Postgraduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal-RN, Brazil.
Trairi Faculty of Health Sciences, Federal University of Rio Grande do Norte, Santa Cruz-RN, Brazil.
Medicine (Baltimore). 2021 Nov 19;100(46):e27830. doi: 10.1097/MD.0000000000027830.
We aimed to compare the association of depression with aspects of quality of life (QoL) among older people users of primary health care (PHC) living in Brazil and Portugal.We carried out an observational, cross-sectional and comparative study with a quantitative approach in the PHC scope in Brazil and Portugal, where we obtained a nonrandom sample of 150 participants aged 65 years or older (100 Brazilians and 50 Portuguese). We used the socioeconomic and health data questionnaire, the Medical Outcomes Short-Form Health Survey QoL (SF-36) questionnaire and the Beck Inventory.Among the socioeconomic profiles, most were females aged between 65 and 80 years in both countries. There was a significant difference between groups in the income variable, with 100.0% of Portuguese people earning up to 1 minimum wage (P value <.001), and the presence of chronic diseases in 92.0% of respondents in Portugal (P value = .033). In the association analysis, most aspects of QoL had a higher median score (>50.0) within the categorical variables of "absent" and "mild" depression. The Emotional role functioning, Physical role functioning, Physical functioning, Mental health, Total score domains and the Mental health and Physical health summary measures stood out with this behavior in Brazil and in Portugal, where these latter 2 presented moderate to strong correlation values (ρ > 0.400) in Portugal. Greater associations of depression on QoL were revealed in Portugal than in Brazil. Among their most expressive associations, the Physical role functioning (odds ratio [OR] = 4.776; 95.0% confidence interval [CI]: 2.41-9.43), Physical functioning (OR = 3.037; 95.0% CI: 3.037), Vitality (OR = 6.000; 95.0% CI: 1.56-23.07) and Total score (OR = 3.727; 95.0% CI: 2.24-6.17) domains and the Mental health summary measure (OR = 3.870; 95.0% CI: 2.13-7.02) stood out.Aspects related to the emotional, physical, functional and mental health components stood out. The association and correlation with depression were more expressive in Portugal compared to Brazil. However, similar results were obtained in Brazil but with less relevance.
我们旨在比较巴西和葡萄牙初级保健（PHC）老年用户中抑郁与生活质量（QoL）各方面的关联。我们在巴西和葡萄牙的 PHC 范围内进行了一项观察性、横断面和比较研究，采用定量方法，在两国获得了 150 名 65 岁或以上的非随机参与者（100 名巴西人和 50 名葡萄牙人）。我们使用了社会经济和健康数据问卷、医疗结局短期健康调查 QoL（SF-36）问卷和贝克量表。在社会经济概况中，大多数是两国年龄在 65 至 80 岁之间的女性。在收入变量方面，两国组间存在显著差异，100.0%的葡萄牙人收入不超过 1 最低工资（P 值<.001），92.0%的受访者患有慢性病（P 值=.033）。在关联分析中，在“无”和“轻度”抑郁的分类变量中，大多数 QoL 方面的中位数评分较高（>50.0）。情感角色功能、身体角色功能、身体功能、心理健康、总分域以及心理健康和身体健康综合衡量标准在巴西和葡萄牙表现出这种行为，其中后两者在葡萄牙呈现中度至强相关值（ρ>.400）。与巴西相比，葡萄牙的抑郁与 QoL 的关联更大。在他们最显著的关联中，身体角色功能（比值比[OR]=4.776；95.0%置信区间[CI]：2.41-9.43）、身体功能（OR=3.037；95.0%CI：3.037）、活力（OR=6.000；95.0%CI：1.56-23.07）和总分（OR=3.727；95.0%CI：2.24-6.17）领域以及心理健康综合衡量标准（OR=3.870；95.0%CI：2.13-7.02）脱颖而出。与情感、身体、功能和心理健康相关的方面突出。与抑郁的关联和相关性在葡萄牙比在巴西更为明显。然而，在巴西也得到了类似的结果，但相关性较小。
