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老年人的居住安排以及社会人口统计学和健康决定因素:一项纵向研究。

Living arrangements of the elderly and the sociodemographic and health determinants: a longitudinal study.

作者信息

Bolina Alisson Fernandes, Tavares Darlene Mara Dos Santos

机构信息

Doctoral Student, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.

PhD, Associate Professor, Departamento de Enfermagem em Educação e Saúde Comunitária, Instituto de Ciências da Saúde, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil.

出版信息

Rev Lat Am Enfermagem. 2016 Aug 8;24:e2737. doi: 10.1590/1518-8345.0668.2737.

DOI:10.1590/1518-8345.0668.2737
PMID:27508909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4990036/
Abstract

OBJECTIVES

to describe the sociodemographic characteristics and the number of morbidities in the elderly, according to the dynamics of living arrangements and evaluate the sociodemographic and health determinants of the living arrangements.

METHODS

this is a household longitudinal survey (2005-2012), carried out with 623 elderly people. Descriptive statistical analysis and multinomial logistic regression were performed (p<0.05).

RESULTS

there was predominance of elderly living alone, accompanied and with change in the living arrangements, females, age range between 60├ 70 years, 1├ 4 years of study and with income between 1├┤ 3 minimum wages. During the development of this research, it was identified an increase in the incidence of elderly with 1├┤3 minimum wages. The number of morbidities increased in the three groups throughout the study, with the highest rates observed among the elderly with change in the dynamics of living arrangements. It was found that elderly men showed less chance of living alone (p=0.007) and having change in the living arrangements compared to women (p = 0.005). Incomes less than a minimum wage decreased the chances of change in the living arrangements compared to incomes above three salaries (p=0.034).

CONCLUSION

the determining factors of the living arrangements were sex and income, and the variables functional capacity and number of morbidities were not associated with the outcome analyzed.

OBJETIVOS

descrever as características sociodemográficas e o número de morbidades de idosos, segundo a dinâmica do arranjo domiciliar; e verificar os determinantes sociodemográficos e de saúde do arranjo domiciliar.

MÉTODOS: trata-se de uma pesquisa domiciliar e longitudinal (2005-2012), conduzida com 623 idosos. Foi realizada análise estatística descritiva e regressão logística multinomial (p<0,05).

RESULTADOS

predominaram, idosos que moram sozinhos, acompanhados e com mudança do arranjo domiciliar, do sexo feminino, faixa etária 60├ 70 anos, 1├ 4 anos de estudo e com renda entre 1├┤ 3 salários mínimos. Durante o desenvolvimento dessa pesquisa, identificou-se uma elevação da distribuição de idosos com 1├┤3 salários mínimos. O número de morbidades aumentou nos três grupos ao longo do estudo, com maiores taxas entre os idosos que mudaram a dinâmica do arranjo domiciliar. Verificou-se que idosos do sexo masculino apresentaram menores chances de morar sozinhos (p=0,007) e mudar o arranjo domiciliar comparados às mulheres (p = 0,005). Ganhar menos de um salário mínimo diminuiu as chances de mudança do arranjo domiciliar em relação aos que ganham mais de três salários (p=0,034).

CONCLUSÃO: os fatores determinantes do arranjo domiciliar foram o sexo e a renda, sendo que as variáveis capacidade funcional e número de morbidades não estiveram associadas ao desfecho analisado.

OBJETIVOS

describir las características sociodemográficas y el número de enfermedades concomitantes de ancianos, según la dinámica de la acomodación domiciliaria; y verificar los determinantes sociodemográficos y de salud del espacio domiciliario.

MÉTODOS: se trata de una investigación domiciliaria y longitudinal (2005-2012), realiza con 623 ancianos. Fue realizado análisis estadístico descriptivo y regresión logística multinomial (p<0,05).

