Abstract:
OBJECTIVES:To evaluate the reliability, magnitude and direction of the resulting bias in the application of a screening instrument for mental disorders by considering proxy informants in comparison to primary informants. METHODS:Data are taken from a general morbidity community-based survey carried out in 520 randomly selected households of an industrial area of the Metropolitan Region of Salvador, the capital of Bahia state, Brazil. During the pilot phase, the first 70 families of the total sample were asked to participate in the evaluation of research instruments. The Questionnaire of Adult Psychiatric Morbidity, QAPM, consists of 44 questions about psychiatric symptoms widely used in Brazil. The husbands and wives of the selected families answered QAPM questions regarding themselves and their respective partners. One family refused to participate. The Kappa index was estimated for each QAPM question. To assess the magnitude and direction of bias, the proportional variation of prevalence was estimated from proxy and primary respondents. Each informant was analyzed as a primary informant when answering about his/her own symptoms and as a proxy informant when answering those about his/her partner. RESULTS:Proxy informants as compared to primary informants show weak reliability, as measured by the Kappa Index, particularly when husbands reported on their wives' symptoms. An overall underestimation of prevalence estimates was found, which reveals the potential negative bias with the use of proxy informants for psychological symptoms. No bias was found for only two questions (lack of appetite and globus hystericus) when women were taken as proxy informants for their husbands. In addition, departures of proxy informants from primary informant-based estimates were greater among men than to women. CONCLUSIONS:Proxy informants underestimate the occurrence of psychological symptoms in this community-based study. When the feasibility of a research project, based on the QAPM depends on the use of proxies, wives may be recommended as better informants than their husbands.
journal_name
Rev Saude Publicajournal_title
Revista de saude publicaauthors
Santana VS,de Almeida Filho N,da Rocha CO,Matos ASdoi
10.1590/s0034-89101997000700003subject
Has Abstractpub_date
1997-12-01 00:00:00pages
556-65issue
6eissn
0034-8910issn
1518-8787journal_volume
31pub_type
杂志文章abstract::Four rabid bats belonging to three species of Molossidae (one Molossus molossus, one Nyctinomops laticaudatus and two N. macrotis) were captured in the State of S. Paulo, southeastern Brazil. Three of these bats were found during the day in unusual, visible places and the other came flying through a window in the even...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101995000500009
更新日期:1995-10-01 00:00:00
abstract:OBJECTIVE:Analyze if the patient safety culture among professionals in the primary health care differs among health care teams. METHODS:Cross-sectional and quantitative study conducted in April and May 2017, in a city in Southern Brazil. A total of 144 professionals who responded to the questionnaire "Survey on Patien...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2019053000788
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To describe the therapeutic practice of allopathic physicians and to evaluate the outpatient care provided to patients in healthcare facilities. METHODS:The study was conducted in Ribeirão Preto, southeastern Brazil. World Health Organization drug use indicators were used as a methodological basis. Our sampl...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102004000600010
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVE:To identify factors that lead people to visit a doctor in Brazil and assess differences between socioeconomic groups. METHODS:A cross-sectional study comprising 1,260 subjects aged 15 or more was carried out in southern Brazil. Demographic, socioeconomic, health needs and regular source of care data were ana...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102003000300017
更新日期:2003-06-01 00:00:00
abstract:OBJECTIVE:To assess (1) the consistency between self-classified and interviewer-classified color/race according to socioeconomic and demographic variables and (2) the magnitude of the ethnic-racial inequalities of income and socioeconomic status using self-classified and interviewer-classified color/race. METHODS:A cr...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102008000200019
