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Psychosocial aspects and support networks associated with disability in two longevous populations in Brazil: a cross-sectional study
Leite Nóbrega, Júlia Cristina Barbosa Medeiros, Juliana Lacerda Gomes da Silva Freitas, Javanna Silva, Jaíza M. M. Mariz Simões, Raisa Fernandes Olinda, Ricardo de Ferreira Santos, Jair Lício Menezes, Tarciana Nobre de Oliveira Duarte, Yeda Aparecida Zatz, Mayana
Leite Nóbrega, Júlia Cristina
Barbosa Medeiros, Juliana
Lacerda Gomes da Silva Freitas, Javanna
Silva, Jaíza M. M.
Mariz Simões, Raisa Fernandes
Olinda, Ricardo
de Ferreira Santos, Jair Lício
Menezes, Tarciana Nobre
de Oliveira Duarte, Yeda Aparecida
Zatz, Mayana
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2022-02-09
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Abstract
Background Among the oldest old, aged 80 years and over, the prevalence of disability is higher than in other age groups and can be considered a predictor of mortality. Objective To evaluate how psychosocial aspects and support networks influence the disability of these oldest-old individuals, performing a comparison between two longevous populations, one living in one of the poorest regions of Brazil, in the backlands of Paraíba, and another living in one of the largest urban centres in Latin America. Method A cross-sectional study in which 417 oldest-old persons aged 80 years and older were interviewed, with data collected through the “Health, Welfare and Ageing” survey conducted in two Brazilian cities. Disability was assessed by reporting the need for assistance in Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). Bivariate and multiple analyses were performed using R statistical software. Results Food insufficiency in the first years of life had negative repercussions on the disability of oldest old people living in the northeast. On the other hand, in this region, older people have a higher rate of support and live longer with their peers, which may contribute to reducing feelings of loneliness, depressive symptoms, and worse self-perception of health. In the Southeast, financial constraints, subjective poverty, and unmet needs may favour the development of functional limitations between long-lived people. Conclusion Our findings indicate that regional differences in Brazil may influence the disability of older people aged 80 and older. In northeast Brazil, having no partner may contribute to disability for ADLs and IADLs; while, in the longevous population of São Paulo, having a worse self-rated health may contribute to disability for IADLs.
Citation
Nóbrega, J.C.L., Medeiros, J.B., da Silva Freitas, J.L.G. et al. (2022) Psychosocial aspects and support networks associated with disability in two longevous populations in Brazil: a cross-sectional study. BMC Geriatriatrics 22, 110. https://doi.org/10.1186/s12877-022-02810-4
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Journal article
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en
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© 2022 The Authors. Published by Springer. This is an open access article available under a Creative Commons licence. The published version can be accessed at the following link on the publisher’s website:
https://doi.org/10.1186/s12877-022-02810-4
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1471-2318
EISSN
1471-2318
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The current study was funded by Universidade Estadual da Paraíba (PROPESQ) and Fundação de Apoio à Pesquisa do Estado da Paraíba (FAPESQ/CNPq— PPSUS 015/2014); CAPES (INCT 14/50931–3), Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP-CEPID 2013/08028–1; 1999/ 05125, 2005/54947–2, 2009/53778–3).