Associations between negative self-rated health and macro-structural, social and health vulnerability in elderly people: Fibra Study, Campinas, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | PAJAR - Pan American Journal of Aging Research |
Texto Completo: | https://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/21011 |
Resumo: | Purpose: This study was aimed at investigating associations between negative self-rated health and macro-structural (access and use of medical, hospitalar and odontological services, as well as consumption of medicines), social (sex, age, schooling, individual income, living arrangements, expectancy of care, and social participation), and health indicators (chronic diseases, signals and symptoms, functional problems to feeding, cardiovascular risk, frailty, depressive symptoms, and cognitive status) in Brazilian elderly recruited in the community. Methods: Participants were 2.597 seniors (65,7% women), aged 65 and above (M=72,4±5,6), without cognitive deficit suggestive of dementia. They integrated the probabilistic samples from 7 Brazilian cities selected by convenience. The variables were assessed by self-report, anthropometric and performance instruments and measures. Results: Multivariate analyses of regression showed significant associations (p≤0,05) between self-rated health and having 3 or more signals and symptoms (OR=2,42), 3 or more functional problems to feeding (OR=2,30), individual income ≤ 3 MW (OR=2,17), no visits to the dentist in the last year (OR=2,09), consumption of 3 or more medicines (OR=2,02), 3 or more chronic illnesses (OR=2,00), illiteracy (OR=1,58), more than 4 nights of hospitalization (OR=1,17), and use of public health services (OR=1,06). Conclusions: In multiple interaction, macro-structural, social and health indicators of vulnerability can generate a vicious cycle of deleterious influences over old people´s quality of life, which tend to reflect in negative self-rated health. |
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Associations between negative self-rated health and macro-structural, social and health vulnerability in elderly people: Fibra Study, Campinas, BrazilAssociações entre autoavaliações negativas de saúde e vulnerabilidade macroestrutural, social e de saúde em idosos: Estudo Fibra, Campinas, BrasilAging healthSelf-rated healthAgedsocioeconomic factorsHealth vulnerabilityLiving conditions.Saúde do idosoAutopercepçãoIdosofatores socioeconômicosVulnerabilidade em saúdeCondições de vida.Purpose: This study was aimed at investigating associations between negative self-rated health and macro-structural (access and use of medical, hospitalar and odontological services, as well as consumption of medicines), social (sex, age, schooling, individual income, living arrangements, expectancy of care, and social participation), and health indicators (chronic diseases, signals and symptoms, functional problems to feeding, cardiovascular risk, frailty, depressive symptoms, and cognitive status) in Brazilian elderly recruited in the community. Methods: Participants were 2.597 seniors (65,7% women), aged 65 and above (M=72,4±5,6), without cognitive deficit suggestive of dementia. They integrated the probabilistic samples from 7 Brazilian cities selected by convenience. The variables were assessed by self-report, anthropometric and performance instruments and measures. Results: Multivariate analyses of regression showed significant associations (p≤0,05) between self-rated health and having 3 or more signals and symptoms (OR=2,42), 3 or more functional problems to feeding (OR=2,30), individual income ≤ 3 MW (OR=2,17), no visits to the dentist in the last year (OR=2,09), consumption of 3 or more medicines (OR=2,02), 3 or more chronic illnesses (OR=2,00), illiteracy (OR=1,58), more than 4 nights of hospitalization (OR=1,17), and use of public health services (OR=1,06). Conclusions: In multiple interaction, macro-structural, social and health indicators of vulnerability can generate a vicious cycle of deleterious influences over old people´s quality of life, which tend to reflect in negative self-rated health.Objetivo: Investigar associações entre avaliações negativas de saúde e indicadores de vulnerabilidade estrutural (acesso e uso de serviços médicos, hospitalares e odontológicos e consumo de