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Instituto Nacional de Salud Pública

2008, Number 5

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salud publica mex 2008; 50 (5)

Self-rated health among climacteric women affiliated to Instituto Mexicano del Seguro Social.

Vladislavovna-Doubova S, Pérez-Cuevas R, Reyes-Morales H

Language: Spanish
References: 39
Page: 390-396
PDF size: 170.69 Kb.


ABSTRACT

Objective. To evaluate self-rated health (SRH) in climacteric women and to identify the factors associated with negative SRH. Material and Methods. Information from 9 248 women aged 40 to 59 years was analyzed. SRH was the dependent variable. Independent variables were demographic characteristics, history of reproductive and chronic diseases, physical activity, and participation in screening and health education programs. Data were analyzed using descriptive statistics, bivariate analysis, and logistic regression modeling. Results. Forty-two percent of women reported positive SRH and 58% reported negative SRH. Factors associated with negative SRH were: low literacy level (OR 1.78, CI95% 1.62-1.95), unemployment (OR 1.20, CI95% 1.09-1.33), menopause (OR 1.22, CI95% 1.11-1.33), type 2 diabetes (OR 1.88, CI95% 1.65-2.13) hypertension (OR 2.01, CI95% 1.82-2.22), irregular physical exercise (OR 1.30, CI95% 1.12- 1.50), sedentarism (OR 1.395, CI95% 1.23-1.57), lack information about climacte ric (OR 1.17, CI95% 1.07-1.28) and lack of screening for chronic diseases (OR 0.82, CI95% 0.75-0.89).Conclusion. Factors associated with negative SRH such as lack of information and physical activity should be strengthened.


REFERENCES

  1. De Bruin A, Picavet HSJ, Nossikov A. Health interview surveys. Towards international harmonization of methods and instruments. Geneve: WHO, Regional Publications European Ser No 58;1996.

  2. Hennessy CH, Moriarty DG, Zack MM, Scherr PA, Brackbill R.Measuring health related quality of life for public health surveillance. Public Health Rep 1994;109:665-672.

  3. Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav 1997;38:21-37.

  4. DeSalvo KB, Bloser N, Reynolds K, He J, Muntner P. Mortality prediction with a single general self-rated health question. A meta analysis. J Gen Intern Med 2005;20:267-275.

  5. Fylkesnes K, Forde OH. The Tromso Study: predictors of self evaluated health – has society adopted the expanded health concept? Soc Sci Med 1991;32:141-146.

  6. Niedhammer I, Chea M. Psychosocial factors at work and self rated health: comparative results of cross sectional and prospective analysis of the French GAZEL cohort. Occup Environ Med 2003;60:509-515.

  7. Mantyselka PT, Turunen JH, Ahonen RS, Kumpusalo EA. Chronic pain and poor self rated health. JAMA 2003;290:2435-2442.

  8. Hassan MK, Joshi AV, Madhavan SS, Amontar MM. Obesity and healthrelated quality of life: a cross-sectional analysis of the US population. Int J Obes Relat Metab Disord 2003;27:1227-1232.

  9. US Department of Health and Human Services. The Surgeon General’s Call to Action to prevent and Decrease Overweight and Obesity. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, 2001.

  10. Molarius A, Janson S. Self-rated health, chronic diseases, and symptoms among middle-aged and elderly men and women. J Clin Epidemiol 2002;55:364-370.

  11. Cott CA, Gignac MA, Badley EM. Determinants of self rated health for canadians with chronic disease and disability. J Epidemiol Community Health 1999;53:731-736.

  12. Shadbolt B. Some correlates of self-rated health for australian women. Am J Public Health 1997;87:951-956.

  13. Haveman-Nies A, de Croot L, van Staveren WA. Dietary quality, lifestyle factors and healthy ageing in Europe: the SENECA study. Age Ageing 2003;32:427-434.

  14. Lorraine PJ, Hammock RL, Blanton JM. Predictors of self-rated health status among Texas residents. Prev Chronic Dis 2005;2:A12.

  15. Monderbacka K, Lunddberg O, Martikainen P. Do risk factors and health behaviours contribute to self-ratings of health? Soc Sci Med 1999;48:1713-1720.

  16. Smith AM, Shelley JM, Dennerstein L. Self-rated health: biological continuum or social discontinuity? Soc Sci Med 1994;39:77-83.

  17. Grupo de trabajo de menopausia y postmenopausia. Guía de práctica clínica sobre la menopausia y postmenopausia. Barcelona: Sociedad Española de Ginecología y Obstetricia, Asociación Española para el Estudio de la Menopausia, Sociedad Española de Medicina de Familia y Comunitaria y Centro Cochrane Iberoamericano, 2004.

  18. Guthrie JR, Dennerstein L, Taffe JR, Lehert P, Burger HG. The menopausal transition: a 9-year prospective population-based study. The Melbourne Women’s Midlife Health Project. Climacteric 2004;7:375-389.

