Frequ?ncia de incapacidade funcional em idosos residentes nos Distritos Sanit?rios da Restinga e do Extremo-Sul da cidade de Porto Alegre-RS e sua rela??o com fatores socioecon?micos e demogr?ficos
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da PUC_RS |
Texto Completo: | http://tede2.pucrs.br/tede2/handle/tede/2660 |
Resumo: | OBJECTIVE : To observe the frequency of functional disability in elderly residents of vulnerable communities in Porto Alegre, a city in southern Brazil, and its association with socioeconomic and demographic factors. METHODS : Cross-sectional population-based study including 638 elderly aged over 60 years. Katz Index and Lawton Scale were used for evaluation of basic and instrumental activities of daily living, respectively. Functional disability was defined as the need for help in at least one activity evaluated. Demographic variables included age, sex and number of residents. Socioeconomic variables analyzed were education, marital status, socioeconomic level and presence of caregiver. The mean age and number of residents were compared between two levels of disability and analyzed by Student's t test. Functional disability and categorical variables were analyzed by Chi-Square test. The risk of disability was measured by logistic regression and expressed as odds ratio with a 95% confidence interval. RESULTS : The prevalence of functional disability was 15.7% and 26.2% for basic and instrumental activities, respectively. Women had a significantly higher frequency of disability in basic activities, while this frequency for older age and being widowed was significantly higher for both basic and instrumental activities. The risk of functional disability in basic activities were lower in the elderly with low socioeconomic status (p = 0.03) and increased with advancing age (p <0.005). The instrumental activities had the highest number of significant variables in the final logistic regression model, having the same pattern as the basic activities for socioeconomic status (p = 0.01) and age (p = 0.001). In comparison with the elderly who never attended school, all other levels of education were significantly protective (p <0.001). The married state was also protective (p <0.001). CONCLUSION : The frequency of functional disability was not higher than that described in Brazilian literature, but we found a significant association with socioeconomic status and age for both outcomes and education and marital status for instrumental activities. The primary care services should be alert to socioeconomic and demographic characteristics associated with disability. |
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B?s, ?ngelo Jos? Gon?alvesCPF:26392704000http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4798721D8CPF:00674106008http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4242994P9Pereira, Gustavo Nunes2015-04-14T13:53:42Z2011-12-292011-12-07PEREIRA, Gustavo Nunes. Frequ?ncia de incapacidade funcional em idosos residentes nos Distritos Sanit?rios da Restinga e do Extremo-Sul da cidade de Porto Alegre-RS e sua rela??o com fatores socioecon?micos e demogr?ficos. 2011. 67 f. Disserta??o (Mestrado em Gerontologia Biom?dica) - Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, 2011.http://tede2.pucrs.br/tede2/handle/tede/2660OBJECTIVE : To observe the frequency of functional disability in elderly residents of vulnerable communities in Porto Alegre, a city in southern Brazil, and its association with socioeconomic and demographic factors. METHODS : Cross-sectional population-based study including 638 elderly aged over 60 years. Katz Index and Lawton Scale were used for evaluation of basic and instrumental activities of daily living, respectively. Functional disability was defined as the need for help in at least one activity evaluated. Demographic variables included age, sex and number of residents. Socioeconomic variables analyzed were education, marital status, socioeconomic level and presence of caregiver. The mean age and number of residents were compared between two levels of disability and analyzed by Student's