Factors associated with functional disability of elderly in Brazil: a multilevel analysis

Detalhes bibliográficos
Autor(a) principal: Alves, Luciana Correia
Data de Publicação: 2010
Outros Autores: Leite, Iúri da Costa, Machado, Carla Jorge
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32792
Resumo: OBJECTIVE: To analyze the influence of demographic, socioeconomic, health, and contextual factors of the Brazilian federation units on the functional disability of the elderly. METHODS: Cross-sectional study based on data from the 2003 PNAD (Brazilian National Household Survey), of IBGE (Brazilian Institute of Geography and Statistics) and Ipea (Institute of Applied Economic Research). The sample was composed of 33,515 individuals aged 60 years and older. The dependent variable was functional disability, measured by difficulty in climbing slopes or stairs. The independent variables were divided into two levels: individual (demographic, socioeconomic and health-related characteristics) and contextual (Gini Index and Gross Domestic Product per capita by Brazilian state in 2000). A multinomial and multilevel logistic regression model was utilized in order to estimate the effect of the independent variables on the functional disability of the elderly. RESULTS: Functional disability was associated with demographic, socioeconomic and health factors. At the individual level, sex, level of schooling, income, occupation, self-perception of health and chronic diseases were the factors that were most strongly related to functional disability. At the contextual level, income inequality proved to exert an important influence. CONCLUSIONS: Self-perception of health is the factor that is most strongly related to the functional disability of the elderly in Brazil, followed by chronic diseases. Sex, occupation, level of schooling and income are also highly associated with it. Actions that approach the main factors associated with functional disability can contribute significantly to the well-being and quality of life of the elderly.
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spelling Factors associated with functional disability of elderly in Brazil: a multilevel analysis Factores asociados a la incapacidad funcional de los ancianos en Brasil: análisis multinivel Fatores associados à incapacidade funcional dos idosos no Brasil: análise multinível IdosoIdoso FragilizadoCapacidade funcionalFatores SocioeconômicosAnálise MultinívelEstudos TransversaisSaúde do IdosoQualidade de VidaAncianoAnciano FrágilAcondicionamiento FísicoCapacidad funcionalFactores SocioeconómicosAnálisis MultinivelEstudios TransversalesSalud del AncianoCalidad de VidaAgedFrail ElderlyFunctional CapacitySocioeconomic FactorsMultilevel AnalysisCross-Sectional StudiesHealth of the ElderlyQuality of Life OBJECTIVE: To analyze the influence of demographic, socioeconomic, health, and contextual factors of the Brazilian federation units on the functional disability of the elderly. METHODS: Cross-sectional study based on data from the 2003 PNAD (Brazilian National Household Survey), of IBGE (Brazilian Institute of Geography and Statistics) and Ipea (Institute of Applied Economic Research). The sample was composed of 33,515 individuals aged 60 years and older. The dependent variable was functional disability, measured by difficulty in climbing slopes or stairs. The independent variables were divided into two levels: individual (demographic, socioeconomic and health-related characteristics) and contextual (Gini Index and Gross Domestic Product per capita by Brazilian state in 2000). A multinomial and multilevel logistic regression model was utilized in order to estimate the effect of the independent variables on the functional disability of the elderly. RESULTS: Functional disability was associated with demographic, socioeconomic and health factors. At the individual level, sex, level of schooling, income, occupation, self-perception of health and chronic diseases were the factors that were most strongly related to functional disability. At the contextual level, income inequality proved to exert an important influence. CONCLUSIONS: Self-perception of health is the factor that is most strongly related to the functional disability of the elderly in Brazil, followed by chronic diseases. Sex, occupation, level of schooling and income are also highly associated with it. Actions that approach the main factors associated with functional disability can contribute significantly to the well-being and quality of life of the elderly. OBJETIVO: Analizar la influencia de los factores demográficos, socioeconómicos, de