scholarly journals The first Portuguese National Health Examination Survey (2015): design, planning and implementation

2019 ◽  
Vol 41 (3) ◽  
pp. 511-517 ◽  
Author(s):  
Baltazar Nunes ◽  
Marta Barreto ◽  
Ana P Gil ◽  
Irina Kislaya ◽  
Sónia Namorado ◽  
...  
Keyword(s):  
National Health ◽  
General Health Questionnaire ◽  
National Level ◽  
Participation Rate ◽  
Epidemiological Data ◽  
Blood Collection ◽  
Health Examination ◽  
Cross Sectional ◽  
Health Examination Survey ◽  
Design Planning

Abstract Background In Health Examination Surveys interview information is complemented with objective information, providing more accurate indicators than self-reported data. We report the study design, planning and implementation of the first Portuguese Health Examination Survey (INSEF). Methods INSEF was a cross-sectional population-based study representative at regional and national level. Individuals aged between 25 and 74 years old, residing in Portugal were selected from the national health users’ registry through multi-stage stratified probabilistic sampling. Sample size was set at 4200 individuals. Data was collected in primary care units and included blood pressure, height, weight, hip and waist measurements, blood collection for lipid profile, HbA1c and blood count and a general health questionnaire. European HES procedures were followed. Results A total of 4911 individuals agreed to participate (43.9% participation rate). Participation rate varied by region, sex and age group, being lower in Lisbon and Tagus Valley (32.8%), for men (41.8%) and for those aged 25–34 years old (36%). Conclusions INSEF has set up an experienced national and regional structure for HES implementation. Nationally representative quality epidemiological data is now available for public health monitoring, planning and research.

scholarly journals Utilisation of evidence from Thailand’s National Health Examination Survey in policy development: finding the weakest link

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Sripen Tantivess ◽  
Jomkwan Yothasamut ◽  
Wilailak Saengsri
Keyword(s):  
Data Collection ◽  
National Health ◽  
Policy Development ◽  
Health Surveys ◽  
National Level ◽  
Monitoring And Evaluation ◽  
Governance Structure ◽  
Health Surveillance ◽  
Health Examination ◽  
Health Examination Survey

Abstract Background Health surveillance and survey data are helpful in evidence-informed policy decisions. This study is part of an evaluation of the National Health Examination Survey (NHES) programme in Thailand. This paper focuses on the obstacles in the translation of survey information into policies at a national level. Methods In-depth interviews with relevant individuals and representatives of institutes were carried out for the data collection. A total of 26 focal informants included executives and staff of NHES funders, government health agencies, civil society organisations, health experts, NHES programme managers and researchers in the survey network. Results Utilisation of NHES data in policy-making is limited for many reasons. Despite the potential users’ positive views on the technical integrity of experts and practitioners involved in the NHES, the strength of employing health examinations in the data collection is not well recognised. Meanwhile, alternative health surveillance platforms that offer similar information on a shorter timescale are preferable in policy monitoring and evaluation. In sum, the lack of governance of Thailand’s health surveillance system is identified as a key element hindering the translation of health surveys, including the NHES, into policies. Conclusion Despite an adequate capacity to conduct population health surveys, the lack of governance structure and function has resulted in a fragmented health monitoring system. Large and small survey projects are conducted and funded by different institutes without common policy direction and alignment mechanisms for prioritising survey topics, collective planning and capacity-building programmes for survey practitioners and users. Lessons drawn from Thailand’s NHES can be helpful for policy-makers in other low- and middle-income countries, as effective governance for evidence generation and utilisation is necessary in all contexts, regardless of income level and available resources.

scholarly journals STATUS KEGEMUKAN, POLA MAKAN, TINGKAT AKTIVITAS FISIK DAN PENYAKIT DEGENERATIF DOSEN DAN KARYAWAN UNIVERSITAS NEGERI YOGYAKARTA

MEDIKORA ◽  
2015 ◽  
Author(s):  
Novita Intan Arovah
Keyword(s):  
National Health ◽  
Food Frequency Questionnaire ◽  
Health Examination ◽  
Cross Sectional ◽  
Food Frequency ◽  
Health Examination Survey

