Objective To assess the psychometric properties of the Medical Outcomes Study Social Support Survey (MOS-SSS) considering a sample of elderly users of the primary healthcare facilities of Ribeirão Preto, state of São Paulo, southeast Brazil. Methods The MOS-SSS is a widely used measurement of social support in different contexts, consisting of 19 items with answer categories that range on a 7-point rating scale. Data collection regarding the psychometric properties of the MOS-SSS was performed in a stratified sample of elderly users of primary healthcare facilities of Ribeirão Preto. Data were collected at five district basic health units located in the city through face-to-face interviews. Polychoric correlation matrix and exploratory (EFA) and confirmatory (CFA) factor analyses were performed. Results A total of 357 elderly subjects aged 60 years or older participated in the study (62.7% females). According to the polychoric correlation matrix, higher coefficients of correlation (> 0.90) were detected among 12 pairs of items and grouped into four factors, as suggested for EFA. The results of the CFA confirmed the construct validity of the four-factor structure of the MOS-SSS when applied to our sample, as well as the stability of this model in distinct subsamples. Conclusion The four-factor structure of the MOS-SSS was found to be suitable and presented adequate construct validity for the assessment of social support in elderly users of primary healthcare facilities.
The objective of this cross-sectional study was to estimate the self-reported prevalence of falls among elderly users (older than 60 years) of the Ribeirão Preto, São Paulo, Brazil, primary healthcare services in the past six months and to identify associated factors. Data were collected from five healthcare districts by means of personal interviews with the users while they waited for the appointment. Log-binomial regression models adjusted for confounding variables and prevalence ratios were used to measure the association between independent and dependent variables. The International Physical Activity Questionnaire (IPAQ), adapted to elderly, was used to assess their physical activity. A total of 357 adults were interviewed, with 62.7% being women and mean age of 69.9 years old. The prevalence rates of falls in the past six months were 19.6% (95%CI: 13.2–27.3) and 32.6% (95%CI: 26.4–39.2), respectively, for men and women. e prevalence of falls among users with lower level of physical activity was 2.3 times higher than that among those with higher level of physical activity (RP = 2.3; 95%CI: 1.4–3.8) after adjustment for gender, age group and socio-economical class. In conclusion, falls are frequent among the elderly and the practice of physical activities can improve their health condition, thus preventing the occurrence of falls.
The aim of this cross-sectional study was to estimate the prevalence of self-reportedhypertension and diabetes among elderly users of primary healthcare facilities in Ribeirão Preto, Brazil, and to investigate the association between these chronic conditions and physical activity and the degree of independence on the performance of activities of daily living. The study included 357 subjects aged 60 years or older. The classification of physical activity was based on the International Physical Activity Questionnaire (IPAQ) and the Pfeffer FunctionalActivities Questionnaire (PFAQ) was applied to assess activities of daily living. Prevalence of diabetes was associated with the level of physical activity, the self-perception of health and the degree of independence on the performance of activities of daily living. No significant associations were found between the prevalence of hypertension and these variables. These findings reinforce the relevance of continuous strategies of management of diabetes in the primary healthcare facilities based on the promotion of physical and occupational activities.
Objetivo deste trabalho foi descrever a situação de saúde quanto à pandemia de COVID-19 e seu enfrentamento entre os residentes do Assentamento Mário Lago, pertencente ao Projeto de Desenvolvimento Sustentável (PDS) Fazenda da Barra e localizado em Ribeirão Preto, estado de São Paulo. Trata-se de um estudo transversal, descritivo, do tipo inquérito, com amostragem aleatória estratificada. Foram entrevistados 158 residentes, com idade entre 18 e 84 anos, entre 26 de outubro de 2021 e 28 de janeiro de 2022. Os resultados obtidos expõem uma situação de vulnerabilidade social da sua população, em que apenas 23,4% dos entrevistados chegaram ao ensino médio, e 95,6% possuem uma renda familiar de até três salários mínimos. Dentre os participantes do estudo, 17,1% tiveram resultado positivo para um teste de COVID-19, e 42,4% relataram que a pandemia diminuiu muito a renda das pessoas da casa, enquanto 3,8% ficaram sem renda. Para que as populações assentadas estejam mais bem preparadas para futuras crises como a provocada pela pandemia de COVID-19, é necessária a continuidade das ações já realizadas pelos movimentos sociais e populares do campo e assegurar a manutenção e o desenvolvimento das redes de suporte social.
RESUMOSANTOS, S. F. Perfis sócio-demográfico e epidemiológico e situação de saúde dos assentados de um projeto de reforma agrária. 2022.
The physiotherapy has an important role in the health promotion and autonomy for the elderly, and the healthcare system should be able to provide adequate support for older age groups. Objective: The objectives of this cross-sectional study were to determine the lifetime prevalence of physiotherapy utilization among elderly users (60 years of age or more) of primary healthcare facilities in Ribeirão Preto, Brazil, and to investigate its association with variables such as sex, age, educational level and socioeconomic status. Methods: Data were collected during face-to-face interviews. Participants were invited to participate in the study while they waited for their medical appointment in a primary healthcare facility. Log-binomial regression models were used for adjusting the data. The sample was composed of 224 (63%) women and 133 (37%) men. Results: Overall, 141 (39.5%) individuals reported undertaking physiotherapy sessions some time along their lifetimes. The prevalence of physiotherapy utilization among women was 42.0% (95% CI: 35.4 - 48.7) and among men was 35.3% (95% CI: 27.2 - 44.1). The utilization of physiotherapy was more frequent among elderlies who had health insurance coverage, higher socioeconomic status and higher educational level. This suggests that some groups of population have more access to physiotherapy due to a higher capacity to pay for healthcare when compared to uninsured people. Conclusion: The participation of physiotherapists in the primary care setting should be encouraged, in order to reduce inequalities in access to such resources.
A fisioterapia ocupa um papel importante na promoção da saúde e da autonomia para os idosos, e o sistema de atenção à saúde deve estar apto a oferecer suporte adequado para as pessoas desta faixa etária. Objetivo: Determinar a prevalência de uso de fisioterapia entre idosos (60 anos ou mais) usuários de serviços de atenção primária à saúde de Ribeirão Preto, Brasil, e investigar suas associações com variáveis como sexo, idade, nível educacional e classe socioeconômica. Métodos: Os dados foram coletados por entrevistas pessoais. Os idosos foram convidados a participar do estudo enquanto aguardavam por um atendimento médico em uma unidade de saúde. Modelos de regressão log-binomiais foram utilizados para ajustar os dados. A amostra foi composta por 224 (63%) mulheres e 133 (37%) homens. Resultados: Ao todo, 141 (39,5%) idosos relataram ter usado fisioterapia em algum momento de suas vidas. A prevalência de utilização da fisioterapia entre as mulheres foi de 42,0% (IC 95%: 35,4%-48,7%) e entre homens foi de 35,3% (IC 95%: 27,2%-44,1%). A utilização de fisioterapia foi mais frequente entre pessoas idosas portadoras de plano de saúde, classe socioeconômica mais privilegiada e maior escolaridade. Isto sugere que grupos mais privilegiados da população possuem maior acesso à fisioterapia e maior possibilidade de pagar por atendimento que pessoas sem cobertura de planos de saúde. Conclusão: A participação de fisioterapeutas na atenção primária à saúde deve ser encorajada, objetivando reduzir as desigualdades no acesso a tais recursos.
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