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Pedroso, MRO. Self-assessed health status: associated factors and temporal trend in countries with available data for the period 1990-2015 [dissertation]. São Paulo: Faculdade de Saúde Pública da USP; 2015. Introduction: The self-rated health is an indicator of overall health and wellbeing of individuals and populations, the result of an integrated perception of health, including biopsychosocial aspects. However, there is a need for a better understanding of these and other associated factors, and the establishment of a causal model. Furthermore, there are few studies evaluating the differences between countries and social contexts and their variation over time. Objectives: 1) To describe the health status of non-elderly adults, inferred by self-assessment, between countries and regions with different socio-economic profiles; 2) analyze the contextual and individual factors associated with selfrated health; 3) To analyze time trends of self-rated of values from 1990 to 2015. Methods: We studied adults (20-59 years) from national research databases for the period 1991-2013. Were included studies that contained the central question of the study, about how the individual evaluates their health, totaling 92 databases. The variables second groups will be: economics (GDP per capita and Gini coefficient); sociodemographic and economic (age, sex, marital status, work, income, education, urban / rural); and lifestyle variables, access to health services, presence and types of diseases, and physical and/or mental limitations as the information available in each study. We used analysis using mixed models, using STATA 13.0. The databases used are all freely accessible. Results: The frequency of self-rated poor health / very poor ranged from 2.6% in North America to 14.2% in the Middle East and North Africa. The self-rated health was associated with the presence of chronic diseases, and worse in those individuals who possess them. The self-rated health improves with increasing education and income and worsens with increasing age also being worse among women and individuals who are not working. Worsening also the greater the number of physical and/or mental and is better in individuals with healthy lifestyle. The contextual variables explain part of the variance, and its most pronounced effect on women. The self-rated health status was reduced over the years. Conclusion: The self-rated health is determined by several factors, both objective and subjective, proving to be a good parameter for assessing the general health of a population.

Estado de saúde autoavaliado: fatores associados e tendência temporal em países com dados disponíveis para o período de 1990 a 2015