Anemia and dementia among the elderly: the São Paulo Ageing & Health Study

2011 ◽  
Vol 24 (1) ◽  
pp. 74-81 ◽  
Author(s):  
Itamar S. Santos ◽  
Márcia Scazufca ◽  
Paulo A. Lotufo ◽  
Paulo R. Menezes ◽  
Isabela M. Benseñor
Keyword(s):  
Low Income ◽  
Univariate Analysis ◽  
The Elderly ◽  
Sao Paulo ◽  
Health Study ◽  
São Paulo ◽  
Total Blood ◽  
Cross Sectional ◽  
The Relationship ◽  
Life Function

ABSTRACTBackground: Anemia and dementia are common diseases among the elderly, but conflicting data are available regarding an association between these two conditions. We analyzed data from the São Paulo Ageing & Health Study to address the relationship between anemia and dementia.Methods: This cross-sectional observational study included participants aged 65 years and older from a deprived area of the borough of Butantan, São Paulo, Brazil. Data about demographics, education, income, and cognitive and daily life function were collected, as well as blood samples. Anemia and dementia were defined according to WHO and DSM-IV criteria, respectively.Results: Of the 2267 subjects meeting the inclusion criteria, 2072 agreed to participate in the study; of whom 1948 had a valid total blood count and were included in the analysis. Anemia was diagnosed in 203 (10.2%) participants and dementia in 99 (5.1%). The frequency of anemia was higher in patients with dementia according to univariate analysis (odds ratio (OR) = 2.00, 95% confidence interval (CI) = 1.17–3.41, p = 0.01), but this association was not present after adjusting for age (OR = 1.33, 95% CI = 0.76–2.33, p = 0.32). Further multivariate adjustment did not change the results.Conclusion: Although anemia and dementia are frequent disorders in older people, we found their relationship to be mediated exclusively by aging in this low-income population from São Paulo.

The Prevalence of Headache Among Elderly in a Low-Income Area of São Paulo, Brazil

Cephalalgia ◽  
2008 ◽  
Vol 28 (4) ◽  
pp. 329-333 ◽  
Author(s):  
IM Benseñor ◽  
PA Lotufo ◽  
AC Goulart ◽  
PR Menezes ◽  
M Scazufca
Keyword(s):  
Low Income ◽  
International Headache Society ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Tension Type Headache ◽  
São Paulo ◽  
Cross Sectional ◽  
Migraine Headaches ◽  
Type Headache

There are scarce data about headache prevalence and its characteristics among elderly people. The aim was to carry out a cross-sectional study to determine the 1-year prevalence of tension-type and migraine headaches in people >65 years old in the city of São Paulo, Brazil. All 1615 people living in the study catchment area who agreed to participate in the study answered a questionnaire based in the International Headache Society criteria. Prevalence (mean and 95% confidence interval) of any type of headache in the last year was 45.6% (43.2, 48.0). Prevalence of tension-type headache in the last year was 33.1% (30.8, 35.4): 28.1% (24.6, 31.6) for men and 36.4% (33.4, 39.4) for women; for migraine headaches, prevalence in the last year was 10.6% (9.1, 12.1): 5.1% (3.4, 6.8) for men and 14.1% (11.9, 16.3) for women. One-year prevalence rates of headaches, and especially of migraine headaches, are very high among the elderly in Brazil.

Cardiovascular risk factors associated with migraine among the elderly with a low income: The São Paulo Ageing & Health Study (SPAH)

Cephalalgia ◽  
2010 ◽  
Vol 31 (3) ◽  
pp. 331-337 ◽  
Author(s):  
Isabela M Benseñor ◽  
Alessandra C Goulart ◽  
Paulo A Lotufo ◽  
Paulo R Menezes ◽  
Márcia Scazufca
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factor ◽  
Low Income ◽  
The Elderly ◽  
Sao Paulo ◽  
Health Study ◽  
São Paulo ◽  
Age And Sex

