Resumo Este artigo trata de uma pesquisa quantitativa, descritiva e analítica da população brasileira em isolamento social (IS) durante pandemia do novo coronavírus, com o objetivo de identificar preditores de estresse psicossocial com dados recolhidos por questionário on-line nas redes sociais em abril de 2020. Do total de 3.836 pessoas participantes, prevaleceram: mulheres (2.821; 73,5%); faixa etária de 30 a 39 anos (1.101; 28,7%); com pós-graduação (2075;54,1%); estando em IS (3.447; 89,9%). Houve diferença significativa pelo fato de as pessoas estarem em IS: sentir medo de serem infectadas pelo coronavírus (p<0,001); preocupação se alguém precisava sair de casa (p<0,001); rotina modificada após o IS, destacando “entretanto conseguiram se adaptar à nova realidade”, comparado aos que “tiveram a rotina alterada sem conseguir se adaptar” (p<0,001); tristeza ou preocupação, fazendo outras atividades como exercício físico, práticas religiosas, atividades lúdicas (p<0,001); e não pensaram numa solução para esse problema (p<0,001); além de mudança no padrão de sono (p=0,006). Os achados revelam a necessidade de discussão ampliada dos determinantes sociais da saúde, que devem envolver não só a doença, mas levar em consideração as relações sociais, as manifestações culturais e a economia, que podem impactar a saúde mental das pessoas.
We aimed to assess the prevalence and characterize the profile of elder abuse in Brazil in this quantitative descriptive and exploratory study using a document analysis of cases of elder abuse against people aged 60 and over reported to Brazil's Notifiable Disease Information System ( Sistema de Informação de Agravos de Notificação-SINAN) from 2009 to 2013. Association between age groups (older adults and non-older adults) and (a) characteristics of the victims (gender, age, and race), (b) characteristics of the violence (type of violence, place of occurrence, and repeated violence) and, (c) characteristics of the perpetrator (gender, suspected alcohol consumption, and victim-perpetrator relationship) were assessed using the chi-square test and odds ratios (OR) with a 95% confidence interval. Statistical significance was set at p< .05. Elder abuse accounted for 5.7% of all cases of violence, with a higher prevalence among women (54.3%). Older men and older white people were more likely to suffer violence compared with their non-older peers (OR=1.75 and OR=1.47, respectively). Financial abuse (OR=5.95), violence resulting from legal intervention (OR=1.24), repeated violence (OR=1.22), and torture (OR=1.08) were at higher chances of occurring among older adults. In all, 30.3% of the cases of elder abuse were perpetrated by their children and 22% of the perpetrators were suspected to have consumed alcohol. Older adults were 30 times more likely to be abused by their children and eight times by caregivers and presented 2.37 more chances of evolving to death due to violence and 1.8 more chances to suffer violence in the household. The cases of elder abuse reported to SINAN highlight the greater fragility of this population group. In addition to reporting this public health problem, governmental and non-governmental actions are necessary to provide older adults with a healthy aging and ensure their rights, dignity, and autonomy.
The relationship between oral discomfort and SWB reveals that older people's poor oral health leads to physical, psychological, and/or social problems that directly interfere with their well-being.
This cross-sectional study aimed to identify negative psychological symptoms related to loss of jobs and income in the beginning of the COVID-19 pandemic in 2,983 people aged 18 and over living in the state of Ceará, Northeastern Brazil. Google® Forms was used to deliver an online questionnaire containing open-and closed-ended questions about sociodemographic characteristics and psychological symptoms. Absolute and relative frequencies were calculated for all the study variables. The Chisquared test was used to check for association between the variables with a significance threshold of 5%. Psychological symptoms were observed in people who had lost their jobs or had their pay cut during the pandemic. Regarding the interference of social isolation with routine, 67.1% (658) of those who had lost their jobs or had their pay cut said their routine changed but they were able to adjust to the new reality (p<0.001). In addition, 67.7% (663) showed a feeling of concern in view of the difficulties arising from the pandemic (p<0.001), 57.9% (567) felt irritated by the situation they were experiencing (p<0.001), 74.2% (727) reported changes in sleep pattern (p<0.001) and 71.8% (704) reported feelings of restlessness, tension or nervousness (p<0.001). Furthermore, 50.3% (493) of the respondents reported physical symptoms without any apparent causes, whereas 41.4% (830) did not report such symptoms (p<0.001). Additionally, 52.9% (518) reported difficulty concentrating on daily activities or "blanking" while 44% (882) did not report such symptoms (p<0.001). After summing the negative feelings reported during the pandemic, we found a gradual increase in the percentage of symptoms in people who had lost their jobs or had their pay cut (p<0.001). Our findings allow an understanding of the psychosocial impact of financial losses caused by measures taken to tackle the COVID-19 pandemic and can contribute to the development of strategies to minimize such impact.
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The men-to-women ratio shows that women outnumber men, and aging-related aspects signal differences between older men and older women, confirming gender-based differences in aging. Our study aimed to foster discussion on gender and its consequences for health, considering the perceived and self-reported health of older people attending primary health care facilities. We carried out a quantitative descriptive cross-sectional study in the city of Fortaleza, Ceará, Northeastern Brazil, with people aged 60 or older who were individually interviewed using a questionnaire addressing sociodemographic data (age, gender, marital status, income, education), systemic health (self-reported diseases), oral health and perceived general health (ipresent and past year health status). Participants were 821 older people whose age ranged from 60 to 100 years, with a mean of 69.7 years. There was a predominance of women (n=580; 70.6%). Participants presented low levels of education and income. Women were 1.3 times more likely to present systemic diseases and 1.5 times more likely to use medications compared with men. Women were more edentulous and presented more soft tissue problems than men. There were no differences in self-perceived general health and past year health status among the participants. The participants' self-reported health status revealed women are at an increased risk of getting sick, thus demonstrating gender-based inequalities in health among older adults. Public health policies need to improve people's access to primary care, especially in disadvantaged socioeconomic ISSN 2601-8691 (Print) ISSN 2601
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