title: Negative self-rated health in the elderly in cities with different levels of economic well-being: data from FIBRA.
abstract: This comparative, cross-sectional study analyzed negative self-rated health in elderly people, according to sociodemographic and health variables, use of public or private health services, functional performance, frailty and depressive symptoms. The participants lived in Belém (n = 571) and Campinas (n = 676), cities with different socioeconomic conditions, and the research formed part of a multicentric study on frailty (Fibra Study, Unicamp). Multivariate regression analysis showed that in both cities, negative self-rated health was associated with low education, three or more chronic diseases and sight deficiencies. In Belem, additional observations included associations with fatigue, three or more signs and symptoms and use of public health services; in Campinas, negative self-rated health was also associated with depressive symptoms. The associations suggest that poor health in old age is the result of an accumulation of deficits for lack of socioeconomic resources throughout life and that deficits are not sufficiently compensated for health services in old age.
authors.affiliation: Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil, efigeniapasm@gmail.com.
authors.forename: Efigênia Passarelli
authors.initials: EP
authors.lastname: Mantovani
authors.affiliation: Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil, efigeniapasm@gmail.com.
authors.forename: Sérgio Roberto
authors.initials: SR
authors.lastname: de Lucca
authors.affiliation: Faculdade de Ciências Médicas, Unicamp.
authors.forename: Anita Liberalesso
authors.initials: AL
authors.lastname: Neri
mesh_terms: D000368:Aged; D002947:Cities; D003430:Cross-Sectional Studies; D003863:Depression; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D057566:Self Report; D012923:Social Class; D014505:Urban Population