Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic

Szwarcwald, Célia Landmann; Barros, Marilisa Berti de Azevedo; Malta, Déborah Carvalho; Júnior, Paulo Roberto Borges de Souza; Azevedo, Luiz Otávio; Machado, Ísis Eloah; Romero, Dália Elena; Gomes, Crizian Saar; Werneck, André O.; Silva, Danilo; Gracie, Renata; Pina, Maria de Fátima

doi:10.1590/0102-311x00182720

Cited by 35 publications

(54 citation statements)

References 33 publications

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“…These results were found in a previous study with mining workers in the same region as this study; when evaluating sleep using the gold standard method, polysomnography, the workers with hypovitaminosis D had lower sleep efficiency, an increased microarousal index, and lower arterial oxygen saturation after adjusting for seasonality, age, and body fat (Menezes- Júnior et al 2021). These workers had routines similar to confinement during the COVID-19 pandemic, since they were off-highway truck drivers and spent most of their time in machines inaccessible to sunlight (Menezes Júnior et al 2021).…”

Section: Discussionsupporting

confidence: 87%

Determinants of sleep quality in adults during the COVID-19 pandemic: COVID-Inconfidentes, a population-based study

Júnior

Lourenção

Andrade

et al. 2021

Preprint

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Background: The coronavirus disease 2019 (COVID-19) pandemic has had a negative effect on the health and behavior of the world population. Objectives: To evaluate sleep quality and its associated factors in adults during the COVID-19 pandemic in Brazil. Methods: This is a population-based serological survey of 1762 adults collected from October to December 2020 in the Iron Quadrangle region, Brazil. To measure sleep quality, we used the Pittsburgh Sleep Quality Index questionnaire and socio-demographic, health, health related behaviors, anxiety, vitamin D, weight gain/loss, and pandemic characteristics were assessed using a structured questionnaire. Univariate and multivariate analyses were performed to identify the factors associated with sleep quality. Results: More than half of the individuals evaluated had poor sleep quality (52.5%). In multivariate analysis, factors related to sleep quality included living alone (OR=2.36; 95%CI: 1.11-5.00), anxiety disorder (OR=2.22; 95%CI: 1.20-4.14), 5.0% weight loss during the pandemic (OR=1.66; 95%CI: 1.01-2.76), weight gain of 5.0% (OR=1.90; 95%CI: 1.08-3.34), insufficient vitamin D scenario (OR=1.47; 95%CI: 1.01-2.12), and symptoms of COVID-19 (OR=1.94; 95%CI: 1.25-3.01). Conclusions: Our study revealed that more than half of the participants had poor sleep quality during the COVID-19 outbreak, and the factors associated with poor sleep quality were related to the pandemic, such as insufficient vitamin D scenario and weight change.

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Section: Discussionsupporting

confidence: 87%

Determinants of sleep quality in adults during the COVID-19 pandemic: COVID-Inconfidentes, a population-based study

Júnior

Lourenção

Andrade

et al. 2021

Preprint

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“…Results of the first stage of the ConVid-Behavior Survey carried out in the Brazilian adult population have shown the negative impact of pandemic-related social restraint measures on the overall health of citizens who have been affected by psychological health problems [14,15]. However, there were differences in the results by age group, with older adults (60 years or over) reporting less anxiety, sadness, and loneliness in comparison to the youngest group (18-29 years old).…”

Section: Introductionmentioning

confidence: 99%

Associations of Sociodemographic Factors and Health Behaviors with the Emotional Well-Being of Adolescents during the COVID-19 Pandemic in Brazil

Szwarcwald

Malta

Barros

et al. 2021

IJERPH

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This cross-sectional study utilizes data from a nationwide web-based survey aimed to identify the factors affecting the emotional well-being of Brazilian adolescents aged 12–17 during the period of school closures and confinement. Data collection took place from 27 June to 17 September 2020. We used the “virtual snowball” sampling method, and students from private and public schools were included. A total of 9470 adolescents were analyzed. A hierarchical logistic regression model was used to find the factors associated with reporting at least two of three self-reported problems—sadness, irritability, and sleep problems. The main proximal factor was loneliness (AdjOR = 8.12 p < 0.001). Problems related to school closures also played an important role. Regular intake of fruits and vegetables, as well as physical activity, demonstrated a positive influence on emotional well-being, while excessive screen time (AdjOR = 2.05, p < 0.001) and alcohol consumption negatively affected outcomes (AdjOR = 1.73, p < 0.001). As for distal variables, less affluent adolescents were the most affected, and males reported fewer emotional problems than females. Uncertainty regarding the disease in a context of socioeconomic vulnerability, together with rises in unhealthy behaviors and isolation from their immediate social circles, have negatively affected adolescents’ emotional status throughout the COVID-19 pandemic.

