Carneiro Jair Almeida, Gomes Caio Augusto Dias, Durães Weliton, Jesus David Rodrigues de, Chaves Keitlen Lara Leandro, Lima Cássio de Almeida, Costa Fernanda Marques da, Caldeira Antônio Prates
Universidade Estadual de Montes Claros. Av. Prof. Rui Braga s/n, Vila Mauricéia. 39401-089, Montes Claros, MG, Brasil.
Centro Universitário FIPMoc. Montes Claros, MG, Brasil.
Cien Saude Colet. 2020 Mar;25(3):909-918. doi: 10.1590/1413-81232020253.16402018. Epub 2018 Jul 8.
The negative self-perception of health is a relevant construct for the analysis of the elderly population health conditions and should be recognized as a guiding tool for health promotion actions. We aimed to verify the prevalence and the associated factors to a negative self-perception of health by elderly assisted in a reference center. This is an analytical cross-sectional study with convenience sampling conducted in 2015. The negative self-perception association with health-related sociodemographic variables was investigated. Bivariate analysis followed by multiple analysis by Poisson regression was performed to verify the variables associated with the outcome. Three hundred sixty elderly were evaluated. The negative self-perception of health prevalence was 60.5%. The following associated factors were identified in the final model: age range 65-79 years (PR=1; CI95%=0.648-0.974; p=0.027); frailty (PR=1.28; CI95%=1.07-1.54; p=0.007); depressive symptoms (PR=1.40; CI95%=1.19-1.67; p=0.000); and providing care to someone (PR=1.49; CI95%=1.18-1.88; p=0.001). The elevated prevalence of negative self-perception of health and the associated factors point to the need for effective health promotion actions and more specific care for the elderly assisted in the reference center.
对健康的负面自我认知是分析老年人群健康状况的一个相关概念，应被视为健康促进行动的指导工具。我们旨在核实一家参考中心所照料老年人中健康负面自我认知的患病率及其相关因素。这是一项于2015年进行的采用便利抽样的分析性横断面研究。研究调查了健康负面自我认知与健康相关社会人口学变量之间的关联。先进行双变量分析，然后通过泊松回归进行多变量分析，以核实与该结果相关的变量。对360名老年人进行了评估。健康负面自我认知的患病率为60.5%。最终模型中确定了以下相关因素：年龄范围65 - 79岁（PR = 1；95%置信区间= 0.648 - 0.974；p = 0.027）；虚弱（PR = 1.28；95%置信区间= 1.07 - 1.54；p = 0.007）；抑郁症状（PR = 1.40；95%置信区间= 1.19 - 1.67；p = 0.000）；以及照料他人（PR = 1.49；95%置信区间= 1.18 - 1.88；p = 0.001）。健康负面自我认知的高患病率及其相关因素表明，需要采取有效的健康促进行动，并为参考中心所照料的老年人提供更具针对性的护理。
