Bierhals Isabel Oliveira, Meller Fernanda de Oliveira, Assunção Maria Cecília Formoso
Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, RS, Brasil,
Cien Saude Colet. 2016 Apr;21(4):1297-308. doi: 10.1590/1413-81232015214.12922015.
The objective of this study was to describe dependence for the activities of food shopping, preparing meals and eating in elderly residents from the city of Pelotas, Rio Grande do Sul. Bivariate analysis and ordinal logistic regression were employed to assess the three dependencies and exposure variables studied. Of the 1,451 older adults assessed, 21.1% required assistance for some activities where this care was given predominantly by son/daughter and partners. The highest prevalence of dependence was for food shopping (20.7%), followed by preparing meals (11.5%) and eating (2.0%). Elderly aged 80 years or older were more likely to be in a greater dependence category than individuals aged 60-69 years, with odds ratios of 5.0 for men and 7.1 for women. The odds ratio in individuals who self-rated their health as regular, poor or very poor was approximately 2.3 times greater, proving similar for both genders. Women with no partner had a 1.7 times greater chance of dependence whilst individuals with greater educational level exhibited 70.0% protection for their reference category; men with lower socioeconomic level had a 5.3 times greater chance of dependence than individuals with higher socioeconomic level. These results highlight the most vulnerable subgroups for dependencies and the importance of a family caregiver.
本研究的目的是描述巴西南部南里奥格兰德州佩洛塔斯市老年居民在食品购物、做饭和进食活动方面的依赖情况。采用双变量分析和有序逻辑回归来评估所研究的三种依赖情况和暴露变量。在评估的1451名老年人中，21.1%的人在某些活动中需要帮助，主要由儿子/女儿和伴侣提供这种照料。依赖发生率最高的是食品购物（20.7%），其次是做饭（11.5%）和进食（2.0%）。80岁及以上的老年人比60 - 69岁的人更有可能处于更高的依赖类别，男性的优势比为5.0，女性为7.1。自我评估健康状况为一般、较差或非常差的人的优势比大约高2.3倍，男女情况相似。没有伴侣的女性依赖的可能性高1.7倍，而教育水平较高的人相对于参照类别有70.0%的保护作用；社会经济水平较低的男性依赖的可能性比社会经济水平较高的人高5.3倍。这些结果突出了最易出现依赖情况的亚组以及家庭照料者的重要性。
