A estrutura da auto-avaliação da saúde entre idosos: projeto Bambuí

Abstract

ObjectiveTo determine factors associated with self-rated health among older adults, considering five dimensions: sociodemographic variables, social support, lifestyle risk factors, health status, and access to/use of healthcare services. MethodsOf the 1,742 older adults (³60 years) living in the town of Bambuí (southeastern Brazil), 1,516 (87.0%) participated in the study. Information was obtained by means of standardized interviews and physical and laboratory exams. Results Self-rated health as good/very good, reasonable, and poor/very poor was reported by 24.7%, 49.2%, and 26.1% of subjects, respectively. The following characteristics showed independent positive associations with worse self-rated health: social ties (dissatisfaction with social network, attendance to clubs and associations), health status (symptoms of depression/anxiety in the last two weeks, sleeplessness in the last 30 days, greater number of prescribed medications used in the last 30 days), and access to/use of healthcare services (complaints when seeking medical care, greater number of medical appointments in the last 12 months, greater number of hospital admissions in the last 12 months). An independent negative association was found with monthly family income (<2.0 vs ≥4 minimum wages). ConclusionsOur results show that self-rated health among older adults is multidimensional in structure, being influenced by socioeconomic conditions, social support, health status (with emphasis on mental health), and access to/use of healthcare services. This structure resembles the definition of health adopted by the World Health Organization (an individual's "physical, mental and social well-being").

Autoavaliação do estado de saúde e fatores associados em idosos cadastrados na Estratégia Saúde da Família de Campina Grande, Paraíba

“…10 Selfassessments indicate true health status, based on an integrated view of the individual, including biological, psychological and social dimensions. 11 Given their multi-dimensional nature, several factors can affect an assessment of health status. Therefore, studies have been developed to determine which variables are associated with a negative self-assessment of health, addressing demographic and socio-economic data, social support, lifestyle, health conditions and the use of services.…”

Autopercepção da saúde e desempenho cognitivo em idosos residentes na comunidade

“…A avaliação da autopercepção de saúde tem se mostrado método confiável e com validade equivalente a outras medidas mais complexas para a mensuração do estado de saúde de um sujeito, além de ser de fácil aplicação [1][2] . Este método vem sendo frequentemente utilizado na abordagem da associação entre saúde, determinantes demográficos e socioeconômicos, doenças crônicas e capacidade funcional em idosos 3 .…”

Idosos com e sem plano de saúde e características socioepidemiológicas associadas

“…7,13 "Health plan" in the sense of an outcome can be seen in the work of Lima-Costa et al 14 and Travassos et al 19 The fi rst shows greater uptake of preventative services among those who have private health insurance, regardless of sex and level of education. The second shows the probability of using health services by those segments covered by plans is greater than that of those without a plan, even after adjusting for age sex and morbidity.…”