Impact of clinical and socio-economic factors and self-perception of health on the functionality of the elderly
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Geriatrics, Gerontology and Aging (Online) |
Texto Completo: | https://ggaging.com/details/434 |
Resumo: | <p><b>OBJECTIVES:</b> Our objective was to verify factors determining the functional level of Brazilian elderly people.<br> <b>METHOD:</b> This is a secondary analysis of the 2013 National Health Survey (NHS) conducted by the Brazilian Institute of Geography and Statistics (IBGE). The association between functional levels and sociodemographic and clinical characteristics was tested by linear regression adjusted for self-perception of health (SPH) using the Epi Info™ program version 7.2.1. P-values lower than 0.05 were regarded as statistically significant. Functionality was assessed by a functional score developed based on the NHS questions.<br> <b> RESULTS:</b> Univariate analyses revealed that, except for ethnicity, all socio-economic and clinical variables were significantly related to ease of performing basic activities of daily living (BADL) and instrumental activities of daily living (IADL). Upon multiple linear regression analysis, the most significant variables were age, SPH, stroke, and mental illness (p < 0.001). SPH significantly explained the differences in IADL (5.1%, p < 0.01) and BADL (3.4%, p < 0.01) levels even when controlling for the other variables. Stroke and mental illness were related to lower functional scores, both in IADL (20.5%, p < 0.01 and 19.1%, p < 0.01, respectively) and in BADL (13.5%, p < 0.01 and 7.6%, p < 0.01, respectively).<br> <b> CONCLUSIONS:</b> The functional status of the elderly could be explained by constitutional factors (age) and modifiable variables (stroke, mental illness, and SPH), many of which still have a great impact on Brazilian morbidity and mortality. The highlight of SPH suggests that it may be an indicator of health care quality for the Brazilian elderly.</p> |
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Geriatrics, Gerontology and Aging (Online) |
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Impact of clinical and socio-economic factors and self-perception of health on the functionality of the elderlypublic health demographic aging health status health status indicators longevity activities of daily living.<p><b>OBJECTIVES:</b> Our objective was to verify factors determining the functional level of Brazilian elderly people.<br> <b>METHOD:</b> This is a secondary analysis of the 2013 National Health Survey (NHS) conducted by the Brazilian Institute of Geography and Statistics (IBGE). The association between functional levels and sociodemographic and clinical characteristics was tested by linear regression adjusted for self-perception of health (SPH) using the Epi Info™ program version 7.2.1. P-values lower than 0.05 were regarded as statistically significant. Functionality was assessed by a functional score developed based on the NHS questions.<br> <b> RESULTS:</b> Univariate analyses revealed that, except for ethnicity, all socio-economic and clinical variables were significantly related to ease of performing basic activities of daily living (BADL) and instrumental activities of daily living (IADL). Upon multiple linear regression analysis, the most significant variables were age, SPH, stroke, and mental illness (p < 0.001). SPH significantly explained the differences in IADL (5.1%, p < 0.01) and BADL (3.4%, p < 0.01) levels even when controlling for the other variables. Stroke and mental illness were related to lower functional scores, both in IADL (20.5%, p < 0.01 and 19.1%, p < 0.01, respectively) and in BADL (13.5%, p < 0.01 and 7.6%, p < 0.01, respectively).<br> <b> CONCLUSIONS:</b> The functional status of the elderly could be explained by constitutional factors (age) and modifiable variables (stroke, mental illness, and SPH), many of which still have a great impact on Brazilian morbidity and mortality. The highlight of SPH suggests that it may be an indicator of health care quality for the Brazilian elderly.</p>Sociedade Brasileira de Geriatria e Gerontologia2017-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttps://ggaging.com/details/434Geriatrics, Gerontology and Aging v.11 n.3 2017reponame:Geriatrics, Gerontology and Aging (Online)instname:Sociedade Brasileira de Geriatria e Gerontologiainstacron:SBGGinfo:eu-repo/semantics/openAccess Rocha,Josemara de Paula Oliveira,Gabriela Guimarães Neris,Jéssika Cefrin Dantas Bós,Antônio Miguel Gonçalves Bós,Ângelo José Gonçalveseng2017-07-01T00:00:00Zoai:ggaging.com:434Revistahttp://sbgg.org.br/publicacoes-cientificas/revista-geriatria-gerontologia/ONGhttps://old.scielo.br/oai/scielo-oai.phpexecutiveditors@ggaging.com||nacional@sbgg.org.br2447-21232447-2115opendoar:2017-07-01T00:00Geriatrics, Gerontology and Aging (Online) - Sociedade Brasileira de Geriatria e Gerontologiafalse |
