Key result
The prevalence of negative self-assessment of health among women was 6.0% (95% CI: 5.1-7.0%), with advancing age, low schooling, physical inactivity, and multimorbidity identified as predictors.
Why the study?
Factors associated with negative self-assessment of health in women from developing countries were not well documented, and few studies had evaluated the association with multimorbidity.
Cross-Sectional (n=4,233)
Yes
In Brazilian women, negative self-assessment of health is relatively low but strongly associated with multimorbidity, physical inactivity, and lower education.
Answers are grounded in this paper and cite their sources.
Multimorbidity strongly linked to NSAH in Brazilian women; leaves open whether addressing multimorbidity or inactivity improves self-rated health.
INTRODUCTION: Women present a higher prevalence of negative self-assessment of health (NSAH) when compared to men. However, there is a gap in the literature of factors associated with NSAH in women from developing countries such as Brazil. In addition, few studies have assessed the magnitude of the association between multimorbidity and NSAH in this population. Thus, the aim of this study was to evaluate the association between NSAH and sociodemographic characteristics, lifestyle and multimorbidity in women from the Midwest region of Brazil. METHODS: A study based on data from the National Health Survey, a household survey that investigated health situation, lifestyle and risk factors for chronic diseases in the adult population of Brazil, was held. Sampling was performed in multiple stages. The selected women answered a standardized questionnaire on sociodemographic data, self-assessment of health and potential determinants. Poisson regression was used to analyze the association between NSAH and sociodemographic characteristics, lifestyle and multimorbidity. A significance level of 0.05% was established. RESULTS: The study included 4233 women. The prevalence of NSAH found was 6.0% (95% Confidence Interval [95% CI]: 5.1-7.0%). There was an association between NSAH and advancing age, low schooling, physical inactivity and multimorbidity. Furthermore, there was an association between NSAH and diseases/disorders such as chronic back pain, systemic arterial hypertension, mental disorders, depression, cardiovascular diseases, stroke, cancer, hypercholesterolemia and diabetes mellitus. CONCLUSION: The prevalence of NSAH was low. A strong association was found between this variable and multimorbidity. In addition, increased age, low schooling and physical inactivity were predictors of NSAH in women.
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Santos et al. (2022) conducted a cross-sectional in Negative self-assessment of health (n=4,233). Sociodemographic characteristics, physical inactivity, and multimorbidity was evaluated on Prevalence of negative self-assessment of health (NSAH) (95% CI 5.1-7.0). The prevalence of negative self-assessment of health among women was 6.0% (95% CI: 5.1-7.0%), with advancing age, low schooling, physical inactivity, and multimorbidity identified as predictors.
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