Social capital and under-utilization of medication for financial reasons among elderly women: evidence from two Brazilian health surveys

Luz, Tatiana Chama Borges; Filho, Antônio Ignácio de Loyola; Lima‐Costa, Maria Fernanda

doi:10.1590/s1413-81232013001200028

Cited by 5 publications

(6 citation statements)

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“…Similarly, the worse sense of cohesion was determined by the negative answer to at least one of these questions. As well as in other studies 20,21 , the low trust in the neighborhood, the absence of help perception, and worse perception of the physical environment and sense of cohesion indicate low levels of social capital.…”

Section: Variables Of the Studysupporting

confidence: 69%

“…The exposure of interest was the social capital, measured by four indicators: trust in the neighborhood, perception of the physical environment, sense of cohesion to the house, and perception of help 20 , were built by seven questions of the questionnaire. Given the dichotomous nature of these seven questions, the matrix of tetrachoric correlation to evaluate the correlation between them was used, an analysis which justified the definition of the composition of each one of the indicators, as described below.…”

Section: Variables Of the Studymentioning

confidence: 99%

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Associação entre incapacidade funcional e capital social em idosos residentes em comunidade

Gontijo

Mambrini

Luz

et al. 2016

Rev. bras. epidemiol.

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ABSTRACT:Objective: To assess the prevalence of disability and its association with social capital among community-dwelling elderly. Methods: The study was based on 2 nd Health Survey of Belo Horizonte Metropolitan Region -2010, that included 1,995 community-dwelling elderly, randomly sampled. The exposure of interest was social capital, measured by confidence in neighborhood, perception of the physical environment, sense of cohesion in housing, and neighborhood perception of help. Socio-demographic variables, health conditions and use of health services were considered in the analysis with the purpose of adjustment. Results: Approximately one third of participants (32.6%) were unable to at least one instrumental activity of daily living (IADL) and/or basic activity of daily living (ADL); the prevalence of disability in ADL/IADL was 18.1%, and only in IADL was 14.6%. Elderly with functional disabilities had higher odds of poor social capital, but only the sense of cohesion in housing neighborhood showed to be independently associated with functional disability (OR = 1.80; 95%CI 1.12 -2.88). Conclusions: Our results show the importance of social capital in research on associated factors of functional disability and indicate the need to implement public policies for social and environmental areas, since the needs of the elderly require measures beyond those typical of the health sector.

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Section: Variables Of the Studysupporting

confidence: 69%

Section: Variables Of the Studymentioning

confidence: 99%

Associação entre incapacidade funcional e capital social em idosos residentes em comunidade

Gontijo

Mambrini

Luz

et al. 2016

Rev. bras. epidemiol.

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“…7,8 Indicadores de renda e educação fornecem a estrutura mais próxima e necessária ao exercício de formas de sociabilidade espelhadas em arranjos de moradia, suporte material e instrumental em caso de doença, e envolvimento com atividades sociais complexas, que valorizam os idosos e seu capital social, facilitando o seu acesso a bens e a oportunidades sociais. 22,25,36 Em conjunto, esses fatores dependem de variáveis contextuais mais amplas, presentes na vida de mulheres e homens idosos. Entre elas estão as políticas previdenciárias e habitacionais e as de transporte, segurança e saúde, que criam condições diferenciais para resiliência ou para vulnerabilidade social dos diversos estratos da população e dos indivíduos.…”

Section: Resultsunclassified

“…[15][16][17][18] Na ausência de tratamentos preventivos e de acompanhamento na atenção básica e em casa, para muito idosos as situações de crise em saúde refletem-se em internação hospitalar. Na ausência de recursos materiais, parte dos idosos não tem acesso aos medicamentos de que necessitam, 36 parte consome mais do que o necessário, 38 outros seguem prescrições inadequadas 39 e outros ainda, valem-se de automedicação. 40 Não há contradição entre a associação entre o consumo de 3 ou mais medicamentos e autoavaliação negativa de saúde, encontrada na presente pesquisa e em outras que avaliaram o construto, [36][37][38][39][40] pois o número de remédios que os idosos dizem que consomem reflete uma constelação de condições.…”

Section: Resultsunclassified

Associações entre autoavaliações negativas de saúde e vulnerabilidade macroestrutural, social e de saúde em idosos: Estudo Fibra, Campinas, Brasil

