apontar alguns desafios colocados para os formuladores de políticas de saúde a partir deste quadro.
As desigualdades socioespaciais de acesso aos saberes: uma perspectiva de renova??o da sociologia das desigualdades escolares?
Ayed, Choukri Ben;
Educa??o & Sociedade , 2012, DOI: 10.1590/S0101-73302012000300008
Abstract: this paper scrutinizes the advancement of knowledge on socio-spatial inequalities in access to knowledge in france. although this object encompasses many societal issues, empirical research devoted to it remains embryonic. the comprehensive one we present here is a relatively isolated case. after recalling the overall situation of schooling inequality in france, the text focuses on the research genesis. it particularly emphasizes the methodological stakes of studying the variations of educational attainment in different contexts of schooling and the need to avoid dissociating the impact of social and spatial factors in our analyses. taking a combination of both into account is now one of the levers that renew the approaches in sociology of education.
Cren as coletivas e desigualdades culturais
Lahire Bernard
Educa??o & Sociedade , 2003,
Abstract: Com o conceito de capital cultural, desde os anos de 1970, a sociologia da educa o francesa assumiu que as formas legítimas de cultura funcionam como uma moeda desigualmente distribuída que dá acesso a muitos privilégios. Entretanto, os pesquisadores estavam t o preocupados em criticar as ideologias oficiais a respeito da escola e em revelar desigualdades sociais perante a escola que n o se indagaram sobre as condi es históricas em que diferen as de percursos escolares podem ser interpretadas em termos de desigualdades escolares. A reflexividade histórica ajuda a conscientizar-se do fato de que a desigualdade é indissociável da cren a coletiva na legitimidade (alto grau desejabilidade coletiva) de um objeto, de um saber ou de uma prática.
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