Medidas de morbidade referida e inter-relações com dimensões de saúde

Abstract

OBJECTIVE: To assess the interrelationships between self-rated health, perceptions of long-term illness and diagnoses of chronic diseases. METHODS:In the World Health Survey, carried out in Brazil in 2003, 5,000 individuals aged 18 years and over who had been selected from a three-stage stratifi ed sample were interviewed. The original questionnaire was adapted for the Brazilian context. It covered the presence of long-term illness or disability, self-rating of health (general and in several domains) and diagnoses of six chronic diseases (arthritis, angina, asthma, depression, schizophrenia and diabetes mellitus). To compare the relationships between self-rated health, perceptions of long-term illness and the chronic diseases evaluated, the statistical test of homogeneity of proportions and multiple logistic regression models were used. RESULTS:Self-rating of health as "not good" and perceptions of having long-term illnesses were signifi cantly more frequent among women, individuals aged 50 years and over and individuals with one or more of the diseases investigated. The interviewees with a diagnosis of diabetes mellitus presented the worst self-rated health: 70.9% reported having a long-term illness and 79.3% considered that their health was "not good". Worse health ratings were found when two or more diseases were present together. The effect of selfrating of health on the perceptions of long-term illness was stronger than was the number of diseases. CONCLUSIONS:The three ways of measuring morbidity presented signifi cant interrelationships. Self-rating of health as "not good" had a more important effect on the perceptions of long-term illness, thus suggesting that subjective measurements of health status may be more sensitive for establishing and monitoring individuals' wellbeing.

Prevalência de diagnóstico médico de asma em adultos brasileiros: Pesquisa Nacional de Saúde, 2013

“…According to the Brazilian consensus of asthma 28 , every asthmatic patient must be treated; those with occasional asthma must use medication when symptoms are present, and the remaining ones should use it permanently. Because it was found that a part of the population does not receive treatment, it was expected that such patients would report a great limitation to activities, as seen in this study, or would consider their health as moderate, bad, or very bad similar to that in the WHS (53.8%) 29 . In addition, patients using medications showed around two times more limitation to their activities owing to asthma than those who were not using it (data were not presented in tables with p-value of 0.029 in the χ 2 -test), which might indicate a greater severity of the disease.…”

“…When Solé et al 19 assessed the phases I and III adolescents of ISAAC, in many Brazilian cities, they found a small, but significant, decrease REV BRAS EPIDEMIOL DEC 2015; 18 SUPPL 2: 204-213 of attacks and night cough symptoms, although this result was not consistent in the different studied cities. In the age range of the adults, it has been seen a stability of asthma medical diagnosis the last years, based on PNAD and NHS 29 .…”

Percepção de saúde e fatores associados em adultos: inquérito populacional em Rio Branco, Acre, Brasil, 2007-2008

“…Tal fato torna-se preocupante, uma vez que diversos autores têm constatado o alto poder preditivo de morbidade e mortalidade decorrente da avaliação precária da própria saúde 4,5,6,16,23,24 . Destacam-se os dados quanto à razão de prevalência de autoavaliação negativa de saúde com inatividade física, fumo, obesidade e a carga de morbidade referida, corroborando os achados recentes de outras investigações 16,17,18,25,26 . Várias investigações 2,23 têm referido que avaliação subjetiva da saúde permite verificar outros parâmetros de saúde para além da condição físico-patológica dos indivíduos.…”

“…Verifica-se, portanto, a necessidade de se diminuirem as desigualdades de percepção de saúde por meio do aumento da equidade no acesso ao sistema escolar e na permanência neste 8,17,26,31 .…”

Occupational stress and self-rated health among nurses

“…Various studies have shown the association between socioeconomic condition and the presence of chronic illnesses with self-rated health, but few have considered work conditions in this relationship (4)(5)(6)(7) . It is necessary, therefore, to investigate how relationships between staff and staff, and between staff and the work environment influence the health-illness process, incorporating the worker's point of view.…”