Perception of health state and the use of vignettes to calibrate for socioeconomic status: results of the World Health Survey in Brazil, 2003

Detalhes bibliográficos
Autor(a) principal: Damacena, Giseli Nogueira
Data de Publicação: 2005
Outros Autores: Vasconcellos, Mauricio Teixeira Leite de, Szwarcwald, Célia Landmann
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2675
Resumo: As part of the World Health Organization (WHO) project focused on assessing the performance of national health systems, the World Health Survey (WHS) was carried out in many member countries. In order to enable comparison of self-rated health between different cultures of the same country or between different nations, the WHS questionnaire included vignettes of sample cases, that is, hypothetical stories that describe the health problems of third parties. The objective of the present study is to evaluate the possibility of using vignette ratings to implement a socioeconomic calibration scale for self-rated health in Brazil. Using Brazilian WHS data, perceptions of state of health, measured through two different strategies (self-rating and vignette-rating), were compared. The effects of socioeconomic status (educational level and number of household assets) on health domain ratings were estimated via multiple regression models, controlled for age and sex. The effects of socioeconomic status were significant for the majority of health domains in the case of self-perception, but statistically null in the case of third party ratings. It is concluded that the WHO vignettes are not appropriate for calibrating self-rated health measures in Brazil.
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spelling Perception of health state and the use of vignettes to calibrate for socioeconomic status: results of the World Health Survey in Brazil, 2003Health StatusSocioeconomic StatusVignettesAs part of the World Health Organization (WHO) project focused on assessing the performance of national health systems, the World Health Survey (WHS) was carried out in many member countries. In order to enable comparison of self-rated health between different cultures of the same country or between different nations, the WHS questionnaire included vignettes of sample cases, that is, hypothetical stories that describe the health problems of third parties. The objective of the present study is to evaluate the possibility of using vignette ratings to implement a socioeconomic calibration scale for self-rated health in Brazil. Using Brazilian WHS data, perceptions of state of health, measured through two different strategies (self-rating and vignette-rating), were compared. The effects of socioeconomic status (educational level and number of household assets) on health domain ratings were estimated via multiple regression models, controlled for age and sex. The effects of socioeconomic status were significant for the majority of health domains in the case of self-perception, but statistically null in the case of third party ratings. It is concluded that the WHO vignettes are not appropriate for calibrating self-rated health measures in Brazil.Como parte do projeto da Organização Mundial da Saúde (OMS) de avaliação de desempenho dos sistemas de saúde das nações, a Pesquisa Mundial de Saúde (PMS) foi realizada em vários países membros. Para possibilitar a comparação de estimativas de auto-avaliação do estado de saúde coletadas entre culturas distintas, a OMS utilizou a estratégia de incluir vinhetas de casos-padrão, estórias hipotéticas que descrevem problemas de saúde de terceiros. Utilizando os dados da PMS brasileira, objetivou-se, neste trabalho, avaliar a utilização de vinhetas de casos-padrão para calibração da percepção de saúde por nível sócio-econômico. Na análise estatística foram comparadas as médias de avaliação de cada domínio por estratégia de mensuração (auto-avaliação e vinhetas) segundo sexo, faixa etária, e nível sócio-econômico (grau de escolaridade e número de bens no domicílio). Os efeitos do nível sócio-econômico sobre as avaliações dos domínios de saúde foram estimados por regressão múltipla, controlando-se por idade e sexo. No caso da auto-avaliação, os efeitos do nível sócio-econômico foram significativos para a maioria dos domínios, mas estatisticamente nulos, no caso de vinhetas. Conclui-se que a utilização das vinhetas propostas pela OMS para calibração das medidas de auto-reporte não se mostrou apropriada no caso do Brasil.Reports in Public HealthCadernos de Saúde Pública2005-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2675Reports in Public Health; Vol. 21 No. 7 (2005): Supplement 1Cadernos de Saúde Pública; v. 21 n. 7 (2005): Suplemento 11678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2675/5374https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2675/5375Damacena, Giseli NogueiraVasconcellos, Mauricio Teixeira Leite deSzwarcwald, Célia Landmanninfo:eu-repo/semantics/openAccess2024-03-06T15:27:09Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/2675Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:03:07.236951Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Perception of health state and the use of vignettes to calibrate for socioeconomic status: results of the World Health Survey in Brazil, 2003
title Perception of health state and the use of vignettes to calibrate for socioeconomic status: results of the World Health Survey in Brazil, 2003
spellingShingle Perception of health state and the use of vignettes to calibrate for socioeconomic status: results of the World Health Survey in Brazil, 2003
Damacena, Giseli Nogueira
Health Status
Socioeconomic Status
Vignettes
title_short Perception of health state and the use of vignettes to calibrate for socioeconomic status: results of the World Health Survey in Brazil, 2003
title_full Perception of health state and the use of vignettes to calibrate for socioeconomic status: results of the World Health Survey in Brazil, 2003
title_fullStr Perception of health state and the use of vignettes to calibrate for socioeconomic status: results of the World Health Survey in Brazil, 2003
title_full_unstemmed Perception of health state and the use of vignettes to calibrate for socioeconomic status: results of the World Health Survey in Brazil, 2003
title_sort Perception of health state and the use of vignettes to calibrate for socioeconomic status: results of the World Health Survey in Brazil, 2003
author Damacena, Giseli Nogueira
author_facet Damacena, Giseli Nogueira
Vasconcellos, Mauricio Teixeira Leite de
Szwarcwald, Célia Landmann
author_role author
author2 Vasconcellos, Mauricio Teixeira Leite de
Szwarcwald, Célia Landmann
author2_role author
author
dc.contributor.author.fl_str_mv Damacena, Giseli Nogueira
Vasconcellos, Mauricio Teixeira Leite de
Szwarcwald, Célia Landmann
dc.subject.por.fl_str_mv Health Status
Socioeconomic Status
Vignettes
topic Health Status
Socioeconomic Status
Vignettes
description As part of the World Health Organization (WHO) project focused on assessing the performance of national health systems, the World Health Survey (WHS) was carried out in many member countries. In order to enable comparison of self-rated health between different cultures of the same country or between different nations, the WHS questionnaire included vignettes of sample cases, that is, hypothetical stories that describe the health problems of third parties. The objective of the present study is to evaluate the possibility of using vignette ratings to implement a socioeconomic calibration scale for self-rated health in Brazil. Using Brazilian WHS data, perceptions of state of health, measured through two different strategies (self-rating and vignette-rating), were compared. The effects of socioeconomic status (educational level and number of household assets) on health domain ratings were estimated via multiple regression models, controlled for age and sex. The effects of socioeconomic status were significant for the majority of health domains in the case of self-perception, but statistically null in the case of third party ratings. It is concluded that the WHO vignettes are not appropriate for calibrating self-rated health measures in Brazil.
publishDate 2005
dc.date.none.fl_str_mv 2005-01-01
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dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2675
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2675
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2675/5374
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2675/5375
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eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 21 No. 7 (2005): Supplement 1
Cadernos de Saúde Pública; v. 21 n. 7 (2005): Suplemento 1
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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instacron_str FIOCRUZ
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reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
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