Abstract:
:Brazil is among the countries of the world with the most dengue cases. Case reporting systems are essential for monitoring the disease's evolution, but few reporting forms are properly completed. Knowledge of the patients' schooling level is important for understanding the role of social inequality in the risk of illness. The article aims to describe the completion of the schooling item on dengue notification forms provided by Brazilian Information System on Diseases of Notification (SINAN) from 2008 to 2017, according to sex and age bracket in the state capitals of the Northeast and Southeast regions. The target outcome was the completion of the schooling item on the reporting form. The predicted probabilities of completion of the schooling item were obtained with multilevel logistic models. Completion was low in the state capitals (less than 30% in eight of them). The odds of having the schooling item completed decreased with age, independently of the patient's sex and the reporting year. Women up to 60 years showed higher odds than men of completion of the schooling item. Overall, men showed 9% lower odds of having the schooling item completed, compared to women. The model with interaction showed an increase in the difference, that is, the completion rate decreased with advancing age, especially among women. Given the above, incomplete dengue reporting forms lead to insufficient and dubious data. Although schooling is not fully appreciated at the moment of completing the reporting form, it is essential information in the context of dengue surveillance. :O Brasil figura entre os países com o maior número de casos de dengue no mundo. Sistemas de notificação são fundamentais para acompanhar a evolução do agravo, porém são pouco preenchidos. O conhecimento do nível educacional dos indivíduos é importante para o entendimento do papel da desigualdade social no risco de adoecimento. O objetivo deste artigo é descrever o preenchimento da escolaridade nas fichas de notificação para dengue disponibilizadas pelo Sistema de Informação de Agravos de Notificação (SINAN) entre 2008 e 2017, por sexo e faixa etária, entre as capitais das regiões Nordeste e Sudeste do país. O desfecho de interesse foi o preenchimento da variável escolaridade. As probabilidades preditas de preenchimento da escolaridade foram obtidas utilizando-se modelos logísticos multiníveis. Esse preenchimento foi baixo nas capitais, sendo em oito delas inferior a 30% no período. A chance de ter a escolaridade preenchida decresceu com o avançar da idade, independentemente do sexo e do ano. Mulheres com até 60 anos apresentaram maiores chances de preenchimento da escolaridade que os homens. De um modo geral, os homens registraram 9% menos chances de ter a escolaridade preenchida do que as mulheres. No modelo com interação houve uma intensificação da diferença, ou seja, houve uma piora no preenchimento com o progredir da idade, principalmente entre as mulheres. Diante do exposto, o mau preenchimento das fichas favorece a geração de dados deficientes e duvidosos, e a escolaridade, embora pouco valorizada no ato do preenchimento, tem importância central nesta conjuntura. :Brasil figura entre los países con mayor número de casos de dengue en el mundo. Los sistemas de notificación son fundamentales para acompañar la evolución de la enfermedad, no obstante, se muestran con lagunas por la falta de cumplimentación. El conocimiento del nivel educacional de los individuos es importante para la compresión del papel de la desigualdad social en el riesgo de enfermedad. El objetivo de este artículo es describir la cumplimentación de la escolaridad en las fichas de notificación sobre el dengue, puestas a disposición del Sistema Brasileño de Información de Enfermedades de Notificación (SINAN) entre 2008 y 2017, por sexo y franja de edad, entre las capitales de las regiones Nordeste y Sudeste del pais. El resultado de interés fue la cumplimentación de la variable escolaridad. Las probabilidades predichas de cumplimentación de la escolaridad se obtuvieron utilizándose modelos logísticos multinivel. La cumplimentación de la escolaridad fue baja en las capitales, siendo en ocho de ellas, inferior a un 30% durante el período. La oportunidad de contar con la escolaridad completa decreció cuanto más avanzaba la edad, independientemente del sexo y del año. Las mujeres de hasta 60 años tuvieron mayores oportunidades de cumplimentar la escolaridad que los hombres. En general, los hombres tuvieron un 9% menos oportunidad de contar con la escolaridad cumplimentada que las mujeres. En el modelo con interacción hubo una intensificación de la diferencia, o sea, existió un empeoramiento -respecto a la cumplimentación de la escolaridad- a medida que avanzaba la edad, principalmente entre mujeres. Ante lo expuesto, la mala cumplimentación de las fichas favorece la generación de datos deficientes y dudosos, y la escolaridad, aunque poco valorada en el momento de rellenar los datos, tiene una importancia central en esta coyuntura.
journal_name
Cad Saude Publicajournal_title
Cadernos de saude publicaauthors
Guimarães LM,Cunha GMDdoi
10.1590/0102-311X00187219subject
Has Abstractpub_date
2020-10-26 00:00:00pages
e00187219issue
10eissn
0102-311Xissn
1678-4464pii
S0102-311X2020001005014journal_volume
36pub_type
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