Contextual income and incidence of disability: results of EpiFloripa Elderly Cohort
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/154095 |
Resumo: | OBJECTIVE: Evaluate the association between contextual income and the incidence of disability in basic and instrumental activities of daily living. METHODS: This is a cohort study, with sample of elderly individuals (n = 1,196) residing in Florianópolis, state of Santa Catarina, Brazil. The incidence of disabilities was evaluated using reports of difficulty or inability to perform six basic activities of daily living and nine instrumental activities of daily living after four years. Contextual income was obtained from the 2010 Census. We conducted multilevel logistic regression analyses with adjustment models for individual variables. RESULTS: The incidence of disability in basic activities of daily living was 15.8% (95%CI 13.8–17.9) and in instrumental activities of daily living incidence was 13.4% (95%CI 11.6–15.5). We observed significant association between contextual income and incidence of disability in basic activities of daily living. Having as reference the elderly living in the lower income tercile, those who lived in the intermediary terciles and in that of highest income had 37% (95%CI 0.41–0.96) and 21% (95%CI 0.52–1.19) lower chances of developing disability, respectively. For the incidence of disability in instrumental activities of daily living we observed no statistically significant associations. CONCLUSIONS: Contextual income influences the development of disability in basic activities of daily living in the elderly and should be the subject of actions to reduce socioeconomic inequalities and promote longevity with independence. |
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Contextual income and incidence of disability: results of EpiFloripa Elderly CohortRenda contextual e incidência de incapacidade: resultados da Coorte EpiFloripa IdosoAgedDisabled PersonsActivities of Daily Living IncomeSocioeconomic FactorsIndependent LivingCohort StudiesIdosoPessoas com DeficiênciaAtividades CotidianasRendaVida IndependenteFatores SocioeconômicosEstudos de CoortesOBJECTIVE: Evaluate the association between contextual income and the incidence of disability in basic and instrumental activities of daily living. METHODS: This is a cohort study, with sample of elderly individuals (n = 1,196) residing in Florianópolis, state of Santa Catarina, Brazil. The incidence of disabilities was evaluated using reports of difficulty or inability to perform six basic activities of daily living and nine instrumental activities of daily living after four years. Contextual income was obtained from the 2010 Census. We conducted multilevel logistic regression analyses with adjustment models for individual variables. RESULTS: The incidence of disability in basic activities of daily living was 15.8% (95%CI 13.8–17.9) and in instrumental activities of daily living incidence was 13.4% (95%CI 11.6–15.5). We observed significant association between contextual income and incidence of disability in basic activities of daily living. Having as reference the elderly living in the lower income tercile, those who lived in the intermediary terciles and in that of highest income had 37% (95%CI 0.41–0.96) and 21% (95%CI 0.52–1.19) lower chances of developing disability, respectively. For the incidence of disability in instrumental activities of daily living we observed no statistically significant associations. CONCLUSIONS: Contextual income influences the development of disability in basic activities of daily living in the elderly and should be the subject of actions to reduce socioeconomic inequalities and promote longevity with independence.OBJETIVO: Avaliar a associação entre a renda contextual e a incidência de incapacidade nas atividades básicas e instrumentais da vida diária. MÉTODOS: Trata-se de estudo de coorte, com amostra de idosos (n = 1.196) residentes em Florianópolis, SC. As incidências de incapacidades foram avaliadas por meio do relato de dificuldade ou inabilidade para realizar seis atividades básicas da vida diária e nove atividades instrumentais da vida diária após quatro anos. A renda contextual foi obtida a partir do Censo Demográfico 2010. Foram realizadas análises de regressão logística multinível com modelos de ajuste para variáveis individuais. RESULTADOS: A incidência de incapacidade nas atividades básicas da vida diária foi de 15,8% (IC95% 13,8–17,9) e nas atividades instrumentais da vida diária de 13,4% (IC95% 11,6–15,5). Houve associação significativa entre a renda contextual e a incidência de incapacidade nas atividades básicas da vida diária. Tendo como referência os idosos residentes no tercil inferior de renda, aqueles que moravam nos tercis intermediários e no de maior renda tiveram 37% (IC95% 0,41–0,96) e 21% (IC95% 0,52–1,19) menores chances de desenvolver incapacidade, respectivamente. Para a incidência de incapacidade nas atividades instrumentais da vida diária não foram verificadas associações estatisticamente significativas. CONCLUSÕES: A renda contextual influencia no desenvolvimento de incapacidade nas atividades básicas da vida diária em idosos, devendo