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Environmental profile of a community’s health (EPOCH): an ecometric assessment of measures of the community environment based on individual perception
Corsi, Daniel J; Subramanian, S. V; Mckee, Martin; Li, Wei; Swaminathan, Sumathi; Lopez-Jaramillo, Patricio; Avezum, Alvaro; Lear, Scott A; Dagenais, Gilles; Rangarajan, Sumathy; Teo, Koon; Yusuf, Salin; Chow, Clara K.
Afiliação
  • Corsi, Daniel J; Population Health Research Institute, McMaster University. Ontario. CA
  • Subramanian, S. V; Department of Society, Human Development and Health, Harvard School ofPublic Health. Massachusetts. US
  • Mckee, Martin; European Centre on Health of Societies in Transition, London School of Hygiene and Tropical Medicine. London. GB
  • Li, Wei; Cardiovascular Institute & Fuwai Hospital, Chinese Academy of Medical Sciences. Beijing. CN
  • Swaminathan, Sumathi; St. John’s Research Institute. Kamataka. IN
  • Lopez-Jaramillo, Patricio; Research Direction, Fundacion Oftalmologica de Santander-Clinica Carlos Arila Lulle and Medical School, Universidad de Santander. Bucaramanga. CO
  • Avezum, Alvaro; Dante Pazzanese Institute of Cardiology,. São Paulo. BR
  • Lear, Scott A; Faculty of Health Sciences, Simon Fraser University. British Columbia. CA
  • Dagenais, Gilles; Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec City. Québec. CA
  • Rangarajan, Sumathy; Population Health Research Institute, McMaster University. Ontário. CA
  • Teo, Koon; Population Health Research Institute, McMaster University. Ontário. CA
  • Yusuf, Salin; Population Health Research Institute, McMaster University. Ontário. CA
  • Chow, Clara K; The George Institute for Global Health andSydney Medical School, University of Sydney. Sydnye. AU
PLos ONE ; 7(9): 1-7, 2012. tab, graf
Article em En | SES-SP, SESSP-IDPCPROD, SES-SP | ID: biblio-1065108
Biblioteca responsável: BR79.1
Localização: BR79.1
ABSTRACT

Background:

Public health research has turned towards examining upstream, community-level determinants ofcardiovascular disease risk factors. Objective measures of the environment, such as those derived from direct observation,and perception-based measures by residents have both been associated with health behaviours. However, current methodsare generally limited to objective measures, often derived from administrative data, and few instruments have beenevaluated for use in rural areas or in low-income countries. We evaluate the reliability of a quantitative tool designed tocapture perceptions of community tobacco, nutrition, and social environments obtained from interviews with residents incommunities in 5 countries.Methodology/ Principal

Findings:

Thirteen measures of the community environment were developed from responses toquestionnaire items from 2,360 individuals residing in 84 urban and rural communities in 5 countries (China, India, Brazil,Colombia, and Canada) in the Environmental Profile of a Community’s Health (EPOCH) study. Reliability and other propertiesof the community-level measures were assessed using multilevel models. High reliability (.0.80) was demonstrated for allcommunity-level measures at the mean number of survey respondents per community (n = 28 respondents). Questionnaireitems included in each scale were found to represent a common latent factor at the community level in multilevel factoranalysis models.Conclusions/

Significance:

Reliable measures which represent aspects of communities potentially related to cardiovasculardisease (CVD)/risk factors can be obtained using feasible sample sizes. The EPOCH instrument is suitable for use in differentsettings to explore upstream determinants of CVD/risk factors.
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Coleções: 06-national / BR Base de dados: SES-SP / SESSP-IDPCPROD Assunto principal: Doenças Cardiovasculares / Fatores de Risco Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Idioma: En Revista: PLos ONE Ano de publicação: 2012 Tipo de documento: Article
Buscar no Google
Adicionar na Minha BVS
Imprimir
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Coleções: 06-national / BR Base de dados: SES-SP / SESSP-IDPCPROD Assunto principal: Doenças Cardiovasculares / Fatores de Risco Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Idioma: En Revista: PLos ONE Ano de publicação: 2012 Tipo de documento: Article