Contextual influence on poor self-rated health in patients with Chagas disease: multilevel study.

Contextual influence on poor self-rated health in patients with Chagas disease: multilevel study.
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DOI:
10.1590/1413-81232022277.01682022
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发表时间:
2022-07
影响因子:
1.7
通讯作者:
Haikal, Desiree Sant' Ana
Haikal, Desiree Sant' Ana
中科院分区:
医学4区
文献类型:
--
作者:
Ferreira, Ariela Mota;Sabino, Ester Cerdeira;de Oliveira-da Silva, Lea Campos;Oliveira, Claudia Di Lorenzo;Cardoso, Clareci Silva;Pinho Ribeiro, Antonio Luiz;Damasceno, Renata Fiuza;Leite, Samara Fernandes;Vieira, Thallyta Maria;Pereira Nunes, Maria do Carmo;Haikal, Desiree Sant' Ana

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Chagas disease (CD) is recognized by the World Health Organization as one of the thirteen most neglected tropical diseases in the world. Self-perceived health is considered a better predictor of mortality than objective measures of health status, and the context in which one lives influences this predictor. This study aimed to evaluate the prevalence and individual and contextual factors associated with poor self-rated health among CD patients from an endemic region in Brazil. It is a multilevel cross-sectional study. The individual data come from a cross-section of a cohort study named SaMi-Trop. Contextual data was collected from publicly accessible institutional information systems and platforms. The dependent variable was self-perceived health. The analysis was performed using multilevel binary logistic regression. The study included 1,513 patients with CD, where 335 (22.1%) had Poor self-rated health. This study revealed the influence of the organization/offer of the Brazilian public health service and of individual characteristics on the self-perceived health of patients with CD.
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