medicamentos), social (sexo, idade, escolaridade, renda pessoal, arranjos de domicílio, expectativa de cuidado e envolvimento social), e de saúde (doenças crônicas, sinais e sintomas, problemas funcionais para alimentação, risco cardiovascular, fragilidade, sintomas depressivos e status cognitivo), em idosos brasileiros recrutados na comunidade. Métodos: Participaram 2.597 idosos (65,7% mulheres, com 65 anos e mais (M=72,4±5,6), sem déficit cognitivo sugestivo de demência, integrantes de amostras probabilísticas de 7 cidades brasileiras selecionadas por conveniência. As variáveis de interesse foram avaliadas por meio de medidas de autorrelato, antropométricas e de desempenho. Resultados: Análise multivariada de regressão mostrou associações significantes (p≤0,05) entre autoavaliação negativa de saúde e 3 ou mais sinais e sintomas (OR=2,42), 3 ou mais problemas funcionais para alimentação (OR=2,30), renda ≤ 3 SM (OR=2,17), não ter ido ao dentista no ano anterior (OR=2,09), consumo de 3 ou mais remédios (OR=2,02), 3 ou mais doenças crônicas (OR=2,00), analfabetismo (OR=1,58), 4 ou mais noites de hospitalização (OR=1,17) e uso de serviços públicos de saúde (OR=1,06). Conclusões: Em interação múltipla, indicadores de vulnerabilidade estrutural, social e em saúde criam um círculo vicioso de influências deletérias à qualidade de vida dos idosos, que tendem a se refletir em autoavaliações negativas de saúde.Editora da PUCRS - ediPUCRS2015-10-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/2101110.15448/2357-9641.2014.2.21011PAJAR - Pan American Journal of Aging Research; Vol. 2 No. 2 (2014): The Interdisciplinary Graduate Program in Aging; 44-53PAJAR - Pan-American Journal of Aging Research; Vol. 2 Núm. 2 (2014): Os Programas de Pós-graduação Interdisciplinares em Envelhecimento; 44-53PAJAR - Pan-American Journal of Aging Research; v. 2 n. 2 (2014): Os Programas de Pós-graduação Interdisciplinares em Envelhecimento; 44-532357-964110.15448/2357-9641.2014.2reponame:PAJAR - Pan American Journal of Aging Researchinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUCRSporhttps://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/21011/13604Copyright (c) 2015 PAJAR - Pan-American Journal of Aging Researchinfo:eu-repo/semantics/openAccessNeri, Anita LiberalessoYassuda, Monica SanchesFattori, AndréGuariento, Maria ElenaBorim, Flávia Silva Arbex2015-12-16T16:08:59Zoai:ojs.revistaseletronicas.pucrs.br:article/21011Revistahttp://revistaseletronicas.pucrs.br/ojs/index.php/pajar/about/editorialTeamPRIhttp://revistaseletronicas.pucrs.br/ojs/index.php/pajar/oaicataldo@pucrs.br||pajar@pucrs.br2357-96412357-9641opendoar:2015-12-16T16:08:59PAJAR - Pan American Journal of Aging Research - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Associations between negative self-rated health and macro-structural, social and health vulnerability in elderly people: Fibra Study, Campinas, Brazil Associações entre autoavaliações negativas de saúde e vulnerabilidade macroestrutural, social e de saúde em idosos: Estudo Fibra, Campinas, Brasil |
title |
Associations between negative self-rated health and macro-structural, social and health vulnerability in elderly people: Fibra Study, Campinas, Brazil |
spellingShingle |
Associations between negative self-rated health and macro-structural, social and health vulnerability in elderly people: Fibra Study, Campinas, Brazil Neri, Anita Liberalesso Aging health Self-rated health Aged socioeconomic factors Health vulnerability Living conditions. Saúde do idoso Autopercepção Idoso fatores socioeconômicos Vulnerabilidade em saúde Condições de vida. |
title_short |
Associations between negative self-rated health and macro-structural, social and health vulnerability in elderly people: Fibra Study, Campinas, Brazil |
title_full |
Associations between negative self-rated health and macro-structural, social and health vulnerability in elderly people: Fibra Study, Campinas, Brazil |
title_fullStr |
Associations between negative self-rated health and macro-structural, social and health vulnerability in elderly people: Fibra Study, Campinas, Brazil |
title_full_unstemmed |
Associations between negative self-rated health and macro-structural, social and health vulnerability in elderly people: Fibra Study, Campinas, Brazil |
title_sort |
