01922nas a2200289   4500000000100000008004100001260002400042653005700066653001800123100001600141700001400157700001500171700001700186700001500203700001600218700001700234700001300251700001400264700001500278700001500293245010100308856006100409300001400470490000700484520111600491022002501607       2022                            d  bFapUNIFESP (SciELO)10aPublic Health, Environmental and Occupational Health10aHealth Policy1 aFerreira AM1 aSabino EC1 aSilva LCDO1 aOliveira CDL1 aCardoso CS1 aRibeiro ALP1 aDamasceno RF1 aLeite SF1 aVieira TM1 aNunes MDCP1 aHaikal DSA00aContextual influence on poor self-rated health in patients with Chagas disease: multilevel study  uhttps://www.scielosp.org/pdf/csc/2022.v27n7/2827-2842/en  a2827-28420 v273 a<p>Chagas disease (CD) is recognized by the World Health Organization as one of the thirteen most neglected tropical diseases in the world. Self-perceived health is considered a better predictor of mortality than objective measures of health status, and the context in which one lives influences this predictor. This study aimed to evaluate the prevalence and individual and contextual factors associated with poor self-rated health among CD patients from an endemic region in Brazil. It is a multilevel cross-sectional study. The individual data come from a cross-section of a cohort study named SaMi-Trop. Contextual data was collected from publicly accessible institutional information systems and platforms. The dependent variable was self-perceived health. The analysis was performed using multilevel binary logistic regression. The study included 1,513 patients with CD, where 335 (22.1%) had Poor self-rated health. This study revealed the influence of the organization/offer of the Brazilian public health service and of individual characteristics on the self-perceived health of patients with CD.</p>
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