t test. Functional disability and categorical variables were analyzed by Chi-Square test. The risk of disability was measured by logistic regression and expressed as odds ratio with a 95% confidence interval. RESULTS : The prevalence of functional disability was 15.7% and 26.2% for basic and instrumental activities, respectively. Women had a significantly higher frequency of disability in basic activities, while this frequency for older age and being widowed was significantly higher for both basic and instrumental activities. The risk of functional disability in basic activities were lower in the elderly with low socioeconomic status (p = 0.03) and increased with advancing age (p <0.005). The instrumental activities had the highest number of significant variables in the final logistic regression model, having the same pattern as the basic activities for socioeconomic status (p = 0.01) and age (p = 0.001). In comparison with the elderly who never attended school, all other levels of education were significantly protective (p <0.001). The married state was also protective (p <0.001). CONCLUSION : The frequency of functional disability was not higher than that described in Brazilian literature, but we found a significant association with socioeconomic status and age for both outcomes and education and marital status for instrumental activities. The primary care services should be alert to socioeconomic and demographic characteristics associated with disability.OBJETIVO : Observar a frequ?ncia de incapacidade funcional dos idosos moradores da ?rea de abrang?ncia do projeto: Diagn?stico de comunidade dos Distritos Sanit?rios da Restinga e do Extremo-Sul e sua associa??o com os fatores socioecon?micos e demogr?ficos observados. M?TODOS : Estudo com delineamento transversal de base populacional, incluindo 638 idosos com idade igual ou superior a 60 anos. Para a avalia??o das atividades b?sicas e instrumentais da vida di?ria foram empregados o ?ndice de Katz e a Escala de Lawton, respectivamente. Definiu-se como incapacidade funcional para cada dom?nio a necessidade de ajuda em, no m?nimo, uma atividade avaliada. As vari?veis demogr?ficas foram: idade, sexo e n?mero de moradores que residem na casa do idoso. As vari?veis socioecon?micas analisadas foram: escolaridade, situa??o conjugal, n?vel socioecon?mico e presen?a de cuidador. As m?dias de idade e n?mero de moradores foram comparadas entre os dois n?veis de incapacidade funcional e testadas pelo T de Student. Tabelas de distribui??o foram constru?das cruzando incapacidade funcional e vari?veis n?o num?ricas, sendo testadas pelo Qui-Quadrado. A chance de apresentar incapacidade funcional foi medida pela regress?o log?stica e expressa em raz?o de chance IC = 95%. RESULTADOS : Observamos uma preval?ncia de incapacidade funcional de 15,7% para atividades b?sicas e 26,2% para atividades instrumentais. Mulheres apresentaram uma frequ?ncia significativamente maior de incapacidade para atividades b?sicas, enquanto idade avan?ada e ser vi?vo(a) foram significativamente maiores tanto para atividades b?sicas quanto para instrumentais. As chances de apresentar incapacidade funcional para atividades b?sicas foram menores em idosos com baixo n?vel socioecon?mico (p=0,03) e maiores com o avan?ar da idade (p<0,005). J? as atividades instrumentais apresentaram maior n?mero de vari?veis significativas no modelo final de regress?o log?stica, tendo o mesmo padr?o que as atividades b?sicas para n?vel socioecon?mico (p=0,01) e faixa et?ria (p=0,001). Na compara??o com os idosos que nunca estudaram, todos os outros n?veis de escolaridade foram significativamente protetores (p<0,001). O estado civil casado foi protetor na compara??o com os outros n?veis da vari?vel (p<0,001). CONCLUS?O : A frequ?ncia de incapacidade funcional encontrada n?o foi maior do que a descrita na literatura brasileira, mas encontramos uma importante associa??o com n?veis socioecon?micos e faixa et?ria para ambos os desfechos e com escolaridade e estado civil para as atividades instrumentais. Os servi?os de aten??o prim?ria devem estar atentos ?s