Socioeconomic factors and health status disparities associated with difficulty in ADLs and IADLs among long-lived populations in Brazil: a cross-sectional study
| Autor: | Allisson de Lima Brito, Tarciana Nobre de Menezes, Tácila Thamires de Melo Santos, Jaíza Marques Medeiros e Silva, Yeda Aparecida de Oliveira Duarte, Mathias Weller, Mayana Zatz, Raisa Fernandes Mariz Simões, Javanna Lacerda Gomes da Silva Freitas, Silvana Santos, Saionara Açucena Vieira Alves, Jair Lício Ferreira Santos, Júlia Cristina Leite Nóbrega, Juliana Barbosa Medeiros, David Matheson |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Activities of daily living
Cross-sectional study media_common.quotation_subject socioeconomic factors 03 medical and health sciences 0302 clinical medicine longevity Environmental health Activities of Daily Living Humans cross-sectional study Medicine 030212 general & internal medicine Socioeconomic status Original Research media_common DESIGUALDADES SOCIAIS 030505 public health business.industry lcsh:Public aspects of medicine Health Policy aging Longevity lcsh:RA1-1270 Health Status Disparities Cross-Sectional Studies Chronic disease Female 0305 other medical science business chronic disease human activities Brazil |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP Inquiry: The Journal of Health Care Organization, Provision, and Financing, Vol 58 (2021) Inquiry: A Journal of Medical Care Organization, Provision and Financing |
| Popis: | Objective: To evaluate the association between socioeconomic factors, health status, and Functional Capacity (FC) in the oldest senior citizens in a metropolis and a poor rural region of Brazil. Method: Cross-sectional study of 417 seniors aged ≥80 years, data collected through Brazil’s Health, Well-being and Aging survey. FC assessed by self-reporting of difficulties in Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). Chi-square tests and multiple logistic regression analyses were performed using “R” statistical software. Results: Socioeconomic and demographic inequalities in Brazil can influence FC in seniors aged 80 years and older. Comparatively, urban long-lived people had a higher prevalence of difficulties for ADLs and rural ones showed more difficulties for IADLs. Among urban oldest seniors, female gender and lower-income were correlated with difficulties for IADLs. Among rural oldest seniors, female gender, stroke, joint disease, and inadequate weight independently were correlated with difficulties for ADLs, while the number of chronic diseases was associated with difficulties for IADLs. Conclusion: Financial constraints may favor the development of functional limitations among older seniors in large urban centers. In poor rural areas, inadequate nutritional status and chronic diseases may increase their susceptibility to functional decline. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|