Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/153938 |
Resumo: | OBJECTIVE: To evaluate the magnitude of wealth-related inequalities in basic activities of daily living among community-dwelling Brazilian older adults and to determine the contribution of demographic, socioeconomic, and health conditions to the inequality. METHODS: We used data from the 2015 Brazilian Longitudinal Study of Aging (ELSI-Brazil) with a nationally representative sample of adults aged 50 years or older. We assessed wealthrelated inequalities in basic activities of daily living by the concentration index. Concentration index was decomposed to determine the contribution of demographic, health, and socioeconomic factors to wealth-related inequalities in basic activities of daily living. RESULTS: The prevalence of disability in the sample was 15.7% (95%CI 14.9–17.6). The concentration index was -0.145 (95%CI -0.194– -0.097), which indicates that disability is concentrated in the poorest individuals in Brazil. Inequalities in basic activities of daily living disability are primarily explained by socioeconomic status (wealth and own education) not by demographic or health factors. CONCLUSIONS: There are avoidable wealth-related inequities for those with a disability in Brazil. The strong contribution of the socioeconomic status highlights the need for new public health policies that promote equity, universality, and integrality, in addition to the expansion of home nursing public services. |
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Revista de Saúde Pública |
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Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015AgedActivities of Daily LivingDisabled PersonsSocioeconomic FactorsHealth InequalitiesOBJECTIVE: To evaluate the magnitude of wealth-related inequalities in basic activities of daily living among community-dwelling Brazilian older adults and to determine the contribution of demographic, socioeconomic, and health conditions to the inequality. METHODS: We used data from the 2015 Brazilian Longitudinal Study of Aging (ELSI-Brazil) with a nationally representative sample of adults aged 50 years or older. We assessed wealthrelated inequalities in basic activities of daily living by the concentration index. Concentration index was decomposed to determine the contribution of demographic, health, and socioeconomic factors to wealth-related inequalities in basic activities of daily living. RESULTS: The prevalence of disability in the sample was 15.7% (95%CI 14.9–17.6). The concentration index was -0.145 (95%CI -0.194– -0.097), which indicates that disability is concentrated in the poorest individuals in Brazil. Inequalities in basic activities of daily living disability are primarily explained by socioeconomic status (wealth and own education) not by demographic or health factors. CONCLUSIONS: There are avoidable wealth-related inequities for those with a disability in Brazil. The strong contribution of the socioeconomic status highlights the need for new public health policies that promote equity, universality, and integrality, in addition to the expansion of home nursing public services.Universidade de São Paulo. Faculdade de Saúde Pública2019-01-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/15393810.11606/s1518-8787.2018052000617Revista de Saúde Pública; Vol. 52 No. Suppl 2 (2018): Supplement ELSI-Brazil; 14sRevista de Saúde Pública; Vol. 52 Núm. Suppl 2 (2018): Supplement ELSI-Brazil; 14sRevista de Saúde Pública; v. 52 n. Suppl 2 (2018): Supplement ELSI-Brazil; 14s1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/rsp/article/view/153938/150259https://www.revistas.usp.br/rsp/article/view/153938/150260Copyright (c) 2019 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessAndrade, Fabíola Bof deDuarte, Yeda Aparecida de OliveiraSouza Junior, Paulo Roberto Borges deTorres, Juliana LustosaLima-Costa, Maria FernandaAndrade, Flavia Cristina Drumond2019-04-25T16:08:07Zoai:revistas.usp.br:article/153938Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2019-04-25T16:08:07Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015 |
title |
Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015 |
spellingShingle |
Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015 Andrade, Fabíola Bof de Aged Activities of Daily Living Disabled Persons Socioeconomic Factors Health Inequalities |
title_short |
Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015 |
title_full |
Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015 |
title_fullStr |
Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015 |
title_full_unstemmed |
Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015 |
title_sort |
Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015 |
author |
Andrade, Fabíola Bof de |
author_facet |
Andrade, Fabíola Bof de Duarte, Yeda Aparecida de Oliveira Souza Junior, Paulo Roberto Borges de Torres, Juliana Lustosa Lima-Costa, Maria Fernanda Andrade, Flavia Cristina Drumond |
author_role |
author |
author2 |
Duarte, Yeda Aparecida de Oliveira Souza Junior, Paulo Roberto Borges de Torres, Juliana Lustosa Lima-Costa, Maria Fernanda Andrade, Flavia Cristina Drumond |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Andrade, Fabíola Bof de Duarte, Yeda Aparecida de Oliveira Souza Junior, Paulo Roberto Borges de Torres, Juliana Lustosa Lima-Costa, Maria Fernanda Andrade, Flavia Cristina Drumond |
dc.subject.por.fl_str_mv |
Aged Activities of Daily Living Disabled Persons Socioeconomic Factors Health Inequalities |
topic |
Aged Activities of Daily Living Disabled Persons Socioeconomic Factors Health Inequalities |
description |
OBJECTIVE: To evaluate the magnitude of wealth-related inequalities in basic activities of daily living among community-dwelling Brazilian older adults and to determine the contribution of demographic, socioeconomic, and health conditions to the inequality. METHODS: We used data from the 2015 Brazilian Longitudinal Study of Aging (ELSI-Brazil) with a nationally representative sample of adults aged 50 years or older. We assessed wealthrelated inequalities in basic activities of daily living by the concentration index. Concentration index was decomposed to determine the contribution of demographic, health, and socioeconomic factors to wealth-related inequalities in basic activities of daily living. RESULTS: The prevalence of disability in the sample was 15.7% (95%CI 14.9–17.6). The concentration index was -0.145 (95%CI -0.194– -0.097), which indicates that disability is concentrated in the poorest individuals in Brazil. Inequalities in basic activities of daily living disability are primarily explained by socioeconomic status (wealth and own education) not by demographic or health factors. CONCLUSIONS: There are avoidable wealth-related inequities for those with a disability in Brazil. The strong contribution of the socioeconomic status highlights the need for new public health policies that promote equity, universality, and integrality, in addition to the expansion of home nursing public services. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-01-24 |
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/153938 10.11606/s1518-8787.2018052000617 |
url |
https://www.revistas.usp.br/rsp/article/view/153938 |
identifier_str_mv |
10.11606/s1518-8787.2018052000617 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/153938/150259 https://www.revistas.usp.br/rsp/article/view/153938/150260 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/xml |
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. 52 No. Suppl 2 (2018): Supplement ELSI-Brazil; 14s Revista de Saúde Pública; Vol. 52 Núm. Suppl 2 (2018): Supplement ELSI-Brazil; 14s Revista de Saúde Pública; v. 52 n. Suppl 2 (2018): Supplement ELSI-Brazil; 14s 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_ |
1800221799949008896 |