Predictive factors for institutionalization of the elderly: a case-control study
Autor(a) principal: | |
---|---|
Data de Publicação: | 2012 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/33087 |
Resumo: | OBJECTIVE: To identify predictive indicators of institutionalization of the elderly. METHODS: A case-control study was carried out with 991 elderly individuals in the city of Pelotas, (Southern Brazil), from 2007 to 2008. The cases of institutionalized elderly adults (n = 393) were detected using a census of all long-stay institutions for the elderly in the city. The population controls (n = 598) were randomly selected using a comprehensive health survey. Pearson's chi-square test and linear trends were used to compare groups in the crude analysis; and the binary logistic regression model of the adjusted analysis, with the effects expressed as odds ratios. RESULTS: Institutionalization was more frequent in females (OR = 1.96, 95%CI 1.31, 2.95). Elderly with advanced age (OR = 3.23 and OR = 9.56 for age groups 70-79 and >; 80 years, respectively), those who lived without a partner (single, divorced or widowed), and those who had no formal schooling or had a functional disability preventing them from performing basic activities for daily living were more likely to be institutionalized. An inverse trend between the incidence of elderly institutionalization and the level of physical activity was observed, where somewhat active and inactive subjects were more likely to be institutionalized (OR = 1.71 and OR = 4.73, respectively). CONCLUSIONS: Of the factors examined, age >; 80 years, living without a partner and being physically inactive were the indicators most strongly associated with institutionalization. The encouragement of informal care through cultural and educational activities focused on the role of the family in caring for the elderly can prevent the institutionalization of these individuals. |
id |
USP-23_1af7d7239696a401a07f3aa864d433f2 |
---|---|
oai_identifier_str |
oai:revistas.usp.br:article/33087 |
network_acronym_str |
USP-23 |
network_name_str |
Revista de Saúde Pública |
repository_id_str |
|
spelling |
Predictive factors for institutionalization of the elderly: a case-control study Indicadores de la institucionalización de ancianos: estudio de casos y controles Indicadores da institucionalização de idosos: estudo de casos e controles IdosoEnvelhecimentoInstituição de Longa Permanência para IdososFatores de RiscoEstudos de Casos e ControlesSaúde do idoso institucionalizadoAncianoEnvejecimientoHogares para AncianosFactores de RiesgoEstudios de Casos y ControlesSalud del Anciano InstitucionalizadoAgedAgingHomes for the AgedRisk FactorsCase-Control StudiesHealth of institutionalized elderly OBJECTIVE: To identify predictive indicators of institutionalization of the elderly. METHODS: A case-control study was carried out with 991 elderly individuals in the city of Pelotas, (Southern Brazil), from 2007 to 2008. The cases of institutionalized elderly adults (n = 393) were detected using a census of all long-stay institutions for the elderly in the city. The population controls (n = 598) were randomly selected using a comprehensive health survey. Pearson's chi-square test and linear trends were used to compare groups in the crude analysis; and the binary logistic regression model of the adjusted analysis, with the effects expressed as odds ratios. RESULTS: Institutionalization was more frequent in females (OR = 1.96, 95%CI 1.31, 2.95). Elderly with advanced age (OR = 3.23 and OR = 9.56 for age groups 70-79 and >; 80 years, respectively), those who lived without a partner (single, divorced or widowed), and those who had no formal schooling or had a functional disability preventing them from performing basic activities for daily living were more likely to be institutionalized. An inverse trend between the incidence of elderly institutionalization and the level of physical activity was observed, where somewhat active and inactive subjects were more likely to be institutionalized (OR = 1.71 and OR = 4.73, respectively). CONCLUSIONS: Of the factors examined, age >; 80 years, living without a partner and being physically inactive were the indicators most strongly associated with institutionalization. The encouragement of informal care through cultural and educational activities focused on the role of the family in caring for the elderly can prevent the institutionalization of these individuals. OBJETIVO: Identificar indicadores de la institucionalización de ancianos. METHODS: