Gender differences in predictors of self-rated health among older adults in Brazil and Chile

Abstract

Background: The determinants of self-rated health (SRH) have been widely investigated to explain social differences and gender differences in health. This study aimed to investigate the gender differences in predictors of SRH among Brazilian and Chilean older adults. Methods: We used two samples of older people: 2052 Brazilian community-dwelling participants (1226 women and 862 men) and 1301 Chilean community-dwelling participants (855 women and 446 men). Sequential logistic regression analysis was used to examine the relationships between SRH and potential predictors in a hierarchical model. Results: Overall, 35.5% and 52.1% of individuals in Chile and Brazil, respectively, reported good SRH. There was a gradient association between good SRH and chronic diseases in both countries. Chilean men without chronic disease or with one had a higher chance of good SRH, compared to two or more diseases. For Brazilian men, no or one chronic disease was associated with good SRH. For women, the set of independent predictors for good SRH included no chronic diseases or one chronic disease, and no activities of daily living limitation. For men, the set also included instrumental activities limitation. For Brazilian adults of both genders, depression demonstrated the strongest independent association with good SRH.

The role of gender in the association between self-rated health and mortality among older adults in Santiago, Chile: A cohort study

“…Methodological details of this study have been reported previously [38,39]. Briefly, the Chilean sample was obtained through a systematic recruitment of individuals aged 60 and over living in the community in Santiago in 1999–2000.…”

Mudanças de comportamentos relacionados à saúde como preditores de mudanças na autopercepção de saúde: estudo longitudinal (2011-2015)

“…População de 40 anos ou mais residente em Cambé, Paraná, Brasil (n = 397). categoria de APNS, no presente estudo, foi definida por ser a forma mais usual verificada na literatura 6,25,26,27,28 . De qualquer modo, não é objetivo deste trabalho realizar comparações exaustivas com a incidência e a prevalência de APNS e APPS observadas em outros estudos.…”

Identifying People with Depression: The role of ‘Self Rated Health’

“…These findings build upon a previous South East Asia Journal of Public Health 2018;8(1):10-16 and negative life events and females to have a higher odd of poor SRH similar to findings in the current study. 50 Evidence-based cost-effective treatments for depression is available. 51 But a diagnosis of depression needs to be made for treatment to be given.…”