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| Author(s): |
Flávia Silva Arbex Borim
Total Authors: 1
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| Document type: | Doctoral Thesis |
| Press: | Campinas, SP. |
| Institution: | Universidade Estadual de Campinas (UNICAMP). Faculdade de Ciências Médicas |
| Defense date: | 2014-07-01 |
| Examining board members: |
Marilisa Berti de Azevedo Barros;
Maria Rita Donalisio Cordeiro;
Maria José D'Elboux;
Samila Sathler Tavares Batistoni;
Tania Ruiz
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| Advisor: | Marilisa Berti de Azevedo Barros |
| Abstract | |
The self-rated health is a multidimensional construct and has been widely used as an important indicator of individual and collective welfare. Studies show an association of socioeconomic and demographic variables with that measure. These factors influence the establishment of different lifestyles that contribute to the occurrence or prevention of health problems. Longitudinal studies have pointed to the self-rated health as a robust predictor of morbidity, disability, depression and mortality. The subjective assessment of health includes mental dimension, which for older people is essential to the achievement of functional activities. This study aims: to analyze the prevalence of self-rated health as excellent or very good according to demographic, socioeconomic and health-related behaviors variables in elderly; to analyze the prevalence of common mental disorders (CMD), as measered by Self Reporting Questionnaire 20 (SRQ-20), the factors associated with this disorder; and to evaluate the association of self-rated health as negative with indicators of mental and physical health, socioeconomic and demographic variables, and subjective well-being in individuals 60 and over aged. This is a cross-sectional study, population-based, which used data from a home survey carried out in Campinas, SP, Brazil, in 2008, with two-stage conglomerate sampling. Data analysis considered the weights related to the sampling design and was performed using STATA software version 11.0. Associations of several variables were tested with self-rated health and CMD. Furthermore prevalence estimates and adjusted prevalence ratios were calculated. The results revealed association of self-rated health to religion, education, income, number of household members, owning computer, alcohol consumption, physical activity, consumption of fruits and vegetables and body mass index. It was also found association with indicators of physical health, mental health and feeling of happiness. Regarding the CMD was association with gender, age, income, occupation, physical activity, alcohol consumption, self-rated of health and morbidities. These results point to developments in the context of actions in public health, such as: a) emphasizing the autonomy and healthy life of the elderly; b) provide adequate attention to the needs with an emphasis on healthy lifestyles; c) emphasizes working in old age, which represents an individual's autonomy and integration; d) Investing in health promotion with adequate control of chronic diseases and mental health, with attention to depressive symptoms in elderly; e) develop health programs and social welfare for lowest socioeconomic sectors and identifies individual - psychological resources capable of acting as supporting factors in old age (AU) | |
| FAPESP's process: | 10/05504-9 - Health status of the elderly: objective and subjective indicators for population-based study in Campinas, SP. |
| Grantee: | Flávia Silva Arbex Borim |
| Support Opportunities: | Scholarships in Brazil - Doctorate |