Background: To investigate the association between cardiovascular risk-factor profile and migraine in the elderly, we evaluated a population sample of ageing men and women (65 years or more) living in a low-income area in the city of São Paulo, Brazil. Patients and Methods: We investigated migraine status and cardiovascular profile from a baseline of 1450 participants (65–102 years of age) of the São Paulo Ageing & Health Study (SPAH), a longitudinal population-based study with low-income elderly in Brazil. The following age and sex-adjusted cardiovascular risk factors were analyzed: blood pressure, pulse pressure, serum total and high-density lipoprotein cholesterol, body mass index, smoking, history of hypertension, diabetes and the 10-year risk of myocardial infarction or coronary heart disease death based on the Framingham Risk Score. Results: The overall prevalence of migraine was 11.4%, and it was 3 times more frequent among women than men (15.3% vs 5.4%; P < 0.0001). Migraineurs were younger than non-migraineurs (mean age 70.6 years vs 72.1 years; P = 0.001, respectively). There was no statistically significant difference regarding the cardiovascular risk-factor profile after adjustment for age and sex among migraineurs and non-migraineurs. Only a decrease in the risk of hypertension among women (OR 0.58; 95% CI 0.38–0.90; P = 0.01) was also observed even after adjustment for age. Conclusions: Overall, we did not find a worse cardiovascular risk profile among elderly migraineurs. An inverse association between hypertension and migraine in women warrants further investigation.

scholarly journals Cerebrovascular diseases mortality in the elderly in the state of São Paulo

2021 ◽  
Author(s):  
Isaac Rêgo Purificação ◽  
Allêh Kauãn Santos Nogueira ◽  
Matheus Araújo de Souza ◽  
Camila de Almeida Costa Alencar ◽  
Sancha Mohana Brito Goes Rios
Keyword(s):  
Age Groups ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cerebrovascular Diseases ◽  
Sao Paulo ◽  
Primary Objective ◽  
The State ◽  
São Paulo ◽  
Cross Sectional ◽  
Lack Of Information

Background: Cerebrovascular disease (CVD) is the world 2nd death cause and the main cause of disability. Nevertheless, there is a lack of information regarding the mortality profile for this etiology in the last decade. Objective and Methods: Using prospectively collected data available in TabNet (DataSUS) platform, a descriptive and cross-sectional study was conducted. The primary objective is to access the demographic information most associated with DCV mortality in individuals older than 50 years-old, in São Paulo (SP), from 2010 to 2019. Results: The highest mortality in the state of SP was in 2019 (16,945 deaths), according to the growing trend; in the 2010-2019 period, the annual mean by city of deaths (± standard deviation [SD]) was 14,885 (± 1,341). During these years, the number of deaths was higher in the municipality of São Paulo (57,013; 31%). The annual mean deaths (± SD) in the capital and in the interior cities were, respectively: 4,684 (± 269) and 31 (± 58). The age groups from 70 to 79 years and over 80 years were the most affected. Caucasian race represents 71% of deaths. Individuals with 1 to 3 years of school were more affected (38%). The ratio of male deaths to female deaths was 1.02. Conclusion: In the last decade, there was an increasing mortality by CVD among the elderly population, and the city of São Paulo leads the number of cases.

scholarly journals Social and racial inequalities in COVID-19 risk of hospitalisation and death across Sao Paulo state, Brazil

2020 ◽  
Author(s):  
Sabrina L. Li ◽  
Rafael H. M. Pereira ◽  
Carlos A. Prete ◽  
Alexander E. Zarebski ◽  
Lucas Emanuel ◽  
...  
Keyword(s):  
Low Income ◽  
Respiratory Infections ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Mobile Phone Data ◽  
São Paulo ◽  
Cross Sectional ◽  
Paulo State ◽  
Disadvantaged Population ◽  
São Paulo State

