[Self-rated health among climacteric women affiliated with the Instituto Mexicano del Seguro Social].
OBJECTIVE
To evaluate self-rated health (SRH) in climacteric women and to identify the factors associated with negative SRH.


METHODS
Information from 9 248 women aged 40 to 59 years was analyzed. SRH was the dependent variable. Independent variables were demographic characteristics, history of reproductive and chronic diseases, physical activity, and participation in screening and health education programs. Data were analyzed using descriptive statistics, bivariate analysis, and logistic regression modeling.


RESULTS
Forty-two percent of women reported positive SRH and 58% reported negative SRH. Factors associated with negative SRH were: low literacy level (OR 1.78, CI95% 1.62-1.95), unemployment (OR 1.20, CI95% 1.09-1.33), menopause (OR 1.22, CI95% 1.11-1.33), type 2 diabetes (OR 1.88, CI95% 1.65-2.13) hypertension (OR 2.01, CI95% 1.82-2.22), irregular physical exercise (OR 1.30, CI95% 1.12-1.50), sedentarism (OR 1.395, CI95% 1.23-1.57), lack of information about climacteric (OR 1.17, CI95% 1.07-1.28) and lack of screening for chronic diseases (OR 0.82, CI95% 0.75-0.89).


CONCLUSIONS
Factors associated with negative SRH such as lack of information and physical activity should be strengthened.
Unidad de Investigación Epidemiológica, Servicios de Salud, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México. svetlana.doubova@imss.gob.mx
Svetlana
S
Vladislavovna-Doubova
Ricardo
R
Pérez-Cuevas
Hortensia
H
Reyes-Morales
D000328:Adult; D003920:Diabetes Mellitus / Q000453:epidemiology; D004522:Educational Status; D005260:Female; D006304:Health Status; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D008403:Mass Screening / Q000706:statistics & numerical data; D008593:Menopause / Q000523:psychology*; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009043:Motor Activity; D009790:Occupations / Q000706:statistics & numerical data; D017584:Reproductive History; D012307:Risk Factors; D012647:Self-Assessment; D012943:Social Security / Q000706:statistics & numerical data*
Autopercepción del estado de salud en climatéricas derechohabientes del Instituto Mexicano del Seguro Social.