Associations between negative self-rated health and macro-structural, social and health vulnerability in elderly people: Fibra Study, Campinas, Brazil |
author |
Neri, Anita Liberalesso |
author_facet |
Neri, Anita Liberalesso Yassuda, Monica Sanches Fattori, André Guariento, Maria Elena Borim, Flávia Silva Arbex |
author_role |
author |
author2 |
Yassuda, Monica Sanches Fattori, André Guariento, Maria Elena Borim, Flávia Silva Arbex |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Neri, Anita Liberalesso Yassuda, Monica Sanches Fattori, André Guariento, Maria Elena Borim, Flávia Silva Arbex |
dc.subject.por.fl_str_mv |
Aging health Self-rated health Aged socioeconomic factors Health vulnerability Living conditions. Saúde do idoso Autopercepção Idoso fatores socioeconômicos Vulnerabilidade em saúde Condições de vida. |
topic |
Aging health Self-rated health Aged socioeconomic factors Health vulnerability Living conditions. Saúde do idoso Autopercepção Idoso fatores socioeconômicos Vulnerabilidade em saúde Condições de vida. |
description |
Purpose: This study was aimed at investigating associations between negative self-rated health and macro-structural (access and use of medical, hospitalar and odontological services, as well as consumption of medicines), social (sex, age, schooling, individual income, living arrangements, expectancy of care, and social participation), and health indicators (chronic diseases, signals and symptoms, functional problems to feeding, cardiovascular risk, frailty, depressive symptoms, and cognitive status) in Brazilian elderly recruited in the community. Methods: Participants were 2.597 seniors (65,7% women), aged 65 and above (M=72,4±5,6), without cognitive deficit suggestive of dementia. They integrated the probabilistic samples from 7 Brazilian cities selected by convenience. The variables were assessed by self-report, anthropometric and performance instruments and measures. Results: Multivariate analyses of regression showed significant associations (p≤0,05) between self-rated health and having 3 or more signals and symptoms (OR=2,42), 3 or more functional problems to feeding (OR=2,30), individual income ≤ 3 MW (OR=2,17), no visits to the dentist in the last year (OR=2,09), consumption of 3 or more medicines (OR=2,02), 3 or more chronic illnesses (OR=2,00), illiteracy (OR=1,58), more than 4 nights of hospitalization (OR=1,17), and use of public health services (OR=1,06). Conclusions: In multiple interaction, macro-structural, social and health indicators of vulnerability can generate a vicious cycle of deleterious influences over old people´s quality of life, which tend to reflect in negative self-rated health. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-10-27 |
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://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/21011 10.15448/2357-9641.2014.2.21011 |
url |
https://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/21011 |
identifier_str_mv |
10.15448/2357-9641.2014.2.21011 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/21011/13604 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2015 PAJAR - Pan-American Journal of Aging Research info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2015 PAJAR - Pan-American Journal of Aging Research |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
PAJAR - Pan American Journal of Aging Research; Vol. 2 No. 2 (2014): The Interdisciplinary Graduate Program in Aging; 44-53 PAJAR - Pan-American Journal of Aging Research; Vol. 2 Núm. 2 (2014): Os Programas de Pós-graduação Interdisciplinares em Envelhecimento; 44-53 PAJAR - Pan-American Journal of Aging Research; v. 2 n. 2 (2014): Os Programas de Pós-graduação Interdisciplinares em Envelhecimento; 44-53 2357-9641 10.15448/2357-9641.2014.2 reponame:PAJAR - Pan American Journal of Aging Research instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUCRS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUCRS |
institution |
PUCRS |
reponame_str |
PAJAR - Pan American Journal of Aging Research |
collection |
PAJAR - Pan American Journal of Aging Research |
repository.name.fl_str_mv |
PAJAR - Pan American Journal of Aging Research - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
cataldo@pucrs.br||pajar@pucrs.br |
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1797174625297235968 |