Patterns of self-rated health trajectories and associated factors in ELSA-Brasil.

IF 2.1 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Revista de saude publica Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI:10.11606/s1518-8787.2024058005580

Camila Arantes Ferreira Brecht D'Oliveira, Daniela Polessa Paula, Aline Silva-Costa, Odaleia Barbosa de Aguiar, Lidyane V Camelo, Ana Luísa Patrão, Maria de Jesus Mendes da Fonseca, Rosane Härter Griep

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Abstract

To describe patterns of self-rated health (SRH) trajectories and investigate their association with sociodemographic, occupational, and health factors.

The sample consisted of 7,738 active public servants from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), evaluated from 2008 to 2020. The patterns of SRH trajectories were obtained by eleven time points, using the latent class growth curve. A multinomial logistic model was used to test associations between the exposures and patterns of trajectories of SRH.

Three patterns of trajectories of SRH were identified: i- good, ii- moderate, and iii- poor (29%, 61%, and 10% of the participants, respectively). Adjusted results showed that women, mixed-race, frequent work to family or family to work conflict were associated with a greater chance of poor pattern of trajectory of SRH, compared to good pattern. Besides, high school, low income, passive work, high strain, low social support, lack of time selfcare and leisure, overweight, obesity, unhealthy lifestyle, and the presence of comorbidities were associated with a greater chance of moderate and poor pattern of trajectory of SRH, when compared with a good pattern.

Adverse socioeconomic and occupational conditions, as well as unhealthy lifestyle and comorbidities were associated with worse SRH patterns of trajectories.

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elsa -巴西自评健康轨迹模式及相关因素

描述自评健康（SRH）轨迹的模式，并调查其与社会人口、职业和健康因素的关系。样本包括7738名来自巴西成人健康纵向研究（ELSA-Brasil）的在职公务员，于2008年至2020年进行评估。利用潜在类别增长曲线，获得了11个时间点的SRH轨迹模式。使用多项逻辑模型来测试暴露与SRH轨迹模式之间的关联。三种类型的SRH轨迹被确定：i-良好，ii-中度和iii-差（分别为29%，61%和10%的参与者）。调整后的结果显示，女性、混血、频繁的工作与家庭或家庭与工作的冲突，与良好模式相比，更有可能出现不良的SRH轨迹模式。此外，高中、低收入、被动工作、高压力、低社会支持、缺乏时间自我照顾和休闲、超重、肥胖、不健康的生活方式和存在合并症与SRH轨迹中度和不良模式的可能性大于良好模式的可能性。不利的社会经济和职业条件，以及不健康的生活方式和合并症与较差的性健康和生殖健康轨迹模式相关。

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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来源期刊

Revista de saude publica PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

3.60%

发文量

审稿时长

4-8 weeks

期刊介绍： The Revista de Saúde Pública has the purpose of publishing original scientific contributions on topics of relevance to public health in general.

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