Penelitian ini bertujuan untuk mendeskripsikan status kegemukan, pola makan dantingkat aktivitas dosen dan karyawan UNY dan kaitannya dengan status gangguandegeneratif dosen dan karyawan di Universitas Negeri Yogyakarta.Penelitian ini merupakan penelitian survey cross sectional. Subjek penelitian iniadalah semua dosen dan karyawan UNY yang berkunjung di poliklinik UNY pada bulanMei sampai Agustus 2011 yang berjumlah 30 orang. Status kegemukan dinilai denganmenghitung BMI dan rasio lingkar perut dan panggul. Pola makan dan status gizi diukurdengan menggunakan kuisioner pola makan (modifikasi food frequency questionnaire) danaktivitas fisik (modifikasi NHES/National Health Examination Survey). Status degeneratifditentukan dengan kuisioner status degeneratif berdasarkan standard diagnosis. Statuskegemukan, pola makan dan tingkat aktivitas fisik dianalisis secara deskriptif dan dikaitkandengan status degeneratif dengan uji regresi logistik pada taraf kepercayaan 95%.Hasil penelitian menunjukkan bahwa sebanyak 2,3% dosen dan karyawan UNYmemiliki status kegemukan obese (standard BMI) dan 30% obese (standard rasio lingkarperut/panggul). Pola makan dengan sumber karbohidrat, sayur dan protein cenderungterdistribusi normal, sedangkan pola penggunaan suplemen kesehatan cenderung condongke arah kiri (mayoritas tidak menkonsumsi). Tingkat aktivitas fisik dosen dan karyawanUNY mayoritas rendah. Lebih lanjut, tidak ditemukan hubungan yang signifikan antarastatus penyakit degeneratif dengan status kegemukan, pola makan dan tingkat aktivitasfisik. Kata kunci: Status kegemukan, pola makan, level aktivitas fisik, gangguan degeneratif.

scholarly journals The first Portuguese National Health Examination Survey (2015): design, planning and implementation

2016 ◽  
Vol 26 (suppl_1) ◽  
Author(s):  
B Nunes ◽  
M Barreto ◽  
AP Gil ◽  
I Kislaya ◽  
S Namorado ◽  
...  
Keyword(s):  
National Health ◽  
Health Examination ◽  
Health Examination Survey ◽  
Design Planning

scholarly journals The health of asylum seekers in Finland: a total population health examination survey (TERTTU)

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
N Skogberg ◽  
P Koponen ◽  
E Lilja ◽  
K-L Mustonen ◽  
F Garoff ◽  
...  
Keyword(s):  
Asylum Seekers ◽  
National Level ◽  
Circulatory System ◽  
Participation Rate ◽  
Evidence Base ◽  
Population Based ◽  
Health Examination ◽  
Assessment Protocol ◽  
Health And Wellbeing ◽  
Health Examination Survey

Abstract Background There is scarcity of representative population-based data on the health and wellbeing of asylum seekers in Europe. The Asylum Seekers Health and Wellbeing Survey (TERTTU) was launched to provide the evidence-base for developing services for asylum seekers as well as for planning and allocation of healthcare resources at a national level. Methods A sample of all first-time asylum applicants between 19.2-30.11.2018 was drawn from the Finnish Immigration Services electronic asylum database. Altogether 784 adults aged 18 years and older took part in the standardised health examination and face-to-face interview with participation rate of 79%. Interviewed health measures included the Minimum European Health Module, conditions previously diagnosed by a physician, permanent injury due to violence or accident and somatization. Results Self-rated health was good among 66% (95% CI 62,5-69,1) and 42% (95% CI 38,5-45,4) reported having some self-reported long-term illness or health problem. The most common previously diagnosed conditions were diseases of the circulatory system (19%, 95% CI 16,5-22,0), musculoskeletal system (18%, 95% CI 15,6-21,1), mental and behavioural disorders (13%, 95% CI 10,9-15,6) and diseases of the respiratory system (10%, 95% CI 8,0-12,2 ). Nearly half (47%, 95% CI 43,7-50,8) reported having a permanent injury due to violence or accident. Somatisation was common: 23% (95% CI 20,3-26,2) reported having headache, 23% (95% CI 19,9-25,8) back ache and 13% (95% CI 10,8-15,6) other pains at least several times a week. Conclusions The overall health of newly-arrived asylum seekers was poorer compared with the general Finnish population and migrant origin populations from similar countries of origin permanently living in Finland. Significant differences in asylum seekers health were found by sex and region of origin. Survey data will be used for developing the national initial health assessment protocol for asylum seekers during 2019. Key messages The TERTTU Survey is the largest population-based health examination survey among newly-arrived asylum seekers in Europe to date. The extensive data gathered over the course of the survey will be used for developing services for asylum seekers at a national level and is of high relevance also to other European countries.

