Neighborhood sociodemographic and environmental contexts and self-rated health among Brazilian adults: a multilevel study
Neighborhood sociodemographic and environmental contexts and self-rated health among Brazilian adults: a multilevel study
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DOI：
10.1590/s0102-311x2010001200015
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发表时间：
2010-12-01
期刊：
影响因子：
--
通讯作者：
Pattussi, Marcos Pascoal
中科院分区：
文献类型：
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作者：
Cremonese, Cleber;Backes, Vanessa;Pattussi, Marcos Pascoal
本研究的目的是调查社会人口统计和环境背景与自评健康之间的关联。开展了一项基于人口的横断面研究，随机抽取了 38 个社区（人口普查区）和 1,100 名成年人。数据分析使用多级逻辑回归。根据 2000 年巴西人口普查数据，户主的平均收入、学习年限和每块土地的平均居民人数分别为 955 雷亚尔 (SD = 586)、8 年 (SD = 3) 和 746 名居民 (SD = 358)。在人口较多、收入/教育水平较低的社区中，自评健康状况一般/较差的比例较高。控制个体变量后，与人口较少、收入较高的社区相比，人口较多的社区（OR = 2.04；95%CI：1.15-3.61）和低收入社区（OR = 2.29；95%CI：1.16-4.50）自我评价健康状况一般/较差的几率是其两倍。自评健康取决于个人特征和社区的社会人口背景。
The aim of this study was to investigate the association between sociodemographic and environmental contexts on self-rated health. A population-based cross-sectional study with a random sample of 38 neighborhoods (census tracts) and 1,100 adults was carried out. Data analysis used multilevel logistic regression. Data from the Brazilian Census of 2000, mean income, years of study of the head of household and mean number of residents per tract were R$955 (SD = 586), 8 years (SD = 3), and 746 residents (SD = 358) respectively. Higher prevalences of fair/poor self-rated health were found in neighborhoods with greater populations and lower income/schooling levels. After control for individual variables, the odds for fair/poor self-rated health was twice as high in more populous (OR = 2.04; 95%CI: 1.15-3.61) and lower-income neighborhoods (OR = 2.29; 95%CI: 1.16-4.50) compared to less populous, higher-income ones. Self-rated health depends on individual characteristics and the sociodemographic context of neighborhoods.