Auto-avaliação do estado de saúde em idosos usuários do Sistema Único de Saúde de Goiânia-Goiás
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Data
2009-12-15
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Universidade Federal de Goiás
Resumo
Self-rated health is one of the most widely used indicators in studies of the elderly population. There is evidence of its reliability and its potential in predicting mortality and functional decline. The perception of health is a multidimensional and subjective individual, who usually consider a number of factors when considering their own health. The aim of this study was to estimate the prevalence of self-rated poor health and associated factors in elderly users of the Unified System of Health, Goiânia-GO. This is a cross-sectional population-based, with individuals 60 years or more. Data were collected from December 2008 to March 2009. Applied a standardized questionnaire including socioeconomic, demographic, health and lifestyle. Self-rated health was dichotomized in self-rated good health (very good / good / fair) and bad (poor / very poor). Analysis was descriptive of the study variables and the relationship between self-rated poor health and the covariates were explored through the prevalence ratio (PR) and respectives CI 95%. Multivariate analysis was performed using Poisson regression with hierarchical analysis. Were included in this analysis the variables with value p <0.20. The tests were performed in STATA 9.0. We interviewed 403 elderly and 66% were female, 29.8% aged 65 to 69, 28.8% with less than 1 year of study and 56.1% of elderly living with a partner. Self-rated poor health was reported by 27.5% of the elderly, with higher prevalence among women (29.7%) and aged 60-64 years (29.1%). In the bivariate analysis the factors associated with self-rated poor health were: living without a partner, have 3 or more conditions, have Diabetes Mellitus and Musculoskeletal Disease, was hospitalized last year, making use of 5 or more drugs and no physical activity or sport. Observing the estimates of effect, the highest prevalence ratios were: no physical activity (RP= 2.17, 95% CI 1.44-3.66), musculoskeletal diseases (RP = 1.84, 95% CI 1.26-2.68), hospitalization in the last year (RP = 1.62, 95% CI 1.10 - 2.41), diabetes (RP = 1.52, 95% CI 1.02 to 2.27).The results of this study confirm that several factors are associated with poor self-rated health. However, among elderly users of SUS in Goiania, self-evaluation is strongly associated with health conditions. Starting from the assumption that this indicator can help in objective assessment of the health status of older people, this knowledge can help steer the formulation of policies to promote health and quality of life.
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PAGOTTO, Valéria. Self-rated of health status in elderly users of the Unified System of Health from Goiânia,Goiás.. 2009. 142 f. Dissertação (Mestrado em Cuidado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2009.