C. Szwarcwald, D. Malta, Paulo Roberto Borges de Souza Júnior, Wanessa da Silva de Almeida, Giseli Nogueira Damacena, Cimar Azeredo Pereira, L. Rosenfeld
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引用次数: 31
摘要
本文旨在描述国家健康调查(Pesquisa Nacional de Saúde- PNS)收集实验室检查数据的方法。方法根据PNS样本的分层情况选择25%的人口普查区的子样本,其概率与收集难度成反比。血液和尿液的收集是由实验室人员在住户中进行的,并在选定的居民中进行个人访谈。由于在野外工作中发现的困难,一些地层的样品没有达到预期的最小数量,并提出了一种分层后的数据分析程序。结果共采集生物标本8952例。实验室检查:糖化血红蛋白;总胆固醇;低密度脂蛋白胆固醇;高密度脂蛋白胆固醇;登革热血清学;红细胞计数(红图)和白细胞计数(白图);高效液相色谱(HPLC)诊断血红蛋白病;肌酐。测定尿中钾、盐、钠和肌酐的排泄量。实验室检查数据库经过权衡,并在奥斯瓦尔多·克鲁兹基金会的PNS网站上公开,无需事先授权即可访问。结论实验室检查的总子样本具有重要的价值,因为它使我们能够建立符合巴西人口社会人口学和地理特征的国家参考参数,为分析巴西的健康状况提供相关和补充的信息。
Laboratory exams of the National Health Survey: methodology of sampling, data collection and analysis.
INTRODUCTION
This article aims at describing the National Health Survey (Pesquisa Nacional de Saúde- PNS) methodology of collecting laboratory exams data.
METHODOLOGY
A subsample of 25% of the census tracts was selected, according to the stratification of the PNS sample, with a probability inversely proportional to the difficulty of collection. The collection of blood and urine was done in the households by a laboratory agent, among residents selected for individual interview. Due to the difficulties found in the field work, the sample did not reach the minimum expected number in some strata, and a post-stratification procedure was proposed for the data analysis.
RESULTS
The collection of biospecimens was performed in 8,952 individuals. Laboratory tests were: glycated hemoglobin; total cholesterol; LDL cholesterol; HDL cholesterol; serology for dengue; red blood cell count (erythrogram) and white series count (leukogram); high performance liquid chromatography (HPLC) for diagnosis of hemoglobinopathies; creatinine. Theexcretion of potassium, salt and sodium and creatinine was estimated in the urine. The database of laboratory exams was weighed and made publicly available on the Oswaldo Cruz Foundation's PNS website and can be accessed without prior authorization.
CONCLUSION
The total subsample of laboratory exams is of great value, since it allowed us to establish national reference parameters adequate to sociodemographic and geographic characteristics of the Brazilian population, providing relevant and complementary information for the analysis of the health situation of Brazil.
期刊介绍:
Revista Brasileira de Epidemiologia (Brazilian Journal of Epidemiology) - every four months, journal published by the ABRASCO - aims at publishing not previously published Original Articles, including critical reviews on specific themes, which may contribute to the development of Epidemiology and related Sciences. Revista also publishes articles in the following categories: Debate aimed at discussing different views of the same theme which may be presented as an original article followed by comments from other authors, reproduction of panels and other similar formats; Notes and Information - notes on primary results of research studies.