Silva Vitor Hipólito, Rocha Josiane Santos Brant, Caldeira Antonio Prates
Faculdades Integradas Pitágoras. Av. Profa. Aida Mainartina Paraiso 80, Ibituruna. 39408-007 Montes Claros MG Brasil.
Departamento de Saúde da Mulher e da Criança, Universidade Estadual de Montes Claros. Montes Claros MG Brasil.
Cien Saude Colet. 2018 May;23(5):1611-1620. doi: 10.1590/1413-81232018235.17112016.
The scope of this study was to investigate the prevalence and factors associated with negative self-rated health in menopausal women registered with the Family Health Strategy in a Brazilian urban center. It is a cross-sectional study with a random sample of menopausal women. A validated instrument addressing sociodemographic and behavioral data related to self-rated health status was used. The association between the variables studied and negative self-rated health was assessed by bivariate analysis followed by Poisson regression with robust variance, in a hierarchical model. The prevalence of negative self-rated health among the population studied was 41.6%, among 761 women. Among women aged 52-65 years old, 49.2% had negative self-rated health. Age corresponding to post-menopause, education up to eight years of study, having a partner, not having a formal job, current tobacco use and physical inactivity were associated with negative self-rated health. The presence of menopausal symptoms, overweight and obesity, the current use of medication and the presence of chronic diseases were also associated with negative self-rated health in the final model. The associations observed point to the need for health promotion activities aimed at menopausal women.
本研究的范围是调查在巴西一个城市中心通过家庭健康战略登记的绝经后妇女中自我评定健康状况为负面的患病率及相关因素。这是一项对绝经后妇女随机抽样的横断面研究。使用了一种经过验证的工具来收集与自我评定健康状况相关的社会人口学和行为数据。在分层模型中，通过双变量分析，随后进行稳健方差的泊松回归，评估所研究变量与自我评定健康状况为负面之间的关联。在所研究的761名妇女中，自我评定健康状况为负面的患病率为41.6%。在52 - 65岁的妇女中，49.2%的人自我评定健康状况为负面。绝经后年龄、受教育年限达八年、有伴侣、没有正式工作、目前吸烟和缺乏身体活动与自我评定健康状况为负面相关。在最终模型中，更年期症状的存在、超重和肥胖、目前使用药物以及慢性病的存在也与自我评定健康状况为负面相关。观察到的这些关联表明需要针对绝经后妇女开展健康促进活动。
