Abstract
Introduction: Women present a higher prevalence of negative self-assessment of health (NSAH) when compared to men. However, there is a gap in the literature of factors associated with NSAH in women from developing countries such as Brazil. In addition, few studies have assessed the magnitude of the association between multimorbidity and NSAH in this population. Thus, the aim of this study was to evaluate the association between NSAH and sociodemographic characteristics, lifestyle and multimorbidity in women from the Midwest region of Brazil. Methods: A study based on data from the National Health Survey, a household survey that investigated health situation, lifestyle and risk factors for chronic diseases in the adult population of Brazil, was held. Sampling was performed in multiple stages. The selected women answered a standardized questionnaire on sociodemographic data, self-assessment of health and potential determinants. Poisson regression was used to analyze the association between NSAH and sociodemographic characteristics, lifestyle and multimorbidity. A significance level of 0.05% was established. Results: The study included 4233 women. The prevalence of NSAH found was 6.0% (95% Confidence Interval [95% CI]: 5.1–7.0%). There was an association between NSAH and advancing age, low schooling, physical inactivity and multimorbidity. Furthermore, there was an association between NSAH and diseases/disorders such as chronic back pain, systemic arterial hypertension, mental disorders, depression, cardiovascular diseases, stroke, cancer, hypercholesterolemia and diabetes mellitus. Conclusion: The prevalence of NSAH was low. A strong association was found between this variable and multimorbidity. In addition, increased age, low schooling and physical inactivity were predictors of NSAH in women.
Highlights
IntroductionChronic noncommunicable diseases (NCDs) have a significant impact on public health, resulting in high morbidity and mortality, and high costs for health services and society in general [1–3]
negative self-assessment of health (NSAH) was statistically associated with advancing age, low level of education, physical inactivity and multimorbidity
The findings of this study may contribute to the strengthening of public health promotion policies focused on primary health care aimed at improving the perception of women’s health through action on its determinants
Summary
Chronic noncommunicable diseases (NCDs) have a significant impact on public health, resulting in high morbidity and mortality, and high costs for health services and society in general [1–3]. According to the World Health Organization (WHO), the mortality rate related to NCDs has increased globally, regardless of socioeconomic factors [1]. In 2016, NCDs accounted for about 71% of deaths worldwide, most of them in low- and middle- to low-income countries [1]. 55 million deaths are expected to occur in 2030 due to complications of NCDs [4]
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