Estudio de casos y controles con 991 ancianos en Pelotas, Sur de Brasil, de 2007 a 2008. Los casos (ancianos institucionalizados; n=393) fueron detectados por medio de un censo en todas las instituciones de larga permanencia para ancianos de la ciudad. Los controles poblacionales (n=598) fueron seleccionados de forma aleatoria, por medio de una amplia pesquisa de salud. En la comparación de los grupos, se emplearon las pruebas chi-cuadrado de Pearson y tendencia linear en el análisis bruto y el modelo de regresión logístico binario en el análisis ajustado, con medidas de efecto expresadas en odds ratio (OR). RESULTS: La institucionalización fue más frecuente en el sexo femenino (OR=1,96; IC95% 1,31;2,95). Ancianos con edad avanzada (OR=3,23 y OR=9,56) para grupos etáreos de 70-79 y >; 80 años, respectivamente), que vivían sin compañero (solteros, separados y viudos), no poseían escolaridad formal y presentaban incapacidad funcional para actividades básicas de la vida diaria, presentaron mayor probabilidad de institucionalización. Se observó tendencia inversa entre la ocurrencia de institucionalización del anciano y el nivel de actividad física, donde sujetos poco activos e inactivos presentaron mayores probabilidades de institucionalización (OR=1,71 y OR=4,73, respectivamente). CONCLUSIONS: Entre todas las características investigadas en los ancianos, edad >; 80 años, vivir sin compañero y ser físicamente inactivo fueron los indicadores más fuertemente asociados a la ocurrencia de institucionalización. El incentivo al cuidado informal, a partir de acciones educativas y culturales enfocadas en el papel de la familia para el anciano puede impedir la institucionalización de esos individuos. OBJETIVO: Identificar indicadores da institucionalização de idosos. MÉTODOS: Estudo de casos e controles com 991 idosos em Pelotas, RS, de 2007 a 2008. Os casos (idosos institucionalizados; n = 393) foram detectados por meio de um censo em todas as instituições de longa permanência para idosos da cidade. Os controles populacionais (n = 598) foram selecionados de forma aleatória, por meio de um amplo inquérito de saúde. Na comparação dos grupos, foram empregados os testes qui-quadrado de Pearson e tendência linear na análise bruta e o modelo de regressão logística binária na análise ajustada, com medidas de efeito expressas em odds ratio. RESULTADOS: A institucionalização foi mais freqüente no sexo feminino (OR = 1,96; IC95% 1,31;2,95). Idosos com idade avançada (OR = 3,23 e OR = 9,56 para faixas etárias de 70-79 e >; 80 anos, respectivamente), que viviam sem companheiro (solteiros, separados e viúvos), não possuíam escolaridade formal e apresentavam incapacidade funcional para atividades básicas da vida diária apresentaram maior probabilidade de institucionalização. Observou-se tendência inversa entre a ocorrência de institucionalização do idoso e o nível de atividade física, em que sujeitos pouco ativos e inativos apresentaram maiores probabilidades de institucionalização (OR = 1,71 e OR = 4,73, respectivamente). CONCLUSÕES: Dentre todas as características investigadas nos idosos, idade >; 80 anos, viver sem companheiro e ser fisicamente inativo foram os indicadores mais fortemente associados à ocorrência de institucionalização. O incentivo ao cuidado informal, a partir de ações educativas e culturais focadas no papel da família para o idoso, pode impedir a institucionalização desses indivíduos. Universidade de São Paulo. Faculdade de Saúde Pública2012-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3308710.1590/S0034-89102012000100018Revista de Saúde Pública; Vol. 46 No. 1 (2012); 147-153 Revista de Saúde Pública; Vol. 46 Núm. 1 (2012); 147-153 Revista de Saúde Pública; v. 46 n. 1 (2012); 147-153 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/33087/35792https://www.revistas.usp.br/rsp/article/view/33087/35793Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessDel Duca, Giovâni FirpoSilva, Shana Ginar daThumé, ElaineSantos, Iná SHallal, Pedro C2012-07-11T23:08:37Zoai:revistas.usp.br:article/33087Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-11T23:08:37Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Predictive factors for institutionalization of the elderly: a case-control study Indicadores de la institucionalización de ancianos: estudio de casos y controles Indicadores da institucionalização de idosos: estudo de casos e controles |
title |
Predictive factors for institutionalization of the elderly: a case-control study |
spellingShingle |
