Living arrangements of the elderly and the sociodemographic and health determinants: a longitudinal study

Abstract

Objectives: to describe the sociodemographic characteristics and the number of morbidities in the elderly, according to the dynamics of living arrangements and evaluate the sociodemographic and health determinants of the living arrangements. Methods: this is a household longitudinal survey (2005-2012), carried out with 623 elderly people. Descriptive statistical analysis and multinomial logistic regression were performed (p<0.05). Results: there was predominance of elderly living alone, accompanied and with change in the living arrangements, females, age range between 60├ 70 years, 1├ 4 years of study and with income between 1├┤ 3 minimum wages. During the development of this research, it was identified an increase in the incidence of elderly with 1├┤3 minimum wages. The number of morbidities increased in the three groups throughout the study, with the highest rates observed among the elderly with change in the dynamics of living arrangements. It was found that elderly men showed less chance of living alone (p=0.007) and having change in the living arrangements compared to women (p = 0.005). Incomes less than a minimum wage decreased the chances of change in the living arrangements compared to incomes above three salaries (p=0.034). Conclusion: the determining factors of the living arrangements were sex and income, and the variables functional capacity and number of morbidities were not associated with the outcome analyzed.

Abordagem familiar e projeto terapêutico singular na estratégia saúde da família: estudo de caso com idosos

“…Em outro aspecto, sobre os resultados apresentados, é imprescindível que os profissionais de saúde compreendam questões que envolvam o envelhecimento, a funcionalidade familiar e o contexto social em que se inserem as pessoas idosas, para com isso alcançarem estratégias de cuidado adequadas [19][20][21][22] . Durante o processo de envelhecimento, as famílias sofrem mudanças, deparam-se com diferentes situações que podem afetar a funcionalidade familiar, e acarretar impactos na harmonia e no equilíbrio existentes nessa relação, traduzindo-se em desafios tanto na composição familiar quanto ao trabalho da equipe de saúde 20,21 .…”

“…O estudo apresenta a necessidade em compreender a abordagem familiar em famílias envelhecendo como um processo que deve envolver os próprios indivíduos, a unidade familiar e a sociedade. Nesta perspectiva, a dimensão sistêmica do cuidado, propiciada pelo referencial teórico empregado, possibilitou o reconhecimento de condições de estrutura e contexto do próprio território, que poderiam apoiá-los na superação de suas necessidades [19][20][21][22] .…”

“…Nesse sentido, vale ressaltar o comprometimento da equipe multiprofissional para buscar o cuidado integral, envolver todos os participantes no ato de cuidar, incluindo necessariamente os idosos, a família cuidadora, a equipe de saúde e recursos comunitários, em arranjos viabilizadores de um microssistema de proteção [19][20][21][22] .…”

Temporal analysis of the functional status of older people in the state of Paraíba, Brazil

“…A higher percentage of older adults who live alone shows, on the one hand, that they have successfully experienced the aging process. On the other hand, it is a concerning matter, as they may find some impasses when using health services as well as hardships in performing everyday tasks, which can be aggravated by the absence of a family member (24) .…”

Projection of Living Arrangements of the Elderly in Japan Using INAHSIM

“…Elderly with higher incomes tend to live alone as a way to preserve their privacy and independence, and many elderly people with higher incomes reside with their families because of the economic needs of their sons, who make use of their housing and financial resources (Fernandes Bolina & Mara dos Santos Tavares, 2016). Despite problems such as feelings of loneliness, social isolation, physical limitations, and unbalanced meals, almost 90% of elderly people living alone in the US express a keen desire to maintain their independence (Kaplan & Berkman, 2016).…”