Our aim was to analyze the association between socioeconomic status and quality of life (QoL) among older people with depressive symptoms treated through the Primary Health Care (PHC) system in Brazil and Portugal. This was a comparative cross-sectional study with a nonprobability sample of older people in the PHC in Brazil and Portugal conducted between 2017 and 2018. To evaluate the variables of interest, the socioeconomic data questionnaire, the Geriatric Depression Scale and the Medical Outcomes Short-Form Health Survey were used. Descriptive and multivariate analyses were performed to test the study hypothesis. The sample consisted of n = 150 participants (Brazil n = 100 and Portugal n = 50). There was a predominance of woman (76.0%, p = 0.224) and individuals between 65 and 80 years (88.0%, p = 0.594). The multivariate association analysis showed that in the presence of depressive symptoms, the QoL mental health domain was most associated with the socioeconomic variables. Among the prominent variables, woman group (p = 0.027), age group 65–80 years (p = 0.042), marital status “without a partner” (p = 0.029), education up to 5 years (p = 0.011) and earning up to 1 minimum wage (p = 0.037) exhibited higher scores among brazilian participants. The portuguese participants showed an association between the general health status domain and woman group (p = 0.042) and education up to 5 years (p = 0.045). The physical functioning domain was associated with income of up to 1 minimum wage (p = 0.037). In these domains, the portuguese participants exhibited higher scores than the brazilian participants. We verified the association between socioeconomic profile and QoL in the presence of depressive symptoms, which occurred mainly among woman, participants with low levels of education and low income, with QoL aspects related to mental, physical and social health and self-perceived health. The group from Brazil had higher QoL scores than the group from Portugal.
Introdução: O processo de envelhecer é um fenômeno natural em que ocorre a diminuição das capacidades cognitivas e físicas, podendo associar-se a alterações fisiopatológicas e psicossociais. Objetivo: Comparar a saúde mental e a capacidade funcional entre as pessoas idosas dependentes e independentes vinculados à Estratégia Saúde da Família (ESF) de Natal e Santa Cruz, no RN/Brasil. Métodos: Estudo descritivo, comparativo, longitudinal com abordagem quantitativa. Como critérios de inclusão foram estabelecidos: pessoa com idade igual ou superior a 60 anos que estão cadastradas nas ESF com condições cognitivas para responder ao questionário sociodemográfico, Questionário SF36 para avaliar qualidade de vida e a Escala de Lawton para avaliar a funcionalidade. Para análise inferencial e comparação entre as etapas do estudo foi utilizado o Teste da Soma de Postos Sinalizados de Wilcoxon com a correção de Bonferroni e o Teste Qui-quadrado de Pearson. Resultados: Foram avaliados 58 idosos, 29 cadastrados na ESF de Natal e 29 em Santa Cruz (RN), dos quais 88,3% dos idosos apresentavam demanda de saúde funcional. Houve aumento da dependência na maioria das Atividades Instrumentais de Vida Diária (AIVD) e piora da Qualidade de Vida (QV). Na Dimensão saúde mental do SF 36 observou-se um resultado negativo e não significativo, tanto entre os idosos dependentes (p-valor=0,885), quanto entre os idosos independentes (p-valor=0,885), após comparados os resultados da primeira e segunda avaliações na escala de Lawton. Conclusão: Os idosos apresentaram melhorias nos aspectos de dor no corpo e dimensão física da QV entre as duas avaliações.
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