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      Self-rated health in urban adults, perceptions of the physical and social environment, and reported comorbidities: The BH Health Study

      Cadernos de saúde pública
      Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
      Health Status, Morbidity, Urban Health, Nível de Saúde, Morbidade, Saúde Urbana, Estado de Salud, Morbilidad, Salud Urbana

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          Abstract

          Abstract This study assesses the prevalence of poor self-rated health and investigates its association with individual and environmental characteristics in adults with and without reported morbidity. A household survey assessed 4,048 adults in two districts of Belo Horizonte, Minas Gerais State, Brazil. We used Poisson regression with robust variance stratified by the presence of reported morbidity. Prevalence of poor self-rated health was 29.9% (42.6% in those with morbidity and 13.1% in the group without morbidity). All assessed domains were associated with self-rated health in subjects with reported morbidity. In the group without reported morbidity, the following were associated with self-rated health: social environment, socio-demographic factors, lifestyle, and psychological health. Perceived problems in the environment were associated with poor self-rated health in both groups, even after hierarchical adjustment. The results suggest the importance of investigating self-rated health stratified by reported morbidity and reinforce the need to include variables that characterize the physical and social environment.

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          Most cited references46

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          A comprehensive assessment of nutritional status is a critically important component of any patient evaluation. Based upon clinical information, anthropometric data, and a small number of laboratory investigations, an accurate appraisal of nutritional status should be possible and an appropriate intervention plan can be developed. The actual approach depends on the particular problem discovered. These are discussed in detail elsewhere in this issue.
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                Author and article information

                Journal
                S0102-311X2015001100120
                10.1590/0102-311X00076114
                http://creativecommons.org/licenses/by/4.0/

                Public health
                Health Status,Morbidity,Urban Health,Nível de Saúde,Morbidade,Saúde Urbana,Estado de Salud,Morbilidad,Salud Urbana

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