Background: Little evidence exists on the differential health effects of COVID-19 on disadvantaged population groups. Here we characterise the differential risk of hospitalisation and death in Sao Paulo state, Brazil and show how vulnerability to COVID-19 is shaped by socioeconomic inequalities. Methods: We conducted a cross-sectional study using hospitalised severe acute respiratory infections (SARI) notified from March to August 2020, in the Sistema de Monitoramento Inteligente de Sao Paulo (SIMI-SP) database. We examined the risk of hospitalisation and death by race and socioeconomic status using multiple datasets for individual-level and spatio-temporal analyses. We explained these inequalities according to differences in daily mobility from mobile phone data, teleworking behaviour, and comorbidities. Findings: Throughout the study period, patients living in the 40% poorest areas were more likely to die when compared to patients living in the 5% wealthiest areas (OR: 1.60, 95% CI: 1.48 - 1.74) and were more likely to be hospitalised between April and July, 2020 (OR: 1.08, 95% CI: 1.04 - 1.12). Black and Pardo individuals were more likely to be hospitalised when compared to White individuals (OR: 1.37, 95% CI: 1.32 - 1.41; OR: 1.23, 95% CI: 1.21 - 1.25, respectively), and were more likely to die (OR: 1.14, 95% CI: 1.07 - 1.21; 1.09, 95% CI: 1.05 - 1.13, respectively). Interpretation: Low-income and Black and Pardo communities are more likely to die with COVID-19. This is associated with differential access to healthcare, adherence to social distancing, and the higher prevalence of comorbidities.

The role of literacy, occupation and income in dementia prevention: the São Paulo Ageing & Health Study (SPAH)

2010 ◽  
Vol 22 (8) ◽  
pp. 1209-1215 ◽  
Author(s):  
Marcia Scazufca ◽  
Osvaldo P. Almeida ◽  
Paulo R. Menezes
Keyword(s):  
Primary Prevention ◽  
Low Income ◽  
Cumulative Effect ◽  
Sao Paulo ◽  
Health Study ◽  
Public Health Issue ◽  
São Paulo ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

ABSTRACTBackground: Dementia is now a major public health issue in low- and middle-income countries, and strategies for primary prevention are needed. This study aimed to estimate the proportion of cases of dementia attributable to illiteracy, non-skilled occupation and low income, which are common, potentially modifiable social adversities that occur along the lifespan in low- and middle-income countries.Methods: This report is based on data from the São Paulo Ageing & Health Study (SPAH) study (N = 2003). All individuals aged 65 years and older residing within pre-defined socially deprived areas of the city of São Paulo, Brazil, were included. The outcome of interest was prevalent dementia. Indicators of socioeconomic position (SEP) were literacy (distal indicator), highest occupational attainment (intermediate indicator), and monthly personal income (proximal indicator). We estimated the proportion of prevalent dementia attributable to each SEP indicator (illiteracy, non-skilled occupations and low income) by calculating their population attributable fractions (PAF).Results: Dementia was more prevalent amongst participants who were illiterate, had non-skilled occupations and lower income. Illiteracy, poor occupational achievement and low income accounted for 22.0%, 38.5% and 38.5% of the cases of dementia, respectively. There was a cumulative effect of socioeconomic adversities during the lifespan, and nearly 50% of the prevalence of dementia could be potentially attributed to the combination of two or three of the socioeconomic adversities investigated.Conclusions: Public policies aimed at improving education, occupational skills and income could potentially have a role in primary prevention of dementia. Governments should address this issue in a purposeful and systematic way.

scholarly journals Higher risk of death from COVID-19 in low-income and non-White populations of São Paulo, Brazil

2021 ◽  
Vol 6 (4) ◽  
pp. e004959
Author(s):  
Sabrina L Li ◽  
Rafael H M Pereira ◽  
Carlos A Prete Jr ◽  
Alexander E Zarebski ◽  
Lucas Emanuel ◽  
...  
Keyword(s):  
Low Income ◽  
Respiratory Infections ◽  
Sao Paulo ◽  
Public Hospitals ◽  
Mobile Phone Data ◽  
São Paulo ◽  
Cross Sectional ◽  
Risk Of Death ◽  
Hospitalised Patients ◽  
Multiple Data Sets

