Department of Epidemiology, Faculty of Public Health, São Paulo University-USP, São Paulo, Brazil.
Disabil Rehabil. 2010;32(19):1612-5. doi: 10.3109/09638281003611060.
To investigate health self-assessment and to estimate the prevalence of chronic diseases and recent illnesses in people with and without physical disabilities (PD) in the state of São Paulo, southeastern Brazil.
A cross-sectional study comprising two population-based health surveys conducted in 2002 and 2003.
A total of 8317 persons (165 with PD) were interviewed in the two studies. Variables concerning to health self-assessment; chronic disease and recent illness were compared in the people with and without PD. Negative binomial regression was used in the analysis.
Subjects with PD more often assessed their health as poor/very poor compared to non-disabled ones. They reported more illnesses in the 15 days prior to interview as well as more chronic diseases (skin conditions, anaemia, chronic kidney disease, stroke, depression/anxiety, migraine/headache, pulmonary diseases, hypertension, diabetes, arthritis/arthrosis/rheumatic conditions and heart disease). This higher disease prevalence can be either attributed to disability itself or be associated to gender, age and schooling.
Subjects with PD had more recent illnesses and chronic diseases and poorer health self-assessment than non-disabled ones. Age, gender, schooling and disability have individual roles in disease development among disabled people.
调查健康自评情况，并估计巴西东南部圣保罗州身体残疾（PD）人群和非残疾人群中慢性病和近期疾病的患病率。
这是一项 2002 年和 2003 年进行的两次基于人群的健康调查的横断面研究。
共有 8317 人（165 人患有 PD）参加了这两项研究。对健康自评、慢性病和近期疾病的变量在 PD 患者和非 PD 患者中进行了比较。分析中使用了负二项回归。
与非残疾者相比，PD 患者更常将自己的健康状况评估为差/非常差。与非残疾者相比，他们在接受采访前 15 天内报告的疾病更多，患有更多的慢性病（皮肤状况、贫血、慢性肾病、中风、抑郁/焦虑、偏头痛/头痛、肺部疾病、高血压、糖尿病、关节炎/骨关节炎/风湿性疾病和心脏病）。这种更高的疾病患病率可能归因于残疾本身，也可能与性别、年龄和教育程度有关。
与非残疾者相比，PD 患者近期疾病和慢性病更多，健康自评更差。年龄、性别、教育程度和残疾在残疾人的疾病发展中各自发挥作用。
