Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015

Detalhes bibliográficos
Autor(a) principal: Andrade, Fabíola Bof de
Data de Publicação: 2019
Outros Autores: Duarte, Yeda Aparecida de Oliveira, Souza Junior, Paulo Roberto Borges de, Torres, Juliana Lustosa, Lima-Costa, Maria Fernanda, Andrade, Flavia Cristina Drumond
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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spelling 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
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