Self-Rated Health and Medically Diagnosed Chronic Disease Association among Adults in Puerto Rico.

IF 3.4 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Ethnicity & Disease Pub Date : 2024-04-24 eCollection Date: 2023-09-01 DOI:10.18865/ed.33.4.140

Cristina Gago, H June O'Neill, Martha Tamez, Andrea López-Cepero, José F Rodríguez-Orengo, Josiemer Mattei

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Abstract

Introduction: Latinos report lower self-rated health (SRH) than non-Hispanic White persons. However, the association between SRH and medically diagnosed chronic diseases (MDCDs) remains understudied in Latino populations. This study assessed the relationship between a single-item SRH indicator and MDCD status among predominantly Latino adults in Puerto Rico.

Methods: Participants (30-75 years; n=965) of the Puerto Rico Observational Study of Psychosocial, Environmental, and Chronic Disease Trends (PROSPECT) reported SRH (excellent/very good, good, or fair/poor) and MDCD (ever vs never). We performed multivariate logistic regressions to evaluate the association between SRH and MDCD, which adjusted for key socioeconomic, demographic, and behavioral confounders.

Results: Twenty-seven percent of participants reported excellent/very good SRH, 39% good, and 34% fair/poor. Participants with fair/poor SRH (vs excellent/very good) were more likely to report MDCD for painful inflammation (odds ratio [OR]=4.95 [95% CI, 3.27-7.48]), kidney disease (4.64 [2.16-9.97]), sleep disorder (4.47 [2.83-7.05]), migraine headaches (4.07 [2.52-6.58]), overweight/obesity (3.84 [2.51-5.88]), depression (3.61 [2.28-5.74]), hypertension (3.59 [2.43-5.32]), high blood sugar (3.43 [2.00-5.89]), cardiovascular disease (3.13 [2.01-4.87]), anxiety (2.87 [1.85-4.44]), arthritis (2.80 [1.83-4.30]), diabetes (2.46 [1.57-3.83]), respiratory problems (2.45 [1.59-3.79]), stomach problems (2.44 [1.57-3.81]), eye disease (2.42 [1.44-4.06]), gallbladder disease (2.34 [1.35-4.05]), liver disease (2.26 [1.38-3.70]), heartburn (2.25 [1.55-3.26]), hyperlipidemia (2.10 [1.44-3.06]), and thyroid conditions (2.04 [1.30-3.21]).

Conclusions: SRH may reflect MDCD burden and serve as a valid screener to efficiently identify Latino individuals in high need of clinical services. This is relevant in Puerto Rico, where chronic disease rates remain high amid limited, disparate access to health care.

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波多黎各成年人自评健康状况与医疗诊断慢性病的关联。

导言：与非西班牙裔白人相比，拉美裔人的自我健康评价（SRH）较低。然而，在拉丁裔人群中，SRH 与医学诊断慢性病（MDCDs）之间的关系仍未得到充分研究。本研究评估了波多黎各以拉丁裔为主的成年人中单项 SRH 指标与 MDCD 状况之间的关系：波多黎各社会心理、环境和慢性疾病趋势观察研究（PROSPECT）的参与者（30-75 岁；n=965）报告了 SRH（优/很好、好或一般/差）和 MDCD（曾经与从未）。我们进行了多变量逻辑回归来评估 SRH 与 MDCD 之间的关系，并对主要的社会经济、人口和行为混杂因素进行了调整：27%的参与者报告了极好/非常好的性健康和生殖健康状况，39%报告了良好，34%报告了一般/较差。SRH一般/较差（与SRH优秀/非常好相比）的参与者更有可能报告MDCD为疼痛性炎症（几率比[OR]=4.95 [95% CI, 3.27-7.48]）、肾脏疾病（4.64 [2.16-9.97] ）、睡眠障碍（4.47 [2.83-7.05]）、偏头痛（4.07 [2.52-6.58]）、超重/肥胖（3.84 [2.51-5.88]）、抑郁（3.61 [2.28-5.74]）、高血压（3.59 [2.43-5.32]）、高血糖（3.43 [2.00-5.89]）、心血管疾病（3.13 [2.01-4.87]）、焦虑（2.87 [1.85-4.44]）、关节炎（2.80 [1.83-4.30]）、糖尿病（2.46 [1.57-3.83]）、呼吸系统疾病（2.45 [1.59-3.79]）、胃病（2.44 [1.57-3.81]）、眼病（2.42 [1.44-4.06]）、胆囊疾病（2.34 [1.35-4.05]）、肝脏疾病（2.26 [1.38-3.70]）、胃灼热（2.25 [1.55-3.26]）、高脂血症（2.10 [1.44-3.06]）和甲状腺疾病（2.04 [1.30-3.21]）：SRH可反映多发性硬化症的负担，并可作为有效的筛选器，有效识别出需要大量临床服务的拉丁裔个体。这与波多黎各的情况息息相关，因为在波多黎各，慢性病发病率居高不下，而获得医疗保健的机会却有限且参差不齐。

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来源期刊

Ethnicity & Disease 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.30

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Ethnicity & Disease is an international journal that exclusively publishes information on the causal and associative relationships in the etiology of common illnesses through the study of ethnic patterns of disease. Topics focus on: ethnic differentials in disease rates;impact of migration on health status; social and ethnic factors related to health care access and health; and metabolic epidemiology. A major priority of the journal is to provide a forum for exchange between the United States and the developing countries of Europe, Africa, Asia, and Latin America.