Prevalence of negative self-rated health and associated factors among healthcare workers in a Southeast Brazilian city

Barbosa, Rose Elizabeth Cabral; Fonseca, Giovanni Campos; Azevedo, Danielle Sandra da Silva de; Simões, Mariana Roberta Lopes; Duarte, Ana Carolina Monteiro; Alcântara, Marcus Alessandro de

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Brasil

Epidemiologia e Serviços de Saúde

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Original article • Epidemiol. Serv. Saúde 29 (2) • 2020 • https://doi.org/10.5123/S1679-49742020000200013 copy

Prevalence of negative self-rated health and associated factors among healthcare workers in a Southeast Brazilian city ^* * This study received financial support from the Minas Gerais State Research Support Foundation (FAPEMIG) and from the National Scientific and Technological Development Council (CNPq) / Brazilian Ministry of Science, Technology, Innovation and Communications (APQ-01099-14).

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

to investigate the prevalence of negative self-rated health and associated factors among municipal health service workers in Diamantina, MG, Brazil.

Methods

this was a cross-sectional census study using Poisson regression.

Results

203 health workers took part in the study, 70.9% were female, and 57.1% were up to 38 years old; prevalence of negative self-rated health was 28.6% (95%CI22.4;34.8); in the multivariate analysis, the following were associated with the outcome: being 39 years old or more (PR=1.56 – 95%CI1.01;2.40), monthly family income >3 minimum wages (PR=0.63 – 95%CI0.41;0.97), having another paid occupation (PR=0.55 – 95%CI0.34;0.89), poor sleep quality (PR=1.99 – 95%CI1.32;2.99), diagnosis of one disease (PR=2.33 – 95%CI1.13;4.81) or multiple diseases (PR=2.63 – 95%CI1.32;5.24), suffering aggression at work (PR=1.92 – 95%CI1.29;2.85), and frequent participation in domestic activities (PR=0.55 – 95%CI0.38;0.80).

Conclusion

prevalence of negative self-rated health was high and was associated with sociodemographic, occupational, behavioral and health situation factors.

Diagnostic Self Evaluation; Health Personnel; Occupational Health; Prevalence; Cross-Sectional Studies

Variables
Sex
Male	59	29.1
Female	144	70.9
Age (in years)
≤38	116	57.1
≥39	87	42.9
Schooling (in years of study)
≤11	97	47.8
≥12	106	52.2
Marital status
Without partner	74	36.5
With partner	129	63.5
Has children?
Yes	140	69.0
No	63	31.0
Race/skin color
White	37	18.2
Non-White	161	79.3
Monthly family income (in minimum wages: SM^a)
≤3 MW	115	56.7
>3 MW	88	43.3
Type of current position
Administrative and general services	56	27.6
Basic level position	73	36.0
Technical or auxiliary level position	36	17.7
High level position	38	18.7
Length of time in current position (in years)
≤5	80	39.4
>5	123	60.6
Length of time in Brazilian National Health System (SUS) (in years)
≤10	146	71.9
>10	57	28.1
Weekly working hours
<40h	44	21.7
≥40h	159	78.3
Employment status
Permanent	65	32.0
Not permanent	138	68.0
Has another paid activity
No	140	69.0
Yes	63	31.0
Practices physical activities regularly
Yes	163	80.3
No	40	19.7
Takes part in leisure activities
Yes	138	68.0
No	65	32.0
Tobacco smoking
Never smoked	164	80.8
Former smoker	21	10.3
Current smoker	18	8.9
Abusive use of alcohol
No	190	93.6
Yes	13	6.4
Sleep quality in the last month
Good or very good	147	72.4
Poor or very poor	56	27.6
Self-reported diseases
None	78	38.4
One disease	47	23.2
Two or more diseases	78	38.4
Absent from work in the last 12 months due to illness
No	124	61.1
Yes	79	38.9
Suffered aggression at work in the last 12 months
No	121	59.6
Yes	82	40.4
Takes part in domestic activities
No	54	26.6
Yes. frequently	149	73.4

