scholarly journals Factors associated with the hospitalization of the elderly: a national study

2018 ◽  
Vol 21 (4) ◽  
pp. 439-446
Author(s):  
Danielle Bordin ◽  
Luciane Patrícia Andreani Cabral ◽  
Cristina Berger Fadel ◽  
Celso Bilynkievycz dos Santos ◽  
Clóris Regina Blanski Grden

Abstract Objective :to analyze the factors associated with hospitalization among the Brazilian elderly based on multidimensional methodology. Method: a cross-sectional, quantitative study was performed with data from the National Health Survey (2013) population-based study. The sample was composed of 23,815 individuals over the age of 60 years. Hospitalization was considered the outcome variable and 53 independent variables were included, relating to: sociodemographic characteristics; limitations and illness; difficulties in performing basic and instrumental activities of daily living; use of health services and medical emergencies. Results: it was found that 10% of the elderly were hospitalized in the previous year. This event was related to: a negative self-perception of health (OR = 1.35); stopping performing any of their usual activities due to health reasons (OR = 2.14); difficulty going to the doctor (OR = 1.65) or walking alone (OR = 1.55); a recent search for a site, service or health professional for health-related care (OR = 1.47); increased frequency of annual medical visits (OR = 2.93) and household emergency (OR = 5.40). Conclusion: the results reinforce the fact that multiple factors are associated with the hospitalization of the elderly. The analysis of these associations has the potential to make health professionals and administrators aware of the need to improve health care for the elderly and to assist in the organization and planning of the actions of the entire health service network.

2021 ◽  
Vol 10 (12) ◽  
pp. e499101220796
Author(s):  
Nataska de Oliveira ◽  
Laércio Almeida de Melo ◽  
Ronaldo Luís Almeida de Carvalho ◽  
Júlio César Brigolini de Faria ◽  
Beatriz de Pedro Netto Mendonça ◽  
...  

Objective: This study aimed to identify the prevalence and factors associated with the need for removable prostheses in the elderly Brazilian population. In addition, its impact on eating difficulties and self-perceived oral health was determined. Methodology: This cross-sectional, population-based study used data from the last National Health Survey (NHS) carried out in Brazil. Chi-square test was used to initially analyze the data, followed by multiple Poisson regression to obtain adjusted prevalence ratios. Results: A total of 11,697 elderly people were included, of whom 90.8% needed removable prostheses. Complete dentures were needed in 40.9% of participants, while partial dentures were needed by 49.9%. The elderly who were older (p=0.001), had grayish-brown complexion (p=0.004), a low level of education (p<0.001), and multiple chronic diseases (p<0.001) had a greater need for removable prostheses. Successively, this need had an impact on poor self-perceived oral health (p<0.001) and greater difficulties in eating (p<0.001). Conclusion: The need for a removable prosthesis is associated with worse socioeconomic and health conditions. In addition, it has a negative impact on self-perceived oral health and feeding.


Author(s):  
F A V Dionato ◽  
L B Nucci ◽  
C C Enes

Abstract Background The non-adoption of behavioral changes to control diabetes mellitus contributes to a low adherence to self-care. This study aimed to investigate the factors associated with non-adoption of healthy behaviors among diabetic individuals. Methods Cross-sectional study using data from the National Health Survey (Pesquisa Nacional de Saúde) carried out in 2013 in Brazil, with adults (≥18 years) (n = 3098). The outcome variable was the non-adoption—two or fewer—of healthy behaviors. Logistic regression model was used to identify the factors associated with non-adoption of healthy behaviors. Results Approximately, 50% of the participants adopted two or fewer healthy habits and the most frequently mentioned were not drinking excessively (94.1%) and not smoking (89.1%). Not using diabetic medication (odds ratio (OR) = 1.37, 95% confidence interval (CI) = 1.02–1.85), not making regular doctor visits (OR = 1.42, 95% CI = 1.08–1.87), no limitation of usual activities (OR = 1.39, 95% CI = 1.01–1.94) and good self-rated health (OR = 1.47, 95% CI = 1.09–1.98) increased the chance of individuals non-adoption of healthy behaviors independently of gender, age, schooling and economic status. Conclusions Health professionals need to be aware of issues, such as diabetic medication use, frequency of doctor visits, limitation of usual activities and good self-rated health, which are factors that can interfere with the adoption of healthy behaviors of diabetic patients.


Author(s):  
Joyce Grabher Meier ◽  
Luciane Patrícia Andreani Cabral ◽  
Camila Zanesco ◽  
Clóris Regina Blanski Grden ◽  
Cristina Berger Fadel ◽  
...  

Abstract Objective: To analyze factors associated with the high frequency of medical consultations (five or more consultations) among older adult participants of the National Health Survey - 2013. Method: A quantitative cross-sectional study conducted with data from individuals aged 60 years and over (n = 19,503). The outcome variable came from the question: ‘How many times have you consulted the doctor in the last 12 months? Fifty-seven (57) independent variables were listed. The Waikato Environment for Knowledge Analysis software program was used in the analysis. The data set was balanced and the dimensionality reduction test was performed. The variables which were strongly related to the dependent variable were analyzed using logistic regression. Results: The independent variables listed were strongly related to the outcome variables: female gender, negative self-perception of health condition, inability to perform usual activities for health reasons, diagnosis of chronic disease, seeking health services for health-related care, and hospitalization. Conclusion: The results reflect the relevance of expanding and qualifying services through effective prevention, protection and health promotion actions.


