Painel de indicadores de saúde ambiental para doenças oncológicas
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Data
2017
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Editora
Edições Universitárias Lusófonas
Resumo
Em Portugal o cancro é a primeira causa de morte prematura e a segunda em todas as idades. Mundialmente a proporção
de casos de cancro atribuíveis a fatores de risco modificáveis excede um terço dos mesmos. Estes são casos evitáveis.
O modelo de organização de indicadores de saúde ambiental DPSEEA: Força Motriz-Pressão-Situação-ExposiçãoEfeito-Ação simplifica a descrição e a análise das relações entre desenvolvimento, ambiente e saúde, visando auxiliar a
tomada de decisões.
Através de uma pesquisa aplicada, descritiva e documental elaborou-se um quadro de 18 indicadores alicerçado no
modelo DPSEEA, visando a leitura da situação e evolução da saúde ambiental em Portugal com impacto na área das
doenças oncológicas.
Foram consultados os sites de 41 entidades e identificados 81 indicadores. A seleção dos 18 indicadores mais adequados, 3
por cada dimensão do modelo, foi efetuada através dum painel de 21 peritos, organizados de forma aleatória e estratificada
por áreas de formação. Os indicadores foram classificados numa escala de Likert quanto à validez, solidez, relevância,
sensibilidade e qualidade estatística.
Estatisticamente as diferenças nas pontuações observadas para os diferentes indicadores em todas as dimensões são
significativas e o conjunto de 3 indicadores escolhidos para cada dimensão é igualmente relevante em 95% dos mesmos
(p<0,05).
In Portugal, cancer is the leading cause of premature death and the second leading cause of death in all ages. Worldwide, the proportion of cases of cancer attributable to modifiable risk factors exceeds one-third. These cases are avoidable. The organization model of environmental health indicators DPSEEA: Driving Force-Pressure-Situation-ExposureEffect-Action simplifies the description and analysis of the relationships between development, environment and health, with an aim to better decision-making. Through an applied, descriptive and documental research process, a table of 18 indicators based on the DPSEEA model was developed, aimed at reading the current state and evolution of environmental health in Portugal with impact on the area of oncological diseases. The public websites of 41 entities were consulted and 81 indicators were identified. The selection of the 18 most appropriate indicators, three for each dimension of the model, was made with a panel of 21 experts, randomly organized and stratified by training areas. The indicators were classified on a Likert scale for validity, solidity, relevance, sensitivity and statistical quality. The differences in the scores observed for the different indicators in all dimensions were statistically significant, and the set of three indicators chosen for each dimension was equally relevant in 95% of comparisons (p <0.05).
In Portugal, cancer is the leading cause of premature death and the second leading cause of death in all ages. Worldwide, the proportion of cases of cancer attributable to modifiable risk factors exceeds one-third. These cases are avoidable. The organization model of environmental health indicators DPSEEA: Driving Force-Pressure-Situation-ExposureEffect-Action simplifies the description and analysis of the relationships between development, environment and health, with an aim to better decision-making. Through an applied, descriptive and documental research process, a table of 18 indicators based on the DPSEEA model was developed, aimed at reading the current state and evolution of environmental health in Portugal with impact on the area of oncological diseases. The public websites of 41 entities were consulted and 81 indicators were identified. The selection of the 18 most appropriate indicators, three for each dimension of the model, was made with a panel of 21 experts, randomly organized and stratified by training areas. The indicators were classified on a Likert scale for validity, solidity, relevance, sensitivity and statistical quality. The differences in the scores observed for the different indicators in all dimensions were statistically significant, and the set of three indicators chosen for each dimension was equally relevant in 95% of comparisons (p <0.05).
Descrição
Biomedical and biopharmaceutical research : jornal de investigação biomédica e biofarmacêutica
Palavras-chave
MEDICINA, ONCOLOGIA, SAÚDE AMBIENTAL, SAÚDE PÚBLICA, DPSEEA, MEDICINE, ONCOLOGY, ENVIRONMENTAL HEALTH, PUBLIC HEALTH