Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/54686 |
Resumo: | MINISTÉRIO DA SAÚDE |
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Andrade, Fabiola Bof deDuarte, Yeda Aparecida de OliveiraSouza Junior, Paulo Roberto Borges deTorres, Juliana LustosaCosta, Maria Fernanda Furtado LimaAndrade, Flavia Cristina Drumond2022-08-17T18:40:49Z2022-08-17T18:40:49Z2018ANDRADE, Fabíola Bof de et al. Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015. Rev. Saúde Pública, v. 52, Suppl 2, 14s, 2018. doi.org/10.11606/S1518-8787.20180520006170034-8910https://www.arca.fiocruz.br/handle/icict/5468610.11606/S1518-8787.2018052000617MINISTÉRIO DA SAÚDEFundação Oswaldo Cruz. Instituto René Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brasil/Fundação Oswaldo Cruz. Instituto René Rachou. Programa de Pós-Graduação em Saúde Coletiva. Belo Horizonte, MG, BrasilUniversidade de São Paulo. Escola de Enfermagem. São Paulo, SP, BrasilFundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto René Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, BrasilFundação Oswaldo Cruz. Instituto René Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brasil/Fundação Oswaldo Cruz. Instituto René Rachou. Programa de Pós-Graduação em Saúde Coletiva. Belo Horizonte, MG, BrasilUniversity of Illinois at Urbana-Champaign. Kinesiology and Community Health. Champaign, IL, USAOBJECTIVE: To evaluate the magnitude of wealth-related inequalities in basic activities of daily living among community-dwelling Brazilian older adults and to determine the contribution of demographic, socioeconomic, and health conditions to the inequality. METHODS: We used data from the 2015 Brazilian Longitudinal Study of Aging (ELSI-Brazil) with a nationally representative sample of adults aged 50 years or older. We assessed wealth-related inequalities in basic activities of daily living by the concentration index. Concentration index was decomposed to determine the contribution of demographic, health, and socioeconomic factors to wealth-related inequalities in basic activities of daily living. RESULTS: The prevalence of disability in the sample was 15.7% (95% CI 14.9-17.6). The concentration index was -0.145 (95% CI -0.194--0.097), which indicates that disability is concentrated in the poorest individuals in Brazil. Inequalities in basic activities of daily living disability are primarily explained by socioeconomic status (wealth and own education) not by demographic or health factors. CONCLUSIONS: There are avoidable wealth-related inequities for those with a disability in Brazil. The strong contribution of the socioeconomic status highlights the need for new public health policies that promote equity, universality, and integrality, in addition to the expansion of home nursing public services.engFaculdade de Saúde Pública da Universidade de São PauloInequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleAgedActivities of Daily LivingDisabled PersonsSocioeconomic FactorsHealth Inequalitiesinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALindex.pdfindex.pdfapplication/pdf225595https://www.arca.fiocruz.br/bitstream/icict/54686/2/index.pdfd1221eeb7ad93cec449cf8b949b7112aMD52LICENSElicense.txttext/plain1748https://www.arca.fiocruz.br/bitstream/icict/54686/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51icict/546862022-08-17 15:40:49.734oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352022-08-17T18:40:49Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.pt_BR.fl_str_mv |
Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015 |
title |
Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015 |
spellingShingle |
Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015 Andrade, Fabiola Bof de Aged Activities of Daily Living Disabled Persons Socioeconomic Factors Health Inequalities |
title_short |
Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015 |
title_full |
Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015 |
title_fullStr |
Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015 |
title_full_unstemmed |
Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015 |
title_sort |
Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015 |
author |
Andrade, Fabiola Bof de |
author_facet |
Andrade, Fabiola Bof de Duarte, Yeda Aparecida de Oliveira Souza Junior, Paulo Roberto Borges de Torres, Juliana Lustosa Costa, Maria Fernanda Furtado Lima Andrade, Flavia Cristina Drumond |
author_role |
author |
author2 |
Duarte, Yeda Aparecida de Oliveira Souza Junior, Paulo Roberto Borges de Torres, Juliana Lustosa Costa, Maria Fernanda Furtado Lima Andrade, Flavia Cristina Drumond |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Andrade, Fabiola Bof de Duarte, Yeda Aparecida de Oliveira Souza Junior, Paulo Roberto Borges de Torres, Juliana Lustosa Costa, Maria Fernanda Furtado Lima Andrade, Flavia Cristina Drumond |
dc.subject.en.pt_BR.fl_str_mv |
Aged Activities of Daily Living Disabled Persons Socioeconomic Factors Health Inequalities |
topic |
Aged Activities of Daily Living Disabled Persons Socioeconomic Factors Health Inequalities |
description |
MINISTÉRIO DA SAÚDE |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018 |
dc.date.accessioned.fl_str_mv |
2022-08-17T18:40:49Z |
dc.date.available.fl_str_mv |
2022-08-17T18:40:49Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
ANDRADE, Fabíola Bof de et al. Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015. Rev. Saúde Pública, v. 52, Suppl 2, 14s, 2018. doi.org/10.11606/S1518-8787.2018052000617 |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/54686 |
dc.identifier.issn.pt_BR.fl_str_mv |
0034-8910 |
dc.identifier.doi.none.fl_str_mv |
10.11606/S1518-8787.2018052000617 |
identifier_str_mv |
ANDRADE, Fabíola Bof de et al. Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015. Rev. Saúde Pública, v. 52, Suppl 2, 14s, 2018. doi.org/10.11606/S1518-8787.2018052000617 0034-8910 10.11606/S1518-8787.2018052000617 |
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https://www.arca.fiocruz.br/handle/icict/54686 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Faculdade de Saúde Pública da Universidade de São Paulo |
publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
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reponame:Repositório Institucional da FIOCRUZ (ARCA) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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