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

机译:对健康状况的感知和使用小插图校准社会经济地位:2003年巴西世界卫生调查的结果

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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.
机译:作为世界卫生组织(世卫组织)项目的一部分,该项目侧重于评估国家卫生系统的绩效,在许多成员国开展了世界卫生调查(WHS)。为了能够比较同一国家不同文化之间或不同国家之间的自我评估健康状况,WHS问卷包括了一些样本案例的短篇小说,即描述第三方健康问题的假设故事。本研究的目的是评估在巴西使用小插图评级实施自我评级健康的社会经济校准量表的可能性。使用巴西WHS数据,比较了通过两种不同策略(自我评估和小插图评估)测得的健康状况。社会经济状况(教育水平和家庭资产数量)对健康领域等级的影响是通过对年龄和性别进行控制的多元回归模型估算的。在自我认知的情况下,社会经济地位的影响对大多数健康领域都非常重要,但在第三方评级的情况下,统计学上无效。结论是,世卫组织的宣传短片不适合在巴西校准自我评价的卫生措施。

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