Self-rated health according to sex and associated factors in Manaus, Brazil, 2019: a population-based cross-sectional study.

IF 2.5 Q1 Multidisciplinary Epidemiologia e Servicos de Saude Pub Date : 2024-01-22 eCollection Date: 2024-01-01 DOI:10.1590/S2237-96222024V33E2023154.EN

Isabella Bagni Nakamura, Marcus Tolentino Silva, Taís Freire Galvão

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Abstract

Objective: To assess the prevalence and factors associated with poor self-rated health according to respondents' sex in Manaus, Brazil.

Methods: 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.

Results: 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).

Conclusion: The female sex had the poorest health rating, influenced by morbidity and access to food.

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2019 年巴西马瑙斯地区按性别和相关因素划分的自评健康状况：一项基于人口的横断面研究。

摘要根据受访者的性别，评估巴西玛瑙斯市自我健康评价不佳的发生率和相关因素：这是一项基于人口的横断面研究，对象是 2019 年玛瑙斯的成年人。采用泊松回归分层模型计算调整后的患病率比和 95% 置信区间 (95%CI)：在 2321 名参与者中，有 35.2% (95%CI 33.3;37.2)的人自评健康状况不佳，女性比例更高（PR = 1.27; 95%CI 1.13;1.43）。在普通人群中，年龄最大者、中度和重度食物无保障者以及慢性病患者的自我健康状况较差（P 值 < 0.05）。在女性中，福音派教徒和轻度食物无保障者的健康状况较差。在男性中，退休人员和小学以下学历者的自评健康状况也较差（P 值 < 0.001）：结论：受发病率和获得食物情况的影响，女性的健康评分最差。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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