scholarly journals Socioeconomic inequalities in activities of daily living limitations and in the provision of informal and formal care for noninstitutionalized older Brazilians: National Health Survey, 2013

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Ma.Fernanda Lima-Costa ◽  
Juliana V. M. Mambrini ◽  
Sérgio V. Peixoto ◽  
Deborah C. Malta ◽  
James Macinko
Keyword(s):  
Activities Of Daily Living ◽  
National Health ◽  
Health Survey ◽  
Daily Living ◽  
National Health Survey ◽  
Socioeconomic Inequalities ◽  
Formal Care

scholarly journals Disability on performing daily living activities in the elderly and history of falls: an analysis of the National Health Survey, 2013

2020 ◽  
Vol 23 ◽  
Author(s):  
Adriano Drummond ◽  
Wendel Rodrigo Teixeira Pimentel ◽  
Valéria Pagotto ◽  
Ruth Losada de Menezes
Keyword(s):  
Activities Of Daily Living ◽  
National Health ◽  
Health Survey ◽  
Daily Living ◽  
Functional Dependence ◽  
The Elderly ◽  
National Health Survey ◽  
Cross Sectional ◽  
Instrumental Activities ◽  
History Of

ABSTRACT: Objective: The aim of this study was to verify the association between types of dependence for basic and instrumental activities of daily living and the occurrence of falls in the elderly. Methods: A cross-sectional, population-based study using data from 23,815 elderly people drawn from the National Health Survey (NHS) in 2013. The NHS, conducted by the Brazilian Institute of Geography and Statistics (IBGE) and the Ministry of Health, presents data collected in 81,767 households in more than 1,600 municipalities. The association between the independent variable (ADL disabilities) and the dependent variable (history of falls) was performed through multiple and crude analyses, regression. Results: There was a greater association between using the toilet and transfers (ABVD) and falls, and between shopping and taking care of finances (IADL) and falls. In addition, the association between Basic Activities of Daily Living and falls was greater for up to four activities, and the Instrumental Activities of Daily Living for up to three activities. Conclusion: Thus, the results obtained in the NHS reinforce the planning of preventive strategies considering the functional dependence.

scholarly journals Functional disability in Brazilian octogenarians: data from the 2013 National Health Survey

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
P M Stolses Bergamo Francisco ◽  
D de Assumpção ◽  
F Silva Arbex Borim ◽  
A Gomes de Macedo Bacurau ◽  
A M Pita Ruiz ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
National Health ◽  
Health Survey ◽  
Daily Living ◽  
Functional Disability ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
Cross Sectional ◽  
Instrumental Activities

Abstract Background The impairment of function capacity implies a greater risk of biological and social vulnerability, increasing the demand for healthcare services and caregivers. Objective Estimate the prevalence of functional disability in the performance of basic and instrumental activities of daily living (BADL and IADL) among long-lived Brazilians (≥80 years) according to sociodemographic characteristics and self-rated health. Methods A cross-sectional study was conducted with data from seniors who participated in the 2013 National Health Survey (n = 1498). Functional disability was defined as difficulty performing at least one of the six BADL or five IADL. Independent associations were determined using Poisson multiple regression analysis, with the calculation of prevalence ratios and 95% confidence intervals adjusted for chronic diseases. Results Mean age was 84.8 years (CI95%: 84.5-85.1); 59% were women; 62% were self-declared white; and 63% had no private health insurance. The prevalence of functional disability in BADL and IADL was 33.8% (CI95%: 30.6-37.2) and 66.4% (CI95%: 62.5-70.2), respectively. Only 17.7% participated in organized social activities and only 15.5% rated their health as poor/very poor. Regarding BADL, greater disability was found among those ≥85 years of age, among men and those who rated their health as poor (p < 0.05). Regarding IADL, greater disability was found among those ≥85 years of age, those without a conjugal life, illiterate individuals and those who rated their health as poor (p < 0.05). Conclusions Approximately 1/3 and 2/3 of long-lived Brazilian exhibited restricted skills for maintaining their autonomy and independence regarding the performance of BADL and IADL, respectively. The present findings underscore the importance of family and social support networks to assist older adults in the performance of basic and instrumental activities of daily living as well as activities related to mobility. Key messages The impairment of function capacity increases the demand for healthcare services and caregivers. Approximately 1/3 and 2/3 of long-lived Brazilians have functional disability regarding the performance of basic and instrumental activities of daily living, respectively.

