title: Self-rated health in urban adults, perceptions of the physical and social environment, and reported comorbidities: The BH Health Study.
abstract: This study assesses the prevalence of poor self-rated health and investigates its association with individual and environmental characteristics in adults with and without reported morbidity. A household survey assessed 4,048 adults in two districts of Belo Horizonte, Minas Gerais State, Brazil. We used Poisson regression with robust variance stratified by the presence of reported morbidity. Prevalence of poor self-rated health was 29.9% (42.6% in those with morbidity and 13.1% in the group without morbidity). All assessed domains were associated with self-rated health in subjects with reported morbidity. In the group without reported morbidity, the following were associated with self-rated health: social environment, socio-demographic factors, lifestyle, and psychological health. Perceived problems in the environment were associated with poor self-rated health in both groups, even after hierarchical adjustment. The results suggest the importance of investigating self-rated health stratified by reported morbidity and reinforce the need to include variables that characterize the physical and social environment.
authors.affiliation: Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
authors.forename: Adriana Lúcia
authors.initials: AL
authors.lastname: Meireles
authors.affiliation: Observatórios de Saúde Urbana de Belo Horizonte, Belo Horizonte, Brasil.
authors.forename: César Coelho
authors.initials: CC
authors.lastname: Xavier
authors.affiliation: Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
authors.forename: Amanda Cristina de Souza
authors.initials: AC
authors.lastname: Andrade
authors.affiliation: Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
authors.forename: Amélia Augusta de Lima
authors.initials: AA
authors.lastname: Friche
authors.affiliation: Faculdade de Saúde e Ecologia Humana, Vespasiano, Brasil.
authors.forename: Fernando Augusto
authors.initials: FA
authors.lastname: Proietti
authors.affiliation: Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
authors.forename: Waleska Teixeira
authors.initials: WT
authors.lastname: Caiaffa
mesh_terms: D000328:Adult; D000367:Age Factors; D001938:Brazil; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D016012:Poisson Distribution; D012307:Risk Factors; D057566:Self Report; D012959:Socioeconomic Factors; D014504:Urban Health / Q000706:statistics & numerical data*; D014505:Urban Population / Q000706:statistics & numerical data; D055815:Young Adult