Ono Lariane Mortean, Schneider Ione Jayce Ceola, Confortin Susana Cararo, d'Orsi Eleonora
Federal University of Santa Catarina, Florianópolis, Brazil.
Gerontol Geriatr Med. 2015 Sep 23;1:2333721415608022. doi: 10.1177/2333721415608022. eCollection 2015 Jan-Dec.
To investigate the prevalence and association between functional disability and health conditions in elderly people. A cross-sectional, population-based study with 1,705 elderly residents in urban region of Florianópolis, Brazil, from September 2009 to July 2010. The functional disability was classified according to the difficulty in accomplishing six basic activities of daily living. The crude and adjusted multinomial logistic regression was used to identify the associated factors. The prevalence of mild functional disability was 38.9%, and it was positively associated with being female, older age, reporting four or more chronic diseases, overweight, and negative self-perception of health. High education and income, having paid work, and being physically active in leisure activities reduced the chance of presenting it. The prevalence of moderate/severe disability was 11.7% and positively associated with older age, presence of depressive symptoms, four or more chronic diseases, and negative self-perception of health. High education, paid work, and being physically active in leisure activities also reduced the chance of presenting moderate/severe disability. Being gainfully employed, having a high level of education, and being physically active in their leisure time reduced the chance of presenting disability. The negative self-perception of health was the factor that most increased the chance of presenting functional disability.
为调查老年人功能残疾与健康状况之间的患病率及关联。这是一项基于人群的横断面研究,于2009年9月至2010年7月对巴西弗洛里亚诺波利斯市区的1705名老年居民进行。根据完成六项基本日常生活活动的困难程度对功能残疾进行分类。采用粗多分类逻辑回归和校正多分类逻辑回归来确定相关因素。轻度功能残疾的患病率为38.9%,与女性、高龄、报告患有四种或更多慢性疾病、超重以及对健康的负面自我认知呈正相关。高学历、高收入、有带薪工作以及在休闲活动中积极锻炼可降低出现轻度功能残疾的几率。中度/重度残疾的患病率为11.7%,与高龄、存在抑郁症状、四种或更多慢性疾病以及对健康的负面自我认知呈正相关。高学历、带薪工作以及在休闲活动中积极锻炼也可降低出现中度/重度残疾的几率。有带薪工作、高学历以及在休闲时间积极锻炼可降低出现残疾的几率。对健康的负面自我认知是最增加出现功能残疾几率的因素。