Contextual influence on poor self-rated health in patients with chagas disease: multilevel study

• Autor(a) principal: Ariela Motaferreira
• Data de Publicação: 2022
• Outros Autores: Maria do Carmo Pereira Nunes, Desirée Sant? Ana Haikal, Ester Cerdeira Sabino, Léa Campos de Oliveira-da Silva, Cláudia di Lorenzo Oliveira, Clareci Silva Cardoso, Antonio Luiz Pinho Ribeiro, Renata Fiúza Damasceno, Sâmara Fernandes Leite, Thallyta Maria Vieira
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: http://hdl.handle.net/1843/62978
• topic: Chagas disease; Self-rated health; Health Status; Epidemiologic Studies; Multilevel Analysis; Chagas disease; Health Status; Epidemiologic Studies; Multilevel Analysis

Chagas disease (CD) is recognized bythe World Health Organization as one of the thirteen most neglected tropical diseases in the world.Self-perceived health is considered a better predictor of mortality than objective measures of health status, and the context in which one lives influences this predictor. This study aimed to evaluatethe prevalence and individual and contextual factors associated with poor self-rated health amongCD patients from an endemic region in Brazil. It is a multilevel cross-sectional study. The individual data come from a cross-section of a cohort studynamed SaMi-Trop. Contextual data was collectedfrom publicly accessible institutional informationsystems and platforms. The dependent variable was self-perceived health. The analysis was performed using multilevel binary logistic regression.The study included 1,513 patients with CD, where 335 (22.1%) had Poor self-rated health. This study revealed the influence of the organization/ offer of the Brazilian public health service and of individual characteristics on the self-perceived health of patients with CD.