Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic.
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2021
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This is a cross-sectional study investigating the factors affecting brazilians’
self-rated health during the COVID-19 pandemic, based on data from the
web-based behavior survey. Carried out from April 24 to May 24, 2020, the
survey recruited participants by a chain sampling procedure. Its outcome was
the worsening of self-rated health during the pandemic. Statistical analysis
was based on a hierarchical model of determination. Logistic regression mod-
els were used to test the associations between sociodemographic characteristics,
pre-existing health conditions, lifestyle indicators and intensity of social re-
straint measures, and biological and psychological issues during the pandemic.
From the total sample of 45,161 participants, 29.4% reported worsening of
health state during this period. After adjusting for hierarchical distal factors,
the health problems mostly associated with worsening health state were: bad
self-rated health (adjusted OR = 4.35, p < 0.001), health care seeking for men-
tal health problem (adjusted OR = 3.95, p < 0.001), and for COVID-19 (ad-
justed OR = 3.60, p < 0.001). People who experienced sleep problems, worsen-
ing of back pain, depression and at least one flu symptom during the pandemic
were twice as likely to report worsening of health status. Sedentary and eat-
ing behaviors and adherence to social distancing measures showed significant
correlation with the outcome. There exists a relation between social, biologi-
cal, and psychological factors, mediated by lifestyles and variables pertaining
to confinement. Altogether, these factors have negatively affected self-rated
health during the COVID-19 pandemic in Brazil.
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Health surveys
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SZWARCWALD, C. L. et al. Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic. Cadernos de Saúde Pública, v. 37, n. 3, artigo e00182720, 2021. Disponível em: <https://www.scielo.br/j/csp/a/x56Q8NJ8xBb8FPYKJW38VXN/?lang=en&format=html>. Acesso em: 11 out. 2022.