PhD. Nurse and Associate Professor, Department of Nursing Education, Postgraduate Program in Community Health Nursing, Universidade Federal do Triângulo Mineiro (UFTM), Uberaba (MG), Brazil.
PhD. Nurse and Adjunct Professor, Department of Nursing Education, Undergraduate Program in Community Health Nursing, Universidade Federal do Triângulo Mineiro (UFTM), Uberaba (MG), Brazil.
Sao Paulo Med J. 2023 Jan-Feb;141(1):67-77. doi: 10.1590/1516-3180.2021.0720.R1.29042022.
Increased longevity is accompanied by new social and health demands, such as the race/color social construct, indicating the need to identify the specific needs of older adults to maintain and improve their quality of life.
We aimed to verify the direct and indirect associations of demographic, economic, and biopsychosocial characteristics with self-assessed quality of life in older adults according to race/color.
This cross-sectional study included 941 older adults living in the urban area of a health microregion in Minas Gerais, Brazil.
Older adults were divided into three groups: white (n = 585), brown (n = 238), and black (n = 102) race/color. Descriptive and trajectory analyses were performed (P < 0.05).
Among the three groups, worse self-assessed quality of life was directly associated with lower social support scores and greater numbers of depressive symptoms. Worse self-assessed quality of life was also directly associated with a higher number of functional disabilities in basic activities of daily living and the absence of a partner among older adults of brown and black race/color. Lower monthly income and higher numbers of morbidities and compromised components of the frailty phenotype were observed among participants of white race/color, as well as lower levels of education in the brown race/color group.
Factors associated with poorer self-assessed quality of life among older adults in the study community differed according to race/color.
寿命的延长伴随着新的社会和健康需求，例如种族/肤色社会结构，这表明有必要确定老年人的具体需求，以维持和提高他们的生活质量。
我们旨在根据种族/肤色，验证人口统计学、经济和生物心理社会特征与老年人自我评估生活质量之间的直接和间接关联。
这是一项横断面研究，共纳入巴西米纳斯吉拉斯州一个卫生微观区域城市地区的 941 名老年人。
将老年人分为三组：白人（n=585）、棕色（n=238）和黑人（n=102）。进行描述性和轨迹分析（P<0.05）。
在这三组中，较差的自我评估生活质量与较低的社会支持评分和较多的抑郁症状直接相关。较差的自我评估生活质量也与棕色和黑色种族/肤色老年人基本日常生活活动功能障碍较多和没有伴侣直接相关。在白色种族/肤色的参与者中，月收入较低、合并症较多和脆弱表型受损成分较多，以及棕色种族/肤色组的受教育程度较低，与较差的自我评估生活质量直接相关。
研究社区中与老年人自我评估生活质量较差相关的因素因种族/肤色而异。
