Os efeitos de aspectos contextuais e individuais na autopercepção de saúde, em adultos de São Leopoldo – RS

Abstract

The objective was to investigate the role of sociodemographic and environmental variables on self-rated health. A cross-sectional study was carried out using a random sample of 1100 adults in 38 neighborhoods (defined as census tracts) of a Brazilian city. Data analyses used Multilevel logistic regression models. Higher prevalences of fair/poor self-rated health were found in the most populous neighborhoods and in those with low income and low education. After controlling for the individual variables, the odds of fair/poor self-rated health were 2 times larger in more populous (OR=2,04;IC95%:1,15-3,61) and in poorer (OR=2,29;IC95%:1,16-4,50) neighborhoods as compared with those with better-off characteristics. For the population studied, results suggest that self-rated health depends of the interaction between individual and contextual features of neighbourhoods.