2025, Number 5
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salud publica mex 2025; 67 (5)
Continuous Ensanut methodological design and ISSSTE and Salud Casa por Casa oversamples
Romero-Martínez M, Shamah-Levy T, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arredondo S, Colchero MA, Gaona-Pineda EB, Martínez-Barnetche J, Alpuche-Aranda C, Gómez-Acosta LM, Hernández-Serrato MI, Mendoza-Alvarado LR, Mundo-Rosas V, Morales-Ruán C, Pérez-Ferrer C, Ávila-Arcos MA, Rivera-Dommarco J, Lazcano-Ponce EC
Language: Spanish
References: 22
Page: 506-514
PDF size: 269.22 Kb.
ABSTRACT
Objective. To describe the methodology of the 2025 National
Health and Nutrition Survey (Ensanut Continua 2025),
including its sampling design, operationalization, specific subsamples,
and its utility for informing public policy decisions.
Materials and methods. A probabilistic, multi-stage,
stratified, cluster sampling design was employed. The general
sample will include 11 940 households, aiming to obtain
9 000 complete household interviews and approximately
16 462 individual health interviews. Additionally, individuals
affiliated with the Instituto de Seguridad y Servicios
Sociales de los Trabajadores del Estado health system
residing in the selected households will be interviewed,
with an expected 1 464 complete health interviews. The
Casa por Casa (House-to-House) Health Component
will enable 6 087 health interviews with all adults aged
55 and older. Data collection will take place from August
to December 2025, using electronic questionnaires,
standardized measurements, and blood sample collection.
Results. The survey is expected to generate updated
estimates on key indicators of health, nutrition, service
utilization, food access, and environmental conditions, as
well as to analyze trends between 2021 and 2025 and characterize
inequalities by age, sex, region, and type of locality.
Conclusions. Ensanut 2025 strengthens an evidencebased
health and nutrition surveillance system with a lifecourse
approach and operational relevance. Its robust design
will enhance the planning, implementation, and evaluation
of public policies.
REFERENCES
Romero-Martínez M, Shamah-Levy T, Cuevas-Nasu L, MéndezGómez-Humarán I, Gaona-Pineda EB, Gómez-Acosta LM, et al. Diseñometodológico de la Encuesta Nacional de Salud y Nutrición de MedioCamino 2016. Salud Publica Mex. 2017;59(3):299-305. https://doi.org/10.21149/8593
Romero-Martínez M, Shamah-Levy T, Barrientos-Gutiérrez T, Cuevas-NasuL, Bautista-Arredondo S, Colchero-Aragonés MA, et al. Metodología y análisisde la Encuesta Nacional de Salud y Nutrición Continua 2020-2024. SaludPublica Mex. 2024;66(6):879-85. https://doi.org/10.21149/16455
Romero-Martínez M, Cuevas-Nasu L, Gaona-Pineda EB, Shamah-LevyT. Nota técnica de la Encuesta Nacional de Salud y Nutrición Continua2023: resultados del trabajo de campo. Salud Publica Mex. 2024;66(3):304-6. https://doi.org/10.21149/15604
Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arredondo S, Colchero M, Gaona-Pineda EB, et al. Metodología de la EncuestaNacional de Salud y Nutrición 2020 sobre Covid-19. Salud PublicaMex. 2021;63:444-51. https://doi.org/10.21149/12580
Rojas-Martínez R, Escamilla-Núñez C, Castro-Porras L, Gómez-VelascoD, Romero-Martínez M, Hernández-Serrato MI, et al. Detección oportunade prediabetes y diabetes. Salud Publica Mex. 2024;66(4):518-27. https://doi.org/10.21149/15837
Campos-Nonato I, Oviedo-Solís C, Hernández-Barrera L, Márquez-Murillo M, Gómez-Álvarez E, Alcocer-Díaz L, et al. Detección, atención ycontrol de hipertensión arterial. Salud Publica Mex. 2024;66(4):537-46.https://doi.org/10.21149/15867