2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Telma de Almeida Busch ◽  
Yeda Aparecida Duarte ◽  
Daniella Pires Nunes ◽  
Maria Lucia Lebrão ◽  
Michel Satya Naslavsky ◽  
...  

2014 ◽  
Vol 17 (3) ◽  
pp. 705-718 ◽  
Author(s):  
Iara Guimarães Rodrigues ◽  
Gustavo Pereira Fraga ◽  
Marilisa Berti de Azevedo Barros

Purpose: The aim of the present study was to identify factors associated with the occurrence of falls among elderly adults in a population-based study (ISACamp 2008). Methods: A population-based cross-sectional study was carried out with two-stage cluster sampling. The sample was composed of 1,520 elderly adults living in the urban area of the city of Campinas, São Paulo, Brazil. The occurrence of falls was analyzed based on reports of the main accident occurred in the previous 12 months. Data on socioeconomic/demographic factors and adverse health conditions were tested for possible associations with the outcome. Prevalence ratios (PR) were estimated and adjusted for gender and age using the Poisson multiple regression analysis. Results: Falls were more frequent, after adjustment for gender and age, among female elderly participants (PR = 2.39; 95% confidence interval (95%CI) 1.47 - 3.87), elderly adults (80 years old and older) (PR = 2.50; 95%CI 1.61 - 3.88), widowed (PR = 1.74; 95%CI 1.04 - 2.89) and among elderly adults who had rheumatism/arthritis/arthrosis (PR = 1.58; 95%CI 1.00 - 2.48), osteoporosis (PR = 1.71; 95%CI 1.18 - 2.49), asthma/bronchitis/emphysema (PR = 1,73; 95%CI 1.09 - 2.74), headache (PR = 1.59; 95%CI 1.07 - 2.38), mental common disorder (PR = 1.72; 95%CI 1.12 - 2.64), dizziness (PR = 2.82; 95%CI 1.98 - 4.02), insomnia (PR = 1.75; 95%CI 1.16 - 2.65), use of multiple medications (five or more) (PR = 2.50; 95%CI 1.12 - 5.56) and use of cane/walker (PR = 2.16; 95%CI 1.19 - 3,93). Conclusion: The present study shows segments of the elderly population who are more prone to falls through the identification of factors associated with this outcome. The findings can contribute to the planning of public health policies and programs addressed to the prevention of falls.


2017 ◽  
Vol 51 (suppl 1) ◽  
Author(s):  
Ada Ávila Assunção ◽  
Mery Natali Silva Abreu

ABSTRACT OBJECTIVE To describe the prevalence of work-related musculoskeletal disorder (WMSD) and analyze the factors associated with this outcome in the Brazilian population. METHODS In this cross-sectional, population-based study, we use data from the National Survey on Health (PNS) of 2013. The sample was composed of 60,202 Brazilians aged 18 years or older. The outcome variable was the occurrence of self-reported WMSD. Sociodemographic and occupational characteristics, personal resources, and health conditions were investigated as explanatory variables. Analyses were performed with the software Stata 12.0 and considered the weighting imposed by the sampling design of the study. Then, univariate and multivariate binary logistic models were carried out, considering a significance level of 5%. RESULTS The results obtained indicated that the prevalence of WMSD in the Brazilian population was of 2.5%, ranging from 0.2% (Acre) to 4.2% (Santa Catarina). The factors associated with a greater chance of occurrence of WMSD were: female sex (OR = 2.33; 95%CI 1.72–3.15); be temporarily away from work (OR = 2.44; 95%CI 1.41–4.23); be exposed to noise at the workplace (OR = 2.16; 95%CI 1.68–2.77); seniority equal to or greater than 4.5 years at the current job (OR = 1.37; 95%CI 1.09–1.72); participate in volunteer work (OR = 1.65; 95%CI 1.25–2.17); report medical diagnosis of arthritis or rheumatism (OR = 2.40; 95%CI 1.68–3.44); and depression (OR = 2.48; 95%CI 1.86–3.31). On the other hand, factors associated with less chance of WMSD were: not having a partner (OR = 0.73; 95%CI 0.37–0.71) and working in an open environment (OR = 0.51; 95%CI 0.37–0.71). CONCLUSIONS The associated factors and the prevalence found indicate regional and gender differences. Special attention to comorbidities and environmental noise monitoring would benefit the health of workers in the Country.


