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Socioeconomic Factors and Health Status Disparities Associated with Difficulty in ADLs and IADLs among Long-Lived Populations in Brazil: A Cross-Sectional Study

OBJECTIVE: To evaluate the association between socioeconomic factors, health status, and Functional Capacity (FC) in the oldest senior citizens in a metropolis and a poor rural region of Brazil. METHOD: Cross-sectional study of 417 seniors aged ≥80 years, data collected through Brazil’s Health, Well...

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Autores principales: Nóbrega, Júlia Cristina Leite, Medeiros, Juliana Barbosa, Santos, Tácila Thamires de Melo, Alves, Saionara Açucena Vieira, Freitas, Javanna Lacerda Gomes da Silva, Silva, Jaíza M.M., Simões, Raisa Fernandes Mariz, Brito, Allisson de Lima, Weller, Mathias, Santos, Jair Lício de Ferreira, Menezes, Tarciana Nobre, Duarte, Yeda Aparecida de Oliveira, Zatz, Mayana, Matheson, David, Santos, Silvana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8040385/
https://www.ncbi.nlm.nih.gov/pubmed/33834861
http://dx.doi.org/10.1177/00469580211007264
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author Nóbrega, Júlia Cristina Leite
Medeiros, Juliana Barbosa
Santos, Tácila Thamires de Melo
Alves, Saionara Açucena Vieira
Freitas, Javanna Lacerda Gomes da Silva
Silva, Jaíza M.M.
Simões, Raisa Fernandes Mariz
Brito, Allisson de Lima
Weller, Mathias
Santos, Jair Lício de Ferreira
Menezes, Tarciana Nobre
Duarte, Yeda Aparecida de Oliveira
Zatz, Mayana
Matheson, David
Santos, Silvana
author_facet Nóbrega, Júlia Cristina Leite
Medeiros, Juliana Barbosa
Santos, Tácila Thamires de Melo
Alves, Saionara Açucena Vieira
Freitas, Javanna Lacerda Gomes da Silva
Silva, Jaíza M.M.
Simões, Raisa Fernandes Mariz
Brito, Allisson de Lima
Weller, Mathias
Santos, Jair Lício de Ferreira
Menezes, Tarciana Nobre
Duarte, Yeda Aparecida de Oliveira
Zatz, Mayana
Matheson, David
Santos, Silvana
author_sort Nóbrega, Júlia Cristina Leite
collection PubMed
description OBJECTIVE: To evaluate the association between socioeconomic factors, health status, and Functional Capacity (FC) in the oldest senior citizens in a metropolis and a poor rural region of Brazil. METHOD: Cross-sectional study of 417 seniors aged ≥80 years, data collected through Brazil’s Health, Well-being and Aging survey. FC assessed by self-reporting of difficulties in Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). Chi-square tests and multiple logistic regression analyses were performed using “R” statistical software. RESULTS: Socioeconomic and demographic inequalities in Brazil can influence FC in seniors aged 80 years and older. Comparatively, urban long-lived people had a higher prevalence of difficulties for ADLs and rural ones showed more difficulties for IADLs. Among urban oldest seniors, female gender and lower-income were correlated with difficulties for IADLs. Among rural oldest seniors, female gender, stroke, joint disease, and inadequate weight independently were correlated with difficulties for ADLs, while the number of chronic diseases was associated with difficulties for IADLs. CONCLUSION: Financial constraints may favor the development of functional limitations among older seniors in large urban centers. In poor rural areas, inadequate nutritional status and chronic diseases may increase their susceptibility to functional decline.
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spelling pubmed-80403852021-04-21 Socioeconomic Factors and Health Status Disparities Associated with Difficulty in ADLs and IADLs among Long-Lived Populations in Brazil: A Cross-Sectional Study Nóbrega, Júlia Cristina Leite Medeiros, Juliana Barbosa Santos, Tácila Thamires de Melo Alves, Saionara Açucena Vieira Freitas, Javanna Lacerda Gomes da Silva Silva, Jaíza M.M. Simões, Raisa Fernandes Mariz Brito, Allisson de Lima Weller, Mathias Santos, Jair Lício de Ferreira Menezes, Tarciana Nobre Duarte, Yeda Aparecida de Oliveira Zatz, Mayana Matheson, David Santos, Silvana Inquiry Original Research OBJECTIVE: To evaluate the association between socioeconomic factors, health status, and Functional Capacity (FC) in the oldest senior citizens in a metropolis and a poor rural region of Brazil. METHOD: Cross-sectional study of 417 seniors aged ≥80 years, data collected through Brazil’s Health, Well-being and Aging survey. FC assessed by self-reporting of difficulties in Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). Chi-square tests and multiple logistic regression analyses were performed using “R” statistical software. RESULTS: Socioeconomic and demographic inequalities in Brazil can influence FC in seniors aged 80 years and older. Comparatively, urban long-lived people had a higher prevalence of difficulties for ADLs and rural ones showed more difficulties for IADLs. Among urban oldest seniors, female gender and lower-income were correlated with difficulties for IADLs. Among rural oldest seniors, female gender, stroke, joint disease, and inadequate weight independently were correlated with difficulties for ADLs, while the number of chronic diseases was associated with difficulties for IADLs. CONCLUSION: Financial constraints may favor the development of functional limitations among older seniors in large urban centers. In poor rural areas, inadequate nutritional status and chronic diseases may increase their susceptibility to functional decline. SAGE Publications 2021-04-09 /pmc/articles/PMC8040385/ /pubmed/33834861 http://dx.doi.org/10.1177/00469580211007264 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Nóbrega, Júlia Cristina Leite
Medeiros, Juliana Barbosa
Santos, Tácila Thamires de Melo
Alves, Saionara Açucena Vieira
Freitas, Javanna Lacerda Gomes da Silva
Silva, Jaíza M.M.
Simões, Raisa Fernandes Mariz
Brito, Allisson de Lima
Weller, Mathias
Santos, Jair Lício de Ferreira
Menezes, Tarciana Nobre
Duarte, Yeda Aparecida de Oliveira
Zatz, Mayana
Matheson, David
Santos, Silvana
Socioeconomic Factors and Health Status Disparities Associated with Difficulty in ADLs and IADLs among Long-Lived Populations in Brazil: A Cross-Sectional Study
title Socioeconomic Factors and Health Status Disparities Associated with Difficulty in ADLs and IADLs among Long-Lived Populations in Brazil: A Cross-Sectional Study
title_full Socioeconomic Factors and Health Status Disparities Associated with Difficulty in ADLs and IADLs among Long-Lived Populations in Brazil: A Cross-Sectional Study
title_fullStr Socioeconomic Factors and Health Status Disparities Associated with Difficulty in ADLs and IADLs among Long-Lived Populations in Brazil: A Cross-Sectional Study
title_full_unstemmed Socioeconomic Factors and Health Status Disparities Associated with Difficulty in ADLs and IADLs among Long-Lived Populations in Brazil: A Cross-Sectional Study
title_short Socioeconomic Factors and Health Status Disparities Associated with Difficulty in ADLs and IADLs among Long-Lived Populations in Brazil: A Cross-Sectional Study
title_sort socioeconomic factors and health status disparities associated with difficulty in adls and iadls among long-lived populations in brazil: a cross-sectional study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8040385/
https://www.ncbi.nlm.nih.gov/pubmed/33834861
http://dx.doi.org/10.1177/00469580211007264
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