0423/2016 - Fatores associados à autopercepção negativa de saúde em mulheres climatéricas. Fatores associados à autopercepção negativa da saúde em mulheres climatéricas.
O objetivo do presente estudo foi investigar a prevalência e os fatores associados à autopercepção negativa de saúde em mulheres climatéricas cadastradas na Estratégia Saúde da Família em um centro urbano brasileiro. Trata-se de pesquisa transversal, com amostra aleatória de mulheres climatéricas. Foi utilizado um instrumento validado abordando dados sociodemográficos, comportamentais, relacionados ao estado de saúde e autopercepção de saúde. A associação entre as variáveis estudadas e autopercepção negativa de saúde foi verificada por análise bivariada seguida de regressão de Poisson, com variância robusta, em modelo hierarquizado. A prevalência de autopercepção negativa de saúde na população estudada foi de 41,6%, entre 761 mulheres. Entre as mulheres com idade de 52 a 65 anos, 49,2% apresentaram autopercepção negativa de saúde. Idade correspondente à pós-menopausa, escolaridade até oito anos de estudo, ter um companheiro, não ter um trabalho formal, uso atual do tabaco e sedentarismo foram associadas à autopercepção negativa de saúde. Além disso, a presença de sintomas climatéricos, sobrepeso e obesidade, o uso atual de medicamentos e a presença de doenças crônicas também mostraram-se associadas no modelo final. As associações observadas apontam para a necessidade de ações de promoção de saúde voltadas às mulheres climatéricas.
Palavras-chave:
AutoavaliaçãoEstado de saúdeClimatério. Estratégia Saúde da Família
Abstract:
The goal of this study was to investigate the prevalence and factors associated with negative self-rated health in menopausal women enrolled in the Family Health Strategy in a Brazilian urban center. It is a cross-sectional study with a random sample of women at menopausal transition. A validated instrument addressing socio-demographic, behavioral, related to health variables and self-rated health was used. The association between the variables and negative self-rated health was assessed by bivariate analysis followed by Poisson regression with robust variance, in a hierarchical model. The prevalence of negative self-rated health among the population studied was 41.6%, among 761 women. Among women aged 52-65 years old, 49.2% had negative self-rated health. Age corresponding to postmenopause, education up to eight years of study, having a partner, do not have a formal job, current tobacco use and physical inactivity were associated with negative self-rated health. Moreover, the presence of climacteric symptoms, overweight and obesity, the current use of drugs and the presence of chronic diseases were also associated with negative self-rated health in the final model. The observed associations point to the need for health promotion activities aimed at menopausal women.
Keywords:
Self-assessmenHealth statusClimactericEstratégia Saúde da Família
Fatores associados à autopercepção negativa da saúde em mulheres climatéricas.
Resumo (abstract):
The goal of this study was to investigate the prevalence and factors associated with negative self-rated health in menopausal women enrolled in the Family Health Strategy in a Brazilian urban center. It is a cross-sectional study with a random sample of women at menopausal transition. A validated instrument addressing socio-demographic, behavioral, related to health variables and self-rated health was used. The association between the variables and negative self-rated health was assessed by bivariate analysis followed by Poisson regression with robust variance, in a hierarchical model. The prevalence of negative self-rated health among the population studied was 41.6%, among 761 women. Among women aged 52-65 years old, 49.2% had negative self-rated health. Age corresponding to postmenopause, education up to eight years of study, having a partner, do not have a formal job, current tobacco use and physical inactivity were associated with negative self-rated health. Moreover, the presence of climacteric symptoms, overweight and obesity, the current use of drugs and the presence of chronic diseases were also associated with negative self-rated health in the final model. The observed associations point to the need for health promotion activities aimed at menopausal women.
Palavras-chave (keywords):
Self-assessmenHealth statusClimactericEstratégia Saúde da Família