caracter?sticas socioecon?micas e demogr?ficas associadas ? incapacidade funcional.Made available in DSpace on 2015-04-14T13:53:42Z (GMT). No. of bitstreams: 1 435689.pdf: 3866794 bytes, checksum: 80cf449930bd5a7539d352ec0be9a80b (MD5) Previous issue date: 2011-12-07application/pdfhttp://tede2.pucrs.br:80/tede2/retrieve/11135/435689.pdf.jpgporPontif?cia Universidade Cat?lica do Rio Grande do SulPrograma de P?s-Gradua??o em Gerontologia Biom?dicaPUCRSBRInstituto de Geriatria e GerontologiaGERIATRIAGERONTOLOGIAIDOSOSENVELHECIMENTOATIVIDADES COTIDIANASATIVIDADES MOTORASSA?DE DO IDOSOSA?DE DA PESSOA COM DEFICI?NCIA OU INCAPACIDADECNPQ::CIENCIAS DA SAUDE::MEDICINAFrequ?ncia de incapacidade funcional em idosos residentes nos Distritos Sanit?rios da Restinga e do Extremo-Sul da cidade de Porto Alegre-RS e sua rela??o com fatores socioecon?micos e demogr?ficosinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis44386614769531790335006002296420844541114010info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_RSinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSTHUMBNAIL435689.pdf.jpg435689.pdf.jpgimage/jpeg3011http://tede2.pucrs.br/tede2/bitstream/tede/2660/3/435689.pdf.jpgfdfc1e8d18d0d0ca4788fd6ecaac86f3MD53TEXT435689.pdf.txt435689.pdf.txttext/plain85485http://tede2.pucrs.br/tede2/bitstream/tede/2660/2/435689.pdf.txt5d995e40c4774478ce35bebdf0b86454MD52ORIGINAL435689.pdfapplication/pdf3866794http://tede2.pucrs.br/tede2/bitstream/tede/2660/1/435689.pdf80cf449930bd5a7539d352ec0be9a80bMD51tede/26602015-04-17 16:36:31.325oai:tede2.pucrs.br:tede/2660Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.pucrs.br/tede2/PRIhttps://tede2.pucrs.br/oai/requestbiblioteca.central@pucrs.br||opendoar:2015-04-17T19:36:31Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.por.fl_str_mv |
Frequ?ncia de incapacidade funcional em idosos residentes nos Distritos Sanit?rios da Restinga e do Extremo-Sul da cidade de Porto Alegre-RS e sua rela??o com fatores socioecon?micos e demogr?ficos |
title |
Frequ?ncia de incapacidade funcional em idosos residentes nos Distritos Sanit?rios da Restinga e do Extremo-Sul da cidade de Porto Alegre-RS e sua rela??o com fatores socioecon?micos e demogr?ficos |
spellingShingle |
Frequ?ncia de incapacidade funcional em idosos residentes nos Distritos Sanit?rios da Restinga e do Extremo-Sul da cidade de Porto Alegre-RS e sua rela??o com fatores socioecon?micos e demogr?ficos Pereira, Gustavo Nunes GERIATRIA GERONTOLOGIA IDOSOS ENVELHECIMENTO ATIVIDADES COTIDIANAS ATIVIDADES MOTORAS SA?DE DO IDOSO SA?DE DA PESSOA COM DEFICI?NCIA OU INCAPACIDADE CNPQ::CIENCIAS DA SAUDE::MEDICINA |
title_short |
Frequ?ncia de incapacidade funcional em idosos residentes nos Distritos Sanit?rios da Restinga e do Extremo-Sul da cidade de Porto Alegre-RS e sua rela??o com fatores socioecon?micos e demogr?ficos |
title_full |
Frequ?ncia de incapacidade funcional em idosos residentes nos Distritos Sanit?rios da Restinga e do Extremo-Sul da cidade de Porto Alegre-RS e sua rela??o com fatores socioecon?micos e demogr?ficos |
title_fullStr |
Frequ?ncia de incapacidade funcional em idosos residentes nos Distritos Sanit?rios da Restinga e do Extremo-Sul da cidade de Porto Alegre-RS e sua rela??o com fatores socioecon?micos e demogr?ficos |
title_full_unstemmed |
Frequ?ncia de incapacidade funcional em idosos residentes nos Distritos Sanit?rios da Restinga e do Extremo-Sul da cidade de Porto Alegre-RS e sua rela??o com fatores socioecon?micos e demogr?ficos |
title_sort |
Frequ?ncia de incapacidade funcional em idosos residentes nos Distritos Sanit?rios da Restinga e do Extremo-Sul da cidade de Porto Alegre-RS e sua rela??o com fatores socioecon?micos e demogr?ficos |
author |
Pereira, Gustavo Nunes |
author_facet |
Pereira, Gustavo Nunes |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
B?s, ?ngelo Jos? Gon?alves |
dc.contributor.advisor1ID.fl_str_mv |
CPF:26392704000 |
dc.contributor.advisor1Lattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4798721D8 |
dc.contributor.authorID.fl_str_mv |
CPF:00674106008 |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4242994P9 |
