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Informal and paid care for Brazilian older adults (National Health Survey, 2013)
OBJECTIVE: To describe the prevalence and sociodemographic factors associated with informal and paid care for Brazilian older adults with functional limitations. METHODS: Of the 23,815 participants of the National Health Survey aged 60 or older, 5,978 reported needing help to perform activities of d...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Faculdade de Saúde Pública da Universidade de São Paulo
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5676367/ https://www.ncbi.nlm.nih.gov/pubmed/28591348 http://dx.doi.org/10.1590/S1518-8787.2017051000013 |
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author | Lima-Costa, Maria Fernanda Peixoto, Sérgio Viana Malta, Deborah Carvalho Szwarcwald, Célia Landmann Mambrini, Juliana Vaz de Melo |
author_facet | Lima-Costa, Maria Fernanda Peixoto, Sérgio Viana Malta, Deborah Carvalho Szwarcwald, Célia Landmann Mambrini, Juliana Vaz de Melo |
author_sort | Lima-Costa, Maria Fernanda |
collection | PubMed |
description | OBJECTIVE: To describe the prevalence and sociodemographic factors associated with informal and paid care for Brazilian older adults with functional limitations. METHODS: Of the 23,815 participants of the National Health Survey aged 60 or older, 5,978 reported needing help to perform activities of daily living and were included in this analysis. The dependent variable was the source of care, categorized as exclusively informal (unpaid), exclusively formal (paid), mixed or none. The socio-demographic variables were age (60-64, 65-74, ≥ 75 years old), gender and number of residents in the household (1, 2, ≥ 3). The multivariate analysis was based on binomial and multinomial logistic regressions. RESULTS: Informal care predominated (81.8%), followed by paid (5.8%) or mixed (6.8%) and no care (5.7%). The receipt of care from any source increased gradually with the number of residents in a same household, regardless of age and gender (OR = 4.85 and 9.74 for 2 and ≥ 3, respectively). Age was positively associated with receiving any care while the male gender showed a negative association. The number of residents in the household showed the strongest association with informal care (OR = 10.94 for ≥ 3 residents), compared with paid (OR = 5.48) and mixed (OR = 4.16) care. CONCLUSIONS: Informal care is the main source of help for community-dwelling older adults with functional limitations. In a context of rapid population aging and decline in family size, the results reinforce the need for policies to support long-term care for older Brazilians. |
format | Online Article Text |
id | pubmed-5676367 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Faculdade de Saúde Pública da Universidade de São Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-56763672017-12-06 Informal and paid care for Brazilian older adults (National Health Survey, 2013) Lima-Costa, Maria Fernanda Peixoto, Sérgio Viana Malta, Deborah Carvalho Szwarcwald, Célia Landmann Mambrini, Juliana Vaz de Melo Rev Saude Publica Original Articles OBJECTIVE: To describe the prevalence and sociodemographic factors associated with informal and paid care for Brazilian older adults with functional limitations. METHODS: Of the 23,815 participants of the National Health Survey aged 60 or older, 5,978 reported needing help to perform activities of daily living and were included in this analysis. The dependent variable was the source of care, categorized as exclusively informal (unpaid), exclusively formal (paid), mixed or none. The socio-demographic variables were age (60-64, 65-74, ≥ 75 years old), gender and number of residents in the household (1, 2, ≥ 3). The multivariate analysis was based on binomial and multinomial logistic regressions. RESULTS: Informal care predominated (81.8%), followed by paid (5.8%) or mixed (6.8%) and no care (5.7%). The receipt of care from any source increased gradually with the number of residents in a same household, regardless of age and gender (OR = 4.85 and 9.74 for 2 and ≥ 3, respectively). Age was positively associated with receiving any care while the male gender showed a negative association. The number of residents in the household showed the strongest association with informal care (OR = 10.94 for ≥ 3 residents), compared with paid (OR = 5.48) and mixed (OR = 4.16) care. CONCLUSIONS: Informal care is the main source of help for community-dwelling older adults with functional limitations. In a context of rapid population aging and decline in family size, the results reinforce the need for policies to support long-term care for older Brazilians. Faculdade de Saúde Pública da Universidade de São Paulo 2017-06-01 /pmc/articles/PMC5676367/ /pubmed/28591348 http://dx.doi.org/10.1590/S1518-8787.2017051000013 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Lima-Costa, Maria Fernanda Peixoto, Sérgio Viana Malta, Deborah Carvalho Szwarcwald, Célia Landmann Mambrini, Juliana Vaz de Melo Informal and paid care for Brazilian older adults (National Health Survey, 2013) |
title | Informal and paid care for Brazilian older adults (National Health Survey, 2013) |
title_full | Informal and paid care for Brazilian older adults (National Health Survey, 2013) |
title_fullStr | Informal and paid care for Brazilian older adults (National Health Survey, 2013) |
title_full_unstemmed | Informal and paid care for Brazilian older adults (National Health Survey, 2013) |
title_short | Informal and paid care for Brazilian older adults (National Health Survey, 2013) |
title_sort | informal and paid care for brazilian older adults (national health survey, 2013) |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5676367/ https://www.ncbi.nlm.nih.gov/pubmed/28591348 http://dx.doi.org/10.1590/S1518-8787.2017051000013 |
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