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为低收入和中等收入国家的健康调查开发数字工具:将两项手机调查的结果与孟加拉国一项具有全国代表性的面对面调查的结果进行比较。

Developing digital tools for health surveys in low- and middle-income countries: Comparing findings of two mobile phone surveys with a nationally representative in-person survey in Bangladesh.

作者信息

Kibria Gulam Muhammaed Al, Ahmed Saifuddin, Khan Iqbal Ansary, Fernández-Niño Julián A, Vecino-Ortiz Andres, Ali Joseph, Pariyo George, Kaufman Michelle, Sen Aninda, Basu Sunada, Gibson Dustin

机构信息

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America.

Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America.

出版信息

PLOS Glob Public Health. 2023 Jul 27;3(7):e0002053. doi: 10.1371/journal.pgph.0002053. eCollection 2023.

Abstract

Non-communicable disease (NCD) risk factor data from low- and middle-income countries (LMICs) are inadequate, mostly due to the cost and burden of collecting in-person population-level estimates. High-income countries regularly use phone-based surveys, and with increasing mobile phone subscription in developing countries, mobile phone surveys (MPS) could complement in-person surveys in LMICs. We compared the representativeness and prevalence estimates of two MPS (i.e., interactive voice response (IVR) and computer-assisted telephone interview (CATI)) with a nationally representative household survey in Bangladesh-the STEPwise approach to NCD risk factor surveillance (STEPs) 2018. This cross-sectional study included 18-69-year-old respondents. CATI and IVR recruitments were done by random digit dialing, while STEPs used multistage cluster sampling design. The prevalence of NCD risk factors related to tobacco, alcohol, diet, and hypertension was reported and compared by prevalence differences (PD) and prevalence ratios (PR). We included 2355 (57% males), 1942 (62% males), and 8185 (47% males) respondents in the CATI, IVR, and STEPs, respectively. CATI (28%) and IVR (52%) had a higher proportion of secondary/above-educated people than STEPs (13%). Most prevalence estimates differed by survey mode; however, CATI estimates were closer to STEPs than IVR. For instance, in CATI, IVR, and STEPs, respectively, the prevalence was 21.4%, 17.9%, and 23.5% for current smoking; and 1.6%, 2.2%, and 1.5% for alcohol drinking in past month. Compared to STEPs, the PD ranged from '-56.6% to 0.4%' in CATI and '-41.0% to 8.4%' in IVR; the PR ranged from '0.3 to 1.1' in CATI and '0.3 to 1.6' in IVR. There were some differences and some similarities in NCD indicators produced by MPS and STEPs with differences likely due to differences in socioeconomic characteristics between survey participants.

摘要

来自低收入和中等收入国家(LMICs)的非传染性疾病(NCD)风险因素数据不足,主要是由于收集人群层面估计数据的成本和负担。高收入国家经常使用基于电话的调查,并且随着发展中国家手机普及率的提高,手机调查(MPS)可以补充低收入和中等收入国家的面对面调查。我们将两种手机调查(即交互式语音应答(IVR)和计算机辅助电话访谈(CATI))的代表性和患病率估计值与孟加拉国一项具有全国代表性的家庭调查——2018年非传染性疾病风险因素监测逐步方法(STEPs)进行了比较。这项横断面研究纳入了18至69岁的受访者。CATI和IVR的招募通过随机数字拨号进行,而STEPs采用多阶段整群抽样设计。报告了与烟草、酒精、饮食和高血压相关的非传染性疾病风险因素的患病率,并通过患病率差异(PD)和患病率比(PR)进行比较。我们分别在CATI、IVR和STEPs中纳入了2355名(57%为男性)、1942名(62%为男性)和8185名(47%为男性)受访者。CATI(28%)和IVR(52%)中受过中等及以上教育的人群比例高于STEPs(13%)。大多数患病率估计值因调查方式而异;然而,CATI的估计值比IVR更接近STEPs。例如,在CATI、IVR和STEPs中,当前吸烟的患病率分别为21.4%、17.9%和23.5%;过去一个月饮酒的患病率分别为1.6%、2.2%和1.5%。与STEPs相比,CATI中的PD范围为“-56.6%至0.4%”,IVR中的PD范围为“-41.0%至8.4%”;CATI中的PR范围为“0.3至1.1”,IVR中的PR范围为“0.3至1.6”。手机调查和STEPs产生的非传染性疾病指标存在一些差异和一些相似之处,差异可能是由于调查参与者社会经济特征的不同。

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