Yokota Renata Tiene de Carvalho, de Moura Lenildo, Andrade Silvânia Suely Caribé de Araújo, de Sá Naíza Nayla Bandeira, Nusselder Wilma Johanna, Van Oyen Herman
Department of Public Health and Surveillance, Scientific Institute of Public Health, Rue Juliette Wytsmanstraat 14, 1050, Brussels, Belgium.
Department of Sociology, Interface Demography, Vrije Universiteit Brussel, Brussels, Belgium.
Int J Public Health. 2016 Dec;61(9):1003-1012. doi: 10.1007/s00038-016-0843-7. Epub 2016 Jun 23.
To assess the contribution of chronic conditions to the disability burden in the older men and women in Brazil.
Data from 10,290 participants of the Brazilian National Health Survey in 2013 aged 60 years or older were used. Disability was defined based on limitations in activities of daily living (ADL) and instrumental activities of daily living (IADL). Binomial additive hazards models were fitted to assess the contribution of chronic conditions to the disability prevalence.
Back pain was the most common condition, followed by diabetes and heart diseases in men and arthritis and diabetes in women. Stroke and mental disorders were by far the most disabling conditions in men and women. A higher disability prevalence was observed in women (34.4 %, CI 32.4; 36.2 %) compared to men (28.4 %; CI 25.9; 30.8 %). The most important contributors to the disability prevalence were stroke, back pain, and arthritis among men, and diabetes, heart diseases, and arthritis in women.
Interventions to reduce disability in the older population in Brazil should take into account the gender gap in the occurrence of chronic conditions, focusing on the main contributors to the disability burden.
评估慢性病对巴西老年男性和女性残疾负担的影响。
使用了2013年巴西国家卫生调查中10290名年龄在60岁及以上参与者的数据。残疾是根据日常生活活动（ADL）和工具性日常生活活动（IADL）的限制来定义的。采用二项式相加风险模型来评估慢性病对残疾患病率的影响。
背痛是最常见的疾病，男性中其次是糖尿病和心脏病，女性中其次是关节炎和糖尿病。中风和精神障碍是迄今为止男性和女性中致残性最强的疾病。与男性（28.4%；可信区间25.9；30.8%）相比，女性的残疾患病率更高（34.4%，可信区间32.4；36.2%）。男性中残疾患病率的最重要影响因素是中风、背痛和关节炎，女性中是糖尿病、心脏病和关节炎。
巴西减少老年人口残疾的干预措施应考虑慢性病发生中的性别差异，关注残疾负担的主要影响因素。
