Höfelmann Doroteia Aparecida, Garcia Leila Posenato, de Freitas Lúcia Rolim Santana
Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brasil.
Department of Nutrition, Federal University of Paraná, Curitiba, Brasil.
Salud Publica Mex. 2014 Nov-Dec;56(6):603-11. doi: 10.21149/spm.v56i6.7386.
To investigate prevalence of poor self-rated health and its association with individual and household-level characteristics among adults and elderly in Brazil.
Cross-sectional study with Brazilian National Household Sample Survey 2008 (n=257 816). Crude and multilevel-adjusted Poisson regression models were fitted.
After adjusted analysis, poor self-rated health was significantly associated with higher household income, living alone, not having piped water nor garbage collection, lower education, not having health insurance, female sex, higher age, being a current or previous smoker, physical inactivity, having chronic diseases, having physical impairment. Subjects living in rural areas also had higher prevalence of poor self-rated health. The factors most strongly associated with the outcome were physical impairment and reporting three or more chronic diseases.
Socioeconomic, health related behaviors, and physical health were associated with poor self-rated health.
调查巴西成年人和老年人中自我健康评价差的患病率及其与个人和家庭层面特征的关联。
采用2008年巴西全国家庭抽样调查进行横断面研究(n = 257816)。拟合了粗泊松回归模型和多水平调整泊松回归模型。
经调整分析后,自我健康评价差与家庭收入较高、独居、没有自来水供应和垃圾收集服务、教育程度较低、没有健康保险、女性、年龄较大、当前或既往吸烟、缺乏体育活动、患有慢性病、身体有损伤显著相关。生活在农村地区的人群自我健康评价差的患病率也较高。与该结果关联最密切的因素是身体损伤以及报告患有三种或更多慢性病。
社会经济状况、健康相关行为和身体健康与自我健康评价差有关。