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“…The emergence of back pain among teachers during the pandemic period covered by this study had 57.7% of prevalence. For the Brazilian population in general, 27.1% of adults interviewed reported that they started experiencing back pain during the COVID-19 pandemic (Szwarcwald et al 2021b ). Among Italian workers in the administrative sector, 50% reported the worsening of neck pain and 38.1% the worsening of low back pain since they started working remotely with the onset of the pandemic (Moretti et al 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“…These results are consistent with the literature that distinguishes self-rated health as an indicator of the individual’s general health, including musculoskeletal aspects (Andrade et al 2019 ; Pavão et al 2013 ); and it also indicates sleep disorders as a risk factor for chronic musculoskeletal pain (Chun et al 2018 ; Mork et al 2013 ). A study that investigated factors that affected the self-rated health of Brazilians found an association between the worsening self-rated health and the emergence of back pain during the COVID-19 pandemic (Szwarcwald et al 2021b ).…”

Section: Discussionmentioning

confidence: 99%

“…This new reality required teachers to develop skills, especially those related to the use of technologies, the need to adapt lesson plans for distance teaching, and a new daily routine, which included adapting the spaces of their homes, transforming them into classrooms. These transformations can generate improvised working conditions and strenuous hours (Souza et al 2021 ), in addition to significant changes in habits and behaviors, with consequences for teachers’ physical and mental health (Vu et al 2020 ), including the appearance of musculoskeletal pain (Szwarcwald et al 2021b ).…”

Section: Introductionmentioning

confidence: 99%

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Back pain occurred due to changes in routinary activities among Brazilian schoolteachers during the COVID-19 pandemic

Barbosa

Fonseca

Silva

et al. 2021

Int Arch Occup Environ Health

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Objective This study’s main objective was to investigate the emergence of back pain as a consequence to changes in usual activities due to the COVID-19 pandemic among teachers in public schools in the state of Minas Gerais, Brazil. Methods A cross-sectional study was conducted among 15,276 schoolteachers using an online questionnaire. The variables included sociodemographic and occupational data, health situation, habits and behaviors during the COVID-19 pandemic. Bivariate analyses using Pearson’s chi-square test and multiple analyses using Poisson regression were performed to identify the associated factors. Results About 58% of schoolteachers reported back pain due to changes in routine activities during the pandemic. The adjusted model showed a correlation between back pain and female sex, longer working hours, overwork, difficulties concerning distance working, negative changes in health status and quality of sleep; frequent feeling of sadness, depression, or anxiety; use of medications to relax, sleep or against stress/anxiety/depression; physical inactivity or negative changes in the practice of physical activities; increased body weight; reduction of leisure time; increased time of use of computer or tablet and overload of housework. Conclusion During the COVID-19 pandemic, schoolteachers reported a high prevalence of emergence of back pain, which delineates a contradiction in terms: on the one hand, distance education allows social distancing that contributes to the preservation of teachers’ health by reducing the risk of contamination by COVID-19. On the other hand, it imposes new demands that—in disagreement with working conditions—can threaten the health of these workers.

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Factors affecting Brazilians’ self-rated health during the COVID-19 pandemic

Cited by 35 publications

References 33 publications

Determinants of sleep quality in adults during the COVID-19 pandemic: COVID-Inconfidentes, a population-based study

Determinants of sleep quality in adults during the COVID-19 pandemic: COVID-Inconfidentes, a population-based study

Associations of Sociodemographic Factors and Health Behaviors with the Emotional Well-Being of Adolescents during the COVID-19 Pandemic in Brazil

Back pain occurred due to changes in routinary activities among Brazilian schoolteachers during the COVID-19 pandemic

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