Multimorbidity and use of health services in the oldest old in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | preprint |
Idioma: | por |
Título da fonte: | SciELO Preprints |
Texto Completo: | https://preprints.scielo.org/index.php/scielo/preprint/view/2914 |
Resumo: | Objective: To estimate the prevalence of multimorbidity in long-lived Brazilian elderly (age ≥80 years) and to relate it to the use of health services. Methods: Cross-sectional population-based study with data from the 2019 National Health Survey (n =6,098). They were estimated frequencies of use of services in the elderly with multimorbidity and according to sex, medical health insurance ownership, and self-rated health. The prevalence rates, crude and adjusted prevalence ratios, and the respective 95% confidence intervals were calculated. Results: The average age of the elderly was 85 years and about 62% were women; the prevalence of multimorbidity was 57.1%, higher in women, in those with health insurance, and residents in the southern region of the country (p <0.05). In the oldest old with multimorbidity, the use of services in the last 15 days reached 64.6%, and more than 70% were hospitalized in the last year or did not carry out activities in the previous two weeks for health reasons. Differences were observed for the indicators of service use in relation to sex, possession of medical health insurance, and self-rated health, according to multimorbidity. Conclusion: Indicators for the use of health services were higher in the elderly who accumulate two or more chronic diseases, regardless of sociodemographic conditions and self-rated health, showing the impact of multimorbidity per se in determining the use of services among oldest old. |
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Multimorbidity and use of health services in the oldest old in BrazilMultimorbidade e uso de serviços de saúde em idosos muito idosos no BrasilMultimorbidadeServiços de saúdeIdoso de 80 anos ou maisSaúde do idosoDoença crônicaInquéritos epidemiológicosMultimorbidityHealth servicesAged, 80 and overHealth of the elderlyChronic diseaseHealth surveysObjective: To estimate the prevalence of multimorbidity in long-lived Brazilian elderly (age ≥80 years) and to relate it to the use of health services. Methods: Cross-sectional population-based study with data from the 2019 National Health Survey (n =6,098). They were estimated frequencies of use of services in the elderly with multimorbidity and according to sex, medical health insurance ownership, and self-rated health. The prevalence rates, crude and adjusted prevalence ratios, and the respective 95% confidence intervals were calculated. Results: The average age of the elderly was 85 years and about 62% were women; the prevalence of multimorbidity was 57.1%, higher in women, in those with health insurance, and residents in the southern region of the country (p <0.05). In the oldest old with multimorbidity, the use of services in the last 15 days reached 64.6%, and more than 70% were hospitalized in the last year or did not carry out activities in the previous two weeks for health reasons. Differences were observed for the indicators of service use in relation to sex, possession of medical health insurance, and self-rated health, according to multimorbidity. Conclusion: Indicators for the use of health services were higher in the elderly who accumulate two or more chronic diseases, regardless of sociodemographic conditions and self-rated health, showing the impact of multimorbidity per se in determining the use of services among oldest old.Objetivo: Estimar a prevalência de multimorbidade em idosos longevos brasileiros (idade ≥80 anos), e relacioná-la com o uso de serviços de saúde. Métodos: Estudo transversal de base populacional com dados da Pesquisa Nacional de Saúde de 2019 (n=6.098). Foram estimadas as frequências de uso de serviços nos idosos com multimorbidade e segundo sexo, posse de plano de saúde médico e autoavaliação de saúde. Calcularam-se as prevalências e razões de prevalência brutas e ajustadas e respectivos intervalos de confiança de 95%. Resultados. A média de idade dos idosos foi de 85 anos e cerca de 62% eram mulheres; a prevalência de multimorbidade foi de 57,1%, maior nas mulheres, naqueles com plano de saúde, e nos residentes na região Sul do país (p<0,05). Nos muito idosos com multimorbidade, o uso de serviços nos últimos 15 dias alcançou 64,6%, e mais de 70% estiveram internados no último ano ou deixaram de realizar atividades nas duas semanas anteriores por motivo de saúde. Observaram-se diferenças para os indicadores de uso de serviços em relação ao sexo, posse de plano de saúde médico e autoavaliação de saúde, segundo multimorbidade. Conclusão. Os indicadores de uso de serviços de saúde foram mais elevados nos idosos que acumulam duas ou mais doenças crônicas, independente das condições sociodemográficas e da autoavaliação de saúde, denotando o impacto da multimorbidade per se na determinação do uso de serviços entre os idosos mais velhos.SciELO PreprintsSciELO PreprintsSciELO Preprints2021-09-10info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/291410.1590/1980-549720210014.supl.2porhttps://preprints.scielo.org/index.php/scielo/article/view/2914/5173Copyright (c) 2021 Priscila Maria Stolses Bergamo Francisco, Daniela de Assumpção, Aldiane Gomes de Macedo Bacurau, Diego Salvador Muniz da Silva, Deborah Carvalho Malta, Flávia Silva Arbex Borimhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFrancisco, Priscila Maria Stolses BergamoAssumpção, Daniela deBacurau, Aldiane Gomes de MacedoSilva, Diego Salvador Muniz daMalta, Deborah CarvalhoBorim, Flávia Silva Arbexreponame:SciELO Preprintsinstname:SciELOinstacron:SCI2021-09-08T21:14:05Zoai:ops.preprints.scielo.org:preprint/2914Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2021-09-08T21:14:05SciELO Preprints - SciELOfalse |
