Is cognitive decline in the elderly associated with contextual income? Results of a population-based study in southern Brazil

Detalhes bibliográficos
Autor(a) principal: Ana Lúcia Danielewicz
Data de Publicação: 2016
Outros Autores: Katia Jakovljevic Pudla Wagner, Eleonora d'Orsi, Antonio Fernando Boing
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6067
Resumo: 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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spelling Is cognitive decline in the elderly associated with contextual income? Results of a population-based study in southern BrazilCognition DisordersSocial ClassAgedThe 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.El objetivo del estudio fue estimar la asociación entre la renta contextual y el declive cognitivo de ancianos en Florianópolis, municipio de tamaño medio del sur de Brasil. Se realizó un estudio transversal con una cohorte de ancianos. Se entrevistaron a 1.197 ancianos (≥ 60 años) en la segunda serie (2013/2014) de la cohorte EpiFloripa. El declive cognitivo se evaluó mediante un Mini Examen del Estado Mental (MEEM) y la renta contextual por el rendimiento medio mensual de los responsables de los domicilios. Las variables individuales de ajuste fueron sexo, edad, color de piel, renta domiciliaria per cápita, años de estudio y tiempo de residencia en el barrio. Los datos fueron analizados mediante regresión logística multinivel. La oportunidad de declive cognitivo fue dos veces mayor (OR = 1,99; IC95%: 1,03; 3,87) en los ancianos residentes en los sectores de menor quintil de renta, cuando se comparan con los de mayor quintil, independiente de las características individuales. Se concluyó que el ambiente socioeconómico está relacionado con el declive cognitivo y debe ser considerado en políticas públicas centradas en la promoción de salud de los ancianos.O objetivo do estudo foi estimar a associação entre a renda contextual e o declínio cognitivo de idosos em Florianópolis, município de médio porte do Sul do Brasil. Realizou-se um estudo transversal aninhado numa coorte de idosos. Entrevistaram-se 1.197 indivíduos (≥ 60 anos) na segunda onda (2013/2014) da coorte EpiFloripa. O declínio cognitivo foi avaliado por meio do Mini Exame do Estado Mental (MEEM) e a renda contextual pelo rendimento médio mensal dos responsáveis pelos domicílios. As variáveis individuais de ajuste foram sexo, idade, cor da pele, renda domiciliar per capita, anos de estudos e tempo de moradia no bairro. Os dados foram analisados valendo-se de regressão logística multinível. A chance de declínio cognitivo foi duas vezes maior (OR = 1,99; IC95%: 1,03; 3,87) entre os idosos residentes nos setores do menor quintil de renda, quando comparados aos do maior quintil, independentemente das características individuais. Concluiu-se que o ambiente socioeconômico está relacionado ao declínio cognitivo e deve ser considerado em políticas públicas com foco na promoção da saúde dos idosos.Reports in Public HealthCadernos de Saúde Pública2016-05-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6067Reports in Public Health; Vol. 32 No. 5 (2016): MayCadernos de Saúde Pública; v. 32 n. 5 (2016): Maio1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6067/12790https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6067/12791Ana Lúcia DanielewiczKatia Jakovljevic Pudla WagnerEleonora d'OrsiAntonio Fernando Boinginfo:eu-repo/semantics/openAccess2024-03-06T15:29:05Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/6067Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:06:56.165938Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
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
Ana Lúcia Danielewicz
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 Ana Lúcia Danielewicz
author_facet Ana Lúcia Danielewicz
Katia Jakovljevic Pudla Wagner
Eleonora d'Orsi
Antonio Fernando Boing
author_role author
author2 Katia Jakovljevic Pudla Wagner
Eleonora d'Orsi
Antonio Fernando Boing
author2_role author
author
author
dc.contributor.author.fl_str_mv Ana Lúcia Danielewicz
Katia Jakovljevic Pudla Wagner
Eleonora d'Orsi
Antonio Fernando Boing
dc.subject.por.fl_str_mv Cognition Disorders
Social Class
Aged
topic Cognition Disorders
Social Class
Aged
description 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 2016-05-13
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://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6067
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6067
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6067/12790
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6067/12791
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 32 No. 5 (2016): May
Cadernos de Saúde Pública; v. 32 n. 5 (2016): Maio
1678-4464
0102-311X
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
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