Repositório Digital

A- A A+

A nationwide population screening program for diabetes in Brazil

.

A nationwide population screening program for diabetes in Brazil

Mostrar registro completo

Estatísticas

Título A nationwide population screening program for diabetes in Brazil
Outro título Programa nacional para el tamizaje poblacional de la diabetes en el Brasil
Autor Duncan, Bruce Bartholow
Schmidt, Maria Inês
Nucci, Luciana Bertoldi
Toscano, Cristiana M.
Maia, Ana Lourdes M.
Fonseca, Cláudio Duarte da
Britto, Maria Moema B.
Resumen Objetivos. En 2001, se invitó a los habitantes del Brasil de 40 años de edad o mayores a participar en un programa para el tamizaje de la diabetes sacarina como parte del Plan de Reorganización de la Atención de la Hipertensión Arterial y la Diabetes Mellitus, del Ministerio de Salud del Brasil. En este informe se describen los porcentajes totales de participación y de resultados positivos obtenidos en la campaña de tamizaje, así como los factores asociados con el grado de participación en las distintas municipalidades del Brasil. Métodos. Se definió como resultado positivo una glucemia en ayunas = 100 mg/dL o una glucemia casual = 140 mg/dL. Los resultados del tamizaje se obtuvieron del Ministerio de Salud y se analizaron por municipalidad. Resultados. De las 5 561 municipalidades del Brasil, 5 301 (95,3%) participaron y notificaron los resultados. De los 30,2 millones de personas que integraban la población destinataria, 22,1 millones (73,0%) recibieron la prueba, y de estas últimas, 3,5 millones (15,7%) tuvieron resultados positivos. Las probabilidades de un buen porcentaje de participación (≥ 80%) fueron mayores en las municipalidades pequeñas (razón de riesgos (RR) = 5,0, al compararse los valores extremos), en las situadas en la parte norte del país (RR = 1,8), en las ubicadas a las afueras de una zona metropolitana (RR = 1,4) y en aquellas donde era mayor el porcentaje de la población que había completado la escuela primaria (RR = 1,2) (P < 0,05). En todo el país aumentó el uso de la prueba de glucosa inmediatamente después de la campaña, quizá debido en parte a la necesidad de confirmar el diagnóstico de los casos identificados mediante el tamizaje. Conclusiones. La respuesta entusiasta a la campaña ilustra que este tipo de programa puede servir para crear mayor conciencia en torno al problema de la diabetes y para sentar las bases del fortalecimiento de la capacidad en el contexto de la atención primaria de salud.
Abstract Objectives. In 2001, persons throughout Brazil who were 40 years old or older were invited to participate in community screening for diabetes as part of the Brazilian Ministry of Health’s Plan for the Reorganization of Care for Arterial Hypertension and Diabetes Mellitus. This report describes the overall participation rate and positivity rate of the screening campaign, as well as factors associated with the level of participation among the municipalities in Brazil. Methods. Screening test positivity was defined as a fasting glucose of ≥ 100mg/dL or a casual glucose of ≥ 140mg/dL. Screening data were obtained from the Ministry of Health and were analyzed for each municipality. Results. Out of the 5 561 municipalities in Brazil, 5 301 of them (95.3%) participated and reported results. Of the 30.2 million persons in the target population, 22.1 million of them (73.0%) were tested, and 3.5 million of the persons tested (15.7%) were positive. Higher odds of a high population participation rate (≥ 80%) were seen in municipalities that were of small size (risk ratio (RR) = 5.0, comparing extremes), were located in the North region of the country (RR = 1.8), were located outside of a metropolitan region (RR = 1.4), and had a higher proportion of their population who had completed elementary school (RR = 1.2) (P < 0.05). There was a parallel increase in glucose testing nationwide during and immediately after the campaign, presumably in part for diagnostic confirmation of cases identified during screening. Conclusions. The massive response to the campaign attests to the potential that this type of program has to raise diabetes awareness and to set the stage for capacity-building at the primary care level.
Contido em Revista panamericana de salud pública = Pan american journal of public health. Washington. Vol. 16, no. 5 (nov. 2004), p. 320-327
Assunto Diabetes mellitus
[en] Brazil
[en] Community health services
[en] Health promotion
[en] Mass screening
Origem Estrangeiro
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/66409
Arquivos Descrição Formato
000505920.pdf (85.91Kb) Texto completo (inglês) Adobe PDF Visualizar/abrir

Este item está licenciado na Creative Commons License

Este item aparece na(s) seguinte(s) coleção(ões)


Mostrar registro completo

Percorrer



  • O autor é titular dos direitos autorais dos documentos disponíveis neste repositório e é vedada, nos termos da lei, a comercialização de qualquer espécie sem sua autorização prévia.
    Projeto gráfico elaborado pelo Caixola - Clube de Criação Fabico/UFRGS Powered by DSpace software, Version 1.8.1.