dc.title.none.fl_str_mv |
Multimorbidity and use of health services in the oldest old in Brazil Multimorbidade e uso de serviços de saúde em idosos muito idosos no Brasil |
title |
Multimorbidity and use of health services in the oldest old in Brazil |
spellingShingle |
Multimorbidity and use of health services in the oldest old in Brazil Francisco, Priscila Maria Stolses Bergamo Multimorbidade Serviços de saúde Idoso de 80 anos ou mais Saúde do idoso Doença crônica Inquéritos epidemiológicos Multimorbidity Health services Aged, 80 and over Health of the elderly Chronic disease Health surveys |
title_short |
Multimorbidity and use of health services in the oldest old in Brazil |
title_full |
Multimorbidity and use of health services in the oldest old in Brazil |
title_fullStr |
Multimorbidity and use of health services in the oldest old in Brazil |
title_full_unstemmed |
Multimorbidity and use of health services in the oldest old in Brazil |
title_sort |
Multimorbidity and use of health services in the oldest old in Brazil |
author |
Francisco, Priscila Maria Stolses Bergamo |
author_facet |
Francisco, Priscila Maria Stolses Bergamo Assumpção, Daniela de Bacurau, Aldiane Gomes de Macedo Silva, Diego Salvador Muniz da Malta, Deborah Carvalho Borim, Flávia Silva Arbex |
author_role |
author |
author2 |
Assumpção, Daniela de Bacurau, Aldiane Gomes de Macedo Silva, Diego Salvador Muniz da Malta, Deborah Carvalho Borim, Flávia Silva Arbex |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Francisco, Priscila Maria Stolses Bergamo Assumpção, Daniela de Bacurau, Aldiane Gomes de Macedo Silva, Diego Salvador Muniz da Malta, Deborah Carvalho Borim, Flávia Silva Arbex |
dc.subject.por.fl_str_mv |
Multimorbidade Serviços de saúde Idoso de 80 anos ou mais Saúde do idoso Doença crônica Inquéritos epidemiológicos Multimorbidity Health services Aged, 80 and over Health of the elderly Chronic disease Health surveys |
topic |
Multimorbidade Serviços de saúde Idoso de 80 anos ou mais Saúde do idoso Doença crônica Inquéritos epidemiológicos Multimorbidity Health services Aged, 80 and over Health of the elderly Chronic disease Health surveys |
description |
Objective: To estimate the prevalence of multimorbidity in long-lived Brazilian elderly (age ≥80 years) and to relate it to the use of health services. Methods: Cross-sectional population-based study with data from the 2019 National Health Survey (n =6,098). They were estimated frequencies of use of services in the elderly with multimorbidity and according to sex, medical health insurance ownership, and self-rated health. The prevalence rates, crude and adjusted prevalence ratios, and the respective 95% confidence intervals were calculated. Results: The average age of the elderly was 85 years and about 62% were women; the prevalence of multimorbidity was 57.1%, higher in women, in those with health insurance, and residents in the southern region of the country (p <0.05). In the oldest old with multimorbidity, the use of services in the last 15 days reached 64.6%, and more than 70% were hospitalized in the last year or did not carry out activities in the previous two weeks for health reasons. Differences were observed for the indicators of service use in relation to sex, possession of medical health insurance, and self-rated health, according to multimorbidity. Conclusion: Indicators for the use of health services were higher in the elderly who accumulate two or more chronic diseases, regardless of sociodemographic conditions and self-rated health, showing the impact of multimorbidity per se in determining the use of services among oldest old. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-09-10 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/preprint info:eu-repo/semantics/publishedVersion |
format |
preprint |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/preprint/view/2914 10.1590/1980-549720210014.supl.2 |
url |
https://preprints.scielo.org/index.php/scielo/preprint/view/2914 |
identifier_str_mv |
10.1590/1980-549720210014.supl.2 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/article/view/2914/5173 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO |
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SciELO Preprints |
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SciELO Preprints - SciELO |
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