Fatores sociodemográficos, comportamentais e de saúde associados à autopercepção de saúde positiva de idosos longevos residentes em Florianópolis, Santa Catarina

Krug, Rodrigo de Rosso; Schneider, Ione Jayce Ceola; Giehl, Maruí Weber Corseuil; Antes, Danielle Ledur; Confortin, Susana Cararo; Mazo, Giovana Zarpellon; Xavier, André Junqueira; d’Orsi, Eleonora

doi:10.1590/1980-549720180004

Cited by 16 publications

(20 citation statements)

References 27 publications

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“…The Brazilian sample includes subjects aged 80 and over, which suggests a higher risk of adverse health events. Results similar to those of the present study were observed by studies (76,(88)(89)(90) regarding Brazilian octogenarians.…”

Section: Discussionsupporting

confidence: 93%

Factors Associated With Positive Self-Rated Health: Comparing Older Adults in Brazil and in Portugal

Cachioni

Cipolli

Borim

et al. 2021

Front. Public Health

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Introduction: Self-rated health is a multidimensional health indicator and a predictor of adverse events in old age. Answers to this assessment are influenced by social, cultural and personality factors.Aim: Exploring common and distinctive characteristics of Brazilian and Portuguese older adults aged 70 and over regarding positive self-rated health according to sociodemographic variables, to functional capacity, to independent performance of basic activities of daily living and to neuroticism, as well as analyzing associations between positive self-rated health and these variables.Methods: The present paper is a comparative and cross-sectional study based on secondary data contained in the databases of the FIBRA (Frailty in Brazilian Older Adults) follow-up study, with 418 Brazilian older adults, and of the DIA (From Disability to Activity: The Challenge of Aging) study, with 380 Portuguese older adults. Both samples had higher percentages of women: 68.4% for Portugal and 69.9% for Brazil. The Brazilian sample had a higher average age (80.31 ± 4.67) than the Portuguese sample (76.80 ± 5.28).Results: The Portuguese older adults had better overall cognition scores, higher handgrip strength and higher neuroticism values than the Brazilian older adults. In the simple and multiple logistic regression analyses, it was found that among Brazilian older adults, subjects with higher scores in the MMSE (OR 1.16; 95% CI 1.08–1.24), regardless of ADL performance (OR 2.13; 95% CI 1.31–3.47) and with scores 24–29 (OR 1.92; 95% CI 1.07–3.43) or 11–23 (OR 2.09; 95% CI 1.15–3.79) in neuroticism were more likely to assess their health as very good/good. On the other hand, the Portuguese older adults with intermediate 24–9 (OR 2.38; 95% CI 1.31–4.33) or low 11–23 (OR 5.31; 95% CI 2.69–10.45) scores in neuroticism were more likely to evaluate their health as very good/good.Conclusion: Based on the findings of the present study and on the existing literature, it may be said that it is possible for people to age while keeping a positive perception of their own health, even in advanced old age; comparisons between the above-mentioned countries, however, point to the need for investments in healthcare systems so that older adults may enjoy greater physical independence and improved mental health.

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Section: Discussionsupporting

confidence: 93%

Factors Associated With Positive Self-Rated Health: Comparing Older Adults in Brazil and in Portugal

Cachioni

Cipolli

Borim

et al. 2021

Front. Public Health

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“…O maior percentual de idosos com 75 anos ou mais de idade, em ambos os sexos, que morava acompanhado, está em consonância com estudos nacionais desenvolvidos na comunidade 3,6,24 . Estes achados trazem a reflexão de quais fatores levaram os idosos, que residiam em domicílio unipessoal, passar a compartilhar a moradia ao longo do tempo.…”

Section: Discussionunclassified

“…Um dos aspectos pode estar relacionado às possíveis limitações funcionais, mais frequentes com o avançar da idade, e a consequente necessidade de auxílio para realização das atividades cotidianas e acesso aos serviços de saúde. Assim, o apoio social, em especial dos familiares, torna-se essencial 3,6,24 .…”

Section: Discussionunclassified

“…Contudo, apesar da relevância, destaca-se a escassez de investigações longitudinais que analisaram as mudanças nas condições de saúde segundo sexo de idosos com idade mais avançada. A produção científica se concentra em estudos com delineamento transversal [2][3][4][5][6] , que são importantes para a prática clínica, mas não possibilitam a análise de causalidade. Já as pesquisas longitudinais, a maioria foi desenvolvida entre idosos com 60 anos ou mais de idade [7][8][9][10][11][12][13] ; e abordaram condições específicas de saúde, como fragilidade 7,8 , quedas 12,13 , capacidade funcional e desempenho físico 11 , bem como as realizadas com idosos longevos [14][15][16][17] .…”

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Condições de saúde de mulheres e homens idosos com idade avançada: estudo longitudinal

et al. 2021

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Objetivos: descrever as características sociodemográficas e de saúde de mulheres e homens com 75 anos ou mais de idade, no baseline e follow-up de quatro anos e verificar para mulheres e homens as mudanças nas condições de saúde. Métodos: estudo longitudinal com 109 idosos de 75 anos ou mais de idade de um município no Triângulo Mineiro. A coleta dos dados, realizada em dois momentos (2014-2018), ocorreu no domicílio com a aplicação de instrumentos validados no Brasil. Procederam-se às análises descritiva e teste t pareado (p<0,05). Os projetos foram aprovados pelo Comitê de Ética e Pesquisa com Seres Humanos. Resultados: verificaram-se, em ambos os sexos, aumento do número de morbidades e diminuição do escore total das atividades instrumentais da vida diária. Entre as mulheres observou-se, ainda, aumento do número de quedas e do escore de fragilidade. Conclusão: ao longo do seguimento houve piora nas condições de saúde dos idosos, sendo mais expressiva entre as mulheres.

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“…The different ways that individual factors affect the SRH of young-old and very-old may help to understand specific needs for the separate age groups. Recently, Krug et al (2018) reported the absence of significant associations between diseases such as arthritis, diabetes, hypertension, and cardiovascular diseases with SRH in the very-old group.…”

Section: Discussionmentioning

confidence: 99%

Income Inequality and Self-Reported Health Among Older Adults in Brazil

Massa

Filho

2020

J Appl Gerontol

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This study analyzes the association between income inequality and self-reported health (SRH) in older adults, and separately for the young-old and very-old groups, residing in each of the 27 Brazilian capitals. The sample consisted of 4,912 individuals aged 60 or older residing in Brazilian capitals in 2013. Bayesian multilevel models were applied to the whole sample and separately for individuals aged 60 to 79 (young-old), and 80 or more (very-old). Our results show significant associations between income inequality and SRH, even after controlling for individual and contextual factors. We found greater odds of poor SRH among older adults living in areas with medium (odds ratio [OR] = 1.66, 95% confidence interval [CI]: 1.49–1.86) and high-income inequality (OR = 2.21, 95% CI: 2.05–2.38). The negative association between income inequality and health, independently of the individual and contextual characteristics, suggests that living in unequal areas can have a detrimental effect on the health of older adults.

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Fatores sociodemográficos, comportamentais e de saúde associados à autopercepção de saúde positiva de idosos longevos residentes em Florianópolis, Santa Catarina

Cited by 16 publications

References 27 publications

Factors Associated With Positive Self-Rated Health: Comparing Older Adults in Brazil and in Portugal

Factors Associated With Positive Self-Rated Health: Comparing Older Adults in Brazil and in Portugal

Condições de saúde de mulheres e homens idosos com idade avançada: estudo longitudinal

Income Inequality and Self-Reported Health Among Older Adults in Brazil

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