Néri

Yassuda

Fattori

et al. 2015

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Associações entre autoavaliações negativas de saúde e vulnerabilidade macroestrutural, social e de saúde em idosos: Estudo Fibra, Campinas, Brasil Associations between negative self-rated health and macro-structural, social and health vulnerability in elderly people: Fibra Study, Campinas, Brazil RESUMO Objetivo: Investigar associações entre avaliações negativas de saúde e indicadores de vulnerabilidade estrutural (acesso e uso de serviços médicos, hospitalares e odontológicos e consumo de medicamentos), social (sexo, idade, escolaridade, renda pessoal, arranjos de domicílio, expectativa de cuidado e envolvimento social), e de saúde (doenças crônicas, sinais e sintomas, problemas funcionais para alimentação, risco cardiovascular, fragilidade, sintomas depressivos e status cognitivo), em idosos brasileiros recrutados na comunidade. Métodos: Participaram 2.597 idosos (65,7% mulheres, com 65 anos e mais (M=72,4±5,6), sem déficit cognitivo sugestivo de demência, integrantes de amostras probabilísticas de 7 cidades brasileiras selecionadas por conveniência. as variáveis de interesse foram avaliadas por meio de medidas de autorrelato, antropométricas e de desempenho. Resultados: análise multivariada de regressão mostrou associações significantes (p≤0,05) entre autoavaliação negativa de saúde e 3 ou mais sinais e sintomas (Or=2,42), 3 ou mais problemas funcionais para alimentação (Or=2,30), renda ≤ 3 SM (Or=2,17), não ter ido ao dentista no ano anterior (Or=2,09), consumo de 3 ou mais remédios (Or=2,02), 3 ou mais doenças crônicas (Or=2,00), analfabetismo (Or=1,58), 4 ou mais noites de hospitalização (Or=1,17) e uso de serviços públicos de saúde (Or=1,06). Conclusões: Em interação múltipla, indicadores de vulnerabilidade estrutural, social e em saúde criam um círculo vicioso de influências deletérias à qualidade de vida dos idosos, que tendem a se refletir em autoavaliações negativas de saúde.Descritores: Saúde do idoso; autopercepção; Idoso, fatores socioeconômicos; Vulnerabilidade em saúde; Condições de vida. ABSTRACTPurpose: This study was aimed at investigating associations between negative self-rated health and macro-structural (access and use of medical, hospitalar and odontological services, as well as consumption of medicines), social (sex, age, schooling, individual income, living arrangements, expectancy of care, and social participation), and health indicators (chronic diseases, signals and symptoms, functional problems to feeding, cardiovascular risk, frailty, depressive symptoms, and cognitive status) in Brazilian elderly recruited in the community. Methods: Participants were 2.597 seniors (65,7% women), aged 65 and above (M=72,4±5,6), without cognitive deficit suggestive of dementia. They integrated the probabilistic samples from 7 Brazilian cities selected by convenience. The variables were assessed by self-report, anthropometric and performance instruments and measures. Results: Multivariate analyses of regression showed significant associations (p≤0,05) between self-rated health and having 3 or more sig...

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“… 9 Both lifestyle changes and medicine adherence can be facilitated by support from friends and family, including potentially the means of accessing and affording medicines. 10 There are many ways in which the information and support networks that characterise social capital could help hypertensive patients to overcome the many barriers they face, 11 ranging from lack of knowledge of the consequences of hypertension and its treatment, lack of motivation, social pressures, stress and anxiety and the effects of poor memory.…”

Section: Introductionmentioning

confidence: 99%

Does greater individual social capital improve the management of hypertension? Cross-national analysis of 61 229 individuals in 21 countries

et al. 2017

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IntroductionSocial capital, characterised by trust, reciprocity and cooperation, is positively associated with a number of health outcomes. We test the hypothesis that among hypertensive individuals, those with greater social capital are more likely to have their hypertension detected, treated and controlled.MethodsCross-sectional data from 21 countries in the Prospective Urban and Rural Epidemiology study were collected covering 61 229 hypertensive individuals aged 35–70 years, their households and the 656 communities in which they live. Outcomes include whether hypertensive participants have their condition detected, treated and/or controlled. Multivariate statistical models adjusting for community fixed effects were used to assess the associations of three social capital measures: (1) membership of any social organisation, (2) trust in other people and (3) trust in organisations, stratified into high-income and low-income country samples.ResultsIn low-income countries, membership of any social organisation was associated with a 3% greater likelihood of having one’s hypertension detected and controlled, while greater trust in organisations significantly increased the likelihood of detection by 4%. These associations were not observed among participants in high-income countries.ConclusionAlthough the observed associations are modest, some aspects of social capital are associated with better management of hypertension in low-income countries where health systems are often weak. Given that hypertension affects millions in these countries, even modest gains at all points along the treatment pathway could improve management for many, and translate into the prevention of thousands of cardiovascular events each year.

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Social capital and under-utilization of medication for financial reasons among elderly women: evidence from two Brazilian health surveys

Cited by 5 publications

References 30 publications

Associação entre incapacidade funcional e capital social em idosos residentes em comunidade

Associação entre incapacidade funcional e capital social em idosos residentes em comunidade

Associações entre autoavaliações negativas de saúde e vulnerabilidade macroestrutural, social e de saúde em idosos: Estudo Fibra, Campinas, Brasil

Does greater individual social capital improve the management of hypertension? Cross-national analysis of 61 229 individuals in 21 countries

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