Tendências nas condições de saúde e uso de serviços de saúde entre idosos brasileiros: um estudo baseado na Pesquisa Nacional por Amostra de Domicílios (1998, 2003)

Abstract

Este trabalho teve por objetivo verificar as tendências das condições de saúde e do uso de serviços de saúde entre idosos brasileiros, utilizando dados da Pesquisa Nacional por Amostras de Domicílios (PNAD). Foram incluídos no estudo 28.943 e 35.042 participantes das PNAD 1998 e 2003 com idade > 60 anos, respectivamente. Os resultados mostraram que houve melhora nas condições de saúde dos idosos nesse período, considerando-se indicadores como percepção da saúde, ter estado recentemente acamado, capacidade para realizar atividades da vida diária e número de doenças crônicas. Os resultados também monstraram que houve aumento do número de consultas médicas e odontológicas entre 1998 e 2003. Tais tendências foram consistentemente observadas em ambos os sexos. Os autores chamam a atenção para a importância do suplemento de saúde da PNAD como fonte de informação para o monitoramento e/ou vigilância das condições de saúde da população idosa brasileira.

Expansion of morbidity: trends in healthy life expectancy of the elderly population

“…Due to its simplicity, however, the life tables in several studies have been calculated based on the Sullivan method, which has been the technique most widely used in many countries, thus facilitating future comparisons. 38,39 As research implications, it is considered that future studies could use longitudinal designs enabling better understanding of the transitions between health states, especially the functional capacity. 38 Studies including the institutionalized population could bring more information about the evolution of disabled life expectancy among the elderly.…”

Associação entre sintomas de insônia e artrite reumatóide em idosos

“…The proportion of people without an activity was 85.2% in this study, reinforcing what was previously stated. It should be noted also that the disease may include joint deformity and disability to perform daily-life activities, with loss of muscle strength and pain, causing mental health disorders besides the physical impact, leading to problems such as depression and anxiety (20) .Our results showed the subjective health self-evaluation as an important factor associated with reported symptoms of insomnia. The prevalence of insomnia symptoms is associated with a poor perceived health, according to DSM-IV-TR (14) .…”

“…Authors of a Brazilian study on CNCDs (20) who used comparative data from the 1988 and 2003 National Household Sample Surveys, found a higher prevalence of rheumatoid arthritis in the 2003 survey cohort compared to the 1998 cohort, pointing out that prevalence increases with advancing age.…”

“…The proportion of people without an activity was 85.2% in this study, reinforcing what was previously stated. It should be noted also that the disease may include joint deformity and disability to perform daily-life activities, with loss of muscle strength and pain, causing mental health disorders besides the physical impact, leading to problems such as depression and anxiety (20) .…”

“…Epidemiological studies have estimated the prevalence of rheumatoid arthritis in 1% of the adult population, affecting three times more women than men and presenting a greater incidence among people ages 35 to 65 years (11)(12) . Therefore, functional impairment occurrence is more likely in older age groups.Authors of a Brazilian study on CNCDs (20) who used comparative data from the 1988 and 2003 National Household Sample Surveys, found a higher prevalence of rheumatoid arthritis in the 2003 survey cohort compared to the 1998 cohort, pointing out that prevalence increases with advancing age.The pain and discomfort caused by rheumatoid arthritis can result in serious consequences for the elderly, contributing to functionality impairment; poor sleep quality; participation and social engagement losses, with significant negative impact on the health and well-being of individuals in this age group (4) . One should consider that rheumatoid arthritis is a disease that has a negative impact on social life and often leads to early interruption of work activities, both in the adult population and the elderly (1) .…”