Variables	Prevalence (%)	p-value^a	Crude PR^b95%CI	Adjusted PR^c95%CI	p-value^d
Sex
Male	25.4		1.00	–
Female	29.9	0.525	1.17 (0.71;1.95)
Age (in years)
≤38	19.8		1.00	1.00
≥39	40.2	0.001	2.03 (1.30;3.17)	1.56 (1.01;2.40)	0.043
Schooling (in years of study)
≤11	33.0		1.00	–
≥12	24.5	0.183	0.74 (0.48;1.15)
Marital status
Without partner	24.3		1.00	–
With partner	31.0	0.310	1.27 (0.79;2.06)
Has children?
Yes	32.1		1.00	–
No	20.6	0.093	0.64 (0.37;1.10)
Race/skin color
White	21.6		1.00	–
Non-White	29.8	0.518	1.39 (0.72;2.69)
Monthly family income (in minimum wages: MW^e)
≤3 MW	33.9		1.00	1.00
>3 MW	21.6	0.054	0.64 (0.40;1.02)	0.63 (0.41;0.97)	0.037
Type of current position
Administrative and general services	30.4		1.00	–
Basic level position	30.1		0.99 (0.58;1.69)
Technical or auxiliary level position	38.9		1.28 (0.72;2.27)
High level position	13.2	0.091	0.43 (0.17;1.08)
Length of time in current position(in years)
<5	27.5		1.00	–
>5	29.3	0.785	1.06 (0.68;1.67)
Length of time in Brazilian National Health System (SUS) (in years)
≤10	27.4		1.00	–
>10	31.6	0.553	1.15 (0.72;1.84)
Weekly working hours
<40h	38.6		1.00	–
≥40h	25.8	0.095	0.67 (0.42;1.05)
Employment status
Permanent	26.2		1.00	–
Not permanent	29.7	0.601	1.14 (0.70;1.84)
Has another paid activity
No	32.1		1.00	1.00
Yes	20.6	0.093	0.64 (0.37;1.10)	0.55 (0.34;0.89)	0.016
Practices physical activities regularly
Yes	29.4		1.00	–
No	25.0	0.577	0.85 (0.47;1.53)
Takes part in leisure activities
Yes	27.5		1.00	–
No	30.8	0.634	1.12 (0.71;1.76)
Tobacco smoking
Never smoked	28.0		1.00	–
Former smoker	28.6		1.02 (0.50;2.09)
Current smoker	33.3	0.895	1.19 (0.59;2.39)
Abusive use of alcohol
No	27.9		1.00	–
Yes	38.5	0.299	1.38 (0.67;2.85)
Sleep quality in the last month
Good or very good	20.4		1.00	1.00
Poor or very poor	50.0	0.001	2.45 (1.62;3.71)	1.99 (1.32;2.99)	0.001
Self-reported diseases
None	11.5		1.00	1.00
One disease	34.0		2.95 (1.42;6.15)	2.33 (1.13;4.81)	0.022
Two or more diseases	42.3	0.001	3.67 (1.88;7.16)	2.63 (1.32;5.24)	0.006
Absent from work in the last 12 months due to illness
No	22.6		1.00	–
Yes	38.0	0.018	1.68 (1.09;2.59)
Suffered aggression at work in the last 12 months
No	21.5		1.00	1.00
Yes	39.0	0.007	1.82 (1.17;2.81)	1.92 (1.29;2.85)	0.001
Takes part in domestic activities
No	40.7		1.00	1.00
Yes, frequently	24.2	0.021	0.59 (0.39;0.91)	0.55 (0.38;0.80)	0.002

Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil SRTVN Quadra 701, Via W5 Norte, Lote D, Edifício P0700, CEP: 70719-040, +55 61 3315-3464, Fax: +55 61 3315-3464 - Brasília - DF - Brazil
E-mail: ress.svs@gmail.com

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[1] Correspondence: Rose Elizabeth Cabral Barbosa – Rua Mauro Araújo Moreira, No. 902, apto. 201, Bairro Augusta Mota, Montes Claros, MG, Brazil. Postcode: 39401-389 E-mail: rosebarbosa.moc@gmail.com