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)

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.

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

Revista Brasileira de Epidemiologia ◽

10.1590/1980-549720200055 ◽

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.

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Depression-free life expectancy in elderly populations in Ceará, northeast and Brasil

Revista Fatec Zona Sul ◽

10.26853/refas_issn-2359-182x_v08n02_09 ◽

2021 ◽

Vol 8 (2) ◽

pp. 1-12

Author(s):

Ana Glads de Queiroz Rolim ◽

◽

Alane Siqueira Rocha ◽

Keyword(s):

Life Expectancy ◽

National Health ◽

Health Survey ◽

Elderly Population ◽

The Elderly ◽

National Health Survey ◽

The Other ◽

Prevalence Of Depression ◽

Elderly Populations ◽

The One

This paper investigated depression-free life expectancy in the elderly population of Ceará, the Northeast and Brazil. We used data from the 2019 National Health Survey (PNS) and the projections of the Mortality Tables provided by the Brazilian Institute of Geography and Statistics (IBGE) in 2018. Sullivan's method was used to estimate depression-free life expectancy at age 60 years. The results show that, among the elderly in the analyzed regions, women are at a disadvantage in the number of years they will live with depression compared to men. Which suggests that women live longer with depression compared to men. Among the populations analyzed, it was also found that the one in the Northeast showed the smallest difference in the prevalence of depression in the elderly between the sexes, with 11.6% in women and 3.7% in men. In general, the Northeast has the lowest prevalence of depression among the elderly, when compared to the other two regions.

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Prevalence of functional disability in the elderly: analysis of the National Health Survey

Rev Rene ◽

10.15253/2175-6783.2017000400007 ◽

2017 ◽

Vol 18 (4) ◽

pp. 468 ◽

Cited By ~ 2

Author(s):

Danielle Samara Tavares de Oliveira-Figueiredo ◽

Mariana Santos Felisbino-Mendes ◽

Deborah Carvalho Malta ◽

Jorge Gustavo Velásquez-Meléndez

Keyword(s):

National Health ◽

Health Survey ◽

Functional Disability ◽

The Elderly ◽

National Health Survey

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Association between number of medications used and nutritional markers among elderly persons with chronic diseases: National Health Survey (2013)

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562019022.180112 ◽

2019 ◽

Vol 22 (1) ◽

Author(s):

Isabel Cristina Bento ◽

Mary Anne Nascimento Souza ◽

Sérgio Viana Peixoto

Keyword(s):

Chronic Diseases ◽

National Health ◽

Health Survey ◽

Fruits And Vegetables ◽

Multinomial Logistic Regression ◽

National Health Survey ◽

Elderly Persons ◽

Central Adiposity ◽

Indicator Values ◽

Sweet Foods

Abstract Objective: to evaluate the association between the number of medications taken and nutritional markers in Brazilian elderly persons diagnosed with chronic diseases. Method: study based on data from the National Health Survey (PNS) 2013, for the population aged 60 years or older who reported at least one chronic disease (hypertension, diabetes mellitus, heart disease, stroke, arthritis, depression, lung disease and chronic renal failure) (7,770 elderly persons). The outcome was the number of medications used for the selected diseases (0, 1 to 2 and 3 or more), and the exploratory variables were food consumption markers and anthropometric indicators (body mass index, waist circumference and waist-to-height ratio). The associations were evaluated by multinomial logistic regression, estimating the odds ratio and confidence intervals (95%) and considering potential confounding factors. Results: the use of a greater number of medications was positively associated with the consumption of fruits and vegetables, fish and milk, and negatively associated with the consumption of sweet foods, soft drinks and meat with excess fat; a greater consumption of medications was also associated with higher anthropometric indicator values. Conclusion: although a greater consumption of medications was associated with better dietary indicators, these elderly persons also had higher anthropometric indicator values, including a higher concentration of central adiposity.

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Social Class and Chronic Illness

International Journal of Health Services ◽

10.2190/0upt-vve7-l5yb-7mb5 ◽

1973 ◽

Vol 3 (3) ◽

pp. 357-368 ◽

Cited By ~ 12

Author(s):

Patrick W. Conover

Keyword(s):