IntroductionLittle evidence exists on the differential health effects of COVID-19 on disadvantaged population groups. Here we characterise the differential risk of hospitalisation and death in São Paulo state, Brazil, and show how vulnerability to COVID-19 is shaped by socioeconomic inequalities.MethodsWe conducted a cross-sectional study using hospitalised severe acute respiratory infections notified from March to August 2020 in the Sistema de Monitoramento Inteligente de São Paulo database. We examined the risk of hospitalisation and death by race and socioeconomic status using multiple data sets for individual-level and spatiotemporal analyses. We explained these inequalities according to differences in daily mobility from mobile phone data, teleworking behaviour and comorbidities.ResultsThroughout the study period, patients living in the 40% poorest areas were more likely to die when compared with patients living in the 5% wealthiest areas (OR: 1.60, 95% CI 1.48 to 1.74) and were more likely to be hospitalised between April and July 2020 (OR: 1.08, 95% CI 1.04 to 1.12). Black and Pardo individuals were more likely to be hospitalised when compared with White individuals (OR: 1.41, 95% CI 1.37 to 1.46; OR: 1.26, 95% CI 1.23 to 1.28, respectively), and were more likely to die (OR: 1.13, 95% CI 1.07 to 1.19; 1.07, 95% CI 1.04 to 1.10, respectively) between April and July 2020. Once hospitalised, patients treated in public hospitals were more likely to die than patients in private hospitals (OR: 1.40%, 95% CI 1.34% to 1.46%). Black individuals and those with low education attainment were more likely to have one or more comorbidities, respectively (OR: 1.29, 95% CI 1.19 to 1.39; 1.36, 95% CI 1.27 to 1.45).ConclusionsLow-income and Black and Pardo communities are more likely to die with COVID-19. This is associated with differential access to quality healthcare, ability to self-isolate and the higher prevalence of comorbidities.

scholarly journals Classificação da complexidade assistencial de idosos em instituições públicas

2018 ◽  
Vol 8 (24) ◽  
pp. 31
Author(s):  
Gerson Scherrer Júnior ◽  
Marjorie Simão Mosquetto ◽  
Kleyton Góes Passos ◽  
Rita De Cássia Ernandes ◽  
Angélica Castilho Alonso
Keyword(s):  
Health Management ◽  
The Elderly ◽  
Sao Paulo ◽  
Public Institution ◽  
São Paulo ◽  
Cultural Economic ◽  
Cross Sectional ◽  
El Sistema ◽  
Nursing Health ◽  
Elderly Living

Caracterizar o perfil social, cultural, econômico e de saúde e avaliar a complexidade assistencial de idosos residentes em instituição pública da cidade de São Paulo. Estudo transversal e descritivo, com 154 idosos residentes em quatro instituições de longa permanência para idosos. A coleta de dados aconteceu no período de julho a dezembro de 2016. A caracterização da amostra foi mediante levantamento de informações nos prontuários e a complexidade assistencial foi avaliada através da aplicação da escala de Fugulin. Prevaleceu o sexo feminino, analfabetos, aposentados, sedentários e ociosos, sem limitação de movimento e com períodos de desorientação. O sistema de classificação de paciente, segundo Fugulin, 71% apresentaram cuidados mínimos, 23% cuidados intermediários e 6% alta dependência. Os idosos residentes em instituições públicas de São Paulo são do sexo feminino, com baixa escolaridade, sem dependência funcional e com complexidade assistencial de cuidados mínimos.Descritores: Instituição de Longa Permanência para Idosos, Enfermagem, Gestão em Saúde. Classification of elderly association complexity in public institutionsAbstract: To characterize the social, cultural, economic and health profile and to evaluate the assistance complexity of the elderly living in a public institution in the city of São Paulo. A cross-sectional and descriptive study, with 154 elderly people living in four long-term institutions for the elderly. Data collection took place from July to December 2017. The characterization of the sample was based on the collection of information in the medical records and the assistance complexity was evaluated through the application of the Fugulin scale. Results: women prevailed, illiterate, retired, sedentary and idle, with no movement limitation and periods of disorientation. The patient classification system, according to Fugulin, 71% presented minimal care, 23% intermediate care and 6% high dependence. The elderly living in public institutions in São Paulo are female, with low educational level, with no functional dependency and with minimal assistance care complexity.Descriptors: Homes for the Aged, Nursing, Health Management. Clasificación de la complejidad asistencial de idiomas en instituciones públicasResumen: Caracterizar el perfil social, cultural, económico y de salud y evaluar la complejidad asistencial de ancianos residentes en institución pública de la ciudad de São Paulo. Estudio transversal y descriptivo, con 154 ancianos residentes en cuatro instituciones de larga permanencia para ancianos. La recolección de datos ocurrió en el período de julio a diciembre de 2017. La caracterización de la muestra fue mediante el levantamiento de informaciones en los prontuarios y la complejidad asistencial fue evaluada a través de la aplicación de la escala de Fugulin. Resultados: prevaleció el sexo femenino, analfabetos, jubilados, sedentarios y ociosos, sin limitación de movimiento y con períodos de desorientación. El sistema de clasificación de pacientes, según Fugulin, el 71% presentó cuidados mínimos, el 23% de los cuidados intermedios y el 6% de la alta dependencia. Los ancianos residentes en instituciones públicas de São Paulo son del sexo femenino, con baja escolaridad, sin dependencia funcional y con complejidad asistencial de cuidados mínimos.Descriptores: Hogares para Ancianos, Enfermería, Gestión de la Salud

