Is cognitive decline in the elderly associated with contextual income? Results of a population-based study in southern Brazil
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2016000500702 |
Resumo: | Abstract: The aim of this study was to estimate the association between contextual income and cognitive decline in the elderly in Florianópolis, a medium-sized city in southern Brazil. A nested cross-sectional study was performed in a cohort of elderly ≥ 60 years (n = 1,197), interviewed in the second wave (2013/2014) of the EpiFloripa cohort. Cognitive decline was assessed with the Mini Mental State Examination (MMSE) and contextual income was measured as the mean monthly income of the heads of households. Individual adjustment variables were sex, age, skin color, per capita household income, years of schooling, and time living in the neighborhood. The data were analyzed using multilevel logistic regression. The odds of cognitive decline were twice as high (OR = 1.99; 95%CI: 1.03; 3.87) in elderly living in census tracts with the lowest income quintile compared to those in the highest quintile, independently of individual characteristics. In conclusion, the socioeconomic environment is related to cognitive decline and should be considered in public policies with a focus on health of the elderly. |
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Is cognitive decline in the elderly associated with contextual income? Results of a population-based study in southern BrazilCognition DisordersSocial ClassAgedAbstract: The aim of this study was to estimate the association between contextual income and cognitive decline in the elderly in Florianópolis, a medium-sized city in southern Brazil. A nested cross-sectional study was performed in a cohort of elderly ≥ 60 years (n = 1,197), interviewed in the second wave (2013/2014) of the EpiFloripa cohort. Cognitive decline was assessed with the Mini Mental State Examination (MMSE) and contextual income was measured as the mean monthly income of the heads of households. Individual adjustment variables were sex, age, skin color, per capita household income, years of schooling, and time living in the neighborhood. The data were analyzed using multilevel logistic regression. The odds of cognitive decline were twice as high (OR = 1.99; 95%CI: 1.03; 3.87) in elderly living in census tracts with the lowest income quintile compared to those in the highest quintile, independently of individual characteristics. In conclusion, the socioeconomic environment is related to cognitive decline and should be considered in public policies with a focus on health of the elderly.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2016-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2016000500702Cadernos de Saúde Pública v.32 n.5 2016reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/0102-311X00112715info:eu-repo/semantics/openAccessDanielewicz,Ana LúciaWagner,Katia Jakovljevic Pudlad'Orsi,EleonoraBoing,Antonio Fernandoeng2016-07-27T00:00:00Zoai:scielo:S0102-311X2016000500702Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2016-07-27T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
Is cognitive decline in the elderly associated with contextual income? Results of a population-based study in southern Brazil |
title |
Is cognitive decline in the elderly associated with contextual income? Results of a population-based study in southern Brazil |
spellingShingle |
Is cognitive decline in the elderly associated with contextual income? Results of a population-based study in southern Brazil Danielewicz,Ana Lúcia Cognition Disorders Social Class Aged |
title_short |
Is cognitive decline in the elderly associated with contextual income? Results of a population-based study in southern Brazil |
title_full |
Is cognitive decline in the elderly associated with contextual income? Results of a population-based study in southern Brazil |
title_fullStr |
Is cognitive decline in the elderly associated with contextual income? Results of a population-based study in southern Brazil |
title_full_unstemmed |
Is cognitive decline in the elderly associated with contextual income? Results of a population-based study in southern Brazil |
title_sort |
Is cognitive decline in the elderly associated with contextual income? Results of a population-based study in southern Brazil |
author |
Danielewicz,Ana Lúcia |
author_facet |
Danielewicz,Ana Lúcia Wagner,Katia Jakovljevic Pudla d'Orsi,Eleonora Boing,Antonio Fernando |
author_role |
author |
author2 |
Wagner,Katia Jakovljevic Pudla d'Orsi,Eleonora Boing,Antonio Fernando |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Danielewicz,Ana Lúcia Wagner,Katia Jakovljevic Pudla d'Orsi,Eleonora Boing,Antonio Fernando |
dc.subject.por.fl_str_mv |
Cognition Disorders Social Class Aged |
topic |
Cognition Disorders Social Class Aged |
description |
Abstract: The aim of this study was to estimate the association between contextual income and cognitive decline in the elderly in Florianópolis, a medium-sized city in southern Brazil. A nested cross-sectional study was performed in a cohort of elderly ≥ 60 years (n = 1,197), interviewed in the second wave (2013/2014) of the EpiFloripa cohort. Cognitive decline was assessed with the Mini Mental State Examination (MMSE) and contextual income was measured as the mean monthly income of the heads of households. Individual adjustment variables were sex, age, skin color, per capita household income, years of schooling, and time living in the neighborhood. The data were analyzed using multilevel logistic regression. The odds of cognitive decline were twice as high (OR = 1.99; 95%CI: 1.03; 3.87) in elderly living in census tracts with the lowest income quintile compared to those in the highest quintile, independently of individual characteristics. In conclusion, the socioeconomic environment is related to cognitive decline and should be considered in public policies with a focus on health of the elderly. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2016000500702 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2016000500702 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0102-311X00112715 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
dc.source.none.fl_str_mv |
Cadernos de Saúde Pública v.32 n.5 2016 reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1754115736647761920 |