Szwarcwald, Célia LandmannDamacena, Giseli NogueiraBarros, Marilisa Berti de AzevedoMalta, Deborah CarvalhoSouza Junior, Paulo Roberto Borges deAzevedo, Luiz OtávioMachado, Ísis EloahLima, Margareth GuimaraesRomero, Dália ElenaGomes, Crizian SaarWerneck, André OliveiraSilva, Danilo Rodrigues Pereira daGracie Carrijo, Renata de Saldanha da GamaPina, Maria de Fátima de2023-06-282023-06-282021SZWARCWALD, 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. 2022.1678-4464http://www.repositorio.ufop.br/jspui/handle/123456789/16822This 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.en-USabertoHealth surveysArtigo publicado em periodicoThis article is published in Open Access under the Creative Commons Attribution license, which allows use, distribution, and reproduction in any medium, without restrictions, as long as the original work is correctly cited. Fonte: PDF do artigo.https://doi.org/10.1590/0102-311X00182720