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巴西提供氟化水服务的信息一致性。

Consistency of information on the provision of water fluoridation in Brazil.

机构信息

Universidade de São Paulo, School of Public Health, Department of Policy, Management and Health - São Paulo (SP), Brazil.

Hospital Israelita Albert Einstein, Center for Studies, Research and Practice in Primary Care and Networks - São Paulo (SP), Brazil.

出版信息

Rev Bras Epidemiol. 2024 Jun 14;27:e240029. doi: 10.1590/1980-549720240029. eCollection 2024.

DOI:10.1590/1980-549720240029
PMID:38896649
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11182442/
Abstract

OBJECTIVE

This study aimed to assess the consistency of data regarding the provision of fluoridation in Brazilian municipalities with water supply systems.

METHODS

Official data from the National Basic Sanitation Survey and the National Information System on Sanitation for 2017 were compared.

RESULTS

Out of 5,570 municipalities in Brazil, 4,546 (81.6%) had water supply systems. The agreement between data sources was 84%, with a Kappa of 0.668, indicating substantial agreement. However, the estimates of fluoridation provision exhibited an average discrepancy of 8.1 percentage points, ranging from 1.2 points in the Central-West region to 21.4 points in the Northeast region.

CONCLUSION

To address these inconsistencies, it is essential to enhance information sources, ensuring more reliable data for health, sanitation authorities, and society at large.

摘要

目的

本研究旨在评估巴西具有供水系统的市政当局提供氟化的数据一致性。

方法

对 2017 年国家基本卫生调查和国家卫生信息系统的官方数据进行了比较。

结果

在巴西的 5570 个城市中,有 4546 个(81.6%)有供水系统。数据源之间的一致性为 84%,Kappa 值为 0.668,表明存在实质性一致性。然而,氟化供应的估计值存在 8.1 个百分点的平均差异,从中西部地区的 1.2 个百分点到东北地区的 21.4 个百分点不等。

结论

为了解决这些不一致的问题,必须加强信息来源,确保为卫生、卫生当局和整个社会提供更可靠的数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ef2/11182442/74c04f813b5f/1980-5497-rbepid-27-e240029-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ef2/11182442/74c04f813b5f/1980-5497-rbepid-27-e240029-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ef2/11182442/74c04f813b5f/1980-5497-rbepid-27-e240029-gf01.jpg

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Oral health care in Europe: Financing, access and provision.欧洲的口腔保健:融资、可及性和供应。
Health Syst Transit. 2022 Jun;24(2):1-176.
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Evolution of the determinants of health, health policy, and health information systems in Canada.加拿大健康决定因素、健康政策及健康信息系统的演变
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High agreement but low kappa: II. Resolving the paradoxes.高一致性但低卡帕值:II. 解决悖论
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