Programa de Pós-Graduação em Educação Física, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil.
Rev Saude Publica. 2011 Feb;45(1):113-20. doi: 10.1590/s0034-89102010005000047. Epub 2010 Oct 29.
To estimate the prevalence of home care among older adults and to identify associated factors.
Population-based cross-sectional study including 598 individuals aged > 60 years. Subjects were selected through a two-stage cluster sampling strategy in the city of Pelotas, Southern Brazil, between 2007 and 2008. Home care was defined as a positive answer to the following question: "Do you have someone here in your home to take care of you?" Data on potential associated factors for home care were collected using a standardized questionnaire. Poisson regression models with robust variance were used in the crude and in the adjusted analyses. The analysis took into account the clustering of the sample.
The prevalence of home care was 49.5% (95%CI: 44.5;54.5). Among those who have a caretaker, 39.5% reported to be cared for by their spouse, while 4.7% of subjects reported having a professional caretaker. In the adjusted analysis, home care was positively associated with male sex, having a partner, increased age and disability for instrumental activities of daily living. Home care was inversely associated with schooling and physical activity levels.
The high prevalence of home care observed may overburden family members responsible for the most of the care provided. These findings are important for the planning of health interventions aimed the assistance of the elderly and their families. Particular attention should be paid to individuals with advanced age, low educational level and with disability for activities instrumental to daily living.
评估老年人居家护理的流行情况，并确定相关因素。
这是一项基于人群的横断面研究，纳入了 598 名年龄>60 岁的个体。研究对象通过巴西南部佩洛塔斯市的两阶段聚类抽样策略进行选择，研究时间为 2007 年至 2008 年。居家护理被定义为对以下问题的肯定回答：“您家里是否有人照顾您？”使用标准化问卷收集与居家护理相关的潜在因素数据。在粗分析和调整分析中均使用了具有稳健方差的 Poisson 回归模型。该分析考虑了样本的聚类。
居家护理的流行率为 49.5%（95%CI：44.5；54.5）。在有照顾者的人群中，39.5%的人报告由配偶照顾，而 4.7%的人报告有专业照顾者。在调整分析中，居家护理与男性、有伴侣、年龄增加和日常生活活动的工具性残疾呈正相关。居家护理与教育程度和身体活动水平呈负相关。
观察到的高居家护理流行率可能会给负责提供大部分护理的家庭成员带来过重的负担。这些发现对于规划旨在为老年人及其家庭提供帮助的卫生干预措施非常重要。应特别关注高龄、低教育程度和日常生活活动工具性残疾的个体。
