Malta Deborah Carvalho, Oliveira Max Moura de, Machado Isis Eloah, Prado Rogério Ruscito, Stopa Sheila Rizzato, Crespo Claudio Dutra, Assunção Ada Ávila
Escola de Enfermagem, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil.
Faculdade de Saúde Pública, Universidade de São Paulo - São Paulo (SP), Brasil.
Rev Bras Epidemiol. 2018 Nov 29;21(suppl 1):e180018. doi: 10.1590/1980-549720180018.supl.1.
Health self-assessment (HSA) is a widely studied indicator among adults and the elderly, but not often explored in adolescents. This study aimed to estimate the prevalence of poor self-rated health in Brazilian schoolchildren and associated factors.
Data from the 2015 National Adolescent School-based Health Survey (PeNSE) were analyzed; prevalences and their 95% confidence intervals (95%CI) were estimated for poor self-rated health and associated factors. Multiple logistic regression analysis was performed.
A total of 7.1% (95%CI 7.0 - 7.3) of the schoolchildren reported a poor self-assessed health status. Sociodemographic characteristics, such as female gender, 15 years of age or older, yellow, brown and indigenous race/skin color; risk behaviors such as regular alcohol consumption and drug experimentation, and issues related to physical and emotional health remained positively associated with the outcome studied. Protective factors identified were maternal schooling and demand for health services.
The impact of risky behaviors on physical and emotional health need to be addressed among students. The school presents itself as a safe and opportune space for promoting a healthy lifestyle.
健康自我评估（HSA）是成年人和老年人中广泛研究的指标，但在青少年中较少被探讨。本研究旨在估计巴西学童自我健康评价差的患病率及其相关因素。
分析了2015年全国青少年学校健康调查（PeNSE）的数据；估计了自我健康评价差及其相关因素的患病率及其95%置信区间（95%CI）。进行了多因素逻辑回归分析。
共有7.1%（95%CI 7.0 - 7.3）的学童报告自我健康评估状况较差。社会人口学特征，如女性、15岁及以上、黄色、棕色和土著种族/肤色；风险行为，如经常饮酒和尝试毒品，以及与身心健康相关的问题，仍然与所研究的结果呈正相关。确定的保护因素是母亲的教育程度和对卫生服务的需求。
需要在学生中解决风险行为对身心健康的影响。学校是促进健康生活方式的安全和适宜场所。