ser alvo de ações para redução de iniquidades socioeconômicas e promoção da longevidade com independência.Universidade de São Paulo. Faculdade de Saúde Pública2019-01-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/15409510.11606/S1518-8787.2019053000659Revista de Saúde Pública; Vol. 53 (2019); 11Revista de Saúde Pública; Vol. 53 (2019); 11Revista de Saúde Pública; v. 53 (2019); 111518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/154095/150340https://www.revistas.usp.br/rsp/article/view/154095/150341https://www.revistas.usp.br/rsp/article/view/154095/150342Copyright (c) 2019 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessDanielewicz, Ana Lúciad’Orsi, EleonoraBoing, Antonio Fernando2019-03-29T14:01:52Zoai:revistas.usp.br:article/154095Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2019-03-29T14:01:52Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Contextual income and incidence of disability: results of EpiFloripa Elderly Cohort Renda contextual e incidência de incapacidade: resultados da Coorte EpiFloripa Idoso |
title |
Contextual income and incidence of disability: results of EpiFloripa Elderly Cohort |
spellingShingle |
Contextual income and incidence of disability: results of EpiFloripa Elderly Cohort Danielewicz, Ana Lúcia Aged Disabled Persons Activities of Daily Living Income Socioeconomic Factors Independent Living Cohort Studies Idoso Pessoas com Deficiência Atividades Cotidianas Renda Vida Independente Fatores Socioeconômicos Estudos de Coortes |
title_short |
Contextual income and incidence of disability: results of EpiFloripa Elderly Cohort |
title_full |
Contextual income and incidence of disability: results of EpiFloripa Elderly Cohort |
title_fullStr |
Contextual income and incidence of disability: results of EpiFloripa Elderly Cohort |
title_full_unstemmed |
Contextual income and incidence of disability: results of EpiFloripa Elderly Cohort |
title_sort |
Contextual income and incidence of disability: results of EpiFloripa Elderly Cohort |
author |
Danielewicz, Ana Lúcia |
author_facet |
Danielewicz, Ana Lúcia d’Orsi, Eleonora Boing, Antonio Fernando |
author_role |
author |
author2 |
d’Orsi, Eleonora Boing, Antonio Fernando |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Danielewicz, Ana Lúcia d’Orsi, Eleonora Boing, Antonio Fernando |
dc.subject.por.fl_str_mv |
Aged Disabled Persons Activities of Daily Living Income Socioeconomic Factors Independent Living Cohort Studies Idoso Pessoas com Deficiência Atividades Cotidianas Renda Vida Independente Fatores Socioeconômicos Estudos de Coortes |
topic |
Aged Disabled Persons Activities of Daily Living Income Socioeconomic Factors Independent Living Cohort Studies Idoso Pessoas com Deficiência Atividades Cotidianas Renda Vida Independente Fatores Socioeconômicos Estudos de Coortes |
description |
OBJECTIVE: Evaluate the association between contextual income and the incidence of disability in basic and instrumental activities of daily living. METHODS: This is a cohort study, with sample of elderly individuals (n = 1,196) residing in Florianópolis, state of Santa Catarina, Brazil. The incidence of disabilities was evaluated using reports of difficulty or inability to perform six basic activities of daily living and nine instrumental activities of daily living after four years. Contextual income was obtained from the 2010 Census. We conducted multilevel logistic regression analyses with adjustment models for individual variables. RESULTS: The incidence of disability in basic activities of daily living was 15.8% (95%CI 13.8–17.9) and in instrumental activities of daily living incidence was 13.4% (95%CI 11.6–15.5). We observed significant association between contextual income and incidence of disability in basic activities of daily living. Having as reference the elderly living in the lower income tercile, those who lived in the intermediary terciles and in that of highest income had 37% (95%CI 0.41–0.96) and 21% (95%CI 0.52–1.19) lower chances of developing disability, respectively. For the incidence of disability in instrumental activities of daily living we observed no statistically significant associations. CONCLUSIONS: Contextual income influences the development of disability in basic activities of daily living in the elderly and should be the subject of actions to reduce socioeconomic inequalities and promote longevity with independence. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-01-30 |
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/154095 10.11606/S1518-8787.2019053000659 |
url |
https://www.revistas.usp.br/rsp/article/view/154095 |
identifier_str_mv |
10.11606/S1518-8787.2019053000659 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/154095/150340 https://www.revistas.usp.br/rsp/article/view/154095/150341 https://www.revistas.usp.br/rsp/article/view/154095/150342 |
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/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. 53 (2019); 11 Revista de Saúde Pública; Vol. 53 (2019); 11 Revista de Saúde Pública; v. 53 (2019); 11 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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1800221800012972032 |