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[巴西统一国家卫生系统老年使用者中与自评健康状况不佳相关的因素]

[Factors associated with poor self-rated health in elderly users of the Brazilian Unified National Health System].

作者信息

Pagotto Valeria, Nakatani Adelia Yaeko Kyosen, Silveira Erika Aparecida

机构信息

Faculdade de Enfermagem, Universidade Federal de Goiás, Goiânia, Brasil.

出版信息

Cad Saude Publica. 2011 Aug;27(8):1593-602. doi: 10.1590/s0102-311x2011000800014.

Abstract

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.

摘要

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。

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