dc.contributor.author.fl_str_mv |
Pereira, Gustavo Nunes |
contributor_str_mv |
B?s, ?ngelo Jos? Gon?alves |
dc.subject.por.fl_str_mv |
GERIATRIA GERONTOLOGIA IDOSOS ENVELHECIMENTO ATIVIDADES COTIDIANAS ATIVIDADES MOTORAS SA?DE DO IDOSO SA?DE DA PESSOA COM DEFICI?NCIA OU INCAPACIDADE |
topic |
GERIATRIA GERONTOLOGIA IDOSOS ENVELHECIMENTO ATIVIDADES COTIDIANAS ATIVIDADES MOTORAS SA?DE DO IDOSO SA?DE DA PESSOA COM DEFICI?NCIA OU INCAPACIDADE CNPQ::CIENCIAS DA SAUDE::MEDICINA |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::MEDICINA |
description |
OBJECTIVE : To observe the frequency of functional disability in elderly residents of vulnerable communities in Porto Alegre, a city in southern Brazil, and its association with socioeconomic and demographic factors. METHODS : Cross-sectional population-based study including 638 elderly aged over 60 years. Katz Index and Lawton Scale were used for evaluation of basic and instrumental activities of daily living, respectively. Functional disability was defined as the need for help in at least one activity evaluated. Demographic variables included age, sex and number of residents. Socioeconomic variables analyzed were education, marital status, socioeconomic level and presence of caregiver. The mean age and number of residents were compared between two levels of disability and analyzed by Student's t test. Functional disability and categorical variables were analyzed by Chi-Square test. The risk of disability was measured by logistic regression and expressed as odds ratio with a 95% confidence interval. RESULTS : The prevalence of functional disability was 15.7% and 26.2% for basic and instrumental activities, respectively. Women had a significantly higher frequency of disability in basic activities, while this frequency for older age and being widowed was significantly higher for both basic and instrumental activities. The risk of functional disability in basic activities were lower in the elderly with low socioeconomic status (p = 0.03) and increased with advancing age (p <0.005). The instrumental activities had the highest number of significant variables in the final logistic regression model, having the same pattern as the basic activities for socioeconomic status (p = 0.01) and age (p = 0.001). In comparison with the elderly who never attended school, all other levels of education were significantly protective (p <0.001). The married state was also protective (p <0.001). CONCLUSION : The frequency of functional disability was not higher than that described in Brazilian literature, but we found a significant association with socioeconomic status and age for both outcomes and education and marital status for instrumental activities. The primary care services should be alert to socioeconomic and demographic characteristics associated with disability. |
publishDate |
2011 |
dc.date.available.fl_str_mv |
2011-12-29 |
dc.date.issued.fl_str_mv |
2011-12-07 |
dc.date.accessioned.fl_str_mv |
2015-04-14T13:53:42Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
PEREIRA, Gustavo Nunes. Frequ?ncia de incapacidade funcional em idosos residentes nos Distritos Sanit?rios da Restinga e do Extremo-Sul da cidade de Porto Alegre-RS e sua rela??o com fatores socioecon?micos e demogr?ficos. 2011. 67 f. Disserta??o (Mestrado em Gerontologia Biom?dica) - Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, 2011. |
dc.identifier.uri.fl_str_mv |
http://tede2.pucrs.br/tede2/handle/tede/2660 |
identifier_str_mv |
PEREIRA, Gustavo Nunes. Frequ?ncia de incapacidade funcional em idosos residentes nos Distritos Sanit?rios da Restinga e do Extremo-Sul da cidade de Porto Alegre-RS e sua rela??o com fatores socioecon?micos e demogr?ficos. 2011. 67 f. Disserta??o (Mestrado em Gerontologia Biom?dica) - Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, 2011. |
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http://tede2.pucrs.br/tede2/handle/tede/2660 |
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Pontif?cia Universidade Cat?lica do Rio Grande do Sul |
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