scholarly journals Collecting Valid and Reliable Data: Fieldwork Monitoring Strategies in a Health Examination Survey

2020 ◽  
pp. 1-10
Author(s):  
Irina Kislaya ◽  
Ana João Santos ◽  
Heidi Lyshol ◽  
Liliana Antunes ◽  
Marta Barreto ◽  
...  
Keyword(s):  
Data Quality ◽  
Time Distribution ◽  
Missing Values ◽  
Information Source ◽  
Blood Pressure Measurement ◽  
Participation Rate ◽  
Statistical Quality Control ◽  
Blood Collection ◽  
Health Examination ◽  
Health Examination Survey

<b><i>Introduction:</i></b> Health surveys constitute a relevant information source to access the population’s health status. Given that survey errors can significantly influence estimates and invalidate study findings, it is crucial that the fieldwork progress is closely monitored to ensure data quality. The objective of this study was to describe the fieldwork monitoring conducted during the first Portuguese National Health Examination Survey (INSEF) regarding protocol deviations and key performance indicators (KPI). <b><i>Methods:</i></b> Data derived from interviewer observation and from the statistical quality control of selected KPI were used to monitor the four components of the INSEF survey (recruitment, physical examination, blood collection and health questionnaire). Survey KPI included response rate, average time distribution for procedures, distribution of the last digit in a specific measure, proportion of haemolysed blood samples and missing values. <b><i>Results:</i></b> Interviewer observation identified deviations from the established protocols, which were promptly corrected. During fieldwork monitoring through KPI, upon implementation of corrective measures, the participation rate increased 2.5-fold, and a 4.4-fold decrease in non-adherence to standardized survey procedures was observed in the average time distribution for blood pressure measurement. The proportion of measurements with the terminal digit of 0 or 5 decreased to 19.6 and 16.5%, respectively, after the pilot study. The proportion of haemolysed samples was at baseline level, below 2.5%. Missing data issues were minimized by promptly communicating them to the interviewer, who could recontact the participant and fill in the missing information. <b><i>Discussion/Conclusion:</i></b> Although the majority of the deviations from the established protocol occurred during the first weeks of the fieldwork, our results emphasize the importance of continuous monitoring of survey KPI to ensure data quality throughout the survey.

scholarly journals Work absence and multimorbidity in Portugal: results from the 1st National Health Examination Survey

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Matos ◽  
C Matias Dias ◽  
A Félix
Keyword(s):  
Logistic Regression ◽  
Regression Model ◽  
Chronic Diseases ◽  
National Health ◽  
Logistic Regression Model ◽  
Health Examination ◽  
Work Absence ◽  
Health Examination Survey ◽  
Absence From Work ◽  
The Impact

Abstract Background Studies on the impact of patients with multimorbidity in the absence of work indicate that the number and type of chronic diseases may increase absenteeism and that the risk of absence from work is higher in people with two or more chronic diseases. This study analyzed the association between multimorbidity and greater frequency and duration of work absence in the portuguese population between the ages of 25 and 65 during 2015. Methods This is an epidemiological, observational, cross-sectional study with an analytical component that has its source of information from the 1st National Health Examination Survey. The study analyzed univariate, bivariate and multivariate variables under study. A multivariate logistic regression model was constructed. Results The prevalence of absenteeism was 55,1%. Education showed an association with absence of work (p = 0,0157), as well as professional activity (p = 0,0086). It wasn't possible to verify association between the presence of chronic diseases (p = 0,9358) or the presence of multimorbidity (p = 0,4309) with absence of work. The prevalence of multimorbidity was 31,8%. There was association between age (p &lt; 0,0001), education (p &lt; 0,001) and yield (p = 0,0009) and multimorbidity. There is no increase in the number of days of absence from work due to the increase in the number of chronic diseases. In the optimized logistic regression model the only variables that demonstrated association with the variable labor absence were age (p = 0,0391) and education (0,0089). Conclusions The scientific evidence generated will contribute to the current discussion on the need for the health and social security system to develop policies to patients with multimorbidity. Key messages The prevalence of absenteeism and multimorbidity in Portugal was respectively 55,1% and 31,8%. In the optimized model age and education demonstrated association with the variable labor absence.

