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与社区居住老年人死亡率相关的社会人口学和健康因素。

Sociodemographic and health factors associated with mortality in community-dwelling elderly.

作者信息

Borim Flávia Silva Arbex, Francisco Priscila Maria Stolses Bergamo, Neri Anita Liberalesso

机构信息

Faculdade de Ciências Médicas. Universidade Estadual de Campinas. Campinas, SP, Brasil.

出版信息

Rev Saude Publica. 2017 May 4;51:42. doi: 10.1590/S1518-8787.2017051006708.

DOI:10.1590/S1518-8787.2017051006708
PMID:28492763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5433788/
Abstract

OBJECTIVE

The objective of this study is to identify factors associated with mortality, with emphasis on gender and age differences.

METHODS

This is a cross-sectional study, which uses data from the FIBRA-2008-2009 network in Campinas, State of São Paulo, Brazil, with information on non-institutionalized residents of the urban area and the Mortality Information System. The dependent variable has been death, in 2013. The associations have been tested by odds ratio (OR) and their 95% confidence intervals, and the analyses have been conducted using the program Stata 12.0.

RESULTS

Average age has been 72.3 years, 69.3% have been women, and 8.9% have died. We have found greater OR for mortality in individuals aged ≥ 75 years, classified as pre-frail or frail, and in those who have reported heart disease.

CONCLUSIONS

In this study, the analysis of specific subgroups has allowed us to better understand the relationship between the factors associated with death in the elderly. With the exception of age, strategies based on primary and secondary care, focused on priority groups, can have a positive impact on the reduction of mortality among the elderly.

OBJETIVO

Identificar fatores associados à mortalidade, com ênfase nas diferenças de gênero e idade.

MÉTODOS: Trata-se de estudo transversal, utilizando dados provenientes da rede FIBRA-2008-2009 em Campinas, SP, com informações de pessoas não institucionalizadas residentes na área urbana e pelo Sistema de Informações de Mortalidade. A variável dependente foi a ocorrência de óbito, verificada em 2013. As associações foram testadas pelas razões de chances (OR) e respectivos intervalos de confiança de 95%, e as análises conduzidas no programa Stata 12.0.

RESULTADOS

A média de idade foi 72,3 anos, 69,3% eram mulheres e 8,9% foram a óbito. Encontrou-se maior OR para mortalidade nos indivíduos com idade ≥ 75 anos, nos classificados como pré-frágil ou frágil e naqueles que referiram doença do coração.

CONCLUSÕES: Neste estudo, a análise para os subgrupos específicos permitiu melhor compreender a relação entre fatores que se associam ao óbito no idoso. Com exceção da idade, estratégias baseadas no cuidado específico de atenção primária e secundária, direcionadas a grupos prioritários, podem ter um impacto positivo na redução da mortalidade entre os idosos.

摘要

目的

本研究的目的是确定与死亡率相关的因素,重点关注性别和年龄差异。

方法

这是一项横断面研究,使用来自巴西圣保罗州坎皮纳斯市FIBRA - 2008 - 2009网络的数据,以及有关城市地区非机构化居民的信息和死亡信息系统。因变量为2013年的死亡情况。通过比值比(OR)及其95%置信区间对关联进行检验,并使用Stata 12.0程序进行分析。

结果

平均年龄为72.3岁,女性占69.3%,8.9%的人死亡。我们发现,年龄≥75岁、被归类为脆弱前或脆弱的个体以及报告患有心脏病的个体的死亡率的OR值更高。

结论

在本研究中,对特定亚组的分析使我们能够更好地理解与老年人死亡相关因素之间的关系。除年龄外,基于初级和二级护理、针对优先群体的策略可对降低老年人死亡率产生积极影响。

目标

确定与死亡率相关的因素,重点关注性别和年龄差异。

方法

这是一项横断面研究,使用来自巴西圣保罗州坎皮纳斯市FIBRA - 2008 - 2009网络的数据,以及有关城市地区非机构化居民的信息和死亡信息系统。因变量为2013年的死亡情况。通过比值比(OR)及其95%置信区间对关联进行检验,并使用Stata 12.0程序进行分析。

结果

平均年龄为72.3岁,女性占69.3%,8.9%的人死亡。年龄≥75岁、被归类为脆弱前或脆弱的个体以及报告患有心脏病的个体的死亡率的OR值更高。

结论

在本研究中,对特定亚组的分析使我们能够更好地理解与老年人死亡相关因素之间的关系。除年龄外,基于初级和二级护理、针对优先群体的策略可对降低老年人死亡率产生积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb97/5433788/8349323b60b8/0034-8910-rsp-S1518-87872017051006708-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb97/5433788/8349323b60b8/0034-8910-rsp-S1518-87872017051006708-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb97/5433788/8349323b60b8/0034-8910-rsp-S1518-87872017051006708-gf01.jpg

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