Ursine Príscila Guedes Santana, Cordeiro Hésio de Albuquerque, Moraes Claudia Leite
Faculdade Pitágoras Belo Horizonte, Belo Horizonte, MG 30140-060.
Cien Saude Colet. 2011 Jun;16(6):2953-62. doi: 10.1590/s1413-81232011000600033.
The aim of this article is to estimate the prevalence and the socio-demographic and health profile of housebound elderly people registered at a Family Health Unit in the urban region of Belo Horizonte (Minas Gerais, Brazil). A household survey was conducted between May and July 2006 with 275 elderly people selected via cluster sampling. The svy suite of commands in Stata 9.0 was used to deal adequately with the cluster sample structure and to allow the incorporation of fractions of expansion in the analyses. Among the 275 elderly, 22.4% (IC95%: 14.7; 32.4) were restricted to their homes. The prevalence of this condition was greater among women, people over 80 and suspected of suffering from cognitive impairment (p-valor < 0.05). The majority of housebound people had incomes below the minimum wage, reported history of falls, depression and indicated physical disorders as the cause of the restriction. The large contingent of low-income housebound elderly with several health problems, reinforces the need for incorporation of proposals for promotion and vigilance of the health of the elderly, which extend beyond the boundaries of the healthcare units.
本文旨在评估在贝洛奥里藏特市（巴西米纳斯吉拉斯州）城区一家家庭健康中心登记的居家老年人的患病率、社会人口统计学特征和健康状况。2006年5月至7月间开展了一项入户调查，通过整群抽样选取了275名老年人。使用Stata 9.0中的svy命令集来妥善处理整群样本结构，并在分析中纳入扩张系数。在这275名老年人中，22.4%（95%置信区间：14.7；32.4）的人行动受限，只能居家。这种情况在女性、80岁以上人群以及疑似患有认知障碍的人群中更为普遍（p值<0.05）。大多数行动受限的人收入低于最低工资标准，有跌倒史、抑郁症病史，并指出身体疾病是导致行动受限的原因。大量低收入且行动受限、存在多种健康问题的老年人，凸显了有必要纳入促进和关注老年人健康的建议，这些建议应超越医疗单位的范畴。
