Built environment and its association with self-rated health in Brazilian elderly

National Health Survey 2013

Datos Bibliográficos

ID16826558
AutoresMaria Cecília Antunes (0000-0001-5793-9930, Universidade Federal de Santa Catarina), Heloísa Nunes Zardeto (0000-0003-1852-7225, Universidade Federal de Santa Catarina), Sabrina Leal Pscheidt (0000-0001-5481-573X, Universidade Federal de Santa Catarina), Gustavo Custódio (0000-0003-0906-8071, Universidade Federal de Santa Catarina), Daniel Nunes de Mello (0000-0002-9773-6908, Universidade Federal de Santa Catarina), Marui W C Giehl (0000-0002-4460-3116, UFSC, Brazil)
Año2023
Volumen28
Número11
Páginas3137-3148
Fecha de publicación2023-11-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCiência & Saúde Coletiva (JOURNAL)
Identificadores de la revistaISSN: 1413-8123 • E-ISSN: 1678-4561
EditorialFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/1413-812320232811.16602022en
OpenAlexW4388574842
IdiomaEN
Referencias citadas31

The present study aims to investigate the association between the built environment and positive self-rated health among older adults from Brazilian capitals. It is a cross-sectional population-based study, which collected data from the National Health Survey 2013 and the Observatório das Metrópoles. The outcome was a positive self-rated health. The built environment was investigated by the Urban Wellbeing Index (IBEU, in Portuguese). Analyses were performed by multilevel logistic regression (95%CI). Among the 4,643 elderly individuals evaluated in this study, 51.5% reported a positive self-rated health (95%CI: 50.0-52.9). Elderly people living in capitals with higher IBEU terciles were more likely to have a positive self-rated health (OR: 1.42; 95%CI: 1.08-1.86 (T2); OR: 1.78; 95%CI: 1.35-2.33 (T3)). As for the dimensions of the IBEU, the following were associated with the outcome: urban infrastructure (OR: 1.56; 95%CI: 1.13-2.16), urban environmental conditions (OR: 1.49; 95%CI: 1.10-2.04), urban housing conditions (OR: 1.45; 95%CI: 1.05-1.99), and urban collective services (OR: 1.72; 95%CI: 1.30-2.27). A positive association was found between better conditions of the built environment and one’s perception of health, regardless of individual characteristics. Promoting changes in the built environment can be effective in improving health levels, thus favoring healthy aging

Built environment · Cross-sectional study · Environmental health · Logistic regression · Portuguese · Public health · Self-rated health · Sociology · Demography · Health disparities and outcomes · Medicine · Noise Effects and Management · Psychology · Urban Transport and Accessibility · Gerontology