Segri Neuber José, Francisco Priscila Maria S Bergamo, Alves Maria Cecília Goi Porto, Barros Marilisa Berti de Azevedo, Cesar Chester Luiz Galvão, Goldbaum Moisés, Malta Deborah Carvalho
Department of Epidemiology of the School of Public Health at Universidade de São Paulo (USP), São Paulo (SP), Brazil.
Rev Bras Epidemiol. 2011 Sep;14 Suppl 1:31-43. doi: 10.1590/s1415-790x2011000500004.
The aim of this study was to compare estimates of Pap smear and mammogram screening obtained from household and telephone surveys in women living in São Paulo in 2008, according to sociodemographic characteristics, and to measure the differences observed from those estimates.
The study compared data from ISA - Capital 2008, a household survey conducted in São Paulo by Universidade de São Paulo (USP), Universidade Estadual de Campinas (UNICAMP) and the State Health Department with support from the Municipal Health Department, and VIGITEL - São Paulo, a telephone-based Surveillance of Risk and Protective Factors for Chronic Diseases. Estimates of Pap smear and mammography, as well as their realization in the year prior to the interview, were compared according to type of survey (household/telephone) by Poisson regression adjusted for age and education.
There were no statistically significant differences between the estimates obtained by VIGITEL and ISA - Capital as to the prevalence of mammography in the year prior to the interview. However, global estimates of the Pap smear at least once in life and in the past year, as well as mammography at least once in life, show statistically significant differences, with higher prevalence rates of coverage among those interviewed by telephone.
The results indicate a tendency to overestimate coverage of mammography and Pap smear in the telephone survey data, which indicates the need for new studies that also contribute to a better understanding of the differences observed by different types of surveys.
本研究旨在根据社会人口学特征,比较2008年圣保罗女性通过家庭调查和电话调查获得的巴氏涂片检查和乳房X光检查筛查估计值,并衡量观察到的这些估计值之间的差异。
该研究比较了来自ISA - Capital 2008(圣保罗大学(USP)、坎皮纳斯州立大学(UNICAMP)和州卫生部在市卫生部支持下进行的一项家庭调查)以及VIGITEL - São Paulo(一项基于电话的慢性病风险和保护因素监测)的数据。根据调查类型(家庭/电话),通过对年龄和教育程度进行调整的泊松回归,比较了巴氏涂片检查和乳房X光检查的估计值,以及在访谈前一年的实际检查情况。
在访谈前一年,VIGITEL和ISA - Capital获得的乳房X光检查患病率估计值之间没有统计学上的显著差异。然而,一生中至少进行一次巴氏涂片检查以及过去一年中至少进行一次巴氏涂片检查和一生中至少进行一次乳房X光检查的总体估计值显示出统计学上的显著差异,电话访谈对象的覆盖率更高。
结果表明,电话调查数据中乳房X光检查和巴氏涂片检查的覆盖率有高估倾向,这表明需要开展新的研究,以更好地理解不同类型调查所观察到的差异。