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

Abstract: 
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.
Author: 
Vaz, C
Andrade, A
Silva, U
Rodriguez, D
Wang, X
Moore, K
Friche, A
Roux, AV Diez
Caiaffa, WT
Publication date: 
December 2, 2020
Publication type: 
Journal Article
Citation: 
https://scholar.google.com/citations?view_op=view_citation&hl=en&user=YmyOoaYAAAAJ&cstart=100&pagesize=100&citation_for_view=YmyOoaYAAAAJ:ynsZFq2pu0MC