0134/2025 - Autoavaliação da saúde entre mulheres e homens idosos do ELSA-Brasil: similaridades e diferenças Self-assessment of health among elderly women and menELSA-Brasil: similarities and diferences
A autoavaliação da saúde (AAS) tem sido utilizada em inquéritos de saúde como preditor de risco de morbimortalidade. O aumento da idade e as diferenças entre como homens e mulheres avaliam sua saúde fazem parte das condições ainda controversas na literatura de como interferem nessa percepção. O objetivo deste artigo é mensurar as diferenças na AAS em mulheres e homens idosos e buscar explicá-las à luz da perspectiva de gênero. É um estudo de corte transversal utilizando dados de 3263 participantes com 60 anos ou mais na linha de base do ELSA-Brasil (Estudo Longitudinal de Saúde do Adulto), ocorrida entre 2008-2010. A análise multivariada foi realizada por regressão logística multinomial, adotando-se o procedimento forward stepwise. Foi realizado cálculo da razão do risco relativo bruto e ajustado, com um intervalo de confiança (IC) de 95%. Toda a análise foi estratificada por sexo. A AAS foi melhor em mulheres brancas, com alto apoio social, que não estiveram hospitalizadas ou passaram por dificuldades financeiras no último ano, assim como homens com melhor coesão social. O conhecimento sobre como homens e mulheres percebem sua saúde promoverá adoção em medidas nas políticas públicas e na abordagem individual dos profissionais de saúde que trabalham com essa população.
Palavras-chave:
idoso, autoavaliação de saúde, diferenças de gênero
Abstract:
Self-rated health (SHL) has been used in health surveys as a predictor of morbidity and mortality risk. Increasing age and differences between how men and women evaluate their health are still controversial in the literature regarding how they affect this perception. The objective of this article is to measure the differences in SHL in elderly women and men and to try to explain thema gender perspective. This is a cross-sectional study using data3,263 participants aged 60 or over at the baseline of the ELSA-Brasil (Longitudinal Study of Adult Health), which took place between 2008 and 2010. Multivariate analysis was performed by multinomial logistic regression, adopting the forward stepwise procedure. The crude and adjusted relative risk ratios were calculated, with a 95% confidence interval (CI). All analyses were stratified by sex. AAS was better in white women, with high social support, who had not been hospitalized or experienced financial difficulties in the last year, as well as in men with better social cohesion. Knowledge about how men and women perceive their health will promote the adoption of measures in public policies and in the individual approach of health professionals who work with this population.
Self-assessment of health among elderly women and menELSA-Brasil: similarities and diferences
Resumo (abstract):
Self-rated health (SHL) has been used in health surveys as a predictor of morbidity and mortality risk. Increasing age and differences between how men and women evaluate their health are still controversial in the literature regarding how they affect this perception. The objective of this article is to measure the differences in SHL in elderly women and men and to try to explain thema gender perspective. This is a cross-sectional study using data3,263 participants aged 60 or over at the baseline of the ELSA-Brasil (Longitudinal Study of Adult Health), which took place between 2008 and 2010. Multivariate analysis was performed by multinomial logistic regression, adopting the forward stepwise procedure. The crude and adjusted relative risk ratios were calculated, with a 95% confidence interval (CI). All analyses were stratified by sex. AAS was better in white women, with high social support, who had not been hospitalized or experienced financial difficulties in the last year, as well as in men with better social cohesion. Knowledge about how men and women perceive their health will promote the adoption of measures in public policies and in the individual approach of health professionals who work with this population.
Magalhães,MOC, Almeida, MCC, Guitzel, J, Fucs, M, Aquino, EMML. Autoavaliação da saúde entre mulheres e homens idosos do ELSA-Brasil: similaridades e diferenças. Cien Saude Colet [periódico na internet] (2025/mai). [Citado em 15/08/2026].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/autoavaliacao-da-saude-entre-mulheres-e-homens-idosos-do-elsabrasil-similaridades-e-diferencas/19610
