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Anticipated support for care in the community-dwelling elderly: Campinas data FIBRA

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Author(s):
Déborah Cristina de Oliveira
Total Authors: 1
Document type: Master's Dissertation
Press: Campinas, SP.
Institution: Universidade Estadual de Campinas (UNICAMP). Faculdade de Ciências Médicas
Defense date:
Examining board members:
Maria José D'Elboux; Sofia Cristina Iost Pavarini; Maria Filomena Ceolim
Advisor: Maria José D'Elboux
Abstract

The anticipated support for care is the belief that the elderly have people around that will provide future assistance to him should the need arise, relieving stress in a stressful situation, can inhibit the development of diseases and exerting a positive role in their recovery. This research aimed to compare the anticipated support for care, arranging housing and health related outcomes, by gender and age group of older adults and identify the variables associated with lack of anticipated support for care in dwelling elderly. It was performed from the data of the Research Network on Frailty in Elderly Brazilian Network (FIBRA), using data from the city of Campinas- SP (n = 671). There were selected sociodemographic variables (gender, age and arrangement of housing), health-related variables (self-reported illnesses, functional capacity, perceived health and frailty) and expectation of support for care to perform BADL's and IADL's. A descriptive analysis and by using the chi-square or Fisher exact test, comparison analysis of the main categorical variables of gender, age and anticipated support for care. To explore the factors associated with the absence of expected support for the careful analysis was used for univariate and multivariate analysis with stepwise criterion for variable selection. FIBRA Study and the present study were approved by the Ethics Committee in Research of the Faculty of Medical Sciences of Unicamp (208/2007). More women live alone (20.52%), has more diseases (49.02%), disabilities in BADL's (12.42%), worse assessment of their health (7.39%) and expect to receive care only a person should the need arise (46.84%). Large percentage of men have to carry out their AAVD's (95.59%) is expected to support care (93.33%) and expect to be cared for by a greater number of people if they need it (55.34%). Increased number of oldest-old elderly living alone (22.55%) and has inability to perform IADL's (35.96%). The affirmative answers regarding the anticipated support support for care were more positive for men, guys who live together, who failed to perform one or more AAVD and perceived health good and very good. Large percentage of seniors who rated their health as poor or very poor and elderly who live alone have negative anticipated support for care. Elderly people who assess their health as poor or very poor are three times more likely to have no expectations. Women are twice as likely to have no anticipated support for care and, if they reside alone has three times more likely to lack of expectation. This research shows that the anticipated support for elderly care in the city of Campinas - SP is directly related to gender, is independent of age and who are vulnerable in relation to the expectation of support for the care and health perception, with more susceptible to functional decline and lack of expected support (AU)

FAPESP's process: 10/13969-1 - Variables associated with expectancy of care in elderly with or without criteria of frailty: rede fibra data (Campinas-SP)
Grantee:Déborah Cristina de Oliveira
Support Opportunities: Scholarships in Brazil - Master