Instituto Nacional de Estadística y Geografía. Coeficiente de variación.Comité de Aseguramiento de la Calidad. Indicadores de calidad del INEGI.Indicadores de precisión. Aguascalientes: INEGI, 2017 [citado julio 15,2025]. Disponible en: https://www.inegi.org.mx/infraestructura/aseguramiento/
Villagómez-Ornelas P, Hernández-López P, Carrasco-Enríquez B, Barrios-Sánchez K, Pérez-Escamilla R, Melgar-Quiñónez H. Validez estadística dela Escala Mexicana de Seguridad Alimentaria y la Escala Latinoamericana yCaribeña de Seguridad Alimentaria. Salud Publica Mex. 2013;56(supl 1):5-11. https://doi.org/10.21149/spm.v56s1.5160
Shamah-Levy T, Mundo-Rosas V, Muñoz-Espinosa A, Méndez Gómez-Humarán I, Pérez-Escamilla R, Melgar-Quiñones H, et al. Viabilidad de unaescala de experiencias de inseguridad del agua en hogares mexicanos.Salud Publica Mex. 2023;65(3):219-26. https://doi.org/10.21149/14424
World Health Organization. Antibiotic resistance: Multi-country publicawareness survey. Ginebra: WHO, 2015. Disponible en: https://iris.who.int/handle/10665/194460
Public European Commission: Directorate-General for Health andFood Safety and Kantar. Antimicrobial resistance - Report. Luxembourg:Public European Commission, 2022 [citado julio 2025]. Disponible en:https://data.europa.eu/doi/10.2875/16102
Singh-Phulgenda S, Antoniou P, Wong DLF, Iwamoto K, Kandelaki K.Knowledge, attitudes and behaviors on antimicrobial resistance amonggeneral public across 14 member states in the WHO European region:results from a cross-sectional survey. Front Public Heal. 2023;11. https://doi.org/10.3389/fpubh.2023.1274818
Kardas P, Pechère J-C, Hughes DA, Cornaglia G. A global survey ofantibiotic leftovers in the outpatient setting. Int J Antimicrob Agents.2007;30(6):530-6. https://doi.org/10.1016/j.ijantimicag.2007.08.005
Team WHO, Maternal, Newborn C& AH& A, Nutrition and FoodSafety. Indicators for assessing infant and young child feeding practices.Ginebra: WHO [citado julio 2025]. Disponible en: https://www.who.int/publications/i/item/9789241596664
Lohman T, Roche A, Martorell R. Anthropometric standarization referencemanual. Champlaign: Human Kinetics, 1988.
WHO Team Nutrition and Food Safety. WHO child growth standards:length/height-for-age, weight-for-age, weight-for-length, weight-for-heightand body mass index-for-age: methods and development. Ginebra: WHO,2006 [citado julio 2025]. Disponible en: https://www.who.int/publications/i/item/924154693X
de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, SiekmannJ. Development of a WHO growth reference for school-aged childrenand adolescents. Bull World Health Organ. 2007;85(9):660-7. https://doi.org/10.2471/BLT.07.043497
De la Cruz-Góngora V, Méndez-Gómez-Humarán I, Gaona-PinedaEB, Shamah-Levy T, Dary O. Drops of capillary blood are not appropriatefor hemoglobin measurement with point-of-care devices: acomparative study using drop capillary, pooled capillary, and venousblood samples. Nutrients. 2022;14(24):5346. https://doi.org/10.3390/nu14245346
Alberti KGM, Zimmet P, Shaw J. The metabolic syndromea new worldwidedefinition. Lancet. 2005;366(9491):1059-62. https://doi.org/10.1016/S0140-6736(05)67402-8
World Health Organization. World report on ageing. Ginebra: WHO,2015 [citado julio 2025]. Disponible en: https://www.who.int/ageing/publications/world-report-2015/en/
Manrique-Espinoza B, Salinas-Rodríguez A, Margarita Moreno-TamayoK. Condiciones de salud y estado funcional de los adultos mayores enMéxico. Salud Publica Mex. 2013;55(supl 2):323. https://doi.org/10.21149/spm.v55s2.5131
Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, AinsworthBE, et al. International Physical Activity Questionnaire: 12-Country Reliabilityand Validity. Med Sci Sport Exerc. 2003;35(8):1381-95. https://doi.org/10.1249/01.MSS.0000078924.61453