scholarly journals Social participation and self-assessment of health status among older people in Brazil

2021 ◽  
Vol 26 (2) ◽  
pp. 581-592
Author(s):  
Bruno Luciano Carneiro Alves de Oliveira ◽  
Sara Fiterman Lima ◽  
Andréa Suzana Vieira Costa ◽  
Alécia Maria da Silva ◽  
Maria Teresa Seabra Soares de Britto e Alves

Abstract To estimate the prevalence of social participation (exposure) and its association with positive self-assessment of overall health status (SAH) (outcome) among 7,712 Brazilian elderly interviewed in the National Health Survey 2013. A cross-sectional study that used Propensity Score (PS) to improve comparability between the group exposed and no exposed to social participation. Poisson regression was performed to determine the prevalence and association of interest using crude and adjusted by inverse probability of selection of PS. Social participation was reported by 25.1% (CI95%: 23.4-26.9) and was lower among poor older people, who depend on public transportation and live in more precarious contexts. Most did not SAH positively, but the proportion was higher when they had social participation (48.0%; CI95%: 46.0-51.0). There was a positive association of social participation with SAH positive. The association using the adjusted model (PR: 1.15; CI95%: 1.08-1.22) attenuated the estimated in the crude model. Elderly exposed were 15% more likely to provide a positive SAH. Despite low levels in Brazil, there was a positive association between of social participation and SAH, confirming that engagement in such activities provides important gains for the health and quality of life.

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Mateusz Cybulski ◽  
Lukasz Cybulski ◽  
Elzbieta Krajewska-Kulak ◽  
Urszula Cwalina

2020 ◽  
Vol 26 (2) ◽  
pp. 141-150
Author(s):  
Ellisiv Lærum-Onsager ◽  
Therese Brovold ◽  
Astrid Bergland ◽  
Are H Pripp ◽  
Asta Bye

Background: Data on health-related quality of life (HRQoL) in geriatric patients and non-hospitalized older people are lacking, and the associations among HRQoL, body mass index (BMI) and health status are not sufficiently investigated in these groups. Aim: This study aims to describe and compare HRQoL in a sample of geriatric patients and non-hospitalized people >70 years. It further aims to investigate the associations between HRQoL, BMI, health status and sociodemographic variables in geriatric patients and non-hospitalized people >70 years. Methods: This cross-sectional study included 107 geriatric patients and 328 non-hospitalized older people. HRQoL was measured with the 36-Item Short Form Survey (SF-36) and BMI was divided into three classes: underweight (<22 kg/m2), normal weight (22–27 kg/m2) and overweight (>27 kg/m2). Results: All SF-36 scores were lower for the geriatric patients than for the non-hospitalized people ( p < .001). Underweight (BMI <22 kg/m2) was registered for 43.9% of the geriatric patients and for 13.7% of the non-hospitalized people. No significant associations were found between the SF-36 subscale scores and underweight, but overweight was associated with lower scores on physical functioning ( B: –8.7) and vitality ( B: –6.8) compared to those with normal BMI ( p < .05). The participants with rheumatic diseases, pulmonary diseases, hypertension and digestive diseases had significantly lower scores on most SF-36 scales reflecting physical health. Conclusion: HRQoL is substantially lower in geriatric patients than in non-hospitalized older people. The negative effects of both overweight and morbidity on HRQoL indicate that it is important to monitor weight and disease symptoms to promote HRQoL in older people, whether hospitalized or non-hospitalized.


2021 ◽  
Vol 10 (7) ◽  
pp. 1502
Author(s):  
Julia Wärnberg ◽  
Napoleón Pérez-Farinós ◽  
María Julia Ajejas-Bazán ◽  
Jéssica Pérez-López ◽  
Juan Carlos Benavente-Marín ◽  
...  

Self-perceived health has been used as a good estimator of health status and receiving affection can be a determining factor for good self-perceived health. The aim of the present study was to assess whether lack of social support (measured through Duke scale, which ranges from 11 to 55) was associated with poorer health status measured as self-perceived health, and whether that association was different between women and men. A cross-sectional study was conducted using data from the 2017 Spanish National Health Survey. A descriptive study was performed, and logistic regression models were applied using self-perceived health as a dependent variable. Mean Duke score was 47.6 for men and 47.9 for women (p = 0.016). Moreover, 36.3% of women and 27.6% of men reported poor self-perceived health (p < 0.001). The multivariate analysis revealed that lower scores in Duke-UNC social support scale were associated with poorer health status. That association was higher in women than in men. Poor self-perceived health was also associated with low level of education and obesity, especially among women. There was gender inequality as regards health status associated with lack of social support. These results can help design prevention strategies to improve health.


PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259640
Author(s):  
Aldiane Gomes de Macedo Bacurau ◽  
Ana Paula Sayuri Sato ◽  
Priscila Maria Stolses Bergamo Francisco

This study aimed to estimate the prevalence of non-vaccination and the reasons for nonadherence to the influenza vaccine among older Brazilians according to sociodemographic characteristics. A cross-sectional study was conducted with data from older people (≥ 60 years of age; n = 23,815) who participated in the 2013 National Health Survey. Frequencies of non-vaccination and the main reasons for nonadherence were calculated with respective 95% confidence intervals. The prevalence of non-vaccination was 26.9% (approximately 7,106,730 older people). The reason rarely gets the flu was the most cited among the men (28.2%), the 60-to-69-year-old age group (29.6%), individuals with higher education (41.9%), and those with health insurance (32.3%). Fear of a reaction was the most cited reason in the northeastern region (25.4%), among women (29.3%), longer-lived individuals (≥70 years; 28.7%), and those who did not know how to read/write (26.7%). A total of 12.1% reported not believing in the vaccine’s protection, and 5.5% did not know that it was necessary to take vaccine. The proportions of the main reasons for non-vaccination varied by sociodemographic characteristics. This study’s findings highlight the need to increase older people’s knowledge regarding influenza and influenza vaccines. Healthcare providers should be encouraged to counsel older people–especially those in subgroups with lower adherence, such as residents in the Northeast region, those aged 60–69 years, those who do not know how to read/write, those without a spouse/companion, and those without health insurance–regarding the different aspects of the vaccine and formally indicate it for groups at risk.


Retos ◽  
2018 ◽  
pp. 246-249
Author(s):  
Félix Zurita-Ortega ◽  
Ramón Chacón Cuberos ◽  
Manuel Fernández-Sánchez ◽  
Manuel Castro-Sánchez

Este estudio de carácter descriptivo y de corte transversal se realizó sobre un grupo de 41 adultos mayores de Santiago de Chile (Chile) que sufrían patología de hombro, con una edad media de 58,17 años (DT = 11,75). Se utilizó para la valoración el Test UCLA, el Termómetro de EUROQOL de Autovaloración del Estado de Salud y un Cuestionario Sociodemográfico. El análisis de datos se realizó a través de SPSS 20.0 empleando descriptivos básicos y un modelo de regresión logística binaria. Los sujetos que presentaron tendinopatías en el hombro fueron un 53,7% (n = 22). Asimismo, un 48,8% indicó que practicaba actividad física de forma continuada, únicamente un 14,6% (n=6) no lo hacía periódicamente y un 39% (n = 16) desarrollaba ejercicios de mantenimiento. El estado de salud y la evaluación UCLA mostraron asociaciones estadísticas. El modelo de regresión reveló asociaciones de la actividad física con el sexo [OR = 0,086 (0,008-0,977)] y el estado de salud [OR = 0,021 (0,001-0,311)]. Como principales conclusiones se concreta que la actividad física regular es un elemento que disminuye el desarrollo de dolor en la patología de hombro en mayores. Asimismo, los datos obtenidos revelan que ser mujer y tener peor estado de salud se asocia a una menor práctica de actividad física en personas con patología de hombro.Abstract. This descriptive and cross-sectional study was performed on a group of 41 adults from Santiago of Chile (Chile) who suffer shoulder pathology, with an average age of 58,17 years old (SD = 11,75). This study employed as main instruments the EUROQOL THERMOMETER, the UCLA scale, a self-assessment for health status, and a sociodemographic questionnaire. This study used SPSS 20.0 software for data analysis employing basic descriptive analysis and a f binary logistic regression model. A total of 53,7% (n=22) of the subjects showed shoulder tendinopathies. The 48,8% of the sample reported that they do physical activity frequently, while only 14,6% (n = 6) indicated that they never do physical activity regularly, and 39% (n = 16) do maintenance exercise. The regression model showed associations between physical activity and sex [OR = 0,086 (0,008 – 0,977)] and health status [OR = 0,021 (0,001 to 0,311)]. As main conclusions, regular physical activity is an element that decreases the development of pain in shoulder pathology. Likewise, the data obtained reveal that being a woman and having a worse state of health is associated with less physical activity in people affected by shoulder pathology.


Author(s):  
Silvia Portero de la Cruz ◽  
Jesús Cebrino

Elderly people are a particularly important population with regard to antibiotic overuse, using around 50% more antibiotics per capita than younger adults. The aim of this study was to analyze the prevalence, associated factors and evolution over time of antibiotic consumption among the Spanish population aged ≥ 65 years from 2006 to 2017. A descriptive cross-sectional study was conducted using data from the Spanish National Health Survey in 2006, 2011/2012 and 2017, and from the European Health Survey in Spain in 2009 and 2014. The sample consisted of 26,891 non-institutionalized individuals ≥ 65 years. Antibiotic consumption was the dependent variable, and sociodemographic variables, lifestyle habits and health status were analyzed using a logistic regression model. The prevalence of antibiotic consumption was 4.94%, with a marked increase from 2006 (4.64%) to 2017 (5.81%) (p < 0.0001). Higher antibiotic consumption was associated with poor or very poor self-perceived health status, no polypharmacy and not having been in hospital during the previous twelve months, while a lower consumption was linked to being limited but not severely due to a health problem and not being at all limited.


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