更新日期:2008-04-01 00:00:00
abstract:OBJECTIVE:To estimate the physical activity level and its association with sociodemographic factors in adults living in rural areas. METHODS:Cross-sectional population study including 567 adults in two rural communities from the Jequitinhonha Valley, Southeastern Brazil, during the years of 2008 and 2009. Physical act...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102010005000023
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVE:To investigate the prevalence of several health behaviors among students of public and private schools in S. Paulo, Brazil. METHODS:An epidemiological survey about health behaviors among high school students was carried out in S. Paulo in 1998. Seventh to eleventh graders from ten public and seven private sc...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102000000600012
更新日期:2000-12-01 00:00:00
abstract:OBJECTIVE:To examine whether the level of complexity of the services structure and sociodemographic and clinical characteristics of patients in hemodialysis are associated with the prevalence of poor health self-assessment. METHODS:In this cross-sectional study, we evaluated 1,621 patients with chronic terminal kidney...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S1518-8787.2016050005885
更新日期:2016-01-01 00:00:00
abstract:INTRODUCTION:The increase in life expectancy and the decline in mortality rates in Brazil have an impact on social programs to the elderly, especially related to health care. The objective of the study isto analyze the mortality trends for respiratory diseases in elderly. METHODS:An ecological time series was carried ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102003000200005
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the psychometric properties of the Brazilian Portuguese version of the Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) administered to adolescents. METHODS:The study included 750 adolescents: 375 aged 12 years and 375 aged 15-19 years, attending public and private schools in Campina Gra...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2019053000999
更新日期:2019-08-15 00:00:00
abstract:OBJECTIVE:To characterize the process of selection of medicines for primary health care in the Brazilian regions. METHODS:This article is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos - Serviços, 2015 (PNAUM - National Survey on Access, Use and Promotion of Rational ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/S1518-8787.2017051007065
更新日期:2017-11-13 00:00:00
abstract::The aim of this communication was to describe the detection of the coexistence of HIV-1 variant with dipeptide insertion between codons 69 and 70 of reverse transcriptase. These variants were isolated from a 16-year-old male patient, undergoing treatment in the city of Marilia, SP, Southeastern Brazil. After confirmat...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/S0034-8910.2013047004701
更新日期:2013-08-01 00:00:00
abstract::Description of Lutzomyia robusta, n. sp. (Diptera, Psychodidae, Phlebotominae) from interandean areas of Peru and Equador. Lutzomyia robusta, n. sp., probable vector of human bartonellosis and cutaneous leishmaniasis, is described and illustrated. This species presents strong affinity with L. serrana (Damasceno & Arou...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101995000200002
更新日期:1995-04-01 00:00:00
abstract::Campinas is an important industrial centre in the State of S. Paulo, Brazil. 476 registers filed at the Campinas agency of the Brazilian National Social-Welfore Institution, covering the Campinas, Cosmópolis, Paulínia, Sumaré and Valinhos Counties from 1979 to 1989, were analysed. The information obtained from the Not...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101993000300003
更新日期:1993-06-01 00:00:00
abstract:OBJECTIVE:The World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) carried out a study to compare and evaluate the practices of protecting, promoting and supporting breastfeeding in public and private hospitals using the "ten steps" of the Hospital Initiative (BFHI) as a reference parameter. ...
