Nascimento Fabiana Alves do, Silva Sara Araújo da, Jaime Patricia Constante
Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil.
Secretaria de Atenção à Saúde, Ministério da Saúde, Brasília, Brasil.
Cad Saude Publica. 2017 Dec 18;33(12):e00161516. doi: 10.1590/0102-311X00161516.
This study aims to describe and analyze nationwide coverage of the assessment of nutritional status in the user population of public health services recorded in Brazil's Online Food and Nutritional Surveillance System SISVAN) from 2008 to 2013. This was an ecological study of secondary data from information systems. The indicators were: percentages of registration in and utilization of the system; total coverage and coverage of data from the Bolsa Família Program, corrected according to the user population of the Brazilian Unified National Health System SUS) and described according to the states of Brazil and Federal District, major geographic regions, and/or life cycle phases. The analysis used descriptive statistics, linear regression for estimation of temporal variation, and Spearman's correlation between total coverage and social, demographic, and health variables. From 2008 to 2013, more than 99% of Brazil's municipalities counties) had individuals enrolled and monitored in the system, and the highest frequencies and total variations in coverage appeared in the Northeast and North. Nationwide coverage ranged from 9.78% to 14.92%, with a statistically significant upward trend. The largest volume of data was for children and adolescents. The Bolsa Família Program's share of data in SISVAN increased from 57.17% to 85.78%. The municipal human development index and per capita gross domestic product in the states were inversely correlated with coverage, and family health teams were directly correlated. The results indicate persistently low coverage for a system that is intended to be universal. The study showed a significant increase in coverage during the period analyzed and revealed factors related to this increase.
本研究旨在描述和分析2008年至2013年巴西在线食品和营养监测系统（SISVAN）记录的公共卫生服务用户群体中营养状况评估的全国覆盖情况。这是一项基于信息系统二手数据的生态学研究。指标包括：系统的注册和使用率；总覆盖率以及根据巴西统一国家卫生系统（SUS）用户群体校正后的家庭补助金计划数据覆盖率，并按巴西各州、联邦区、主要地理区域和/或生命周期阶段进行描述。分析采用描述性统计、用于估计时间变化的线性回归以及总覆盖率与社会、人口和健康变量之间的斯皮尔曼相关性。2008年至2013年期间，巴西超过99%的市（县）有个人在该系统中登记和监测，覆盖率的最高频率和总体变化出现在东北部和北部。全国覆盖率从9.78%到14.92%不等，且呈统计学上显著的上升趋势。数据量最大的是儿童和青少年。家庭补助金计划在SISVAN中的数据占比从57.17%增至85.78%。各州的市人类发展指数和人均国内生产总值与覆盖率呈负相关，而家庭健康团队与之呈正相关。结果表明，一个旨在普及的系统的覆盖率持续较低。该研究显示，在分析期内覆盖率显著提高，并揭示了与这一增长相关的因素。