Attributes of the radiographic standard of reference for the National Health Examination Survey

1971 ◽  
Vol 35 (3) ◽  
pp. 331-337 ◽  
Author(s):  
S. Idell Pyle ◽  
Alice M. Waterhouse ◽  
William Walter Greulich
Keyword(s):  
National Health ◽  
Health Examination ◽  
Health Examination Survey

Do We Fatten Our Children at the Television Set? Obesity and Television Viewing in Children and Adolescents

PEDIATRICS ◽  
1985 ◽  
Vol 75 (5) ◽  
pp. 807-812 ◽  
Author(s):  
William H. Dietz ◽  
Steven L. Gortmaker
Keyword(s):  
Population Density ◽  
Children And Adolescents ◽  
National Health ◽  
Television Viewing ◽  
Temporal Sequence ◽  
Health Examination ◽  
Cross Sectional ◽  
Three Samples ◽  
Prevalence Of Obesity ◽  
Family Variables

The association of television viewing and obesity in data collected during cycles II and III of the National Health Examination Survey was examined. Cycle II examined 6,965 children aged 6 to 11 years and cycle III examined 6,671 children aged 12 to 17 years. Included in the cycle III sample were 2,153 subjects previously studied during cycle II. These surveys, therefore, provided two cross-sectional samples and one prospective sample. In all three samples, significant associations of the time spent watching television and the prevalence of obesity were observed. In 12- to 17-year-old adolescents, the prevalence of obesity increased by 2% for each additional hour of television viewed. The associations persisted when controlled for prior obesity, region, season, population density, race, socioeconomic class, and a variety of other family variables. The consistency, temporal sequence, strength, and specificity of the associations suggest that television viewing may cause obesity in at least some children and adolescents. The potential effects of obesity on activity and the consumption of calorically dense foods are consistent with this hypothesis.

scholarly journals Metabolic syndrome in Thai adolescents and associated factors: the Thai National Health Examination Survey V (NHES V)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sirinapa Siwarom ◽  
Wichai Aekplakorn ◽  
Kwanchai Pirojsakul ◽  
Witchuri Paksi ◽  
Pattapong Kessomboon ◽  
...  
Keyword(s):  
Physical Activity ◽  
Metabolic Syndrome ◽  
National Health ◽  
Screen Time ◽  
International Diabetes Federation ◽  
Health Examination ◽  
Time Frequency ◽  
Screen Media ◽  
Thai Adolescents ◽  
Health Examination Survey

Abstract Background Presence of metabolic syndrome (MetS) in early life may influence cardiovascular outcome later in adulthood. There is limited data regarding MetS among Thai adolescents. This study aimed to estimate the prevalence of MetS and related factors in Thai adolescents. Methods Data on MetS components of 1934 Thai adolescents aged 10–16 years were obtained from the 5th National Health Examination Survey. Age at first screen time exposure, duration of screen time, frequency of food intake and physical activities were collected from interviews. MetS was defined according to 3 definitions: International Diabetes Federation (IDF), Cook’s, and de Ferranti’s. Results The prevalence of MetS was 4.1% by IDF, 8.0% by Cook’s, and 16.8% by de Ferranti’s definition. The overall prevalence was higher in male (19.0%) than female adolescents (15.3%). The most common MetS components composition among Thai adolescents was high waist circumference with high serum triglyceride and low HDL-cholesterol (40.0% for IDF, 22.6% for Cook’s and 43.5% for de Ferranti’s definition). Exposure to screen media during the first 2 years of life had a 1.3- fold increased odds of MetS by 1 out of 3 definitions (OR 1.30, 95% CI. 1.01–1.68). Duration of physical activity associated with decreased odds of MetS by Cook’s definition (OR 0.96, 95% CI. 0.92–0.99). Conclusions The prevalence of MetS among Thai adolescents was higher than previously reported by other studies. Screen media exposure during the first 2 years of life should be discouraged and measures to promote physical activity among children and adolescents should be strengthen.

Sign in / Sign up

Export Citation Format

Share Document