journal_title:Revista de saude publica
pub_type: 杂志文章,多中心研究
doi:10.1590/s0034-89102001000500001
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVE:To analyze the reliability and performance of the Portuguese version of questionnaires used to evaluate adherence to hypertensive treatment. METHODS:Hypertensive patients attending a primary healthcare unit in Porto Alegre, Southern Brazil, from January to September 2010, were randomly selected (n = 206). To...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102012005000013
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:To assess the prevalence of chronic obstructive pulmonary disease and related risk factors. METHODS:A population-based cross-sectional study with 1,441 individuals of both sexes aged 40 years or more was conducted in the city of São Paulo, Brazil, between 2008 and 2009. A two-stage (census tract, household) ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102011005000051
更新日期:2011-10-01 00:00:00
abstract::The results of a process evaluation of the epidemiological surveillance activities in 948 health units, situated in 98 of the most populated cities of each State in the country are presented. The survey was conducted towards the end of 1985. The following aspects were analyzed: information system, data analysis, epide...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101992000200002
更新日期:1992-04-01 00:00:00
abstract:OBJECTIVES:The aim was to carry out a prospective study about the characteristics of the public seen at a psychiatric emergency room and of its service. METHODS:The data were acquired though a protocol developed for this study and applied to all the patients seen during two months. RESULTS:600 protocols were filled o...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102000000500006
更新日期:2000-10-01 00:00:00
abstract::OBJECTIVE Investigate the association between exposure to green spaces and mortality from ischemic heart and cerebrovascular diseases, and the role of socioeconomic status in this relationship, in the city of Rio de Janeiro, Brazil. METHODS Ecological study, with the census tracts as unit of analysis. This study used ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2018052000290
更新日期:2018-01-01 00:00:00
abstract::998 children aged 6, 8 and 10, from low income families living in the Federal District, Brazil and attending public, first grade, schools, received bi-annual topical APF Gel-Tray applications. The mass methodology proposed by the National Dental Caries Preventive Program of the Brazilian Ministry of Health, without pr...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101993000400008
更新日期:1993-08-01 00:00:00
abstract:OBJECTIVE:To describe trends in the incidence of Aids cases according to age and gender from 1986 to 2008. METHODS:Analyses of Aids trends according to age group and to gender was carried out Londrina, Southern Brazil. The timeframe was divided into two periods (1986-1995 and 1996-2008). Of the polynomial models, it w...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102013005000003
更新日期:2012-12-01 00:00:00
abstract::The growing evidence on the association between consumption of sugar-sweetened beverages, obesity and other chronic diseases has highlighted the need to implement policy actions that go beyond programs exclusively focused on individual responsibility. In order to protect their commercial goals in Latin America, the su...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102011000200022
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVE:To analyze maternal experiences of preeclampsia pregnancy with premature birth at a neonatal intensive care unit. METHODS:A qualitative study using the focus group technique was conducted with 28 women in a facility specialized in high-risk pregnancies in the state of Rio Grande do Norte, Northeastern Brazil...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102007000500003
更新日期:2007-10-01 00:00:00
abstract:OBJECTIVE:To assess costs and consequences of prenatal care on perinatal morbidity and mortality. METHODS:Evaluation study using two types of analysis: implementation and efficiency analysis, carried out at 11 Family Health Units in the Recife, Northeastern Brazil, in 2006. The costs were calculated by means of the ac...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102011005000014
更新日期:2011-06-01 00:00:00
abstract::The objective of the study was to evaluate the sensitivity of probabilistic record linkage for reported birth identification. Data from the Pró-Saúde Study cohort population were used comprising technical-administrative staff at a university in Rio de Janeiro, Brazil, in 1999. A total of 92 records of subjects were li...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:
更新日期:2008-12-01 00:00:00
abstract::The problem of the preparation of estimates of the total population of geographic subdivisions after the 1980 census is studied with a view to the tabulation on mortality data of Rio de Janeiro State (Brazil) by municipal districts and the estimation of regional mortality rates. In Brazil, the calculation of the offic...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101989000400001
更新日期:1989-08-01 00:00:00
abstract::A summary of the main steps towards the implementation of anti-HIV testing for pregnant women in the city is presented. Starting from August 1996, voluntary HIV testing became available to pregnant women seen at primary health centers in Ribeirão Preto, SP (Brazil), as part of the Prenatal Care Program. By the end of ...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89101999000600015
更新日期:1999-12-01 00:00:00
abstract:OBJECTIVE:To estimate the contribution of work-related diseases to sick leaves due to general and occupational health problems. METHODS:Sociodemographic, occupational and health data from 29,658 records of temporary disability benefits, granted on account of health problems by the Instituto Nacional do Seguro Social (...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.1590/s0034-89102008000400008
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVE:To analyze knowledge, attitudes and practices of university adolescents about syphilis. METHODS:Cross-sectional, analytical, census-type study, developed with the universe of adolescents aged 18 and 19 years (n = 598), enrolled in three institutions of higher education in a municipality of Piauí (n = 598), w...
journal_title:Revista de saude publica
pub_type: 杂志文章
doi:10.11606/s1518-8787.2020054002381
更新日期:2020-12-04 00:00:00