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巴西圣保罗坎皮纳斯市老年人自我报告的骨质疏松症:一项基于人群的调查

Osteoporosis self-reported in the elderly: a population-based survey in the city of Campinas, São Paulo, Brazil.

作者信息

Rodrigues Iara Guimarães, Barros Marilisa Berti de Azevedo

机构信息

Faculdade de Ciências Médicas, Departamento de Saúde Coletiva. Universidade Estadual de Campinas - Campinas (SP), Brasil.

出版信息

Rev Bras Epidemiol. 2016 Apr-Jun;19(2):294-306. doi: 10.1590/1980-5497201600020007.

Abstract

INTRODUCTION

Osteoporosis is a multifactorial disease that predisposes individuals to suffer falls and fractures, causing functional impairment and a consequent reduction in quality of life.

OBJECTIVE

To assess the prevalence and factors associated with self-reported osteoporosis in the elderly population living in Campinas, São Paulo, Brazil (ISACAMP 2008).

METHODS

Cross-sectional study with a random sample taken by conglomerates in 2 stages totaling 1,419 elderly people living in the urban area. The self-reported prevalence of osteoporosis was estimated according to socioeconomic and demographic variables, morbidity, health behaviors and problems. Crude prevalence ratios were estimated and adjusted by means of simple and multiple regressions using the Poisson svy commands in Stata 11.0 software.

RESULTS

We found a prevalence of osteoporosis of 14.8%, and significantly higher in females, in individuals who reported white skin, those who reported less than 7 hours of sleep/day, in patients with rheumatism/arthritis/arthrosis, asthma/bronchitis/emphysema, tendinitis, dizziness, insomnia, common mental disorders, BMI < 27, health self-related as bad and very bad, and reporting falls occurring in the last 12 months.

CONCLUSION

The present study, by identifying the factors associated with osteoporosis, identified segments of older people with a higher prevalence of the disease; to this information may contribute to the planning of public health policies and programs aimed at controlling the disease and its consequences.

摘要

引言

骨质疏松症是一种多因素疾病,使个体易发生跌倒和骨折,导致功能障碍,进而降低生活质量。

目的

评估巴西圣保罗坎皮纳斯市老年人群中自我报告的骨质疏松症的患病率及相关因素(2008年坎皮纳斯市老年人健康与生活状况调查)。

方法

采用两阶段整群随机抽样的横断面研究,共纳入1419名居住在市区的老年人。根据社会经济和人口统计学变量、发病率、健康行为及问题,估算自我报告的骨质疏松症患病率。使用Stata 11.0软件中的泊松抽样命令,通过简单和多元回归估计并调整粗患病率比。

结果

我们发现骨质疏松症患病率为14.8%,女性、报告皮肤为白色者、报告每天睡眠不足7小时者、患有风湿/关节炎/关节病、哮喘/支气管炎/肺气肿、肌腱炎、头晕、失眠、常见精神障碍者、体重指数<27者、自我感觉健康状况差及非常差者,以及报告在过去12个月内发生过跌倒者的患病率显著更高。

结论

本研究通过识别与骨质疏松症相关的因素,确定了该疾病患病率较高的老年人群体;这些信息可能有助于规划旨在控制该疾病及其后果的公共卫生政策和项目。

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