Silva Vanessa de Lima, Cesse Eduarda Ângela Pessoa, de Albuquerque Maria de Fátima Pessoa Militão
Centro de Pesquisas Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, PE, Brazil.
Rev Bras Epidemiol. 2014;17 Suppl 2:178-93. doi: 10.1590/1809-4503201400060015.
This study aims at working on a systematic review of articles published on social determinants associated with the elderly mortality.
We searched articles published in Portuguese, English and Spanish language periodicals from January 1st 2007 to December 31st 2009, by means of Lilacs and Pubmed databases. Twenty cohort studies were identified, having most of them been developed in European, North-American and Asian countries.
The articles analysed provided determinant social factors significantly associated with the elderly mortality: urban/rural and intercontinental variation, be part of ethnic minorities, financial stress, living conditions, schooling, social participation, gender and race discrimination, smoking, alcoholism, physical activities, instrumental activities of daily living, leisure, marital status, equality and healthy lifestyle.
Mortality amongst the elderly is influenced by social determinants in many levels of reach, from determinants linked to lifestyle to socioeconomic macro-determinants. The actions on these determinants must be guided by the intersectorial perspective and regarded as a priority in the health sector, seeking to provide extended longevity with good quality of life for the population.
本研究旨在对已发表的关于与老年人死亡率相关的社会决定因素的文章进行系统综述。
我们通过Lilacs和Pubmed数据库，检索了2007年1月1日至2009年12月31日期间以葡萄牙语、英语和西班牙语发表在期刊上的文章。共识别出20项队列研究，其中大部分在欧洲、北美和亚洲国家开展。
分析的文章提供了与老年人死亡率显著相关的社会决定因素：城乡和洲际差异、属于少数民族、经济压力、生活条件、教育程度、社会参与、性别和种族歧视、吸烟、酗酒、体育活动、日常生活工具性活动、休闲、婚姻状况、平等和健康的生活方式。
老年人的死亡率受到社会决定因素多方面的影响，从与生活方式相关的决定因素到社会经济宏观决定因素。针对这些决定因素采取的行动必须以跨部门视角为指导，并被视为卫生部门的优先事项，旨在为民众提供延长寿命且生活质量良好的保障。
