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Epidemiologia e Serviços de Saúde

Print version ISSN 1679-4974On-line version ISSN 2237-9622


NAKAMURA, Isabella Bagni; SILVA, Marcus Tolentino  and  GALVAO, Taís Freire. Self-rated health according to sex and associated factors in Manaus, Brazil, 2019: a population-based cross-sectional study. Epidemiol. Serv. Saúde [online]. 2024, vol.33, e2023154.  Epub Jan 18, 2024. ISSN 1679-4974.


To assess the prevalence and factors associated with poor self-rated health according to respondents’ sex in Manaus, Brazil.


This was a cross-sectional population-based study with adults in Manaus in 2019. Adjusted prevalence ratios and 95% confidence intervals (95%CI) were calculated using Poisson regression following a hierarchical model.


Poor self-rated health occurred in 35.2% (95%CI 33.3;37.2) of the 2,321 participants and was higher in females (PR = 1.27; 95%CI 1.13;1.43). In the general population, among both sexes, poor self-rated health was higher among the oldest, those with moderate and severe food insecurity and with chronic diseases (p-value < 0.05). Among females, poor health was also higher among the evangelical and those with mild food insecurity. Among males, self-rated health was also poorer among the retired and those with education below elementary level (p-value < 0.001).


The female sex had the poorest health rating, influenced by morbidity and access to food.

Keywords : Self-Assessment; Gender Inequality; Cross-Sectional Studies; Chronic Disease; Food Insecurity.

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