Medidas de rede e apoio social no Estudo Pró-Saúde: pré-testes e estudo piloto

Cadernos de Saude Publica - Tập 17 Số 4 - Trang 887-896 - 2001
Dóra Chor1, Rosane Härter Griep2, Cláudia S. Lopes3, Eduardo Faerstein3
1Fundação Oswaldo Cruz, Brasil
2Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil
3Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil

Tóm tắt

Neste artigo, relatamos a metodologia de seleção de perguntas sobre rede e apoio social, incluídas em um estudo de coorte de 4.030 funcionários de uma universidade pública no Rio de Janeiro. Em primeiro lugar, a adequação de conceitos foi explorada em discussões de grupos de voluntários. Em seguida, o questionário do Medical Outcomes Study foi submetido a procedimentos padronizados de tradução e versão. As perguntas foram a seguir avaliadas em cinco etapas de pré-testes e estudo piloto. Nenhuma pergunta apresentou proporção de não-resposta acima de 5%. Os coeficientes de correlação de Pearson entre os itens foram distantes de zero e da unidade; a correlação entre cada item e o escore de sua dimensão foi superior a 0,80 em quase todos os casos. Finalmente, os coeficientes Alpha de Cronbach foram superiores a 0,70 em todas as dimensões. Os resultados sugerem que aspectos de rede e apoio social serão mensurados adequadamente, permitindo a investigação de suas associações com desenlaces relacionados à saúde em um grupo populacional no Brasil.

Từ khóa


Tài liệu tham khảo

ADAY L. A., 1991

BERKMAN L. F., 1979, Social networks, host resistance, and mortality: A nine-year follow-up study of Alameda County residents, American Journal of Epidemiology, 109, 186, 10.1093/oxfordjournals.aje.a112674

BOWLING A., 1997, Measuring social networks and social support, 2, 91

CASSEL J., 1976, The contribution of the social environment to host resistance, American Journal of Epidemiology, 104, 300, 10.1093/oxfordjournals.aje.a112281

COBB S., 1976, Social support as a moderator of life stress, Psychosomatic Medicine, 38, 300, 10.1097/00006842-197609000-00003

COHEN S., 1985, Stress, social support and the buffering hypothesis, Psychological Bulletin, 98, 310, 10.1037/0033-2909.98.2.310

COREIL J., 1995, Group interview methods in community health research, Medical Anthropology, 16, 193, 10.1080/01459740.1994.9966115

DALGARD O. S., 1998, Psychosocial risk factors and mortality: A prospective study with special focus on social support, social participation, and locus of control in Norway, Journal of Epidemiology and Community Health, 52, 476, 10.1136/jech.52.8.476

DEAN K., 1994, Measurement issues in research on social support and health, Journal of Epidemiology and Community Health, 48, 201, 10.1136/jech.48.2.201

DRESSLER W. W., 1997, The cultural construction of social support in Brazil: Associations with health outcomes, Culture, Medicine and Psychiatry, 21, 303

FAERSTEIN E., 1999, Pré-testes de um questionário multidimensional autopreenchível: A experiência do Estudo Pró-Saúde, PHYSIS Revista de Saúde Coletiva, 9, 117, 10.1590/S0103-73311999000200007

FRATIGLIONE L., 2000, Influence of social network on occurrence of dementia: A community-based longitudinal study, Lancet, 355, 1315, 10.1016/S0140-6736(00)02113-9

HANSON B. S., 1987, Different social network and social support characteristics, nervous problems and insomnia: Theoretical and methodological aspects on some results from population study "Men born in 1914", Malmo, Sweden, Social Science and Medicine, 25, 849, 10.1016/0277-9536(87)90043-8

HERDMAN M., 1997, Equivalence and the translation and adptation of health-related quality of life questionnaires, Quality of Life Research, 6, 237, 10.1023/A:1026410721664

LANGER A., 1996, The Latin American trial of psychosocial support during pregnancy: Effects on mother's wellbeing and satisfaction, Social Science and Medicine, 42, 1589, 10.1016/0277-9536(95)00262-6

McDOWELL I., 1996

MINKLER M., 1985, Building supportive ties and sense of community among the inner-city elderly: The Tenderloin Outreach Project, Health Educational Quarterly, 12, 303, 10.1177/109019818501200310

NORBECK J. S., 1983, Life stress, social support and emotional disequilibrium in complications of pregnancy: A prospective, multivariate study, Journal of Health Society and Behavior, 24, 40, 10.2307/2136301

O'REILLY P., 1988, Methodological issues in social support and social network research, Social Science and Medicine, 26, 863, 10.1016/0277-9536(88)90179-7

OSTERGREN P.-O., 1991, Social network, social support and acute chest complaints among young and middle-aged patients in an Emergency Department A case-control study, Social Science and Medicine, 33, 257, 10.1016/0277-9536(91)90359-K

PENNINX B. W. J. H., 1997, Effects of social support and personal coping resources on mortality in older ages: The Longitudinal Aging Study Amsterdam, American Journal of Epidemiology, 146, 510, 10.1093/oxfordjournals.aje.a009305

PILISUK M., 1985, Supportive ties: A political economy perspective, Health Education Quarterly, 12, 93, 10.1177/109019818501200108

RODIN J., 1986, Aging and health: Effects of the sense of control, Science, 233, 1271, 10.1126/science.3749877

ROWLAND D., 1991

SHERBOURNE C. D., 1991, The MOS social support survey, Social Science and Medicine, 32, 705, 10.1016/0277-9536(91)90150-B

STREINER D. L., 1989

STROGATZ D. S., 1986, Social support and hypertension among blacks and whites in a rural southern community, American Journal of Epidemiology, 124, 949, 10.1093/oxfordjournals.aje.a114484

VICTORA C., 1994, The Latin American Multicenter Trial on psychological support during pregnancy: Methodology and baseline comparability, Controlled Clinical Trials, 15, 379, 10.1016/0197-2456(94)90034-5

VOGT T. M., 1992, Social Networks as predictors of ischemic heart disease, cancer, stroke and hypertension: Incidence, survival and mortality, Journal of Clinical Epidemiology, 45, 659, 10.1016/0895-4356(92)90138-D

WESTMAN M., 1985, Shirom A. Job stress, cigarette smoking and cessation: The conditioning effects of peer support, Social Science and Medicine, 20, 637, 10.1016/0277-9536(85)90402-2