Associated factors to self-rated health among hypertensive and/or diabetic elderly: results from Bambuí project

Filho, Antônio Ignácio de Loyola; Firmo, Josélia de Oliveira Araújo; Uchôa, Elizabeth; Lima‐Costa, Maria Fernanda

doi:10.1590/s1415-790x2013000300001

Cited by 10 publications

(9 citation statements)

References 31 publications

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“…Hypertensive older individuals presented worse health indicators, with higher frequencies of self-evaluated bad health, poor quality of life, need for a caregiver, and other chronic diseases than those without the disease. These characteristics corroborate with other studies that show the relationship of presence of hypertension and poorer health condition, even in subjective aspects such as the self-evaluation of quality of life, since the disease requires more frequent visits to healthcare services, continuous use of medication, and can cause symptoms and discomfort, which can negatively influence the perception of the individuals regarding their own health [30].…”

Section: Discussionsupporting

confidence: 89%

Prevalence of Systemic Arterial Hypertension Diagnosed, Undiagnosed, and Uncontrolled in Elderly Population: SABE Study

Oliveira

Duarte

Zanetta

2019

Journal of Aging Research

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Systemic arterial hypertension is the most prevalent chronic noncommunicable disease among older people. This study aimed to estimate the prevalence of hypertension in the elderly and to analyze factors associated with diagnosed, undiagnosed, and uncontrolled hypertension. This is a cross-sectional study of data from the SABE study—Health, Well-Being, and Aging Survey—a multiple-cohort study, obtained in 2010, composed of a probabilistic sample representative of the population of the São Paulo city aged ≥60 years. Hypertension was self‐reported or defined by increased blood pressure. Multinomial regression assessed factors associated with diagnosis and lack of diagnosis of hypertension (reference: no hypertension), and logistic regression assessed factors associated with uncontrolled hypertension (reference: controlled). The prevalence of hypertension was 79.5%, and in 51% of individuals with the condition, hypertension was uncontrolled. Undiagnosed hypertension was associated with nonwhite skin color (OR: 1.89, CI: 1.11–3.19), being uninsured (OR: 1.77, CI: 1.04–3.03), overweight (OR: 2.38, CI: 1.09–5.19), higher education (OR: 0.46, CI: 0.22–1.94), and ≥1 chronic disease (OR: 0.28; CI: 0.13–0.58). Diagnosed hypertension was associated with age between 70 and 79 years (OR: 2.02, CI: 1.34–3.05), age ≥80 (OR: 2.73, CI: 1.72–4.31), nonwhite skin color (OR: 1.48, CI: 1.01–2.18), being uninsured (OR: 1.70, CI: 1.18–2.47), at least one medical consultation in the last year (OR: 1.86, CI: 1.06–3.25), obesity (OR: 2.50, CI: 1.61–3.88), and ≥1 chronic disease (OR: 2.81, CI: 1.94–4.08). Among those with hypertension, being uncontrolled was associated with widowhood (OR: 1.73, CI: 1.23–2.43), being uninsured (OR: 1.38, CI: 1.02–1.87), and female gender (OR: 0.61, CI: 0.43–0.87). The prevalence of hypertension was high in this population, and its diagnosis and control were associated with socioeconomic, demographic, and healthcare access factors.

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Section: Discussionsupporting

confidence: 89%

Prevalence of Systemic Arterial Hypertension Diagnosed, Undiagnosed, and Uncontrolled in Elderly Population: SABE Study

Oliveira

Duarte

Zanetta

2019

Journal of Aging Research

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“…Octogenarians who self-reported the presence of arthritis/rheumatism showed a lower prevalence of positive self-perceived health when compared to older adults without such conditions. Similar results were found by Loyola Filho et al 13 in a study performed with older adult individuals from Bambuí, in the state of … continue…”

Section: Discussionsupporting

confidence: 91%

“…Studies show that the level of satisfaction with health is usually high among older adult Brazilians, especially in this age group 16,17 . With regards to the negative association between positive self-report of cardiovascular diseases and positive self-perceived health, this finding corroborates those from other authors that the presence of chronic diseases such as cardiovascular ones can result in difficulties or even restrictions to routine activities of daily living, which influences self-perceived health among older adult individuals 12,13 . Additionally, it was evidenced that the association between positive self-perceived health and older adult individuals who do not use medication is also indicated by other studies.…”

Section: Discussionsupporting

confidence: 89%

Positive self-perceived health of octogenarians participating in community groups