Socioeconomic Status ◽

Chronic Disease ◽

Chronic Illness ◽

Social Class ◽

Chronic Diseases ◽

National Health ◽

Health Survey ◽

National Health Survey ◽

Central Research ◽

Income Category

This paper traces a three-stage history of theorization on the causal relationship between social class and chronic illness, focusing in particular on the contributions of Kadushin and Mechanic. Five areas of agreement between Kadushin and Mechanic are presented as a basis for further analysis: (1) the importance of data from the National Health Survey; (2) the necessity for controlling for age as an important variable; (3) the more severe measures of chronic diseases, as shown by criteria of activity limitation or work loss, are clearly class related, with the greatest magnitude of change between the lowest income category and the next highest category; (4) there are no data from other studies that can be counted as opposing the above evidence; (5) there is agreement that it is more likely that persons will accurately report more severe episodes of chronic illness than less severe episodes. Two central research questions are then addressed: What is the true shape of the relationship between socioeconomic status and chronic disease? What are the most reasonable of the possible causes of this relationship? Analysis of new material from the National Health Survey is presented in answer to these questions. The utility of these data for this purpose is defended. Certain relationships are noted: For whites and non-whites, with age adjusted or not adjusted, there is a strong relationship between income and measures of chronic disease. With a threefold division of the income category, the magnitude of the differences between income levels is large. These relationships hold over a wide range of specific chronic diseases. The conclusion is drawn that Kadushin's hypothesis of overreaction to illness by the lower classes is of little significance. More study is needed of the downwardly mobile effects of chronic illness. The effects of poor health and low socioeconomic status are presumed to be circular.

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Alcohol Consumption among the Elderly Citizens in Hungary and Serbia—Comparative Assessment

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17041289 ◽

2020 ◽

Vol 17 (4) ◽

pp. 1289

Author(s):

Natasa Mihailovic ◽

Gergő József Szőllősi ◽

Nemanja Rancic ◽

Sándor János ◽

Klára Boruzs ◽

...

Keyword(s):

Alcohol Consumption ◽

National Health ◽

Health Survey ◽

Well Being ◽

Good Health ◽

The Elderly ◽

National Health Survey ◽

Younger Age ◽

Health Significance

Studies in the alcohol consumption area are mostly related to the (ab)use of alcohol in young people. However, today, a growing number of researchers are emphasizing the clinical and public health significance of alcohol consumption in the elderly. In the WHO reports, harmful alcohol consumption is responsible for 5.3% of the global burden of the disease. The aim of this study was to investigate the prevalence of alcohol consumption among men and women aged 55 and over in Serbia and Hungary, leveraging data from the 2013 Serbian National Health Survey and from the 2014 Hungarian National Health Survey. Respondents aged 55 and over were analysed based on logistic multivariate models. The prevalence of alcohol consumption was 41.5% and 62.5% in Serbia and Hungary, respectively. It was higher among men in both countries, but among women, it was significantly higher in Hungary than in Serbia. The statistically significant predictors affecting alcohol consumption in Serbia included age, education, well-being index, long-term disease and overall health status, with marital status being an additional factor among men. In Hungary, education and long-term disease affected alcohol consumption in both sexes, while age and employment were additional factors among women. In both countries for both sexes, younger age, more significantly than primary education and good health, was associated with a higher likelihood of alcohol consumption.

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Obesity and prevalence of chronic diseases in the 1999–2000 Italian National Health Survey

BMC Public Health ◽

10.1186/1471-2458-8-140 ◽

2008 ◽

Vol 8 (1) ◽

Cited By ~ 29

Author(s):

Stefano Calza ◽

Adriano Decarli ◽

Monica Ferraroni

Keyword(s):

Chronic Diseases ◽

National Health ◽

Health Survey ◽

National Health Survey ◽

Italian National Health

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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

International Journal for Equity in Health ◽

10.1186/s12939-016-0429-2 ◽

2016 ◽

Vol 15 (1) ◽

Cited By ~ 12

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

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Prevalence of corrected arterial hypertension based on the self-reported prevalence estimated by the Brazilian National Health Survey

Cadernos de Saúde Pública ◽

10.1590/0102-311x00033619 ◽

2020 ◽

Vol 36 (1) ◽

Author(s):

Jessica Pronestino de Lima Moreira ◽

Renan Moritz Varnier Rodrigues de Almeida ◽

Nei Carlos dos Santos Rocha ◽

Ronir Raggio Luiz

Keyword(s):

Arterial Hypertension ◽

Sensitivity And Specificity ◽

National Health ◽

Health Survey ◽

The Elderly ◽

National Health Survey ◽

The Self ◽

Self Report ◽

Younger Women ◽

Age Range

The objective was to correct the self-reported prevalence of systemic arterial hypertension (SAH) obtained from the Brazilian National Health Survey (PNS 2013). SAH prevalence estimates were corrected by means of sensitivity/specificity of information. Sensitivity and specificity values from a similar study (same self-report question, age range and gold standard) were used to this end. A sensitivity analysis was also performed, by using the upper and lower limits of confidence intervals as sensitivity and specificity parameters. The corrected prevalence of SAH for Brazil as a whole was 14.5% (self-reported: 22.1%). Women presented a higher rate of self-reported SAH but, after correction, men were found to have a higher prevalence. Among younger women (18-39 age range), the self-reported prevalence was 6.2%, a value that, after correction, dropped to 0.28%. There was not much difference between self-reported and corrected SAH among the elderly (51.1% vs. 49.2%). For certain groups the corrected results were greatly different from the self-reported prevalence, what may severely impact public health policy strategies.

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