condiciones de salud y del contexto de las unidades de la federación en la incapacidad funcional de los ancianos. MÉTODOS: Estudio transversal que utilizó datos de la Pesquisa Nacional por Muestra de Domicilio (PNAD) de 2003, del Instituto Brasilero de Geografía y Estadística y del Instituto de Pesquisa Económica Aplicada. La muestra fue constituida de 33.515 individuos con 60 años o más de edad. La variable dependiente fue la incapacidad funcional, medida por la dificultad para subir ladera o escalera. Las variables independientes fueron divididas en dos niveles: individual (características demográficas, socioeconómicas y relativas a la salud) y de contexto (Índice de Gini y Producto Interno Bruto per capita por unidad federación en 2000). Un modelo de regresión logística multinomial multinivel fue utilizado para estimar el efecto de las variables independientes en la incapacidad funcional de los ancianos. RESULTADOS: La incapacidad funcional fue asociada con factores demográficos, socioeconómicos y de salud. En nivel individual, el sexo, la educación, la renta, la ocupación la autopercepción de salud y las enfermedades crónicas fueron los factores más fuertemente relacionados. En nivel de contexto, la desigualdad de renta exhibió una importante influencia. CONCLUSIONES: La autopercepción de salud es el factor más fuertemente relacionado con la incapacidad funcional de los ancianos en Brasil, seguido por las enfermedades crónicas. Sexo, ocupación, escolaridad y renta también son altamente asociados. Acciones que abordan los principales factores asociados a la incapacidad funcional pueden contribuir significativamente para el bienestar y calidad de vida de los ancianos. OBJETIVO: Analisar a influência dos fatores demográficos, socioeconômicos, de condições de saúde e do contexto das unidades da federação na incapacidade funcional dos idosos. MÉTODOS: Estudo transversal que utilizou dados da Pesquisa Nacional por Amostra de Domicílio (PNAD) de 2003, do Instituto Brasileiro de Geografia e Estatística (IBGE) e do Instituto de Pesquisa Econômica Aplicada (Ipea). A amostra foi constituída de 33.515 indivíduos com 60 anos ou mais de idade. A variável dependente foi a incapacidade funcional, mensurada pela dificuldade por subir ladeira ou escada. As variáveis independentes foram divididas em dois níveis: individual (características demográficas, socioeconômicas e relativas à saúde) e de contexto (Índice de Gini e Produto Interno Bruto per capita por unidade da federação em 2000). Um modelo de regressão logística multinomial multinível foi utilizado para estimar o efeito das variáveis independentes na incapacidade funcional dos idosos. RESULTADOS: A incapacidade funcional foi associada com fatores demográficos, socioeconômicos e de saúde. Em nível individual, o sexo, a educação, a renda, a ocupação, a autopercepção de saúde e as doenças crônicas foram os fatores mais fortemente relacionados. Em nível de contexto, a desigualdade de renda exibiu uma importante influência. CONCLUSÕES: A autopercepção de saúde é o fator mais fortemente relacionado com a incapacidade funcional dos idosos no Brasil, seguida das doenças crônicas. Sexo, ocupação, escolaridade e renda também são altamente associados. Ações que abordam os principais fatores associados à incapacidade funcional podem contribuir significativamente para o bem-estar e qualidade de vida dos idosos. Universidade de São Paulo. Faculdade de Saúde Pública2010-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3279210.1590/S0034-89102010005000009Revista de Saúde Pública; Vol. 44 No. 3 (2010); 468-478 Revista de Saúde Pública; Vol. 44 Núm. 3 (2010); 468-478 Revista de Saúde Pública; v. 44 n. 3 (2010); 468-478 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32792/35294https://www.revistas.usp.br/rsp/article/view/32792/35295Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessAlves, Luciana CorreiaLeite, Iúri da CostaMachado, Carla Jorge2012-07-10T02:20:30Zoai:revistas.usp.br:article/32792Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-10T02:20:30Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Factors associated with functional disability of elderly in Brazil: a multilevel analysis
Factores asociados a la incapacidad funcional de los ancianos en Brasil: análisis multinivel
Fatores associados à incapacidade funcional dos idosos no Brasil: análise multinível
title Factors associated with functional disability of elderly in Brazil: a multilevel analysis
spellingShingle Factors associated with functional disability of elderly in Brazil: a multilevel analysis
Alves, Luciana Correia
Idoso
