Determinant factors of functional status among the elderly
Autor(a) principal: | |
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Data de Publicação: | 2003 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/31555 |
Resumo: | OBJECTIVE: To investigate the impact of health-related demographic and socioeconomic factors, as well as the impact of factors associated to social activity and the subjective health evaluation on the functional status of elderly people. METHODS: A cross-sectional multicentric study was conducted in a representative population sample in the city of São Paulo, Brazil, in 1989. Functional status was evaluated using a scale of activities of personal and instrumental daily living. It was studied as a dichotomous variable: absence of dependency - disability/difficulty in none of the activities in contrast with moderate/severe dependency - disability/difficulty in 4 or more activities. Multiple regression analysis was applied to hierarchically clustered factors. RESULTS: Those with the following features were more associated to moderate/severe dependency: illiterate, retired, pensioner, housekeeper, living in a rented home, age over 65 years, multigenerational family composition, hospitalization in the last 6 months, mental health screening case, no visiting friends, and having a pessimistic perception of his/her own health when compared to their peers. CONCLUSIONS: The identified features associated to moderate/severe dependency suggest a complex net of causes for the declining functional status. However, one can assume that preventive measures directed to specific factors can benefit these population by improving their well-being. |
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Determinant factors of functional status among the elderly Fatores determinantes da capacidade funcional entre idosos IdosoEnvelhecimento^i1^sfisioloAptidão físicaAtividades cotidianasSaúde do idosoFatores de riscoModelos estatísticosCapacidade funcionalElderlyAging^i2^sphysical fitnActivities of daily livingRisk factorsModelsstatisticalAging healthFunctional status OBJECTIVE: To investigate the impact of health-related demographic and socioeconomic factors, as well as the impact of factors associated to social activity and the subjective health evaluation on the functional status of elderly people. METHODS: A cross-sectional multicentric study was conducted in a representative population sample in the city of São Paulo, Brazil, in 1989. Functional status was evaluated using a scale of activities of personal and instrumental daily living. It was studied as a dichotomous variable: absence of dependency - disability/difficulty in none of the activities in contrast with moderate/severe dependency - disability/difficulty in 4 or more activities. Multiple regression analysis was applied to hierarchically clustered factors. RESULTS: Those with the following features were more associated to moderate/severe dependency: illiterate, retired, pensioner, housekeeper, living in a rented home, age over 65 years, multigenerational family composition, hospitalization in the last 6 months, mental health screening case, no visiting friends, and having a pessimistic perception of his/her own health when compared to their peers. CONCLUSIONS: The identified features associated to moderate/severe dependency suggest a complex net of causes for the declining functional status. However, one can assume that preventive measures directed to specific factors can benefit these population by improving their well-being. OBJETIVO; Investigar a influência de fatores socioeconômicos e demográficos relativos à saúde, bem como os fatores ligados às atividades sociais e à avaliação subjetiva da saúde sobre a capacidade funcional dos idosos. MÉTODOS: Estudo transversal, integrante de estudo multicêntrico, em amostra representativa do município de São Paulo, realizado em 1989. A capacidade funcional foi avaliada através da escala de atividades da vida diária pessoal e instrumental e investigada como variável dicotômica: ausência de dependência - incapacidade/dificuldade em nenhuma das atividades versus presença de dependência moderada/grave - incapacidade/dificuldade em 4 ou mais atividades. Análise de regressão logística múltipla foi aplicada aos fatores hierarquicamente agrupados. RESULTADOS: As características que se associaram com a dependência moderada/grave foram analfabetismo, ser aposentado, ser pensionista, ser dona de casa, não ser proprietário da moradia, ter mais de 65 anos, ter composição familiar multigeracional, ter sido internado nos últimos 6 meses, ser "caso" no rastreamento de saúde mental, não visitar amigos, ter problemas de visão, ter história de derrame, não visitar parentes e ter avaliação pessimista da saúde ao se comparar com seus pares. CONCLUSÕES: As características identificadas que se associaram à dependência moderada/grave sugerem uma complexa rede causal do declínio