scholarly journals Socioeconomic Inequalities in Mental Health of Adult Population: Serbian National Health Survey

2016 ◽  
Vol 33 (1) ◽  
pp. 36-44 ◽  
Author(s):  
Milena Santric Milicevic ◽  
Janko Jankovic ◽  
Goran Trajkovic ◽  
Zorica Terzic Supic ◽  
Uros Babic ◽  
...  
Keyword(s):  
Mental Health ◽  
National Health ◽  
Health Survey ◽  
Adult Population ◽  
National Health Survey ◽  
Socioeconomic Inequalities

scholarly journals Contribution of chronic diseases to the prevalence of disability in basic and instrumental activities of daily living in elderly Brazilians: the National Health Survey (2013)

2018 ◽  
Vol 34 (1) ◽  
Author(s):  
Antônio Macêdo Costa Filho ◽  
Juliana Vaz de Melo Mambrini ◽  
Deborah Carvalho Malta ◽  
Maria Fernanda Lima-Costa ◽  
Sérgio Viana Peixoto
Keyword(s):  
Chronic Diseases ◽  
National Health ◽  
Health Survey ◽  
Daily Living ◽  
The Elderly ◽  
National Health Survey ◽  
Activity Of Daily Living ◽  
Hazards Model ◽  
Basic Activity ◽  
Study Participants

Abstract: This study’s objective was to assess the contribution of selected chronic diseases to the prevalence of disability in elderly Brazilians, based on data from the National Health Survey (PNS 2013). Disability was defined as some degree of difficulty in performing ten activities, considering three levels: (i) without disability; (ii) disabled only in some instrumental activity of daily living (IADL); and (iii) disabled in some basic activity of daily living (BADL). The multinomial additive hazards model was the attribution method used to assess the contribution of each self-reported chronic condition (hypertension, diabetes, arthritis, stroke, depression, heart disease, and lung disease) to the prevalence of disability in this population, stratified by sex and age bracket (60 to 74 years and 75 or older). Study participants included 10,537 elderly Brazilians with a mean age of 70.0 years (SD = 7.9 years) and predominance of women (57.4%). Prevalence rates for disability in at least one IADL and at least one BADL were 14% (95%CI: 12.9; 15.1) and 14.9% (95%CI: 13.8; 16.1), respectively. In general, the contribution of chronic diseases to prevalence of disability was greater in younger elderly (60 to 74 years) and in the group with greatest severity (disabled in BADL), highlighting the relevance of stroke and arthritis in men, and arthritis, hypertension, and diabetes in women. This knowledge can help orient health services to target specific groups, considering age, sex, and current illnesses, aimed at preventing disability in the elderly.

scholarly journals Patient self-reported functioning by pain severity and usual analgesic treatment among older adults with osteoarthritis: Analysis of the 2017 Spanish National Health Survey

2020 ◽  
Author(s):  
Sofía García-López ◽  
Natalia Llopart-Carles ◽  
Francisco Castro-Domínguez ◽  
Javier Rejas-Gutiérrez
Keyword(s):  
Older Adults ◽  
National Health ◽  
Health Survey ◽  
Daily Living ◽  
Treatment Strategies ◽  
National Health Survey ◽  
Pain Severity ◽  
Cross Sectional ◽  
Analgesic Treatment ◽  
Instrumental Activities

