Abstract
Background Self-reported health is subjective and depends on external factors such as socioeconomic status, presence of chronic diseases and working status, among others. Aim To determine which factors influence self-reported health among older people in Chile. Material and Methods A secondary analysis of the National Socioeconomic Characterization survey done in 2015. A dichotomous response model was used classifying health status as good or bad. A logit regression model was carried out. Results The model had a good calibration and correctly classified 72 and 68% of men and women, respectively. The main factors that influenced health status self-perception were: not having health problems; having undergone a mental health interview, to receive supplemental nutrition, education, to have a productive work; and to having a social network. Conclusions There are health, cultural, economic and environmental factors that influence self-perceived health status.
Highlights
Self-reported health is subjective and depends on external factors such as socioeconomic status, presence of chronic diseases and working status, among others
Los mayores que reportaron preferentemente un buen estado de salud: trabajaban o habían trabajado en la última semana (61%), su sistema previsional era privado (59%), poseían dificultad física (55%), presentaban problemas de salud (56%), no se habían realizado exámenes de laboratorio (53%) y estaban clasificados en los quintiles de ingresos 4 y 5 (52%, 61%) (Tabla 2)
Los mayores que reportan preferentemente un mal estado de salud: eran de nacionalidad extranjera (56%), no habían asistido al sistema
Summary
Self-reported health is subjective and depends on external factors such as socioeconomic status, presence of chronic diseases and working status, among others. Aim: To determine which factors influence self-reported health among older people in Chile. (Rev Med Chile 2019; 147: 1407-1414) Key words: Frail Elderly; Healthy Aging; Logistic Models; Public Health; Self Report. El estado de salud autorreportado se basa en criterios subjetivos, que incluye aspectos biológicos, psicológicos y sociales, influenciados por la condición socioeconómica, género, edad, presencia de enfermedades crónicas, ocupación o no ocupación, entre otros factores[3,4,5]. Es relevante contar con modelos de decisión que evalúen las políticas públicas implementadas, con un enfoque multidimensional[7], específicamente para los mayores, incorporando una mirada subjetiva, tal como el estado de salud autorreportado. El presente estudio tiene como objetivo evaluar en el estado de salud autorreportado por los mayores en Chile y analizar los factores asociados a ella
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