Physical Disorders and Poor Self-Rated Health in Adults Living in Four Latin American Cities: A Multilevel Approach

Considering that urban environments may affect self-rated health through behavioral and psychosocial mechanisms, the aim of this study was to investigate the association between self-rated health and perceived urban environment characteristics among adults living in four Latin American cities. Data...

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Bibliographic Details
Published in:International journal of environmental research and public health 2020-12, Vol.17 (23), p.8956
Main Authors: Vaz, Camila, Andrade, Amanda Cristina, Silva, Uriel, Rodríguez, Daniel, Wang, Xize, Moore, Kari, Friche, Amélia Augusta, Diez-Roux, Ana Victoria, Caiaffa, Waleska Teixeira
Format: Article
Language:English
Subjects:
Adult
Adults
Bayes Theorem
Bayesian analysis
Cities
Female
Health Status
Humans
Latin America - epidemiology
Leisure
Male
Mexico - epidemiology
Middle Aged
Neighborhoods
Polls & surveys
Public policy
Residence Characteristics
Social environment
Socioeconomic Factors
Urban environments
Young Adult
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Summary:Considering that urban environments may affect self-rated health through behavioral and psychosocial mechanisms, the aim of this study was to investigate the association between self-rated health and perceived urban environment characteristics among adults living in four Latin American cities. Data is from a population-based survey by Development Bank of Latin America, encompassing adults between 20 and 60 years old in Buenos Aires, Lima, Mexico City, and Panama City. Self-rated health was measured using a single question and the response options were categorized as poor and good. The explanatory variables were empirical Bayes estimates of self-reported area physical disorder, social disorder, access to services, and access to leisure spaces derived from the survey. The covariates were: individual age, sex, education, wealth index, and length of residency in the neighborhood; and an area social environment index. Multilevel logistic regressions with two levels (individual and sub-city areas) were fitted. Poor self-rated health was reported by 34.73% (95% CI: 33.17 to 36.29) of the participants and was associated with physical disorder (OR = 1.16 per SD; 95% CI: 1.02 to 1.32). Our findings suggest that public policies to promote population health should consider area urban environment factors, especially those associated with disorder.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph17238956