Abstract Background Osteoarthritis (OA) pain is among the leading causes of disability and social isolation worldwide. Since prevalence is high, particularly in adults aged 65 or older, it represents a significant burden for society and national health systems. The objective of this study was to determine whether patient self-reported functioning in key domains of daily living differs by pain severity and analgesic treatment among older OA patients in Spain. Methods The Spanish National Health Survey (ENSE), a large, nationally representative, cross-sectional general health survey administered by trained interviewers to 23,089 adults, was the data source. Subjects of both sexes aged 65 or older with a self-reported physician diagnosis of OA who completed the survey were analyzed. Patients were cross classified by pain severity (no/mild, moderate or severe) and analgesia (treated or untreated). Assessment of daily living included basic and instrumental activities of daily living and mental, social, and cognitive domains. Scores were re-scaled to a 0%-100% standardized metric (0%: no limitation [independence]; 100%: complete limitation [full dependence]). Results A total of 3,526 (3,389 surveys completed [96.1%]) older adults with OA were analyzed (women 73.3%; age 77.4 [standard deviation {SD}: 7.5]). Adjusted means (95% confidence interval [CI]) scores in domains of functioning showed significant association with pain severity (p < 0.001) but not treatment status, except basic and instrumental activities and social functioning, with higher scores in treated patients. Limitations in patients with untreated no/mild pain versus severe treated pain were as follows: in basic activities, 6.5% (5.0–8.0) versus 31.5% (30.1–32.9); in instrumental activities, 9.0% (7.2–10.8) versus 34.1% (32.3–35.8); in mental, 29.1% (27.9–30.3) versus 45.0% (43.9–46.2); in social, 3.0% (0.6–5.4) versus 42.2% (39.9–44.5); and, in cognitive, 10.9% (9.2–12.6) versus 23.4% (21.8–25.1). Conclusions Pain severity was a major driver of functional impairment in all the main domains of functioning analyzed in older OA patients. Regardless of pain severity, treated patients showed poorer functioning in basic, instrumental and social activities versus untreated subjects. Treated patients might have been in later disease stages, which would have affected the results. Existing analgesic treatment strategies do not meet patient needs for adequate pain management.

scholarly journals DIETARY HABITS AND FUNCTIONAL LIMITATION OF OLDER BRAZILIAN ADULTS: EVIDENCE FROM THE BRAZILIAN NATIONAL HEALTH SURVEY (2013)

2016 ◽  
pp. 1-6
Author(s):  
E. Alves Valle ◽  
J. Vaz de Melo Mambrini ◽  
S. Viana Peixoto ◽  
D. Carvalho Malta ◽  
C. de Oliveira ◽  
...  
Keyword(s):  
Older Adults ◽  
National Health ◽  
Health Survey ◽  
Living Arrangements ◽  
Daily Living ◽  
Vegetable Consumption ◽  
Functional Limitation ◽  
National Health Survey ◽  
Food Groups ◽  
Fruit And Vegetable

Objective: To compare the consumption of selected healthy and unhealthy food groups among elderly Brazilians with daily living activity limitations relative to those with no limitations. Design: Cross-sectional analyses of a nationally representative survey. Setting: The Brazilian National Health Survey, conducted in 2013. Subjects: 11,177 Brazilians aged 60 and over. Results: The prevalence of daily living limitations was 29% (95% CI 27.6,30.5). The consumption of daily meat, beans on a regular basis, and recommended fruit and vegetables intake were 67.1% (95% CI 66.5,68.7), 71.3% (95% CI 69.9,72.8) and 37.3% (95% CI 35.6,39.9), respectively. Compared to those without functional limitation, the consumption of these three food groups was significantly lower among those older adults with functional limitation (Prevalence Ratio = 0.89, 95% CI 0.80,0.98; 0.90, 95% CI 0.82,0.99 and PR 0.86, 95% CI, 0.76,0.96, respectively), independently of age, sex, marital status, living arrangements and education. Level of education showed a strong positive association with fruit and vegetable consumption, and a negative association with bean consumption, a staple diet in Brazil. Conclusions: Our findings highlight the need for public health policies to increase consumption healthy food consumption among those older adults with functional limitations, especially fruit and vegetable intake among those who have low education levels.

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