title: Differences in self-rated health among older adults according to socioeconomic circumstances: the Bambuí Health and Aging Study.
abstract: Self-rated health is influenced by socioeconomic circumstances, but related differences in its structure have received little attention. The objective of this study was to examine whether self-rated health structure differs according to socioeconomic circumstances in later life. The study included 1,505 individuals (86.4%) residing in Bambuí and aged 60 years or older. Correlates of self-rated health among lower-income older adults (monthly household income < USD 240.00) and higher-income seniors were assessed. Social network stood out as a major factor in the structure of self-rated health among the poorest. Psychological distress was independently associated with worse self-rated health among the poorest, while perceptions by the wealthiest were broader, including psychological distress, insomnia, Trypanosoma cruzi infection, use of medications, and access to health services. Physician visits and hospitalizations were associated with self-rated health in both groups. Our results show important differences in the structure of self-rated health according to socioeconomic circumstances and reinforce the need for policies to reduce health inequalities in later life.
authors.affiliation: Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil. lima-costa@cpqrr.fiocruz.br
authors.forename: Maria Fernanda
authors.initials: MF
authors.lastname: Lima-Costa
authors.forename: Josélia Oliveira Araújo
authors.initials: JO
authors.lastname: Firmo
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Uchôa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil; D015331:Cohort Studies; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006299:Health Services for the Aged / Q000706:statistics & numerical data*; D006304:Health Status; D006801:Humans; D007407:Interviews as Topic; D008019:Life Style; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012649:Self Concept; D012944:Social Support; D012959:Socioeconomic Factors