Universidade Estadual de Campinas, Programa de Pós-Graduação em Ciências Farmacêuticas, Campinas, SP, Brazil.
Universidade de Brasília, Departamento de Saúde Coletiva, Brasília, DF.
Epidemiol Serv Saude. 2024 Jan 22;33:e2023154. doi: 10.1590/S2237-96222024V33E2023154.EN. eCollection 2024.
To assess the prevalence and factors associated with poor self-rated health according to respondents' sex in Manaus, Brazil.
This was a cross-sectional population-based study with adults in Manaus in 2019. Adjusted prevalence ratios and 95% confidence intervals (95%CI) were calculated using Poisson regression following a hierarchical model.
Poor self-rated health occurred in 35.2% (95%CI 33.3;37.2) of the 2,321 participants and was higher in females (PR = 1.27; 95%CI 1.13;1.43). In the general population, among both sexes, poor self-rated health was higher among the oldest, those with moderate and severe food insecurity and with chronic diseases (p-value < 0.05). Among females, poor health was also higher among the evangelical and those with mild food insecurity. Among males, self-rated health was also poorer among the retired and those with education below elementary level (p-value < 0.001).
The female sex had the poorest health rating, influenced by morbidity and access to food.
根据受访者的性别，评估巴西玛瑙斯市自我报告健康状况不佳的流行率和相关因素。
这是一项 2019 年在玛瑙斯市进行的横断面基于人群的研究，纳入了成年人。采用分层模型下的泊松回归计算调整后的患病率比和 95%置信区间（95%CI）。
2321 名参与者中，有 35.2%（95%CI 33.3;37.2）报告自我健康状况不佳，女性的报告率更高（PR=1.27;95%CI 1.13;1.43）。在一般人群中，两性中自我报告健康状况不佳的人群中，年龄较大、中度和重度粮食不安全以及患有慢性病的人群（p 值<0.05）更高。在女性中，自我报告健康状况不佳的人群中还包括福音派和轻度粮食不安全的人群。在男性中，自我报告健康状况不佳的人群还包括退休人员和受教育程度低于小学的人群（p 值<0.001）。
女性的健康评分最差，这与发病率和获得食物的机会有关。
