title: [Self-rated health in adults: influence of poverty and income inequality in the area of residence].
abstract: OBJECTIVE
  To evaluate the influence of income inequality and poverty in the towns of Bogotá, Colombia, on poor self-rated health among their residents.
  
  
  METHODS
  The study was based on a multipurpose survey applied in Bogotá-Colombia. A hierarchical data structure (individuals=level1, locations=level 2) was used to define a logit-type multilevel logistic model. The dependent variable was self-perceived poor health, and local variables were income inequality and poverty. All analyses were controlled for socio-demographic variables and stratified by sex.
  
  
  RESULTS
  The prevalence of self-reported fair or poor health in the study population was 23.2%. Women showed a greater risk of ill health, as well as men and women with a low educational level, older persons, those without work in the last week and persons affiliated to the subsidized health system. The highest levels of poverty in the city increased the risk of poor health. Cross-level interactions showed that young women and men with a low education level were the most affected by income inequality in the locality.
  
  
  CONCLUSIONS
  In Bogotá, there are geographical differences in the perception of health. Higher rates of poverty and income inequality were associated with an increased risk of self-perceived poor health. Notable findings were the large health inequalities at the individual and local levels.
authors.affiliation: Facultad Nacional de Salud Pública, Universidad de Antioquia, Medellín, Colombia.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Caicedo
authors.affiliation: Facultad de Medicina, Universidad CES, Medellín, Colombia. Electronic address: dberbesi@ces.edu.co.
authors.forename: Dedsy
authors.initials: D
authors.lastname: Berbesi Fernández
mesh_terms: D003105:Colombia; D059026:Diagnostic Self Evaluation; D005260:Female; D006304:Health Status; D006801:Humans; D007182:Income / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D011203:Poverty / Q000706:statistics & numerical data*; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors
keywords: Análisis multinivel; Desigualdades en salud; Health; Health inequalities; Multilevel analysis; Población; Pobreza; Population; Poverty; Salud