dc.title.none.fl_str_mv |
Impact of clinical and socio-economic factors and self-perception of health on the functionality of the elderly |
title |
Impact of clinical and socio-economic factors and self-perception of health on the functionality of the elderly |
spellingShingle |
Impact of clinical and socio-economic factors and self-perception of health on the functionality of the elderly Rocha,Josemara de Paula public health demographic aging health status health status indicators longevity activities of daily living. |
title_short |
Impact of clinical and socio-economic factors and self-perception of health on the functionality of the elderly |
title_full |
Impact of clinical and socio-economic factors and self-perception of health on the functionality of the elderly |
title_fullStr |
Impact of clinical and socio-economic factors and self-perception of health on the functionality of the elderly |
title_full_unstemmed |
Impact of clinical and socio-economic factors and self-perception of health on the functionality of the elderly |
title_sort |
Impact of clinical and socio-economic factors and self-perception of health on the functionality of the elderly |
author |
Rocha,Josemara de Paula |
author_facet |
Rocha,Josemara de Paula Oliveira,Gabriela Guimarães Neris,Jéssika Cefrin Dantas Bós,Antônio Miguel Gonçalves Bós,Ângelo José Gonçalves |
author_role |
author |
author2 |
Oliveira,Gabriela Guimarães Neris,Jéssika Cefrin Dantas Bós,Antônio Miguel Gonçalves Bós,Ângelo José Gonçalves |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Rocha,Josemara de Paula Oliveira,Gabriela Guimarães Neris,Jéssika Cefrin Dantas Bós,Antônio Miguel Gonçalves Bós,Ângelo José Gonçalves |
dc.subject.por.fl_str_mv |
public health demographic aging health status health status indicators longevity activities of daily living. |
topic |
public health demographic aging health status health status indicators longevity activities of daily living. |
description |
<p><b>OBJECTIVES:</b> Our objective was to verify factors determining the functional level of Brazilian elderly people.<br> <b>METHOD:</b> This is a secondary analysis of the 2013 National Health Survey (NHS) conducted by the Brazilian Institute of Geography and Statistics (IBGE). The association between functional levels and sociodemographic and clinical characteristics was tested by linear regression adjusted for self-perception of health (SPH) using the Epi Info™ program version 7.2.1. P-values lower than 0.05 were regarded as statistically significant. Functionality was assessed by a functional score developed based on the NHS questions.<br> <b> RESULTS:</b> Univariate analyses revealed that, except for ethnicity, all socio-economic and clinical variables were significantly related to ease of performing basic activities of daily living (BADL) and instrumental activities of daily living (IADL). Upon multiple linear regression analysis, the most significant variables were age, SPH, stroke, and mental illness (p < 0.001). SPH significantly explained the differences in IADL (5.1%, p < 0.01) and BADL (3.4%, p < 0.01) levels even when controlling for the other variables. Stroke and mental illness were related to lower functional scores, both in IADL (20.5%, p < 0.01 and 19.1%, p < 0.01, respectively) and in BADL (13.5%, p < 0.01 and 7.6%, p < 0.01, respectively).<br> <b> CONCLUSIONS:</b> The functional status of the elderly could be explained by constitutional factors (age) and modifiable variables (stroke, mental illness, and SPH), many of which still have a great impact on Brazilian morbidity and mortality. The highlight of SPH suggests that it may be an indicator of health care quality for the Brazilian elderly.</p> |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-07-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ggaging.com/details/434 |
url |
https://ggaging.com/details/434 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Geriatria e Gerontologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Geriatria e Gerontologia |
dc.source.none.fl_str_mv |
Geriatrics, Gerontology and Aging v.11 n.3 2017 reponame:Geriatrics, Gerontology and Aging (Online) instname:Sociedade Brasileira de Geriatria e Gerontologia instacron:SBGG |
instname_str |
Sociedade Brasileira de Geriatria e Gerontologia |
instacron_str |
SBGG |
institution |
SBGG |
reponame_str |
Geriatrics, Gerontology and Aging (Online) |
collection |
Geriatrics, Gerontology and Aging (Online) |
repository.name.fl_str_mv |
Geriatrics, Gerontology and Aging (Online) - Sociedade Brasileira de Geriatria e Gerontologia |
repository.mail.fl_str_mv |
executiveditors@ggaging.com||nacional@sbgg.org.br |
_version_ |
1797174502080118784 |