Fundação Oswaldo Cruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro, RJ, 21041-360, Brazil; University of Illinois at Urban-Champaign, 1010W Nevada Street, Office 2107, Urbana, IL, 61801, USA.
University of Illinois at Urban-Champaign, 1010W Nevada Street, Office 2107, Urbana, IL, 61801, USA.
Arch Gerontol Geriatr. 2020 Sep-Oct;90:104157. doi: 10.1016/j.archger.2020.104157. Epub 2020 Jun 18.
Multimorbidity among older adults increases with age. There are large socioeconomic differences across states in Brazil. We believe that estimates of healthy life expectancy differ according to poverty and income inequality status. The objective of the study is to describe patterns of life expectancy with multimorbidity with distinct levels of poverty and inequality in Brazil. We constructed life tables for Brazilian states and estimated the prevalence of multimorbidity for populations aged 60 and over, and divided the states into three groups according to poverty and inequality status and compare them. The group with high poverty and inequality lives fewer years with multimorbidity than the group with lower poverty and inequality. We believe this approach can be used to compare estimates between populations and to identify health inequalities within the country that require attention, optimizing resources, and planning interventions to improve population health, mainly through primary health care.
老年人的多病共存现象随着年龄的增长而增加。巴西各州之间在社会经济方面存在着巨大差异。我们认为，健康预期寿命的估计值因贫困和收入不平等状况而异。本研究的目的是描述巴西不同贫困和不平等程度下，多病共存的预期寿命模式。我们为巴西各州构建了生命表，并估计了 60 岁及以上人群的多病共存患病率，并根据贫困和不平等状况将各州分为三组进行比较。贫困和不平等程度较高的组比贫困和不平等程度较低的组多病共存的年限更少。我们认为，这种方法可以用于比较人群之间的估计值，并确定国内需要关注的卫生不平等问题，从而优化资源，并规划干预措施以改善人口健康，主要通过初级卫生保健。
