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社会不平等与积极老龄化指标:基于人群的研究。

Social inequalities in indicators of active aging: a population-based study.

机构信息

Departamento de Saúde Coletiva, Instituto de Saúde Coletiva, Universidade Federal de Mato Grosso. R. Quarenta e Nove 2367, Boa Esperança. 78060-900 Cuiabá MT Brasil.

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

出版信息

Cien Saude Colet. 2021 Nov 15;26(suppl 3):5069-5080. doi: 10.1590/1413-812320212611.3.24432019. eCollection 2021.

Abstract

The objective of this study was to analyze inequalities in active aging indicators according to race/skin color, level of education, income, and possession of health insurance among 986 older people who participated in the 2014/15 Campinas Health Survey. We estimated the prevalence of participation in 11 activity domains using Poisson regression. The findings reveal similar levels of participation among white and black people in all the domains of the social dimension. The prevalence of work-related physical activity was higher among black people (14.1% compared to 8.2% in white people) and the prevalence of internet use was higher among white people (PR = 2.11). The prevalence of participation in leisure time physical activity, internet use, courses, and in all domains of the social dimension except attendance at religious services was higher among respondents in the highest educational and income groups and among those with health insurance. The findings reveal that older people with a higher income and higher level of education are more likely to participate in activities associated with better health and well-being. The study also shows that older people place a significant demand on Brazil's public health system since individuals who depend exclusively on public health services tend to participate less in activities that are shown to promote health benefits.

摘要

本研究旨在分析 986 名参与 2014/15 年坎皮纳斯健康调查的老年人中,按种族/肤色、教育程度、收入和是否拥有医疗保险划分的积极老龄化指标的不平等情况。我们使用泊松回归估计了 11 个活动领域的参与率。研究结果显示,在社会维度的所有领域,白人和黑人的参与水平相似。与白人(8.2%)相比,黑人从事与工作相关的体力活动的比例更高(14.1%),而白人使用互联网的比例更高(PR=2.11)。在最高教育程度和最高收入群体以及拥有医疗保险的受访者中,休闲时间体力活动、互联网使用、课程以及社会维度的所有领域(除参加宗教服务外)的参与率更高。研究结果表明,收入较高和教育程度较高的老年人更有可能参与与健康和幸福相关的活动。该研究还表明,老年人对巴西的公共卫生系统有很大的需求,因为仅依赖公共卫生服务的人往往较少参与被证明能促进健康的活动。

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