RESULTADOS

predominaron, ancianos que viven solos, acompañados y con cambio de acomodación domiciliaria, del sexo femenino, intervalo etario 60├ 70 años, 1├ 4 años de estudio y con ingreso mensual entre 1├┤3 sueldos mínimos. Durante el desarrollo de la investigación, se identificó una aumento en la distribución de ancianos de 1├┤3 sueldos mínimos. El número de enfermedades concomitantes aumentó en los tres grupos a lo largo del estudio, con mayores tasas entre los ancianos que cambiaron la dinámica de la acomodación domiciliaria. Se verificó que ancianos del sexo masculino presentaron menores probabilidades de vivir solos (p=0,007) y de cambiar la acomodación domiciliaria, comparados a las mujeres (p = 0,005). Ganar menos de un salario mínimo disminuye las probabilidades de cambiar la acomodación domiciliaria en relación a los que ganan más de tres sueldos (p=0,034).

CONCLUSIÓN: los factores determinantes de la acomodación domiciliaria fueron el sexo y la ingreso mensual, siendo que las variables capacidad funcional y número de enfermedades concomitantes, no estuvieron asociadas al resultado analizado.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70b2/4990036/dfef073a0e78/0104-1169-rlae-24-02737-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70b2/4990036/dfef073a0e78/0104-1169-rlae-24-02737-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70b2/4990036/dfef073a0e78/0104-1169-rlae-24-02737-gf1.jpg
摘要

目的:根据居住安排动态描述老年人的社会人口学特征和发病数量,并评估居住安排的社会人口学和健康决定因素。

方法:这是一项针对623名老年人开展的家庭纵向调查(2005 - 2012年)。进行了描述性统计分析和多项逻辑回归分析(p<0.05)。

结果:独居、有人陪伴以及居住安排有变化的老年人居多,女性,年龄在60 - 70岁之间,受教育1 - 4年,收入在1至3个最低工资之间。在本研究开展期间,发现收入在1至3个最低工资之间的老年人分布有所增加。在整个研究过程中,三组的发病数量均有所增加,其中居住安排动态有变化的老年人发病率最高。研究发现,与女性相比,老年男性独居的可能性较小(p = 0.007),居住安排发生变化的可能性也较小(p = 0.005)。与收入高于三个最低工资的老年人相比,收入低于一个最低工资会降低居住安排发生变化的可能性(p = 0.034)。

结论:居住安排的决定因素是性别和收入,而功能能力和发病数量变量与所分析的结果无关。

目标:根据居住安排动态描述老年人的社会人口学特征和发病数量;并验证居住安排的社会人口学和健康决定因素。

方法:这是一项家庭纵向调查(2005 - 2012年),对623名老年人进行。进行了描述性统计分析和多项逻辑回归分析(p<0.05)。

结果:独居、有人陪伴以及居住安排有变化的老年人居多,女性,年龄在60 - 70岁之间,受教育1 - 4年,收入在1至3个最低工资之间。在本研究开展期间,发现收入在1至3个最低工资之间的老年人分布有所增加。在整个研究过程中,三组的发病数量均有所增加,其中居住安排动态有变化的老年人发病率最高。研究发现,与女性相比,老年男性独居的可能性较小(p = 0.007),居住安排发生变化的可能性也较小(p = 0.005)。与收入高于三个最低工资的老年人相比,收入低于一个最低工资会降低居住安排发生变化的可能性(p = 0.034)。

结论:居住安排的决定因素是性别和收入,而功能能力和发病数量变量与所分析的结果无关。

目标:根据居住安排动态描述老年人的社会人口学特征和并发疾病数量;并验证居住空间的社会人口学和健康决定因素。

方法:这是一项家庭纵向调查(2005 - 2012年),对623名老年人进行。进行了描述性统计分析和多项逻辑回归分析(p<0.05)。

结果:独居、有人陪伴以及居住安排有变化的老年人居多,女性,年龄在60至*70岁之间,受教育1至4年,月收入在1至3个最低工资之间。在研究过程中,发现收入在1至3个最低工资之间的老年人分布有所增加。在整个研究过程中,三组的并发疾病数量均有所增加,其中居住安排动态有变化的老年人发病率最高。研究发现,与女性相比,老年男性独居的可能性较小(p = 0.007),居住安排发生变化的可能性也较小(p = 0.005)。与收入高于三个最低工资的老年人相比,收入低于一个最低工资会降低居住安排发生变化的可能性(p = 0.034)。

结论:居住安排的决定因素是性别和月收入,而功能能力和并发疾病数量变量与所分析的结果无关。 (注:原文中“60├ 70”表述有误,推测为“60至70”进行翻译)

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