scholarly journals Autopercepção de saúde e insônia em idosos institucionalizados / Self-perception of health and insomnia in institutionalized elderly

2021 ◽  
Vol 4 (6) ◽  
pp. 26615-26630
Author(s):  
Tainara da Cas Garbin ◽  
Roberta Pez Fagundes ◽  
Talita Zonta ◽  
Débora Carleti ◽  
Ana Cláudia Dartora ◽  
...  
Circulation ◽  
2013 ◽  
Vol 127 (suppl_12) ◽  
Author(s):  
Connie Ingram ◽  
Maria Canossa-Terris ◽  
Mary Comerford ◽  
Paul Kurlansky

Introduction The growing global prevalence of obesity is recognized as an important risk for cardiovascular disease. Understanding self perception of weight as it pertains to health is critical to the success of weight reduction programs. The impact of ethnicity on this association has not been examined. Methods The sample included 927 Hispanic (H) and 72 Non-Hispanics white (NHW) adults who received free cardiovascular screening from Florida Heart Research Institute. Overweight and obesity were measured by Body Mass Index. Self-perceived health status was characterized as excellent, very good, good, fair or poor health. Logistic regression was used to determine independent risk factors for perceived fair-poor health, as well as for excellent, very good health. Odds ratios and 95% Confidence Intervals were calculated. Results Both H and NHW overweight/obese subjects tended to view their health as good, very good or excellent: H (overweight 81.1%/obese 73%) and NHW (89.3%/66.7%). Logistic regression revealed the following independent correlates of self-perceived very good or excellent health: NHW (OR 3.618, CI 2.126, 6.157, p<0.001) and exercise (OR 1.640;CI 1.186, 2.268; p=0.003). Hypertension (OR 0.392; CI 0.246, 0.625; p<0.001), overweight (OR 0.551, CI0.386, 0.785, p=0.001) and obesity (OR 0.431, CI 0.288, 0.644; p<0.001) were all negatively associated with very good/excellent status. Conclusions Although it is not surprising that participation in regular exercise is associated with a better self-perception of health status, or that hypertension and obesity is correlated with a worse self-assessed health status, there are two striking findings that emerge from this data: 1. The vast majority of both H and NHW subjects do not perceive either overweight or obesity to be a major health problem. 2. Hispanics have a significantly worse self-perception of health status even after controlling for associated factors.This information provides a critical foundation for overcoming fundamental barriers to effective patient education_a critical first step in addressing the current epidemic of obesity in ethnically diverse populations.


2015 ◽  
Vol 28 (3) ◽  
pp. 231-240 ◽  
Author(s):  
Ana Luísa Moreira dos Santos ◽  
Teresa Maria de Serpa Pinto Freitas do Amaral ◽  
Nuno Pedro Garcia Fernandes Bento Borges

OBJECTIVE: To evaluate the prevalence of undernutrition in older adults aged >75 years living in communities and to identify the main factors independently associated with undernutrition. METHODS: A cross-sectional study was conducted using a random sample of family physicians' medical records of 86 older adults aged >75 years living in the community studied. Their nutritional status was evaluated using the Mini Nutritional Assessment. RESULTS: A total of 10.5% of the elderly were undernourished and 41.9% were at undernutrition risk. According to the logistic regression multivariable model, the following characteristics: being widowed (OR=6.7; 95%CI=1.8-24.6); being institutionalized (OR=12.6; 95%CI=1.7-90.5); or having a negative self-perception of health (OR=15.0; 95%CI=3.3-69.1) were independently associated with a significant increase of undernutrition risk. CONCLUSION: The current study shows that undernutrition is highly prevalent in Portuguese older adults aged >75 years living in communities. The major factors independently associated with their undernutrition are being widowed and institutionalized and having negative self-perception of health. The results obtained show that undernutrition and its associated factors are very serious problems for older adults and a challenge in their health care.


