Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic.

• Autor(a) principal: Szwarcwald, Célia Landmann
• Data de Publicação: 2021
• Outros Autores: Damacena, Giseli Nogueira, Barros, Marilisa Berti de Azevedo, Malta, Deborah Carvalho, Souza Junior, Paulo Roberto Borges de, Azevedo, Luiz Otávio, Machado, Ísis Eloah, Lima, Margareth Guimaraes, Romero, Dália Elena, Gomes, Crizian Saar, Werneck, André Oliveira, Silva, Danilo Rodrigues Pereira da, Gracie Carrijo, Renata de Saldanha da Gama, Pina, Maria de Fátima de
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFOP
• Texto Completo: http://www.repositorio.ufop.br/jspui/handle/123456789/16822; https://doi.org/10.1590/0102-311X00182720
• topic: Health surveys

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 mod- els were used to test the associations between sociodemographic characteristics, pre-existing health conditions, lifestyle indicators and intensity of social re- straint 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 men- tal health problem (adjusted OR = 3.95, p < 0.001), and for COVID-19 (ad- justed OR = 3.60, p < 0.001). People who experienced sleep problems, worsen- ing 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 eat- ing behaviors and adherence to social distancing measures showed significant correlation with the outcome. There exists a relation between social, biologi- cal, 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.