Pesquisa Nacional de Saúde 2019: histórico, métodos e perspectivas

Abstract

Este artigo apresenta o histórico e a construção da Pesquisa Nacional de Saúde (PNS) 2019, inquérito de base domiciliar realizado em parceria com a fundação Instituto Brasileiro de Geografia e Estatística. O objetivo da PNS 2019 foi dotar o país de informações sobre os determinantes, condicionantes e necessidades de saúde da população brasileira. A amostra prevista foi de 108.525 domicílios particulares, considerando-se uma taxa de não resposta de 20%. Seu questionário continha três partes, orientadas para (i) o domicílio, (ii) todos os moradores do domicílio, com enfoque na coleta de informações socioeconômicas e de saúde, e (iii) o morador selecionado (idade ≥15 anos), sobre o qual investigou-se estilos de vida, doenças crônicas, violências, entre outros temas, e aferiu-se medidas antropométricas (subamostra). As informações da PNS 2019 servirão de base para a (re)formulação de políticas de saúde e subsídio a ações e programas existentes do Sistema Único de Saúde.

Contextual and individual factors associated with public dental services utilisation in Brazil: A multilevel analysis

“…PLOS ONE dental service care is associated with males [9,[17][18][19][20], black and brown skin color/race [9,20,21], indigenous people [9,20], low educational level [12,20,22], low-income [9,17,19,20], lack of health insurance [9,17,20], poor perception of oral health [9,18,23], and living in rural areas [1,18]. The Brazilian population also demonstrated a social gradient in public dental service utilisation.…”

“…Public dental service utilisation by vulnerable groups was evident, demonstrating potential of the national public policy to expand dental health care access. The reduced utilisation of dental service care is associated with males [ 9 , 17 – 20 ], black and brown skin color/race [ 9 , 20 , 21 ], indigenous people [ 9 , 20 ], low educational level [ 12 , 20 , 22 ], low-income [ 9 , 17 , 19 , 20 ], lack of health insurance [ 9 , 17 , 20 ], poor perception of oral health [ 9 , 18 , 23 ], and living in rural areas [ 1 , 18 ].…”

“…Data were collected from the National Health Survey—2019 (PNS), a population-based household survey that assessed Brazilian determinants, conditions, and health needs. PNS provides a representative database about the country and people living in private households, contributing to elaborate public health policies in Brazil and allowed territorial coverage using the Master Sample of Integrated Household Research System (SIPD) [ 12 , 13 ].…”

“…A three-stage cluster sampling method was used: census tracts selection from primary sampling units, household selection in each PSU,) and one resident aged 15 or older from each household, randomly selected based on the list of residents obtained during the interview. A total of 108,457 households were selected (100,541 were occupied), resulting in a database of 279,382 responses (94,114 home interviews).PNS 2019 data were collected between August 2019 and March 2020 [ 12 , 13 ].…”

“…Answers to the following question were considered: ‘When was the last time you visited a dentist?’. Information about last dental appointment was obtained only for the selected resident who had the last dental appointment up to three years before the interview [ 12 ]. Thus, sample consisted of 43,167 individuals.…”