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      Pesquisa Nacional de Saúde no Brasil: concepção e metodologia de aplicação Translated title: National Health Survey in Brazil: design and methodology of application

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          Abstract

          A Pesquisa Nacional de Saúde (PNS) é um estudo de base domiciliar, de âmbito nacional, realizada pelo Ministério da Saúde em parceria com o IBGE em 2013. Tem como objetivo caracterizar a situação de saúde e os estilos de vida da população, bem como a atenção à sua saúde, quanto ao acesso e uso dos serviços, às ações preventivas, à continuidade dos cuidados e ao financiamento da assistência. O tamanho de amostra é de 80.000 domicílios e permitirá a estimação de alguns indicadores no âmbito das Unidades Federativas, capitais e regiões metropolitanas. O questionário é subdividido em três partes. As duas primeiras são respondidas por um residente do domicílio e abrangem perguntas sobre as características desse domicílio e a situação socioeconômica e de saúde de todos os moradores. O questionário individual é respondido por um morador de 18 anos ou mais, selecionado com equiprobabilidade entre todos os residentes adultos do domicílio e focaliza morbidade e estilos de vida. Para este indivíduo foram feitas aferições de peso, altura, circunferência da cintura e pressão arterial e exames laboratoriais para caracterizar o perfil lipídico, o nível de glicemia no sangue e determinar o teor de sódio na urina. Os exames laboratoriais foram feitos em uma subamostra de 25% dos setores censitários selecionados.

          Translated abstract

          The National Health Survey is a household-based nationwide survey carried out by the Ministry of Health in partnership with the Brazilian Institute of Geography and Statistics. The scope of the survey is to establish the health status and lifestyles of the population - as well as how they look after their health - with regard to access and use of services, preventive actions, continuity of care, and health care financing. The sample size is 80,000 households and enables the calculation of some indicators at different geographic levels, namely states, capitals, metropolitan and rural areas. The questionnaire is divided into three parts. The first two are answered by one resident and include questions on the household characteristics and on the social and economic level and health status of all inhabitants. The individual questionnaire is answered by an adult (aged 18 years or more), selected with equal probability among the adult residents, and focuses on morbidity and lifestyle. For this individual, measurements of weight, height, waist circumference and blood pressure are taken, as well as laboratory exams to characterize the lipid profile and blood glucose level, as well as determine the urine sodium content. The laboratory exams are taken in a subsample of 25% of the census sectors selected.

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          Most cited references49

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          Health inequalities among British civil servants: the Whitehall II study.

          The Whitehall study of British civil servants begun in 1967, showed a steep inverse association between social class, as assessed by grade of employment, and mortality from a wide range of diseases. Between 1985 and 1988 we investigated the degree and causes of the social gradient in morbidity in a new cohort of 10,314 civil servants (6900 men, 3414 women) aged 35-55 (the Whitehall II study). Participants were asked to answer a self-administered questionnaire and attend a screening examination. In the 20 years separating the two studies there has been no diminution in social class difference in morbidity: we found an inverse association between employment grade and prevalence of angina, electrocardiogram evidence of ischaemia, and symptoms of chronic bronchitis. Self-perceived health status and symptoms were worse in subjects in lower status jobs. There were clear employment-grade differences in health-risk behaviours including smoking, diet, and exercise, in economic circumstances, in possible effects of early-life environment as reflected by height, in social circumstances at work (eg, monotonous work characterised by low control and low satisfaction), and in social supports. Healthy behaviours should be encouraged across the whole of society; more attention should be paid to the social environments, job design, and the consequences of income inequality.
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            Pesquisa de orçamentos familiares 2008 e 2009: antropometria e estado nutricional de crianças, adolescentes e adultos no Brasil

            (2010)
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              The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970-1998.

              To assess the contribution of primary care systems to a variety of health outcomes in 18 wealthy Organization for Economic Cooperation and Development (OECD) countries over three decades. Data were primarily derived from OECD Health Data 2001 and from published literature. The unit of analysis is each of 18 wealthy OECD countries from 1970 to 1998 (total n = 504). Pooled, cross-sectional, time-series analysis of secondary data using fixed effects regression. Secondary analysis of public-use datasets. Primary care system characteristics were assessed using a common set of indicators derived from secondary datasets, published literature, technical documents, and consultation with in-country experts. The strength of a country's primary care system was negatively associated with (a) all-cause mortality, (b) all-cause premature mortality, and (c) cause-specific premature mortality from asthma and bronchitis, emphysema and pneumonia, cardiovascular disease, and heart disease (p<0.05 in fixed effects, multivariate regression analyses). This relationship was significant, albeit reduced in magnitude, even while controlling for macro-level (GDP per capita, total physicians per one thousand population, percent of elderly) and micro-level (average number of ambulatory care visits, per capita income, alcohol and tobacco consumption) determinants of population health. (1) Strong primary care system and practice characteristics such as geographic regulation, longitudinality, coordination, and community orientation were associated with improved population health. (2) Despite health reform efforts, few OECD countries have improved essential features of their primary care systems as assessed by the scale used here. (3) The proposed scale can also be used to monitor health reform efforts intended to improve primary care.
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                Author and article information

                Contributors
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                Journal
                csc
                Ciência & Saúde Coletiva
                Ciênc. saúde coletiva
                ABRASCO - Associação Brasileira de Saúde Coletiva (Rio de Janeiro )
                1413-8123
                February 2014
                : 19
                : 2
                : 333-342
                Affiliations
                [1 ] Fundação Oswaldo Cruz Brazil
                [2 ] Ministério da Saúde Brazil
                [3 ] Instituto Brasileiro de Geografia e Estatística Brazil
                [4 ] Universidade de São Paulo Brazil
                [5 ] Universidade do Estado do Rio de Janeiro Brazil
                [6 ] Fundação Oswaldo Cruz Brazil
                Article
                S1413-81232014000200333
                10.1590/1413-81232014192.14072012
                24863810
                0fba403b-c338-4881-8439-7b14299eab64

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielosp.org/scielo.php?script=sci_serial&pid=1413-8123&lng=en
                Categories
                Health Policy & Services

                Public health
                Survey,Access and utilization,Morbidity,Lifestyles,Equity,Inquérito,Acesso e utilização,Morbidade,Estilos de vida,Equidade

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