Socioenvironmental factors and behaviors associated with negative self-rated health in Brazil

Ferrari Junior, Geraldo Jose; Teixeira, Clarissa Stefani; Felden, Érico Pereira Gomes

doi:10.1590/1413-81232021269.18172020

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

FREE THEMES • Ciênc. saúde coletiva 26 (09) • Sept 2021 • https://doi.org/10.1590/1413-81232021269.18172020 copy

Socioenvironmental factors and behaviors associated with negative self-rated health in Brazil

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

The purpose of this study is to determine the factors associated with negative self-rated health in Brazil. The sample consisted of 5,259 adults from five representative capitals of the five regions of Brazil. Data collection was achieved in the following municipalities: Palmas (North Region), João Pessoa (Northeast Region), Goiânia (Central-West Region), Vitória (Southeast Region) and Florianópolis (South Region). For the analysis of the data, Binary Logistic Regression for determine the factors associated with negative self-rated health was used. Negative self-rated health was identified in 31.43% of Brazilians. The factors that were significantly associated were bad air quality, does not have public spaces for leisure, older age group, insufficient salary to cover expenses, a rare practice of physical exercises, does not perform healthy eating, active commuting for study or employment and commuting time for above 30 minutes, dissatisfaction with health services and still, not working, not looking for a job and finally, reside in some Brazilian regions. The study presents the importance of socioenvironmental and behavioral factors for the self-rated health of Brazilian adults, as well as it shows high rates of negative self-rated health compared to other studies.

Key words:
Brazil; Self-rated health; Exercise; Active transport; Health behavior

Variable		n (%)
Gender
	Male	2,464 (46.9)
	Female	2,795 (53.1)
Age group
	18 to 34 years	2,143 (40.7)
	35 to 59 years	2,197 (41.8)
	More than 59 years	919 (17.5)
Education
	Basic	1,470 (28.4)
	High School	2,451 (47.3)
	Superior/Post	1,246 (24.3)
Income
	Low	1,709 (35.2)
	Medium	1,774 (36.5)
	High	1,375 (28.3)
Salary covers expenses
	Yes	3,849 (74.1)
	No	1,346 (25.6)
Air quality
	Good	2,758 (53.2)
	Regular	1,468 (28.3)
	Bad	961 (18.5)
Public spaces for leisure
	It has	3,452 (66.5)
	Does not have	1,736 (33.5)
Trees in the neighborhood
	Many	3,441 (66.0)
	Few	1,775 (34.0)
Commuting time
	Below 19 min	2,564 (52.8)
	From 20 to 29 min	954 (19.6)
	Above 30 min	1,338 (27.6)
CommutingType
	Active	1,151 (23.1)
	Passive	3,821 (76.9)
Occupation
	Working	3,189 (61.2)
	Looking for a job	541 (10.4)
	Neither	1,478 (28.4)
Practice of physical exercise
	Little	1,948 (37.2)
	Regular	1,405 (26.8)
	Very	1,884 (36.0)
Healthy eating
	Does not perform	987 (18.8)
	Sometimes	1,522 (29.1)
	Perform	2,730 (52.1)
City residents
	Goiânia (Central-West)	1,023 (19,5)
	Florianópolis (South)	1,026 (19,5)
	Palmas (North)	1,036 (19,7)
	Vitória (Southeast)	1,107 (21,0)
	João Pessoa (Northeast)	1,067 (20,3)

Variables		Non-adjusted analysis			Adjusted analysis
Variables		OR (CI95%)	p	OR (CI95%)	p
Income
	Low	1		excluded
	Medium	1.01(0.87-1.17)	0.900
	High	1.09(0.93-1.27)	0.284
Air quality
	Good	1		1
	Regular	1.38(1.21-1.58)	<0.001	1.47(1.25-1.74)	<0.001
	Bad	1.45(1.24-1.69)	<0.001	1.65(1.36-2.01)	<0.001
Public spaces for leisure
	It has	1		1
	Does not have	1.38(1.22-1.56)	<0.001	1.18(1.01-1.37)	0.036
Trees in the neighborhood
	Many	1		1
	Few	1.26(1.11-1.42)	<0.001	1.03(0.89-1.19)	0.720
Gender
	Male	1		1
	Female	1.28(1.14-1.44)	<0.001	1.09(0.94-1.25)	0.260
Age group
	18 to 34 years	1		1
	35 to 59 years	1.41(1.23-1.61)	<0.001	1.22(1.05-1.43)	0.012
	More than 59 years	2.68(2.28-3.16)	<0.001	2.32(1.87-2.87)	<0.001
Education
	Basic	1		1
	High School	1.12(0.97-1.29)	0.118	1.13(0.96-1.33)	0.140
	Superior/Post	1.09(0.92-1.28)	0.312	1.21(0.99-1.46)	0.059
Occupation
	Working	1		1
	Looking for a job	1.26(1.04-1.53)	0.021	1.04(0.80-1.29)	0.901
	Neither	1.73(1.51-1.97)	<0.001	1.31(1.10-1.56)	0.002
Commuting time
	Below 19 min	1		1
	From 20 to 29 min	1.09(0.93-1.28)	0.310	1.14(0.94-1.38)	0.182
	Above 30 min	1.26(1.10-1.46)	0.001	1.31(1.10-1.55)	0.002
Commuting type
	Passive	1		1
	Active	1.41(1.23-1.62)	<0.001	1.36(1.14-1.62)	0.001
Salary covers expenses
	Yes	1		1
	No	2.52(2.21-2.86)	<0.001	1.73(1.47-2.02)	<0.001
Practice of physical exercise
	Little	3.36(2.91-3.89)	<0.001	2.40(2.01-2.86)	<0.001
	Regular	1.77(1.50-2.08)	<0.001	1.52(1.26-1.84)	<0.001
	Very	1		1
Healthy eating
	Does not perform	2.40(2.06-2.80)	<0.001	1.80(1.48-2.18)	<0.001
	Sometimes	1.60(1.39-1.83)	<0.001	1.50(1.27-1.77)	<0.001
	Perform	1		1
Satisfaction with health services
	Satisfied	1		1
	Neither satisfied nor dissatisfied	0.98(0.85-1.14)	0.829	0.97(0.81-1.15)	0.717
	Dissatisfied	1.35(1.18-1.56)	<0.001	1.29(1.10-1.53)	0.002
Cities
	Goiânia	1		1
	Palmas	1.43(1.18-1.74)	<0.001	1.14(0.90-1.46)	0.280
	Florianópolis	1.10(0.90-1.35)	0.335	1.36(1.06-1.75)	0.015
	Vitória	1.57(1.30-1.91)	<0.001	1.52(1.20-1.94)	0.001
	João Pessoa	2.48(2.05-3.00)	<0.001	2.19(1.72-2.79)	<0.001

ABRASCO - Associação Brasileira de Saúde Coletiva Av. Brasil, 4036 - sala 700 Manguinhos, 21040-361 Rio de Janeiro RJ - Brazil, Tel.: +55 21 3882-9153 / 3882-9151 - Rio de Janeiro - RJ - Brazil
E-mail: cienciasaudecoletiva@fiocruz.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Collaborations

GJ Ferrari Junior structured and analyzed the information, and the text’s writing. CS Teixeira designed and coordinated the research work, structured and applied the field work. ÉPG Felden supported the study’s design and the text’s editing. The authors all read, contributed to, and agreed to submit the manuscript for publication.