Self-perceived health status in older adults: regional and sociodemographic inequalities in Spain

Abstract

Estado de saúde percebido em idosos: desigualdades regionais e sociodemográfi cas na Espanha ABSTRACT OBJECTIVE: To assess regional and sociodemographic differences in selfperceived health status among older adults. METHODS:A face-to-face quality of life survey was conducted in a representative sample of the Spanish population comprising 1,106 noninstitutionalized elderly aged 60 or more in 2008. Logistic regression models were used to explain self-perceived health status according to the EuroQol Group Visual Analogue Scale (EQ-VAS). Independent variables included sociodemographic and health characteristics as well as the nomenclature of territorial units for statistics level 1 (NUTS1: group of autonomous regions) and level 2 (NUTS 2: autonomous regions). RESULTS:Younger and better off respondents were more likely to have a positive self-perceived health status. Having no chronic conditions, independence in performing daily living activities and lower level of depression were also associated with positive self-perceived health status. People living in the south of Spain showed a more negative self-perceived health status than those living in other regions. CONCLUSION:The study results point to health inequality among Spanish older adults of lower socioeconomic condition and living in the south of Spain. The analysis by geographic units allows for international cross-regional comparisons.

Perfil dos idosos que cochilam

“…The average age of the elderly was 73.0 years (SD=5.9), varying between 65 and 101 years. These data are consistent with both international (17) and national studies (20)(21) . The prevalence of participants in the age group of young elderly in research demonstrates the characteristic of recent aging of the Brazilian context, unlike developed countries, where there is a prevalence of older elderly, ie, 80 years and over (22) .…”

“…The results show that there was a female predominance (63.6%), which is corroborated by both the national (12)(13)(14)(15)(16) and international (17) literature. The high number of female participation in studies with elderly reflects the greater longevity of women with higher chances of survival.…”

Gambaran Tingkat Depresi Lansia yang Melakukan Senam Di Panti Sosial Tresna Werdha di Jakarta

“…Jika lansia menganggap kesehatannya menjadi suatu ancaman dan beban maka akan memengaruhi perilaku dan mengarahkan pada kejadian depresi. Lansia yang tidak memiliki penyakit kronis, mandiri dalam melakukan aktivitas sehari-hari, dan memiliki tingkat depresi yang rendah berhubungan dengan persepsi positif terhadap status kesehatan (Martinez, 2012).…”

Yaşlı sağlığının sosyal belirleyicileri

“…Sağlığı etkileyen faktörler, Şekil-1 ve Şekil-2'de özetlenmektedir. Sağlığı ele alırken yaşlının iyilik halini bütüncül olarak değerlendirmek ve sağlığı etkileyen sosyal faktörlere karşı duyarlı olmak önemlidir (1,2,3). Tüm insanların olduğu gibi yaşlıların da sağlığını olumsuz etkileyen sosyal belirleyiciler; düşük gelir, kötü barınma ve çalışma koşulları, gıda güvencesizliği, iş güvencesizliği, ayrımcılığa maruz kalma, sosyal izolasyon, eğitimsizlik gibi sahip olunan durumlardır.…”