Measurements of reported morbidity and interrelationships with health dimensions
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/32383 |
Resumo: | OBJECTIVE: To assess the interrelationships between self-rated health, perceptions of long-term illness and diagnoses of chronic diseases. METHODS: In the World Health Survey, carried out in Brazil in 2003, 5,000 individuals aged 18 years and over who had been selected from a three-stage stratified sample were interviewed. The original questionnaire was adapted for the Brazilian context. It covered the presence of long-term illness or disability, self-rating of health (general and in several domains) and diagnoses of six chronic diseases (arthritis, angina, asthma, depression, schizophrenia and diabetes mellitus). To compare the relationships between self-rated health, perceptions of long-term illness and the chronic diseases evaluated, the statistical test of homogeneity of proportions and multiple logistic regression models were used. RESULTS: Self-rating of health as "not good" and perceptions of having long-term illnesses were significantly more frequent among women, individuals aged 50 years and over and individuals with one or more of the diseases investigated. The interviewees with a diagnosis of diabetes mellitus presented the worst self-rated health: 70.9% reported having a long-term illness and 79.3% considered that their health was "not good". Worse health ratings were found when two or more diseases were present together. The effect of self-rating of health on the perceptions of long-term illness was stronger than was the number of diseases. CONCLUSIONS: The three ways of measuring morbidity presented significant interrelationships. Self-rating of health as "not good" had a more important effect on the perceptions of long-term illness, thus suggesting that subjective measurements of health status may be more sensitive for establishing and monitoring individuals' wellbeing. |
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Measurements of reported morbidity and interrelationships with health dimensions Medidas de morbidade referida e inter-relações com dimensões de saúde Doença crônicaDiagnóstico da situação em saúdeAvaliação de programas e projetos de saúdeConhecimentos^i1^satitudes e prática em saBrasilChronic diseaseDiagnosis of health situationProgram evaluationHealth knowledge^i2^sattituHealth knowledge^i2^spractBrazil OBJECTIVE: To assess the interrelationships between self-rated health, perceptions of long-term illness and diagnoses of chronic diseases. METHODS: In the World Health Survey, carried out in Brazil in 2003, 5,000 individuals aged 18 years and over who had been selected from a three-stage stratified sample were interviewed. The original questionnaire was adapted for the Brazilian context. It covered the presence of long-term illness or disability, self-rating of health (general and in several domains) and diagnoses of six chronic diseases (arthritis, angina, asthma, depression, schizophrenia and diabetes mellitus). To compare the relationships between self-rated health, perceptions of long-term illness and the chronic diseases evaluated, the statistical test of homogeneity of proportions and multiple logistic regression models were used. RESULTS: Self-rating of health as "not good" and perceptions of having long-term illnesses were significantly more frequent among women, individuals aged 50 years and over and individuals with one or more of the diseases investigated. The interviewees with a diagnosis of diabetes mellitus presented the worst self-rated health: 70.9% reported having a long-term illness and 79.3% considered that their health was "not good". Worse health ratings were found when two or more diseases were present together. The effect of self-rating of health on the perceptions of long-term illness was stronger than was the number of diseases. CONCLUSIONS: The three ways of measuring morbidity presented significant interrelationships. Self-rating of health as "not good" had a more important effect on the perceptions of long-term illness, thus suggesting that subjective measurements of health status may be more sensitive for establishing and monitoring individuals' wellbeing. OBJETIVO: Analisar as inter-relações entre auto-avaliação de saúde, percepção de doença de longa duração e diagnóstico de doenças crônicas. MÉTODOS: Na Pesquisa Mundial de Saúde, realizada no Brasil em 2003, foram entrevistados 5.000 indivíduos com 18 anos ou mais, selecionados a partir de amostra estratificada em três estágios. Foi utilizado o questionário original adaptado ao contexto brasileiro, abordando a presença de doença de longa duração ou incapacidade, a auto-avaliação de saúde (geral e dos vários domínios) e o diagnóstico de seis doenças crônicas (artrite, angina, asma, depressão, esquizofrenia e diabetes mellitus). Para comparar as relações entre a auto-avaliação de saúde, percepção de doença de longa duração e as doenças crônicas avaliadas foram utilizados teste estatístico de homogeneidade de proporções e modelos de regressão logística múltipla. RESULTADOS: A auto-avaliação de saúde "não boa" e a percepção de ser portador de doença de longa duração foram significativamente mais freqüentes entre mulheres, indivíduos com 50 anos ou mais e aqueles com alguma das doenças pesquisadas. Os entrevistados com diagnóstico de diabetes mellitus apresentaram as piores avaliações de saúde: 70,9% referiram doença de longa duração e 79,3% avaliaram sua saúde como "não boa". Verificou-se pior avaliação de saúde com a associação de duas ou mais doenças. O efeito da auto-avaliação de saúde sobre a percepção de doença de longa