Sousa Neuciani Ferreira da Silva, Lima Margareth Guimarães, Cesar Chester Luiz Galvão, Barros Marilisa Berti de Azevedo
Instituto de Saúde Coletiva, Universidade Federal de Mato Grosso, Cuiabá, Brasil.
Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, Brasil.
Cad Saude Publica. 2018 Nov 23;34(11):e00173317. doi: 10.1590/0102-311X00173317.
The aim of this study was to analyze prevalence rates and gender and age differences in indicators of active aging in elders participating in the Campinas Municipal Health Survey in Campinas, São Paulo State, Brazil (2014-2015). We estimated prevalence rates for participation by the elderly in twelve activities pertaining to four dimensions and calculated the prevalence ratios with Poisson regression. The study population consisted of 986 elderly. The results showed that 40.2% of the elderly participated in sociocultural activities, 25.3% were physically active in their leisure time, 21.7% used the Internet, 22.1% performed paid work, and only 2.6% were taking courses. In the social dimension, the only gender difference was in religious practice, which was less prevalent in men (PR = 0.67). In the dimension of physical activity, men were more active at work (PR = 2.10), in commuting (PR = 1.61), and in their leisure time (PR = 1.44). There was no gender difference in the intellectual dimension, and men were more active in paid work, (PR = 1.78). The analyses by age brackets showed that in men, only physical activity at work and paid work presented lower prevalence in the group eighty years and older. Among the oldest elderly women, lower prevalence rates were seen in six activities, which suggests a possible differential effect of advanced age between the sexes. The results show important rates of participation by elderly in some indicators of active aging, besides challenges in activities that are performed rarely and gender differences in participation.
本研究旨在分析参与巴西圣保罗州坎皮纳斯市市政健康调查（2014 - 2015年）的老年人积极老龄化指标的患病率以及性别和年龄差异。我们估计了老年人参与四个维度的十二项活动的患病率，并通过泊松回归计算患病率比。研究人群包括986名老年人。结果显示，40.2%的老年人参与社会文化活动，25.3%在休闲时间进行体育活动，21.7%使用互联网，22.1%从事有偿工作，只有2.6%参加课程学习。在社会维度，唯一的性别差异在于宗教活动，男性参与宗教活动的比例较低（患病率比 = 0.67）。在体育活动维度，男性在工作中（患病率比 = 2.10）、通勤时（患病率比 = 1.61）和休闲时间（患病率比 = 1.44）更活跃。在智力维度没有性别差异，男性在有偿工作中更活跃（患病率比 = 1.78）。按年龄组分析表明，在男性中，只有工作中的体育活动和有偿工作在80岁及以上组的患病率较低。在年龄最大的老年女性中，六项活动的患病率较低，这表明高龄对两性可能有不同影响。结果显示，除了在很少进行的活动中存在挑战以及参与活动存在性别差异外，老年人在一些积极老龄化指标方面的参与率很高。
