Self-rated health in urban adults, perceptions of the physical and social environment, and reported comorbidities

The BH Health Study

Datos Bibliográficos

ID5168968
AutoresAdriana Lúcia Meireles (0000-0002-1447-953X, Universidade Federal de Minas Gerais, Brasil; Observatórios de Saúde Urbana de Belo Horizonte, Brasil), César Coelho Xavier (0000-0001-9089-3276, Observatórios de Saúde Urbana de Belo Horizonte, Brasil; Faculdade de Saúde e Ecologia Humana, Brasil), Ana Carolina Da Silva Andrade (0000-0002-3366-4423, Universidade Federal de Minas Gerais, Brasil; Observatórios de Saúde Urbana de Belo Horizonte, Brasil), Amanda Cristina De Souza Andrade, Amélia Augusta De Lima Friche (0000-0002-2463-0539, Universidade Federal de Minas Gerais, Brasil; Observatórios de Saúde Urbana de Belo Horizonte, Brasil), Fernando Augusto Proietti (0000-0002-7779-1483, Faculdade de Saúde e Ecologia Humana, Brasil; Fundação Oswaldo Cruz, Brasil), Waleska Teixeira Caiaffa (0000-0001-5043-4980, Universidade Federal de Minas Gerais, Brasil; Observatórios de Saúde Urbana de Belo Horizonte, Brasil)
Año2015
Volumen31
Númerosuppl 1
Páginas120-135
Fecha de publicación2015-11-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCadernos de Saude Publica (JOURNAL)
Identificadores de la revistaISSN: 0102-311X • E-ISSN: 1678-4464
EditorialFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00076114
PMID26648368
OpenAlexW2253223411
SCIELO_PIDS0102-311X2015001300120
IdiomaEN
Citas recibidas20
Referencias citadas31

This study assesses the prevalence of poor self-rated health and investigates its association with individual and environmental characteristics in adults with and without reported morbidity. A household survey assessed 4,048 adults in two districts of Belo Horizonte, Minas Gerais State, Brazil. We used Poisson regression with robust variance stratified by the presence of reported morbidity. Prevalence of poor self-rated health was 29.9% (42.6% in those with morbidity and 13.1% in the group without morbidity). All assessed domains were associated with self-rated health in subjects with reported morbidity. In the group without reported morbidity, the following were associated with self-rated health: social environment, socio-demographic factors, lifestyle, and psychological health. Perceived problems in the environment were associated with poor self-rated health in both groups, even after hierarchical adjustment. The results suggest the importance of investigating self-rated health stratified by reported morbidity and reinforce the need to include variables that characterize the physical and social environment

Environmental health · Multilevel model · Poisson regression · Population · Public health · Self-rated health · Social determinants of health · Social environment · Climate Change and Health Impacts · Demography · Global Health Care Issues · Health disparities and outcomes · Medicine · Gerontology