Pagotto Valeria, Nakatani Adelia Yaeko Kyosen, Silveira Erika Aparecida
Faculdade de Enfermagem, Universidade Federal de Goiás, Goiânia, Brasil.
Cad Saude Publica. 2011 Aug;27(8):1593-602. doi: 10.1590/s0102-311x2011000800014.
This article reports on prevalence of poor self-rated health and associated factors among elderly users of the Brazilian Unified National Health System (SUS) in Goiânia, Goiás State, Brazil. The article is based on a cross-sectional study with a proportional sample of elderly in the nine health districts of Goiânia. Data were collected after a pilot study and training of field staff. The measure of association was the prevalence ratio (PR) and respective confidence interval (95%CI). Multivariate analysis was performed using hierarchical Poisson regression. In 403 elderly, prevalence of poor self-rated health was 27.5% (95%CI: 23.2-32.2). The rate was 29.7% in women and 29.1% among seniors aged 60-64 years. Variables associated with poor self-rated health according to multivariate analysis were: less than one year of schooling, lack of physical exercise, use of five or more medications, and recent weight loss. The results showed high prevalence of poor self-rated health and associated factors, including both adverse social conditions and individual health and lifestyle factors.
本文报道了巴西戈亚斯州戈亚尼亚市巴西统一国家卫生系统（SUS）老年使用者中自评健康状况不佳的患病率及相关因素。本文基于一项横断面研究，对戈亚尼亚九个卫生区的老年人进行了比例抽样。数据是在进行预试验和对现场工作人员进行培训后收集的。关联度量为患病率比（PR）及相应的置信区间（95%CI）。使用分层泊松回归进行多变量分析。在403名老年人中，自评健康状况不佳的患病率为27.5%（95%CI：23.2 - 32.2）。女性患病率为29.7%，60 - 64岁老年人患病率为29.1%。根据多变量分析，与自评健康状况不佳相关的变量有：受教育年限不足一年、缺乏体育锻炼、使用五种或更多药物以及近期体重减轻。结果显示，自评健康状况不佳及相关因素的患病率较高，包括不良社会状况以及个人健康和生活方式因素。