scholarly journals Cerebrovascular diseases mortality in young adults in the state of São Paulo

2021 ◽  
Author(s):  
Isaac Rêgo Purificação ◽  
Allêh Kauãn Santos Nogueira ◽  
Matheus Araújo de Souza ◽  
João Vitor Lopes Lima ◽  
Douglas Mateus Pereira Jorge ◽  
...  
Keyword(s):  
Young Adults ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cerebrovascular Diseases ◽  
Sao Paulo ◽  
Primary Objective ◽  
The State ◽  
São Paulo ◽  
Cross Sectional ◽  
Epidemiological Profile

Background: The incidence of Cerebrovascular Diseases (CVD) increases significantly with age, being more frequent in the elderly. For this reason, there are still few studies that describe the epidemiological profile of these pathologies in youn g adults. Methods and Objective: From the data collected prospectively and allocated on the TabNet platform (DataSUS, MS), an observational, descriptive and cross-sectional study was carried out. As a primary objective, we seek to describe the demographic information most associated with CVD mortality in individuals between 20 and 49 years old, in São Paulo. Results: The year 2011 emerged in relation to mortality, with 1,432 deaths; in the 2010- 2019 period, the average number of deaths (± standard deviation [SD]) was 1,318 (± 61), per year. In this period, the number of deaths was higher in the capital (4,605; 34.9% of the total in the state). The mean deaths (± SD), per year, in the capital and in the interior cities were, respectively: 442 (± 58) and 2.4 (± 6.2). People with schooling from 4 to 7 years old and from 8 to 11 years old were the most affected. The ratio of male deaths to female deaths was 1.05. Conclusion: There is relative stability in relation to mortality per year among young adults in the state of SP, the capital being the city with the highest number of deaths. Male individuals, with a medium level of education were responsible for most of the deaths.

scholarly journals Pengetahuan dan Pendapatan Akseptor KB dengan Penggunaan Alat Kontrasepsi Bawah Kulit (AKBK)

2020 ◽  
Vol 2 (1) ◽  
pp. 54-63
Author(s):  
Lia Hartini
Keyword(s):  
Family Planning ◽  
Low Income ◽  
Univariate Analysis ◽  
Survey Method ◽  
Test Results ◽  
Chi Square ◽  
Cross Sectional ◽  
Urban Village ◽  
Low Income Mothers ◽  
The Relationship

  This study aimed to determine the relationship between knowledge and income of family planning acceptors and subcutaneous contraception (AKBK) at BPM Habibah, Meat Jaya Village, in 2020. The research method used an analytic survey method with a Cross-Sectional approach. Univariate analysis results obtained from 50 respondents known that most respondents with good knowledge as many as 28 respondents (56%) more than those who lack awareness that is as much as 22 respondents (44%), a small proportion of respondents who have high incomes are 19 respondents (38%) more few of the low-income mothers were 32 respondents (62%). Those using under-skin contraception (AKBK) were 35 (70%) respondents. Based on the chi-square statistical test results on the relationship between knowledge (ρ value 0.011) and income (ρ value 0.042) with the use of AKBK. In conclusion, there is a significant relationship between knowledge and income with the use of under-the-skin contraception (AKBK) at BPM Habiba, Meat Jaya Urban Village, in 2020.  Keywords: Family Planning Acceptor, Knowledge Contraception, Income

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