| Author | Andrade, Fabíola Bof de | |
| Author | Duarte, Yeda Aparecida de Oliveira | |
| Author | Souza Junior, Paulo Roberto Borges de | |
| Author | Torres, Juliana Lustosa | |
| Author | Costa, Maria Fernanda Furtado Lima | |
| Author | Andrade, Flávia Cristina Drumond | |
| Access date | 2019-07-04T18:21:47Z | |
| Available date | 2019-07-04T18:21:47Z | |
| Document date | 2018 | |
| Citation | ANDRADE, Fabíola Bof de et al. Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015. Revista de Saúde Pública, v. 52, supl. 2, p. 1-9, 2018. | en_US |
| ISSN | 0034-8910 | |
| URI | https://www.arca.fiocruz.br/handle/icict/33862 | |
| Language | eng | en_US |
| Publisher | Faculdade de Saúde Pública da Universidade de São Paulo | en_US |
| Rights | open access | en_US |
| Subject in Portuguese | Idoso | en_US |
| Subject in Portuguese | Atividades do dia a dia | en_US |
| Subject in Portuguese | Pessoas com deficiência | en_US |
| Subject in Portuguese | Fatores Socioeconômicos | en_US |
| Subject in Portuguese | Desigualdades em saúde | en_US |
| Title | Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015 | en_US |
| Type | Article | en_US |
| DOI | 10.11606/s1518-8787.2018052000617 | |
| Abstract | OBJECTIVE: To evaluate the magnitude of wealth-related inequalities in basic activities of daily living among community-dwelling Brazilian older adults and to determine the contribution of demographic, socioeconomic, and health conditions to the inequality.
METHODS: We used data from the 2015 Brazilian Longitudinal Study of Aging (ELSI-Brazil) with a nationally representative sample of adults aged 50 years or older. We assessed wealth-related inequalities in basic activities of daily living by the concentration index. Concentration index was decomposed to determine the contribution of demographic, health, and socioeconomic factors to wealth-related inequalities in basic activities of daily living.
RESULTS: The prevalence of disability in the sample was 15.7% (95%CI 14.9–17.6). The concentration index was -0.145 (95%CI -0.194– -0.097), which indicates that disability is concentrated in the poorest individuals in Brazil. Inequalities in basic activities of daily living disability are primarily explained by socioeconomic status (wealth and own education) not by demographic or health factors.
CONCLUSIONS: There are avoidable wealth-related inequities for those with a disability in Brazil. The strong contribution of the socioeconomic status highlights the need for new public health policies that promote equity, universality, and integrality, in addition to the expansion of home nursing public services. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto René Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brasil / Fundação Oswaldo Cruz. Instituto René Rachou. Programa de Pós-Graduação em Saúde Coletiva. Belo Horizonte, MG, Brasil. | en_US |
| Affilliation | Universidade de São Paulo. Escola de Enfermagem. São Paulo, SP, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto René Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto René Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brasil / Fundação Oswaldo Cruz. Instituto René Rachou. Programa de Pós-Graduação em Saúde Coletiva. Belo Horizonte, MG, Brasil. | en_US |
| Affilliation | University of Illinois at Urbana-Champaign. Kinesiology and Community Health. Champaign, IL, USA. | en_US |
| Subject | Aged | en_US |
| Subject | Activities of Daily Living | en_US |
| Subject | Disabled Persons | en_US |
| Subject | Socioeconomic Factors | en_US |
| Subject | Health Inequalities | en_US |
| xmlui.metadata.dc.subject.ods | 01 Erradicação da pobreza | |
| xmlui.metadata.dc.subject.ods | 03 Saúde e Bem-Estar | |
| xmlui.metadata.dc.subject.ods | 10 Redução das desigualdades | |
