![]() Living in cities with higher SEI or higher GDP per-capita was associated with a lower risk of poor SRH. In gender stratified models, the association between older age and poor SRH was more pronounced in men than in women, and in those aged 25–65 than among those 65+ (RR/10 years = 1.38 vs. After adjusting for individual-level education, men had a lower risk of poor SRH (RR = 0.76 CI 0.73–0.78) compared to women, and gender modified the association between age and poor SRH ( p-value of interaction < 0.001). Overall, 31.4% of the sample reported poor SRH. We examined effect modification by gender and city-level socioeconomic indicators. Multilevel Poisson models with a robust variance were used to estimate relative risks (RR), with individuals nested in cities and binary SRH (poor SHR vs. As proxies for socioeconomic environment we used a city-level socioeconomic index (SEI) calculated from census data, and gross domestic product (GDP) per-capita. ![]() We used individual-level age, gender, education, and self-reported health (SRH) data from harmonized health surveys. MethodsĬross-sectional analyses of 71,541 adults aged 25–97 years, from 114 cities in 6 countries (Argentina, Brazil, Colombia, Chile, El Salvador, and Guatemala), as part of the Salud Urbana en America Latina (SALURBAL) Project. To investigate the association between age and self-reported health (SRH) in adults living in Latin-American cities and whether gender and city-level socioeconomic characteristics modify this association. Understanding how urban environments influence people’s health, especially as individuals age, can help identify ways to improve health in the rapidly urbanizing and rapidly aging populations.
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