Quality of life and associated morbidities among elderly persons registered with the Family Health Strategy of Senador Guiomard in the state of Acre

Abstract

Objectives: To verify the prevalence of a low quality of life and analyze the morbidities associated with such a condition among elderly persons registered with the Family Health Strategy of the municipality of Senador Guiomard. Method: A cross-sectional study was performed of elderly persons registered with the Family Health Strategy in the urban area of the municipality of Senador Guiomard in the state of Acre. A comparison between men and women regarding morbidities and quality of life was performed using Pearson's chi-squared test. The associations between the tertiles of quality of life and morbidities were estimated by odds ratio through multivariate logistic regression analysis. Results: There were differences between men and women in the reporting of hypertension ( p=0.015), diabetes ( p=0.033), in the psychological domain ( p=0.009) and in total quality of life (<0.001). Elderly people classified in the lower tertile of the physical and social domains of quality of life were more likely to suffer from hypertension, cardiovascular disorders and anemia. Those in the lower tertile of the psychological domain were also more likely to suffer from hypertension, cardiovascular disorders and insomnia, as well as anemia. Elderly individuals in the lower overall tertile were more likely to suffer from hypertension, cardiovascular disorders, insomnia and anemia. No statistically significant associations were found for the environmental domain. Conclusion: The total quality of life and the physical, psychological and social domains of quality of life can be considered good indicators of the described morbidities among the elderly. The environmental domain, however, was not a useful indicator.

Multimorbidade, depressão e qualidade de vida em idosos atendidos pela Estratégia de Saúde da Família em Senador Guiomard, Acre, Brasil

“…In an earlier study -analyzing the presence of hypertension, cardiovascular disorders, insomnia and anemia individually -it was possible to observe an association with lower scores in the quality of life domains, again with the exception of the environmental domain 27 . In this investigation, elderly people with multimorbidity had greater chance of poorer quality of life (lower tertile), confirming the relationship between multimorbidity and a lower quality of life 41 .…”

“…Probabilistic sampling was carried out based on the elderly population registered with the Family Health Strategy, which in that year meant 100% coverage. The sampling and data gathering procedures have already been described 27 .…”

“…In a study carried out in 2010 among elderly people assisted by the Family Health Strategy in the municipality of Senador Guiomard (State of Acre), it was noted that individually, hypertension and cardiovascular disturbances, for example, are associated with both the total quality of life and the domains of quality of life 27 . It should be stressed that in the entire state of Acre, elderly people corresponded in that year to 4.32% of the population, although in Senador Guiomard the proportion rose toalmost twice that percentage (7,91%) 16 .…”

Factors associated to multimorbidity in inpatient elderly according to sociodemographic characteristics, lifestyle and use of services

“…Aging is a physiological process associated with decreased functional capacity and the presence of diseases, especially chronic noncommunicable diseases (NCD) 1 . Hypertension, Diabetes Mellitus, chronic respiratory diseases, and neoplasms represent the main chronic NCD in the elderly population and are determined by several factors, characterized by the gradual onset of usually uncertain prognosis, and with long duration, being the presence of two or more morbidities in an individual, being associated, or not, with the so-called multimorbidity 2 .…”

Qualidade de vida em pacientes com doença arterial periférica

“…1 As such, QoL has been understood on the basis of physical, psychological, and social aspects, in addition to the person's perception of their own general QoL. 2 Under the influence of the World Health Organization (WHO) concept of health, QoL analysis has been implemented as a means of assessing states of health and wellbeing since the 1960s. 3 Since then, the study of QoL indices has become an important tool in clinical practice because of its capacity to guide better intervention strategies and aid assessment of the impact of a disease on a person's biopsychosocial aspect.…”