Associated factors to self-rated health among hypertensive and/or diabetic elderly: results from Bambuí project
Antônio Ignacio de Loyola Filho1, Josélia de Oliveira Araújo Firmo1, Elizabeth Uchôa1
1Center for Studies in Public Health and Aging, Center for Research Rene Rachou/Oswaldo Cruz Foundation, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Objective:
This study investigated the associated factors with negative self-rated health among hypertensive and/or diabetic elderly.
Methods:
All the participants of Bambuí Project elderly cohort who suffered from hypertension and/or diabetes and who answered the questionnaire without the help of a close informant were selected for this (n = 942). Covariates encompassed sociodemographic characteristics, social support, health behaviors, health status and use of health services.
Results:
Negative self-rated health showed positively associated with dissatisfaction with social relations (PR = 1.98, 95%CI 1.42 - 2.76), attendance at religious services less than once a month (PR = 1.96, 95%CI 1.44 - 2.68; be smokers (PR = 1.64, 95%CI 1.24 - 2.17), presence of arthritis (PR = 1.35, 95%CI 1.07 - 1.71), depressive symptoms (PR = 1.81, 95%CI 1.37 - 2.39) and insomnia (PR = 1.37, 95%CI 1.06 - 1.78), having consulted the doctor two or more times in the last twelve months (PR = 2.18; 95%CI 1.14 - 4.19 and PR = 3.96; 95%CI 2.10 - 7.48, respectively for "2 - 3" and "4+" visits), and have hypertension and diabetes (compared to the isolated presence of hypertension)
Conclusions:
Our results confirmed the multidimensional nature of self-rated health and were consistent with that observed in other national and international studies.
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