da capacidade funcional. Pode-se supor, entretanto, que ações preventivas especificamente voltadas para certos fatores podem propiciar benefícios para o prolongamento do bem estar da população idosa. Universidade de São Paulo. Faculdade de Saúde Pública2003-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3155510.1590/S0034-89102003000100008Revista de Saúde Pública; Vol. 37 No. 1 (2003); 40-48 Revista de Saúde Pública; Vol. 37 Núm. 1 (2003); 40-48 Revista de Saúde Pública; v. 37 n. 1 (2003); 40-48 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/31555/33440Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessRosa, Tereza Etsuko da CostaBenício, Maria Helena D'AquinoLatorre, Maria do Rosário Dias de OliveiraRamos, Luiz Roberto2012-07-08T14:49:13Zoai:revistas.usp.br:article/31555Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T14:49:13Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Determinant factors of functional status among the elderly Fatores determinantes da capacidade funcional entre idosos |
title |
Determinant factors of functional status among the elderly |
spellingShingle |
Determinant factors of functional status among the elderly Rosa, Tereza Etsuko da Costa Idoso Envelhecimento^i1^sfisiolo Aptidão física Atividades cotidianas Saúde do idoso Fatores de risco Modelos estatísticos Capacidade funcional Elderly Aging^i2^sphysical fitn Activities of daily living Risk factors Models statistical Aging health Functional status |
title_short |
Determinant factors of functional status among the elderly |
title_full |
Determinant factors of functional status among the elderly |
title_fullStr |
Determinant factors of functional status among the elderly |
title_full_unstemmed |
Determinant factors of functional status among the elderly |
title_sort |
Determinant factors of functional status among the elderly |
author |
Rosa, Tereza Etsuko da Costa |
author_facet |
Rosa, Tereza Etsuko da Costa Benício, Maria Helena D'Aquino Latorre, Maria do Rosário Dias de Oliveira Ramos, Luiz Roberto |
author_role |
author |
author2 |
Benício, Maria Helena D'Aquino Latorre, Maria do Rosário Dias de Oliveira Ramos, Luiz Roberto |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Rosa, Tereza Etsuko da Costa Benício, Maria Helena D'Aquino Latorre, Maria do Rosário Dias de Oliveira Ramos, Luiz Roberto |
dc.subject.por.fl_str_mv |
Idoso Envelhecimento^i1^sfisiolo Aptidão física Atividades cotidianas Saúde do idoso Fatores de risco Modelos estatísticos Capacidade funcional Elderly Aging^i2^sphysical fitn Activities of daily living Risk factors Models statistical Aging health Functional status |
topic |
Idoso Envelhecimento^i1^sfisiolo Aptidão física Atividades cotidianas Saúde do idoso Fatores de risco Modelos estatísticos Capacidade funcional Elderly Aging^i2^sphysical fitn Activities of daily living Risk factors Models statistical Aging health Functional status |
description |
OBJECTIVE: To investigate the impact of health-related demographic and socioeconomic factors, as well as the impact of factors associated to social activity and the subjective health evaluation on the functional status of elderly people. METHODS: A cross-sectional multicentric study was conducted in a representative population sample in the city of São Paulo, Brazil, in 1989. Functional status was evaluated using a scale of activities of personal and instrumental daily living. It was studied as a dichotomous variable: absence of dependency - disability/difficulty in none of the activities in contrast with moderate/severe dependency - disability/difficulty in 4 or more activities. Multiple regression analysis was applied to hierarchically clustered factors. RESULTS: Those with the following features were more associated to moderate/severe dependency: illiterate, retired, pensioner, housekeeper, living in a rented home, age over 65 years, multigenerational family composition, hospitalization in the last 6 months, mental health screening case, no visiting friends, and having a pessimistic perception of his/her own health when compared to their peers. CONCLUSIONS: The identified features associated to moderate/severe dependency suggest a complex net of causes for the declining functional status. However, one can assume that preventive measures directed to specific factors can benefit these population by improving their well-being. |
publishDate |
2003 |
dc.date.none.fl_str_mv |
2003-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31555 10.1590/S0034-89102003000100008 |
url |
https://www.revistas.usp.br/rsp/article/view/31555 |
identifier_str_mv |
10.1590/S0034-89102003000100008 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31555/33440 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 37 No. 1 (2003); 40-48 Revista de Saúde Pública; Vol. 37 Núm. 1 (2003); 40-48 Revista de Saúde Pública; v. 37 n. 1 (2003); 40-48 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221780676182016 |