Idoso Fragilizado
Capacidade funcional
Fatores Socioeconômicos
Análise Multinível
Estudos Transversais
Saúde do Idoso
Qualidade de Vida
Anciano
Anciano Frágil
Acondicionamiento Físico
Capacidad funcional
Factores Socioeconómicos
Análisis Multinivel
Estudios Transversales
Salud del Anciano
Calidad de Vida
Aged
Frail Elderly
Functional Capacity
Socioeconomic Factors
Multilevel Analysis
Cross-Sectional Studies
Health of the Elderly
Quality of Life
title_short Factors associated with functional disability of elderly in Brazil: a multilevel analysis
title_full Factors associated with functional disability of elderly in Brazil: a multilevel analysis
title_fullStr Factors associated with functional disability of elderly in Brazil: a multilevel analysis
title_full_unstemmed Factors associated with functional disability of elderly in Brazil: a multilevel analysis
title_sort Factors associated with functional disability of elderly in Brazil: a multilevel analysis
author Alves, Luciana Correia
author_facet Alves, Luciana Correia
Leite, Iúri da Costa
Machado, Carla Jorge
author_role author
author2 Leite, Iúri da Costa
Machado, Carla Jorge
author2_role author
author
dc.contributor.author.fl_str_mv Alves, Luciana Correia
Leite, Iúri da Costa
Machado, Carla Jorge
dc.subject.por.fl_str_mv Idoso
Idoso Fragilizado
Capacidade funcional
Fatores Socioeconômicos
Análise Multinível
Estudos Transversais
Saúde do Idoso
Qualidade de Vida
Anciano
Anciano Frágil
Acondicionamiento Físico
Capacidad funcional
Factores Socioeconómicos
Análisis Multinivel
Estudios Transversales
Salud del Anciano
Calidad de Vida
Aged
Frail Elderly
Functional Capacity
Socioeconomic Factors
Multilevel Analysis
Cross-Sectional Studies
Health of the Elderly
Quality of Life
topic Idoso
Idoso Fragilizado
Capacidade funcional
Fatores Socioeconômicos
Análise Multinível
Estudos Transversais
Saúde do Idoso
Qualidade de Vida
Anciano
Anciano Frágil
Acondicionamiento Físico
Capacidad funcional
Factores Socioeconómicos
Análisis Multinivel
Estudios Transversales
Salud del Anciano
Calidad de Vida
Aged
Frail Elderly
Functional Capacity
Socioeconomic Factors
Multilevel Analysis
Cross-Sectional Studies
Health of the Elderly
Quality of Life
description OBJECTIVE: To analyze the influence of demographic, socioeconomic, health, and contextual factors of the Brazilian federation units on the functional disability of the elderly. METHODS: Cross-sectional study based on data from the 2003 PNAD (Brazilian National Household Survey), of IBGE (Brazilian Institute of Geography and Statistics) and Ipea (Institute of Applied Economic Research). The sample was composed of 33,515 individuals aged 60 years and older. The dependent variable was functional disability, measured by difficulty in climbing slopes or stairs. The independent variables were divided into two levels: individual (demographic, socioeconomic and health-related characteristics) and contextual (Gini Index and Gross Domestic Product per capita by Brazilian state in 2000). A multinomial and multilevel logistic regression model was utilized in order to estimate the effect of the independent variables on the functional disability of the elderly. RESULTS: Functional disability was associated with demographic, socioeconomic and health factors. At the individual level, sex, level of schooling, income, occupation, self-perception of health and chronic diseases were the factors that were most strongly related to functional disability. At the contextual level, income inequality proved to exert an important influence. CONCLUSIONS: Self-perception of health is the factor that is most strongly related to the functional disability of the elderly in Brazil, followed by chronic diseases. Sex, occupation, level of schooling and income are also highly associated with it. Actions that approach the main factors associated with functional disability can contribute significantly to the well-being and quality of life of the elderly.
publishDate 2010
dc.date.none.fl_str_mv 2010-06-01
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/32792
10.1590/S0034-89102010005000009
url https://www.revistas.usp.br/rsp/article/view/32792
identifier_str_mv 10.1590/S0034-89102010005000009
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/32792/35294
https://www.revistas.usp.br/rsp/article/view/32792/35295
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. 44 No. 3 (2010); 468-478
Revista de Saúde Pública; Vol. 44 Núm. 3 (2010); 468-478
Revista de Saúde Pública; v. 44 n. 3 (2010); 468-478
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
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