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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
Matheson, David Santos, Silvana Leite Nóbrega, Júlia Cristina Barbosa Medeiros, Juliana Alves, S Freitas, J Silva, J Mariz Simões, Raisa Fernandes Santos, T Brito, A
Matheson, David
Santos, Silvana
Leite Nóbrega, Júlia Cristina
Barbosa Medeiros, Juliana
Alves, S
Freitas, J
Silva, J
Mariz Simões, Raisa Fernandes
Santos, T
Brito, A
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2021-04-09
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Abstract
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.
Citation
Nobrega, J. C. L.. , Medeiros, J. B., Santos, T. T. M. et al. (2021) Socioeconomic factors and health status disparities associated with difficulty in ADLs and IADLs among long-lived populations in Brazil: a cross-sectional study. Inquiry: The Journal of Health Care Organization, Provision, and Financing, 58, pp. 1-11.
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en
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© 2021 The Authors. Published by Sage. 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://journals.sagepub.com/doi/full/10.1177/00469580211007264
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1945-7243