2018 ◽  
Vol 28 (3) ◽  
pp. 29698 ◽  
Author(s):  
Eleia De Macedo ◽  
Vivian Ulrich ◽  
Antonio Miguel Gonçalves Bós ◽  
Ângelo José Gonçalves Bós

AIMS: To compare the self-perception of health status between rural and urban elderly and their possible associated factors.METHODS: The study consisted of a secondary analysis of data from the National Health Survey of 2013, conducted by the National Institute of Geography and Statistics, which included elderly who lived in rural and urban environments. The dependent variable was the self-perception of health status (evaluated as very good, good, fair, bad and very bad); and the independent variables were socio-demographic factors, clinical data, functionality of the elderly and household data. Relationships between the variables were tested by the chi-square test, and adjusted by self-perception of health status. The analysis were performed through the Epi InfoTM program version 7.2.1, accepting p<0.05 as significant.RESULTS: Rural elderly people were predominantly males, brown, married, illiterate and gainfully employed, despite having a low economic class. Among the rural elderly, self-perceived health status was more often regular or poor, the household was more often enrolled in the Family Health Strategy and most had no complementary health plan. Rural elderly also had better performance in the Basic Activities of Daily Living and worse performance in the Instrumental Activities of Daily Living, had less depressive symptoms and less multimorbidity. Rural elderly presented lower chances of self-perception of good or very good health, even adjusting for gender, race, marital status, occupation, socioeconomic class, coverage by the Family Health Strategy, depressive symptoms, multimorbidity, and performance in the Basic Activities of Daily Living.CONCLUSIONS: The rural elderly have worse self-perception of health status than the urban elderly, even controlling socio-demographic, economic, clinical and health access characteristics.


2014 ◽  
Vol 22 (4) ◽  
pp. 662-669 ◽  
Author(s):  
Lilian Varanda Pereira ◽  
Patrícia Pereira de Vasconcelos ◽  
Layz Alves Ferreira Souza ◽  
Gilberto de Araújo Pereira ◽  
Adélia Yaeko Kyosen Nakatani ◽  
...  

OBJECTIVE: to identify the prevalence and intensity of chronic pain among elderly people of the community and to analyze associations with the self-perceived health status.METHOD: cross-sectional study with a populational sample (n=934), conducted through household interviews in the city of Goiânia, Brazil. The intensity of chronic pain (existing for 6 months or more) was measured using a numerical scale (0-10) and the self-perceived health through a verbal scale (very good, good, fair, poor, very poor). For the statistical analysis, the absolute frequency and percentage, CI (95%), Chi-square test, Odds ratio, and regression analysis were used. Significance of 5%.RESULTS: The prevalence of chronic pain was 52.8% [CI (95%):49.4-56.1]; most frequently located in the lower limbs (34.5%) and lumbar region (29.5%); with high or the worst possible intensity for 54.6% of the elderly people. The occurrence of chronic pain was associated with (p<0.0001) a worse self-perception of health (OR=4.2:2.5-7.0), a greater number of chronic diseases (OR=1.8:1.2-2.7), joint disease (OR=3.5:2.4-5.1) and the female gender (OR=2.3:1.7-3.0). A lower intensity of chronic pain was associated with a better self-perception of health (p<0.0001).CONCLUSION: the majority of the elderly people of the community reported chronic pain, of a severe intensity, and located in areas related to movement activities, thus influencing the morbidity and mortality of this population.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S M Aguiar Lemos ◽  
L J Vasconcellos ◽  
R Tavares ◽  
A G Escarce ◽  
E M Melo

