Negative self-perception of health: prevalence and associated factors among elderly assisted in a reference center
Negative self-perception of health: prevalence and associated factors among elderly assisted in a reference center
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DOI：
10.1590/1413-81232020253.16402018
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发表时间：
2020-03-01
期刊：
影响因子：
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通讯作者：
Caldeira, Antônio Prates
中科院分区：
文献类型：
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作者：
Carneiro, Jair Almeida;Gomes, Caio Augusto Dias;Caldeira, Antônio Prates
对健康的消极自我感知是分析老年人口健康状况的一个相关概念，应被视为健康促进行动的指导工具。本研究目的在探讨老年人健康自我认知之盛行率及其相关因素。这是一项在2015年进行的方便抽样的分析性横断面研究。调查了与健康相关的社会人口学变量的负面自我感知。进行双变量分析，然后通过Poisson回归进行多重分析，以验证与结局相关的变量。360名老年人接受了评估。对健康的负性自我感觉的患病率为60.5%。在最终模型中确定了以下相关因素：年龄范围65-79岁（PR=1; CI 95%-0.648-0.974; p=0.027）;虚弱（PR-1.28; CI 95%=1.07-1.54; p=0.007）;抑郁症状（PR-1.40; CI 95%-1.19-1.67; p=0.000）;和为某人提供护理（PR-1.49; CI 95%-1.18-1.88; p=0.001）。对健康的负面自我认知的患病率升高和相关因素指出，需要采取有效的健康促进行动，并为参考中心的老年人提供更具体的护理。
The negative self-perception of health is a relevant construct for the analysis of the elderly population health conditions and should be recognized as a guiding tool for health promotion actions. We aimed to verify the prevalence and the associated factors to a negative self-perception of health by elderly assisted in a reference center. This is an analytical cross-sectional study with convenience sampling conducted in 2015. The negative self-perception association with health-related sociodemographic variables was investigated. Bivariate analysis followed by multiple analysis by Poisson regression was performed to verify the variables associated with the outcome. Three hundred sixty elderly were evaluated. The negative self-perception of health prevalence was 60.5%. The following associated factors were identified in the final model: age range 65-79 years (PR=1; CI95%-0.648-0.974; p=0.027); frailty (PR-1.28; CI95%=1.07-1.54; p=0.007); depressive symptoms (PR-1.40; CI95%-1.19-1.67; p=0.000); and providing care to someone (PR-1.49; CI95%-1.18-1.88; p=0.001). The elevated prevalence of negative self-perception of health and the associated factors point to the need for effective health promotion actions and more specific care for the elderly assisted in the reference center.