Mudanças em dez anos das desigualdades sociais em saúde dos idosos brasileiros (1998-2008)

Lima‐Costa, Maria Fernanda; Facchini, Luiz Augusto; Matos, Divane Leite; Macinko, James

doi:10.1590/s0034-89102012005000059

Cited by 47 publications

(46 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This assertion is supported by the fact that the elderly in both Brazil and the rest of the world, especially those from low income groups, exhibit the poorest self-evaluations of health, high levels of functional disability and have difficulty accessing consultations, exams and hospitalizations 1 . An aggravating factor in Brazil is that the proposed universal public access offered by the Sistema Único de Saúde (the Unified Health System) (SUS) is still in the process of effectuation, as spending on private health care is greater than government investment in the sector, which affects both family income and, often, the efficacy of the services provided 2,3 .…”

Section: Introductionmentioning

confidence: 99%

Survival analysis of elderly patients in Intensive Care Units

Bonfada

Santos

Lima

et al. 2017

Rev. bras. geriatr. gerontol.

View full text Add to dashboard Cite

Objective: Conduct a survival analysis of elderly patients hospitalized in an intensive care unit (ICU), identifying the predictors of mortality among this age group. Methods: A retrospective cohort study was performed with data from the medical records of 457 elderly patients hospitalized in an ICU located in the city of Natal in Brazil. Survival functions were estimated using the Kaplan-Meier estimator, and the Log-rank test was used for comparisons. In addition, a multiple Cox proportional hazards model was constructed to identify the independent effects of the predictors of survival. Results: It was found that the survival of elderly ICU patients declined due to factors such as increased hospitalization time, advancing years, unmarried (including common-lawmarriage) status, the presence of shock, pneumonia, septicaemia, fractures, a reduced state of consciousness, hospitalization for clinical reasons, being bedridden prior to hospitalization, fever, bradycardia, hypotension, cardiac arrest and the need for mechanical ventilation. The multiple Cox proportional hazards model revealed that variables such as shock, longevity, bradycardia, fractures, fever, hospitalization in the public healthcare system and admission for clinical reasons remained significant as predictors of reduced survival in intensive care units. Conclusions: The survival rates of elderly persons in an ICU in the city of Natal in Brazil were affected by demographic and clinical predictors, and those related to the type of hospitalization and the health care network. This shows that any initiative aimed at increasing the survival of elderly ICU patients must look at individual and social issues and factors related to the health care network.

show abstract

Section: Introductionmentioning

confidence: 99%

Survival analysis of elderly patients in Intensive Care Units

Bonfada

Santos

Lima

et al. 2017

Rev. bras. geriatr. gerontol.

View full text Add to dashboard Cite

show abstract

“…This situation of inequality indicates that these elderly form a group that is vulnerable to risks that lead to disadvantages in lifestyles (Neri and Soares 2007;Lima-Costa et al 2011). This pattern also suggests that the disparities in the present general living conditions originated from the denied social rights and multiple deprivations accumulated during each life stage until old age (Barros et al 2011a;Lima-Costa et al 2012;Oliveira 2013). Moreover, these differences can be reproduced in family members of these individuals because the income of the elderly may represent an important part of the household income (Neri and Soares 2007;Campos 2009), especially in poorer families where the elderly contribute an important fraction of the family income (Junges 2004;Neri and Soares 2007).…”

Section: Discussionmentioning

confidence: 99%

Racial inequalities in the socioeconomic, demographic and health conditions of elderly from Maranhão State, Legal Amazon, Brazil: a population-based study

Oliveira

Silva²,

Silva

et al. 2014

Acta Amaz.

View full text Add to dashboard Cite

Aging with quality of life does not occur equally among the racial groups of Brazilian elderly, and few studies have analyzed this issue in the states of the Brazilian Legal Amazon. The objective of this study was to investigate racial inequalities in the socioeconomic, demographic and health conditions of elderly residents of Maranhão state, Brazil. The present work is a cross-sectional study of 450 elders aged 60 years or older included in the 2008 National Household Sample Survey. The prevalence of socioeconomic, demographic, health and habit indicators and of risk factors were estimated in white, brown and black racial categories that were self-reported by the survey participants. The chi-square test was used for comparisons (a=5%). The majority of the elderly respondents identified themselves as brown (66.4%) or white (23.3%). There were significant socioeconomic, demographic, habit and lifestyle differences among the racial groups. Most of the black and brown elderly lived alone, reported lower educational levels and were in the lowest quintile for income. These respondents were also highly dependent on the Unified Health System (Sistema Único de Saúde - SUS), exhibited low rates of screening mammograms and lower physical activity levels and had a greater proportion of smokers. However, there was no difference in the prevalence of health indicators or in the proportion of elderly by gender, age, social role in the family or the urban-rural location of the household. These results indicate the presence of racial inequalities in the socioeconomic and demographic status and in the practice of healthy habits and lifestyles among elderly from Maranhão, but suggest equity in health status. The results also suggest the complexity and challenges of interlinking race with socioeconomic aspects, and the findings reinforce the need for the implementation of public policies for these population groups.

show abstract

“…No Brasil, pesquisas têm apontado o favorecimento das classes mais ricas da população no atendimento à saúde 23,24 , inclusive na população idosa 25,26 . Contudo, estudos recentes de âmbito nacional 27,28 apresentaram evidências do papel promotor da ESF na equidade, ao mostrar maior utilização entre as pessoas de menor nível so- cioeconômico.…”

Section: Discussionunclassified