Abstract Objective To investigate self-perceived health, quality of life and its association with social determinants in adults and the elderly. Methods Observational analytical cross-sectional study, with a probabilistic sample of 1,129 participants, adults and seniors, stratified by conglomerates, living in a municipality in Minas Gerais, Brazil. The response variables were the questions: 'How do you evaluate your health in the last two months?' and 'How do you evaluate your quality of life in the last two months?'. The explanatory variables were sociodemographic and technical-assistance data. For data analysis, a descriptive analysis of categorical and continuous variables and an association analysis (Chi-Square Pearson test) were performed, statistically significant those with a value of p0.05. Results The majority were female, classified the quality of life as good and presented positive self-perception of health. Most were aged between 30 and 39 years old, attended high school, were married, had formal work and family income of up to one minimum wage. The association between self-perceived health and quality of life with social determinants revealed that the interviewees who tended to present positive self-perception of health were female, had up to 39 years of age, studied until high school, received up to five minimum wages and had had between one and two medical consultations in the last 12 months. Regarding quality of life, the interviewees who reported there were good were female, between 30 and 39 years old, with high school, were married, had formal work, received up to two minimum wages and had between one and two medical consultations at last year. The univariate analysis revealed that respondents who said their health was positive also rated the quality of life as good. Conclusions In the sample studied, it was observed that positive self-perception of health is associated with good quality of life. Key messages Health public. Quality of life.


Author(s):  
Floralinda Garc

El aumento de la esperanza de vida ha producido en las últimas décadas un importante crecimiento de la población adulta mayor, estimándose que en el año 2050 casi un tercio de la población mundial estará compuesta por personas mayores de 65 años. Se pretende revisar desde diferentes puntos de vista los múltiples factores que influyen en la autopercepción de salud de los adultos mayores. Se seleccionaron y revisaron artículos científicos publicados en las bases de datos LILACS, SCIELO, OVID, EBSCO, REDALYC, HINARI y SCIENCE DIRECT, sobre la autopercepcion de salud y envejecimiento. En la estrategia de búsqueda, se incluyeron las palabras clave “envejecimiento y salud”, “autopercepcion de salud”, “redes sociales y envejecimiento”, entre otros. El proceso de envejecimiento se plantea como un proceso dinámico, no sólo a nivel individual sino también a nivel histórico-social. Se trata de un proceso que determina grandes cambios en la sociedad y frente a los cuales es necesario intervenir, a través de una política integral que ampare los derechos del adulto mayor y promueva una actitud social positiva, así como una autoercepción activa, autónoma, responsable e independiente. ABSTRACTThe increase in life expectancy has occurred in recent decades a significant increase in the older population, it is estimated that in 2050 nearly one third of the global population will consist of people over 65 years. Intends to review the multiple factors that influences the self-perception of health of older adults from different starting points. Were selected and reviewed scientific articles published in LILACS, SCIELO, OVID, EBSCO, REDALYC, HINARI y SCIENCE DIRECT databases on the subject of self-perception of health and aging. The search strategy included keywords "aging and health", "self-perception of health", "social networks and aging", among others. The aging process is a dynamic process, not only individually but also in a historical-social sense, a process that determines large changes in society and against which it will be necessary to intervene through the creation of a comprehensive policy that covers the rights of older persons and promote positive social attitudes and active, autonomous, responsible and independent self-perceptions.


2020 ◽  
Vol 11 ◽  
pp. 215013272092595
Author(s):  
Kimberly Paige Rathbun ◽  
Victoria Loerzel ◽  
Joellen Edwards

Introduction: Women of low socioeconomic status experience health disparities that contribute to poor outcomes. Objectives: The purpose of this study was to explore self-perception of health and health promoting behaviors in women who were patients in a federally qualified health center. Methods: A qualitative descriptive design was used to interview 19 women. The researchers conducted content analysis and used descriptive statistics to present participant demographics. Results: Women viewed health primarily as physical and themselves as healthy, in-between healthy and unhealthy, or unhealthy. Healthy women made more active attempts to improve their health, while not healthy women reported twice as many barriers to health maintenance and felt defined by their illnesses. Conclusion: Findings support that a women’s self-perception of health is aligned with self-management health behaviors and health outcomes.


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