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口腔健康调查中体内校准的伦理学问题。

The ethics of in vivo calibrations in oral health surveys.

作者信息

Andrade Flávia Reis de, Narvai Paulo Capel, Montagner Miguel Ângelo

机构信息

Faculdade de Ceilândia, Universidade de Brasília - Brasília (DF), Brasil.

Faculdade de Saúde Pública, Universidade de São Paulo - São Paulo (SP), Brasil.

出版信息

Rev Bras Epidemiol. 2016 Oct-Dec;19(4):812-821. doi: 10.1590/1980-5497201600040011.

DOI:10.1590/1980-5497201600040011
PMID:28146170
Abstract

OBJECTIVES

: To analyze the ethics of in vivo calibration, using the discourse of the administrators of the National Oral Health Survey (SBBrasil 2010) as a starting point.

METHOD

: This is a qualitative research involving semi-structured individual interviews with 12 members of the Steering Group and Technical Advisory Committee of the Ministry of Health, and two coordinators, one State and the other Municipal. The discourse of the collective subject technique was used for data analysis.

RESULTS

: When asked about the experiences of SBBrasil 2010, which included ethical aspects, respondents identified the forms of standardization and training of teams who collected field data. For them, there is little scientific evidence to ethically support the way the training stage, including calibration, is carried out in oral health epidemiological surveys, as a certain unease can be predicted in participants of these studies.

CONCLUSION

: The ethics of a research also derives from its methodological rigor; the training process; and calibration in particular, is a fundamental technical and ethical requirement in surveys such as the SBBrasil 2010. The unease of the volunteers in face of test repetition does not ethically invalidate the in vivo calibration, but mechanisms to minimize it must be developed.

摘要

目的

以巴西全国口腔健康调查(SBBrasil 2010)管理者的论述为出发点,分析体内校准的伦理问题。

方法

这是一项定性研究,对卫生部指导小组和技术咨询委员会的12名成员以及两名协调员(一名州级协调员和一名市级协调员)进行了半结构化个人访谈。数据分析采用集体主体技术的论述。

结果

当被问及SBBrasil 2010的经验(包括伦理方面)时,受访者指出了收集现场数据的团队的标准化和培训形式。对他们来说,在口腔健康流行病学调查中,从伦理角度支持包括校准在内的培训阶段实施方式的科学证据很少,因为可以预见这些研究的参与者会有一定的不安。

结论

一项研究的伦理也源于其方法的严谨性;培训过程;特别是校准,是诸如SBBrasil 2010等调查中的一项基本技术和伦理要求。志愿者面对测试重复时的不安在伦理上并不会使体内校准无效,但必须制定将其降至最低的机制。

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