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[巴西圣保罗市老年人功能活动受限的相关因素:15年的比较分析]

[Factors associated with limitations in functional mobility in elderly in the city of São Paulo, Brazil: a comparative analysis of 15 years].

作者信息

Nascimento Carla Ferreira do, Duarte Yeda Aparecida de Oliveira, Porto Chiavegatto Filho Alexandre Dias

机构信息

Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil.

Escola de Enfermagem, Universidade de São Paulo, São Paulo, Brasil.

出版信息

Cad Saude Publica. 2022 Apr 29;38(4):e00196821. doi: 10.1590/0102-311X00196821. eCollection 2022.

Abstract

The study aimed to analyze the prevalence of self-reported limitation of functional mobility and associated factors from 2000 to 2015 in elderly residing in the city of São Paulo, Brazil. The analyses used data from the four waves (2000, 2006, 2010, and 2015) in the Health, Well-Being, and Aging Study (SABE). Regression models were conducted to analyze the demographic, socioeconomic, behavioral, and health-related characteristics of individuals associated with limitations of mobility in each wave of the study, and multilevel analysis was performed for comparison between the four waves. The results showed an increase in the prevalence of self-reported limitations in mobility, most evident in the year 2006. There was also an association between chronic health conditions such as history of stroke (PR = 1.43; 95%CI: 1.29; 1.58, in 2000), presence of osteoarticular diseases (PR = 1.35; 95%CI: 1.23; 1.49, in 2015), and complaint of "backache" (PR = 1.33; 95%CI: 1.22; 1.45, in 2006), as well as with socioeconomic aspects such as insufficient income (PR = 1.17; 95%CI: 1.07; 1.28, in 2010). In a context of rapid population aging, these results provide relevant information for promoting public policies to prevent the decline in mobility in the elderly.

摘要

该研究旨在分析2000年至2015年居住在巴西圣保罗市的老年人自我报告的功能活动受限的患病率及相关因素。分析使用了健康、幸福与衰老研究(SABE)中四次调查(2000年、2006年、2010年和2015年)的数据。进行回归模型分析以研究在该研究的每一轮调查中,与活动受限相关的个体的人口统计学、社会经济、行为和健康相关特征,并进行多水平分析以比较这四轮调查的结果。结果显示,自我报告的活动受限患病率有所上升,在2006年最为明显。慢性健康状况如中风病史(2000年,PR = 1.43;95%CI:1.29;1.58)、骨关节炎疾病的存在(2015年,PR = 1.35;95%CI:1.23;1.49)、“背痛”主诉(2006年,PR = 1.33;95%CI:1.22;1.45)以及社会经济方面如收入不足(2010年,PR = 1.17;95%CI:1.07;1.28)之间也存在关联。在人口快速老龄化的背景下,这些结果为推动预防老年人活动能力下降的公共政策提供了相关信息。

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