Krug¹,

Schneider²,

Confortin³

et al. 2017

Rev. Bras. Ativ. Fís. Saúde

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The aim of this study was to analyze the factors associated with positive self-perceived health of octogenarians participating in community groups in the city of Florianópolis, Southern Brazil. A cross-sectional study was conducted with 343 older adult individuals aged 80 years or older, of both sexes, participating in community groups. A questionnaire was applied through a face-to-face interview, including socio-demographic and economic data, self-reported health status, falls, lifestyle and leisure domain from the International Physical Activity Questionnaire. Poisson regression was used to identify the factors associated with positive self-perceived health, adjusted for socio-demographic, economic, behavioral, health condition and fall variables. The prevalence of positive self-perceived health among octogenarians was 49.0% (95%CI=44.0-54.0). The factors associated with positive self-perceived health were as follows: to receive a monthly income higher than six minimum wages (PR=1.39; 95%CI=1.01-2.11), to smoke currently (PR=1.75; 95%CI=1.25-2.46), to be physically active during leisure time (PR=1.33; 95%CI=1.06-1.67), to have arthritis or rheumatism (PR=0.55; 95%CI=0.37-0.80), diabetes (PR=0.54; 95%CI=0.37-0.79) and cardiovascular disease (PR=0.71; 95%CI=0.53-0.95), apart from using medications (PR=0.74; 95%CI=0.60-0.91). Thus, it could be concluded that some modifiable factors were identified, such as income, smoking, leisure physical activity, and use of medications, which can interfere with the positive self-perceived health of octogenarians participating in community groups. KeywordsAged, 80 and over; Health; Comorbidity; Lifestyle. 49,0% (IC95% = 44,0). Os fatores associados à autopercepção positiva de saúdeforam receber renda mensal maior que 6 salário mínimos Resumo

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“…Mais uma vez, deve ser reforçado o planejamento específico para promoção da saúde dos idosos, incluindo ações que visem à modificação da percepção de saúde deles com vistas à melhora da qualidade de vida. Os estudos sobre autoavaliação de saúde mostram associação desse indicador com o aumento da idade 1,3,[5][6][7] , o que é justificado pelo aumento de incapacidades e complicações com a saúde. Neste estudo, a faixa etária de 70 a 79 anos foi fator de proteção para a percepção negativa da saúde, o que precisa ser investigado em estudos futuros.…”

Section: Discussionunclassified

“…A prevalência de autoavaliação negativa da saúde em idosos varia de 12,6% a 51,9% em diferentes regiões brasileiras 5 . Além das desigualdades sociais 2 , as múltiplas morbidades 6 , as quedas 3 e a incapacidade 7 apresentaram associação com a autoavaliação de saúde em estudos prévios 3,6,7 .…”

Section: Introductionunclassified

Associação entre autoavaliação de saúde e tipos de atividades de vida diária em idosos

et al. 2021

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Resumo Introdução Apesar das evidências de associação entre incapacidade funcional e autoavaliação de saúde ruim, ainda existe uma lacuna na literatura acerca da influência do tipo de atividade de vida diária na saúde dos idosos. Objetivo Identificar a prevalência de autoavaliação de saúde ruim de idosos e sua associação com a dependência para cada tipo de atividade da vida diária. Método Estudo transversal de base populacional, com amostra probabilística de 890 idosos residentes em Goiânia. Avaliaram-se variáveis demográficas, internações, número de morbidades, atividades básicas e instrumentais da vida diária. Realizou-se uma análise múltipla hierarquizada, considerando como medida de efeito a razão de prevalência. Resultados A prevalência de autoavaliação de saúde ruim foi de 11,5%. Os fatores associados foram: ter três ou mais doenças (RP: 4,26; 95% IC: 1,89-9,62), internação no último ano (PR: 1,59; 95% IC: 1,10-2,28), e incapacidades para: Transferir-se (RP: 2,60; 95% IC: 1,30-8,45), fazer compras (RP: 1,98; 95% IC: 1,16-3,39), usar transporte (RP: 3,86; 95% IC: 1,41-10,5), e usar telefone (RP: 1,60; 95% IC: 1,00-2,63). Conclusão A relação entre incapacidade e percepção negativa de saúde sinaliza a importância de incluí-las na avaliação de idosos em diferentes contextos da atenção à saúde, uma vez que a dependência pode refletir em alterações nas condições reais de saúde e qualidade de vida dos idosos.

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Associated factors to self-rated health among hypertensive and/or diabetic elderly: results from Bambuí project

Cited by 10 publications

References 31 publications

Prevalence of Systemic Arterial Hypertension Diagnosed, Undiagnosed, and Uncontrolled in Elderly Population: SABE Study

Prevalence of Systemic Arterial Hypertension Diagnosed, Undiagnosed, and Uncontrolled in Elderly Population: SABE Study

Positive self-perceived health of octogenarians participating in community groups

Associação entre autoavaliação de saúde e tipos de atividades de vida diária em idosos

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