Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2021000300502 |
Resumo: | Abstract: This is a cross-sectional study investigating the factors affecting brazilians’ self-rated health during the COVID-19 pandemic, based on data from the web-based behavior survey. Carried out from April 24 to May 24, 2020, the survey recruited participants by a chain sampling procedure. Its outcome was the worsening of self-rated health during the pandemic. Statistical analysis was based on a hierarchical model of determination. Logistic regression models were used to test the associations between sociodemographic characteristics, pre-existing health conditions, lifestyle indicators and intensity of social restraint measures, and biological and psychological issues during the pandemic. From the total sample of 45,161 participants, 29.4% reported worsening of health state during this period. After adjusting for hierarchical distal factors, the health problems mostly associated with worsening health state were: bad self-rated health (adjusted OR = 4.35, p < 0.001), health care seeking for mental health problem (adjusted OR = 3.95, p < 0.001), and for COVID-19 (adjusted OR = 3.60, p < 0.001). People who experienced sleep problems, worsening of back pain, depression and at least one flu symptom during the pandemic were twice as likely to report worsening of health status. Sedentary and eating behaviors and adherence to social distancing measures showed significant correlation with the outcome. There exists a relation between social, biological, and psychological factors, mediated by lifestyles and variables pertaining to confinement. Altogether, these factors have negatively affected self-rated health during the COVID-19 pandemic in Brazil. |
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Factors affecting Brazilians’ self-rated health during the COVID-19 pandemicCOVID-19PandemicsHealth SurveysAbstract: This is a cross-sectional study investigating the factors affecting brazilians’ self-rated health during the COVID-19 pandemic, based on data from the web-based behavior survey. Carried out from April 24 to May 24, 2020, the survey recruited participants by a chain sampling procedure. Its outcome was the worsening of self-rated health during the pandemic. Statistical analysis was based on a hierarchical model of determination. Logistic regression models were used to test the associations between sociodemographic characteristics, pre-existing health conditions, lifestyle indicators and intensity of social restraint measures, and biological and psychological issues during the pandemic. From the total sample of 45,161 participants, 29.4% reported worsening of health state during this period. After adjusting for hierarchical distal factors, the health problems mostly associated with worsening health state were: bad self-rated health (adjusted OR = 4.35, p < 0.001), health care seeking for mental health problem (adjusted OR = 3.95, p < 0.001), and for COVID-19 (adjusted OR = 3.60, p < 0.001). People who experienced sleep problems, worsening of back pain, depression and at least one flu symptom during the pandemic were twice as likely to report worsening of health status. Sedentary and eating behaviors and adherence to social distancing measures showed significant correlation with the outcome. There exists a relation between social, biological, and psychological factors, mediated by lifestyles and variables pertaining to confinement. Altogether, these factors have negatively affected self-rated health during the COVID-19 pandemic in Brazil.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2021000300502Cadernos de Saúde Pública v.37 n.3 2021reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/0102-311x00182720info:eu-repo/semantics/openAccessSzwarcwald,Celia LandmannDamacena,Giseli NogueiraBarros,Marilisa Berti de AzevedoMalta,Deborah CarvalhoSouza Júnior,Paulo Roberto Borges deAzevedo,Luiz OtávioMachado,Ísis EloahLima,Margareth GuimarãesRomero,DáliaGomes,Crizian SaarWerneck,André OliveiraSilva,Danilo Rodrigues Pereira daGracie,RenataPina,Maria de Fátima deeng2021-04-28T00:00:00Zoai:scielo:S0102-311X2021000300502Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2021-04-28T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic |
title |
Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic |
spellingShingle |
Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic Szwarcwald,Celia Landmann COVID-19 Pandemics Health Surveys |
title_short |
Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic |
title_full |
Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic |
title_fullStr |
Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic |
title_full_unstemmed |
Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic |
title_sort |
Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic |
author |
Szwarcwald,Celia Landmann |
author_facet |
Szwarcwald,Celia Landmann Damacena,Giseli Nogueira Barros,Marilisa Berti de Azevedo Malta,Deborah Carvalho Souza Júnior,Paulo Roberto Borges de Azevedo,Luiz Otávio Machado,Ísis Eloah Lima,Margareth Guimarães Romero,Dália Gomes,Crizian Saar Werneck,André Oliveira Silva,Danilo Rodrigues Pereira da Gracie,Renata Pina,Maria de Fátima de |
author_role |
author |
author2 |
Damacena,Giseli Nogueira Barros,Marilisa Berti de Azevedo Malta,Deborah Carvalho Souza Júnior,Paulo Roberto Borges de Azevedo,Luiz Otávio Machado,Ísis Eloah Lima,Margareth Guimarães Romero,Dália Gomes,Crizian Saar Werneck,André Oliveira Silva,Danilo Rodrigues Pereira da Gracie,Renata Pina,Maria de Fátima de |
author2_role |
author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Szwarcwald,Celia Landmann Damacena,Giseli Nogueira Barros,Marilisa Berti de Azevedo Malta,Deborah Carvalho Souza Júnior,Paulo Roberto Borges de Azevedo,Luiz Otávio Machado,Ísis Eloah Lima,Margareth Guimarães Romero,Dália Gomes,Crizian Saar Werneck,André Oliveira Silva,Danilo Rodrigues Pereira da Gracie,Renata Pina,Maria de Fátima de |
dc.subject.por.fl_str_mv |
COVID-19 Pandemics Health Surveys |
topic |
COVID-19 Pandemics Health Surveys |
description |
Abstract: This is a cross-sectional study investigating the factors affecting brazilians’ self-rated health during the COVID-19 pandemic, based on data from the web-based behavior survey. Carried out from April 24 to May 24, 2020, the survey recruited participants by a chain sampling procedure. Its outcome was the worsening of self-rated health during the pandemic. Statistical analysis was based on a hierarchical model of determination. Logistic regression models were used to test the associations between sociodemographic characteristics, pre-existing health conditions, lifestyle indicators and intensity of social restraint measures, and biological and psychological issues during the pandemic. From the total sample of 45,161 participants, 29.4% reported worsening of health state during this period. After adjusting for hierarchical distal factors, the health problems mostly associated with worsening health state were: bad self-rated health (adjusted OR = 4.35, p < 0.001), health care seeking for mental health problem (adjusted OR = 3.95, p < 0.001), and for COVID-19 (adjusted OR = 3.60, p < 0.001). People who experienced sleep problems, worsening of back pain, depression and at least one flu symptom during the pandemic were twice as likely to report worsening of health status. Sedentary and eating behaviors and adherence to social distancing measures showed significant correlation with the outcome. There exists a relation between social, biological, and psychological factors, mediated by lifestyles and variables pertaining to confinement. Altogether, these factors have negatively affected self-rated health during the COVID-19 pandemic in Brazil. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2021000300502 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2021000300502 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0102-311x00182720 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
dc.source.none.fl_str_mv |
Cadernos de Saúde Pública v.37 n.3 2021 reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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1754115741766909952 |