Rodrigues Natália Oliveira, Neri Anita Liberalesso
Programa de pós-Grauação em Gerontolologia, Faculdade de Ciências Médica, Universidade Estadual de Campinas, Campinas, SP, 13083-887, Brazil.
Cien Saude Colet. 2012 Aug;17(8):2129-39. doi: 10.1590/s1413-81232012000800023.
Sociocultural and economic conditions interact with biological processes throughout the course of life determining vulnerability or resilience in old age. The scope of this study was to investigate relationships between social vulnerability (gender, age and income); individual vulnerability (comorbidities, signs and symptoms, functional ability, perceived social support and perceived health), and programmatic vulnerability (indices of dependence on the public health system, social vulnerability and access to health services) in a sample of individuals aged 65 and more. 688 elderly people were interviewed in a single data gathering session in their homes in 88 selected urban census sectors in Campinas. 470 of the interviewees were women, with more comorbidities and more signals and symptoms, though more socially engaged in AADL and IADL than men. Mean age was 72.28 ± 5.41; mean family income = 4.72 ± 5.28 minimum wages. The variables with most explanatory power over the joint variation of the data were access and use of health services, levels of social vulnerability and dependence on public healthcare services, and family income. Social conditions as well as family income coexist with individual vulnerability in old age.
社会文化和经济状况在整个生命过程中与生物过程相互作用，决定老年时期的脆弱性或恢复力。本研究的范围是调查65岁及以上个体样本中的社会脆弱性（性别、年龄和收入）、个体脆弱性（合并症、体征和症状、功能能力、感知到的社会支持和感知到的健康状况）以及计划性脆弱性（对公共卫生系统的依赖指数、社会脆弱性和获得医疗服务的机会）之间的关系。在坎皮纳斯市88个选定的城市普查区，对688名老年人进行了一次上门数据收集访谈。470名受访者为女性，她们有更多的合并症以及更多的体征和症状，不过在日常生活活动和工具性日常生活活动方面比男性更积极参与社交。平均年龄为72.28±5.41岁；平均家庭收入为4.72±5.28个最低工资。对数据联合变异具有最大解释力的变量是医疗服务的获得和使用、社会脆弱性水平以及对公共医疗服务的依赖程度，还有家庭收入。社会状况以及家庭收入与老年个体的脆弱性并存。
