Contextual influence on poor self-rated health in patients with Chagas disease: multilevel study.

Chagas disease (CD) is recognized by the World Health Organization as one of the thirteen most neglected tropical diseases in the world. Self-perceived health is considered a better predictor of mortality than objective measures of health status, and the context in which one lives influences this pr...

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Bibliographic Details
Published in:Ciência & Saúde Coletiva
Main Authors: Ferreira, Ariela Mota, Sabino, Ester Cerdeira, Silva, Léa Campos de Oliveira-da, Oliveira, Cláudia Di Lorenzo, Cardoso, Clareci Silva, Ribeiro, Antonio Luiz Pinho, Damasceno, Renata Fiúza, Leite, Sâmara Fernandes, Vieira, Thallyta Maria, Nunes, Maria do Carmo Pereira, Haikal, Desirée Sant' Ana
Format: Article in Journal/Newspaper
Language:English
Published: Scientific Electronic Library Online 2022
Subjects:
sami
Online Access:https://doi.org/10.1590/1413-81232022277.01682022
https://pubmed.ncbi.nlm.nih.gov/35730850
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9306011/
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Summary:Chagas disease (CD) is recognized by the World Health Organization as one of the thirteen most neglected tropical diseases in the world. Self-perceived health is considered a better predictor of mortality than objective measures of health status, and the context in which one lives influences this predictor. This study aimed to evaluate the prevalence and individual and contextual factors associated with poor self-rated health among CD patients from an endemic region in Brazil. It is a multilevel cross-sectional study. The individual data come from a cross-section of a cohort study named SaMi-Trop. Contextual data was collected from publicly accessible institutional information systems and platforms. The dependent variable was self-perceived health. The analysis was performed using multilevel binary logistic regression. The study included 1,513 patients with CD, where 335 (22.1%) had Poor self-rated health. This study revealed the influence of the organization/offer of the Brazilian public health service and of individual characteristics on the self-perceived health of patients with CD.

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