duração foi maior que o número de doenças. CONCLUSÕES: As três formas de aferição da morbidade mostraram inter-relações significativas. A auto-avaliação de saúde "não boa" apresentou efeito mais importante para a percepção de doença de longa duração, sugerindo que as medidas subjetivas do estado de saúde possam ser mais sensíveis para estabelecer e monitorar o bem-estar do indivíduo. Universidade de São Paulo. Faculdade de Saúde Pública2008-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3238310.1590/S0034-89102008000100010Revista de Saúde Pública; Vol. 42 No. 1 (2008); 73-81 Revista de Saúde Pública; Vol. 42 Núm. 1 (2008); 73-81 Revista de Saúde Pública; v. 42 n. 1 (2008); 73-81 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32383/34592https://www.revistas.usp.br/rsp/article/view/32383/34593Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessTheme Filha, Mariza MirandaSzwarcwald, Célia LandmannSouza Junior, Paulo Roberto Borges de2012-07-09T01:09:00Zoai:revistas.usp.br:article/32383Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T01:09Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Measurements of reported morbidity and interrelationships with health dimensions Medidas de morbidade referida e inter-relações com dimensões de saúde |
title |
Measurements of reported morbidity and interrelationships with health dimensions |
spellingShingle |
Measurements of reported morbidity and interrelationships with health dimensions Theme Filha, Mariza Miranda Doença crônica Diagnóstico da situação em saúde Avaliação de programas e projetos de saúde Conhecimentos^i1^satitudes e prática em sa Brasil Chronic disease Diagnosis of health situation Program evaluation Health knowledge^i2^sattitu Health knowledge^i2^spract Brazil |
title_short |
Measurements of reported morbidity and interrelationships with health dimensions |
title_full |
Measurements of reported morbidity and interrelationships with health dimensions |
title_fullStr |
Measurements of reported morbidity and interrelationships with health dimensions |
title_full_unstemmed |
Measurements of reported morbidity and interrelationships with health dimensions |
title_sort |
Measurements of reported morbidity and interrelationships with health dimensions |
author |
Theme Filha, Mariza Miranda |
author_facet |
Theme Filha, Mariza Miranda Szwarcwald, Célia Landmann Souza Junior, Paulo Roberto Borges de |
author_role |
author |
author2 |
Szwarcwald, Célia Landmann Souza Junior, Paulo Roberto Borges de |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Theme Filha, Mariza Miranda Szwarcwald, Célia Landmann Souza Junior, Paulo Roberto Borges de |
dc.subject.por.fl_str_mv |
Doença crônica Diagnóstico da situação em saúde Avaliação de programas e projetos de saúde Conhecimentos^i1^satitudes e prática em sa Brasil Chronic disease Diagnosis of health situation Program evaluation Health knowledge^i2^sattitu Health knowledge^i2^spract Brazil |
topic |
Doença crônica Diagnóstico da situação em saúde Avaliação de programas e projetos de saúde Conhecimentos^i1^satitudes e prática em sa Brasil Chronic disease Diagnosis of health situation Program evaluation Health knowledge^i2^sattitu Health knowledge^i2^spract Brazil |
description |
OBJECTIVE: To assess the interrelationships between self-rated health, perceptions of long-term illness and diagnoses of chronic diseases. METHODS: In the World Health Survey, carried out in Brazil in 2003, 5,000 individuals aged 18 years and over who had been selected from a three-stage stratified sample were interviewed. The original questionnaire was adapted for the Brazilian context. It covered the presence of long-term illness or disability, self-rating of health (general and in several domains) and diagnoses of six chronic diseases (arthritis, angina, asthma, depression, schizophrenia and diabetes mellitus). To compare the relationships between self-rated health, perceptions of long-term illness and the chronic diseases evaluated, the statistical test of homogeneity of proportions and multiple logistic regression models were used. RESULTS: Self-rating of health as "not good" and perceptions of having long-term illnesses were significantly more frequent among women, individuals aged 50 years and over and individuals with one or more of the diseases investigated. The interviewees with a diagnosis of diabetes mellitus presented the worst self-rated health: 70.9% reported having a long-term illness and 79.3% considered that their health was "not good". Worse health ratings were found when two or more diseases were present together. The effect of self-rating of health on the perceptions of long-term illness was stronger than was the number of diseases. CONCLUSIONS: The three ways of measuring morbidity presented significant interrelationships. Self-rating of health as "not good" had a more important effect on the perceptions of long-term illness, thus suggesting that subjective measurements of health status may be more sensitive for establishing and monitoring individuals' wellbeing. |
publishDate |
2008 |
dc.date.none.fl_str_mv |
2008-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/32383 10.1590/S0034-89102008000100010 |
url |
https://www.revistas.usp.br/rsp/article/view/32383 |
identifier_str_mv |
10.1590/S0034-89102008000100010 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/32383/34592 https://www.revistas.usp.br/rsp/article/view/32383/34593 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 42 No. 1 (2008); 73-81 Revista de Saúde Pública; Vol. 42 Núm. 1 (2008); 73-81 Revista de Saúde Pública; v. 42 n. 1 (2008); 73-81 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221787540160512 |