Predictive factors for institutionalization of the elderly: a case-control study Del Duca, Giovâni Firpo Idoso Envelhecimento Instituição de Longa Permanência para Idosos Fatores de Risco Estudos de Casos e Controles Saúde do idoso institucionalizado Anciano Envejecimiento Hogares para Ancianos Factores de Riesgo Estudios de Casos y Controles Salud del Anciano Institucionalizado Aged Aging Homes for the Aged Risk Factors Case-Control Studies Health of institutionalized elderly |
title_short |
Predictive factors for institutionalization of the elderly: a case-control study |
title_full |
Predictive factors for institutionalization of the elderly: a case-control study |
title_fullStr |
Predictive factors for institutionalization of the elderly: a case-control study |
title_full_unstemmed |
Predictive factors for institutionalization of the elderly: a case-control study |
title_sort |
Predictive factors for institutionalization of the elderly: a case-control study |
author |
Del Duca, Giovâni Firpo |
author_facet |
Del Duca, Giovâni Firpo Silva, Shana Ginar da Thumé, Elaine Santos, Iná S Hallal, Pedro C |
author_role |
author |
author2 |
Silva, Shana Ginar da Thumé, Elaine Santos, Iná S Hallal, Pedro C |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Del Duca, Giovâni Firpo Silva, Shana Ginar da Thumé, Elaine Santos, Iná S Hallal, Pedro C |
dc.subject.por.fl_str_mv |
Idoso Envelhecimento Instituição de Longa Permanência para Idosos Fatores de Risco Estudos de Casos e Controles Saúde do idoso institucionalizado Anciano Envejecimiento Hogares para Ancianos Factores de Riesgo Estudios de Casos y Controles Salud del Anciano Institucionalizado Aged Aging Homes for the Aged Risk Factors Case-Control Studies Health of institutionalized elderly |
topic |
Idoso Envelhecimento Instituição de Longa Permanência para Idosos Fatores de Risco Estudos de Casos e Controles Saúde do idoso institucionalizado Anciano Envejecimiento Hogares para Ancianos Factores de Riesgo Estudios de Casos y Controles Salud del Anciano Institucionalizado Aged Aging Homes for the Aged Risk Factors Case-Control Studies Health of institutionalized elderly |
description |
OBJECTIVE: To identify predictive indicators of institutionalization of the elderly. METHODS: A case-control study was carried out with 991 elderly individuals in the city of Pelotas, (Southern Brazil), from 2007 to 2008. The cases of institutionalized elderly adults (n = 393) were detected using a census of all long-stay institutions for the elderly in the city. The population controls (n = 598) were randomly selected using a comprehensive health survey. Pearson's chi-square test and linear trends were used to compare groups in the crude analysis; and the binary logistic regression model of the adjusted analysis, with the effects expressed as odds ratios. RESULTS: Institutionalization was more frequent in females (OR = 1.96, 95%CI 1.31, 2.95). Elderly with advanced age (OR = 3.23 and OR = 9.56 for age groups 70-79 and >; 80 years, respectively), those who lived without a partner (single, divorced or widowed), and those who had no formal schooling or had a functional disability preventing them from performing basic activities for daily living were more likely to be institutionalized. An inverse trend between the incidence of elderly institutionalization and the level of physical activity was observed, where somewhat active and inactive subjects were more likely to be institutionalized (OR = 1.71 and OR = 4.73, respectively). CONCLUSIONS: Of the factors examined, age >; 80 years, living without a partner and being physically inactive were the indicators most strongly associated with institutionalization. The encouragement of informal care through cultural and educational activities focused on the role of the family in caring for the elderly can prevent the institutionalization of these individuals. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-02-01 |
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://www.revistas.usp.br/rsp/article/view/33087 10.1590/S0034-89102012000100018 |
url |
https://www.revistas.usp.br/rsp/article/view/33087 |
identifier_str_mv |
10.1590/S0034-89102012000100018 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/33087/35792 https://www.revistas.usp.br/rsp/article/view/33087/35793 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 46 No. 1 (2012); 147-153 Revista de Saúde Pública; Vol. 46 Núm. 1 (2012); 147-153 Revista de Saúde Pública; v. 46 n. 1 (2012); 147-153 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221792736903168 |