2017 ◽  
Vol 20 (4) ◽  
pp. 463-473 ◽  
Author(s):  
Mariana Macedo Alvim ◽  
Danielle Teles da Cruz ◽  
Marcel de Toledo Vieira ◽  
Ronaldo Rocha Bastos ◽  
Isabel Cristina Gonçalves Leite

Abstract Objective: to assess the prevalence of and factors associated with the use of benzodiazepines in elderly persons living in the community. Method: a cross-sectional study was conducted through a household survey of 423 elderly persons from Juiz de Fora, Minas Gerais, Brazil. To analyze the factors associated with the outcome, the Poisson regression model was used, based on the theoretical model of determination with hierarchical blocks. The variables were adjusted within each block, with those with a 5% significance level remaining in the final model. Result: The prevalence of benzodiazepine use was 18.3% (95% CI 15.2 to 21.6). Most benzodiazepines used had a long-elimination half-life (59.2%) and use was considered long in 85.5% of users. Among benzodiazepine users 38.4% also used antidepressants. The use of these drugs was associated with the presence of self-reported mental and behavioral disorders, polypharmacy and medical visits in the last three months. Conclusion: The use of benzodiazepines was considered high among the elderly. The reduction in the prescription of these drugs should be assessed individually, considering the physiological alterations of the elderly and the adverse effects of drugs, in order to minimize incorrect prescriptions.


2020 ◽  
Vol 25 (4) ◽  
pp. 1547-1554
Author(s):  
Daniela de Assumpção ◽  
Marilisa Berti de Azevedo Barros ◽  
Regina Mara Fisberg ◽  
Semíramis Martins Álvares Domene

Abstract This article aims to identify meat preparation techniques according to sociodemographic variables and health-related behaviors. Cross-sectional population-based survey that used one 24-hour recall to identify the meat preparation techniques. We analyzed 3,376 24-hour recalls. The meat preparation techniques were classified as moist-heat (sauté, stew, boil; MH) or dry-heat (sauté, stew, boil; MH) and dry-heat (baking, grilling/barbecuing and frying; DH). The prevalence of use was 39.0% for moist cooking, 32.7% for frying and 28.3% for baking/grilling. Women, the elderly and those from other municipalities/states were more likely to use MH cooking. MH techniques were least prevalent among those of higher socioeconomic status. Among the techniques of DH cooking, women, the elderly and people with higher education and income were less likely to fry meats. Those born in Campinas and those with higher income, education, and those who ate fruits and vegetables on a higher weekly frequency were more likely to roast/grill meats. The results show the epidemiological profile associated with meat preparation techniques. Women, the elderly and those with lower education are more likely to use MH cooking techniques and less likely to fry meats. Those economically more favored are less likely to use MH techniques and frying, and more roasting/grilling.


Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 509
Author(s):  
Roberto Nuño-Solínis ◽  
Sara Ponce ◽  
Maider Urtaran-Laresgoiti ◽  
Esther Lázaro ◽  
María Errea Rodríguez

Background: Diabetes affects more than 400 million people around the world. Few published studies incorporate questionnaires that comprehensively cover every aspect of a patient’s experience of healthcare. This study analyzes potential differences in the healthcare experience for patients with diabetes based on their sociodemographic, economic, and health-related characteristics from a comprehensive viewpoint in an integrated delivery system. Methods: We used data from the 2018 Basque Health Survey, which includes a questionnaire for the measurement of the experiences of patients with chronic problems. We present descriptive and regression analyses to explore differences by sociodemographic, economic, and health-related characteristics of patients’ experiences with different healthcare services. Results: Having diabetes plus other comorbidities significantly decreases the quality of the experience with all healthcare services and decreases the global healthcare experience score. When comorbidities are present, the elderly seem to report better experiences than younger patients. Some differences in experience can be explained by sociodemographic and economic factors. No differences exist between conditions co-occurring with diabetes. Conclusion: Patients with diabetes who also suffer from other conditions report worse experiences than individuals who suffer from diabetes only. No specific conditions explain the differences in care experience.


2014 ◽  
Vol 19 (5) ◽  
pp. 103-109 ◽  
Author(s):  
Daniella Borges Machado ◽  
Valéria Silva Cândido Brizon ◽  
Gláucia Maria Bovi Ambrosano ◽  
Davidson Fróis Madureira ◽  
Viviane Elisângela Gomes ◽  
...  

INTRODUCTION: The aim of this study was to identify factors associated with the prevalence of anterior open bite among five-year-old Brazilian children. METHODS: A cross-sectional study was undertaken using data from the National Survey of Oral Health (SB Brazil 2010). The outcome variable was anterior open bite classified as present or absent. The independent variables were classified by individual, sociodemographic and clinical factors. Data were analyzed through bivariate and multivariate analysis using SPSS statistical software (version 18.0) with a 95% level of significance. RESULTS: The prevalence of anterior open bite was 12.1%. Multivariate analysis showed that preschool children living in Southern Brazil had an increased chance of 1.8 more times of having anterior open bite (CI 95%: 1.16 - 3.02). Children identified with alterations in overjet had 14.6 times greater chances of having anterior open bite (CI 95%: 8.98 - 24.03). CONCLUSION: There was a significant association between anterior open bite and the region of Brazil where the children lived, the presence of altered overjet and the prevalence of posterior crossbite.


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