  19. Dennerstein L, Alexander JL, Kotz K. The menopause and sexual functioning: a review of the population-based studies. Annu Rev Sex Res 2003;14:64-82.

  20. Satoh T, OACI K. Quality-of-life assessment in community-dweling,middle-aged, healthy women in Japan. Climacteric 2005;8:146-153.

  21. Dennerstein L, Dudley EC, Guthrie JR. Predictors of declining self-rated health during the transition to menopause. J Psychosom Res 2003;54:147-153.

  22. Malacara JM, Canto de Cetina T, Bassol S, Gonzalez N, Cacique L,Vera-Ramirez ML, et al. Symptoms at pre- and postmenopause in rural and urban women from three status of Mexico. Maturitas 2002;43:11-19.

  23. Mayagoitia SB. La edad de la menopausia en México. Rev Endocrin Nutr 2006;14:133-136.

  24. Velasco-Murillo V, Navarrete-Hernández E, Ojeda-Mijares RI, Pozos-Cavanzo JL, Camacho-Rodríguez MA, Cardona-Pérez JA. Experiencias y conocimiento sobre climaterio y menopausia en mujeres de la ciudad de México. Gac Med Mex 2000;136:555-564.

  25. Velasco-Murillo V, Navarrete-Hernández E, Pozos-Cavanzo JL,Ojeda-Mijares RI, Camacho-Rodríguez MA. Fracturas en mujeres posmenopáusicas en el IMSS: frecuencia y costos de su atención hospitalaria. Gac Med Mex 2003;139:453-458.

  26. Mercado EB, Hinojosa MD, Torres JM. Pérdida de masa ósea durante el climaterio. (Estudio de 490 casos en el cuello de fémur). Rev Endocrin Nutr 2000;8:43-47.

  27. Reyes-Morales H, Acosta-Cázares B, Pérez-Enriquez LR, ArandoÁlvarez JG, Gutierrez-Trujillo G. ENCOPREVENIMSS 2003, 2004, y 2005 1. Metodología y población estudiada. Rev Med IMSS 2006;44 Suppl 1: S23-S30.

  28. Acosta-Cázares B, Aranda-Álvarez JG, Reyes-Morales H.ENCOPREVENIMSS 2004. Patrones de actividad física de la mujer y del hombre. Rev Med IMSS 2006;44 Suppl1:S79-S86.

  29. Kohrt WM, Bloomfield SA, Little KD, Nelson ME, Yingling VR; American College of Sports Medicine. American College of Sports Medicine Position Stand: physical activity and bone health. Med Sci Sports Exerc 2004;36:1985-1996.

  30. Mazzeo RS, Cavanagh P, Evans W, Fiatarone M, Hagberg J, McAuley E,et al. ACSM Position Stand: exercise and physical activity for older adults. Med Sci Sports Exerc 1998;30:992-1008.

  31. Ulmi S, McGowan P, Gray D, Savoy D. Moving beyond information:evaluation of a nutrition education tool based on a theoretical model. Eur J Clin Nutr 1999;53 Suppl2:S49-S53.

  32. Hunter, M, O’Dea. An evaluation of a health education intervention for mid-aged women: Five-year follow-up of effects upon knowledge, impact of menopause and health. Patient Educ Couns 1999;37:249-255.

  33. Jimenez-de Luque MP, Serrano-Monzó I, Sabaté-Baruque I, Satrústegui-Sáez B, Azcona-Montero C. Health education during menopause. A long- range evaluation. Rev Enferm 2000;23:26-31.

  34. Liao KL, Hunter MS. Preparation for menopause: prospective evaluation of a health education intervention for mid-aged women. Maturitas 1998;29:215-224.

  35. Hemminki E, Sihvo S, Forsas E, Koponen P, Kosunen E, Perala ML. The role of gynecologists in women health care- women’s view. Int J Qual Health Care 1998;10:59-64.

  36. PREVENIMSS. Programas integrados de salud. Encuesta nacional de coberturas. ENCO 2006. México: Instituto Mexicano del Seguro Social, 2006.

  37. Strong K, Wald N, Miller A, Alwan A. WHO Consultation Group.Current concepts in screening for noncommunicable disease: World Health Organization Consultation Group Report on methodology of noncommunicable disease screening. J Med Screen 2005;12:12-19.

  38. Hoffarth S, Brownson RC, Gibson BB, Sharp DJ, Schramm W, Kivlaham C. Preventable mortality in Missouri: excess deaths from nine chronic diseases, 1979-1991. Mo Med 1993;90:279-282.

  39. Institute for Clinical Systems Improvement (ICSI). Preventive services for adults. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2006 Oct. 82 p. Disponible en: http://www.guideline.gov.




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