| Full text | |
| Author(s): |
Marylane Viana Veloso
[1]
;
Neuciani Ferreira da Silva Sousa
[2]
;
Lhais de Paula Barbosa Medina
[3]
;
Marilisa Berti de Azevedo Barros
[4]
Total Authors: 4
|
| Affiliation: | [1] Secretaria de Saúde do Estado do Piauí - Brasil
[2] Universidade Federal de Mato Grosso. Instituto de Saúde Coletiva - Brasil
[3] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Saúde Coletiva - Brasil
[4] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Saúde Coletiva - Brasil
Total Affiliations: 4
|
| Document type: | Journal article |
| Source: | Revista Brasileira de Epidemiologia; v. 23, 2020-09-28. |
| Abstract | |
ABSTRACT: Objective: Estimate the magnitude of the income inequality in the prevalence of functional dependency for basic and instrumental activities of daily life (BADLs, IADLs) and the abandonment of advanced activities (AADLs). Methods: This was a cross-sectional, population-based study, developed using sample data of 986 elderly people from a health survey carried out in the municipality of Campinas, São Paulo, in 2014/15. The prevalence of functional dependency in BADLs and IADLs and of abandonment of the AADLs was estimated according to monthly family income per capita. A multiple regression Poisson analysis was developed to estimate the prevalence ratio (PR) adjusted by gender and age. Results: There was no significant association between income and functional dependency for BADLs. Of the seven IADLs analyzed, five presented a higher prevalence of dependency in the lower-income stratum, with special highlight to using the phone (PR = 3.50), controlling medication usage (PR = 2.44), and use of transportation (PR = 2.35). The abandonment of AADLs was higher among low-income elderly people in all activities analyzed, with the greatest inequalities observed in making contact by letter, phone and e-mail (PR = 3.76), using the Internet (PR = 3.34), driving vehicles (PR = 2.85) and visiting family (PR = 2.77). Conclusions: The broad inequality detected among income stratum regarding the functional capability for the IADLs and abandonment of the AADLs emphasize the importance of fully implementing and maintaining the policies and programs directed toward the social protection of elderly adults. The focus should be on the most socially vulnerable segments, with the aim of achieving a population that is more equal, active, independent, and involved in participatory ageing. (AU) | |
| FAPESP's process: | 12/23324-3 - Analysis and monitoring of health status of the population through household survey (IsaCamp 2013) |
| Grantee: | Marilisa Berti de Azevedo Barros |
| Support Opportunities: | Regular Research Grants |