Author:

• Maria Cecília Antunes - Antunes, M.C. - <mcissantunes@gmail.com>
ORCID: https://orcid.org/0000-0001-5793-9930

Co-author(s):

• Heloísa Nunes Zardeto - Zardeto, H.N - <helozardeto@gmail.com>
ORCID: https://orcid.org/0000-0003-1852-7225
• Sabrina Leal Pscheidt - Pscheidt, S.L - <pscheidt.sabrina@gmail.com>
ORCID: https://orcid.org/0000-0001-5481-573X
• Gustavo Custódio - Custódio, G. - <g.uto00933@gmail.com>
ORCID: https://orcid.org/0000-0003-0906-8071
• Daniel Nunes de Mello - Mello, D.N. - <daniel-nunes6@hotmail.com>
ORCID: https://orcid.org/0000-0002-9773-6908
• Maruí Weber Corseuil Giehl - Giehl, M.W.C - <mwcorseuil@gmail.com>
ORCID: https://orcid.org/0000-0002-4460-3116

Abstract:

The study aims to investigate the association between the built environment and positive self-rated health among older adultsBrazilian capitals. A cross-sectional population-based study with datathe National Health Survey 2013 and the Observatório das Metrópoles. The outcome was a positive self-rated health. The built environment was investigated by the Urban Welfare Index (IBEU). Analyzes were performed by multilevel logistic regression (95%CI). Among the 4,643 elderly people evaluated, 51.5% reported a positive self-rated health (95%CI: 50.0 – 52.9). Elderly people living in capitals with higher IBEU terciles were more likely to have a positive self-rated health (OR: 1.42; 95%CI: 1.08-1.86) (T2); OR: 1.78; 95%CI: 1.35-2.33(T3). As for the dimensions of the IBEU, the following were associated with the outcome: urban infrastructure (OR:1.56 95%CI:1.13-2.16), urban environmental conditions (OR:1.49; 95%CI:1.10- 2.04), urban housing conditions (OR:1.45; 95%CI:1.05-1.99) and urban collective services (OR:1.72; 95%CI:1.30-2.27). A positive association was evidenced among better conditions of the built environment and perception of health, regardless of individual characteristics. Promoting changes in the built environment can be effective in improving health levels, favoring active and healthy aging.

Keywords:

Older Adult; Health Status; Built Environment; Health Surveys.

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