Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/36369
Title: Perceived discrimination among older adults living in urban and rural areas in Brazil: a national study (ELSI-Brazil)
Authors: Braga, Luciana de Souza
Caiaffa, Waleska Teixeira
Ceolin, Ana Paula Romanelli
Andrade, Fabíola Bof de
Costa, Maria Fernanda Furtado Lima
Affilliation: Universidade Federal de Minas Gerais. Faculdade de Medicina. Observatório de Saúde Urbana de Belo Horizonte. Belo Horizonte, MG, Brasil.
Universidade Federal de Minas Gerais. Faculdade de Medicina. Observatório de Saúde Urbana de Belo Horizonte. Belo Horizonte, MG, Brasil.
Universidade Federal de Minas Gerais. Faculdade de Medicina. Observatório de Saúde Urbana de Belo Horizonte. Belo Horizonte, MG, Brasil.
Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil.
Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brasil.
Abstract: Background: Research on discrimination and health focused on older adults has been scarce, comparatively with younger and middle-aged adults. Considering where people live matters, accurate measures of perceived discrimination might consider how the place of residence interferes on discriminatory experiences. This study aimed to assess the association between perceived discrimination and urban/rural place of residence among a representative sample of older adults in Brazil. Methods: Data came from the baseline of the Brazilian Longitudinal Study of Aging (ELSI-Brazil), conducted in 2015/2016, with individuals aged 50 years and older. Perceived Discrimination was measured by means of the following question: “In the past 12 months have you felt a victim of any type of discrimination” with five possible answers: (1)“when you sought medical services or health care?”, (2)“in social gatherings?”, (3)“in the work place?”, (4)“within the family?”, (5)“due to where you live?”. Participants who answered yes for any of the five domains were coded as having reported an experience of discrimination. The main exposure variable was the urban-rural classification of the households, carried out according to the methods employed by the Brazilian Institute of Geography and Statistics during the 2010 Population Census. Other covariates included: age, sex, skin color, household wealth and education. Multiple Poisson regression was used to estimate prevalence ratios and their respective 95% confidence interval for the association between discrimination and independent variables. Results: Prevalence of any perceived discrimination among Brazilian older adults was 16.8%. Regardless the place of residence (either urban or rural), participants reported health care settings as the most common domain where discriminatory experiences occurred and the work place as the least common. According to the adjusted model, perceived discrimination was significantly higher among urban dwellers when compared to their rural counterparts, independent of sociodemographic characteristics, health status and neighborhood social environment. The outcome was significant associated with skin color, education and health status. Conclusions: Urban environment plays a core role in perceived discrimination and health care settings constitute the most common domain where discriminatory experiences occurred. Our findings may contribute to fulfill the knowledge gap on discrimination among older adults living in developing countries.
Keywords: Discrimination
Urban population
Rural population
Socioeconomic factors
Issue Date: 2019
Publisher: Springer
Citation: BRAGA, Luciana de Souza et al. Perceived discrimination among older adults living in urban and rural areas in Brazil: a national study (ELSI-Brazil). BMC Geriatrics, v. 19, p. 1-11, 2019.
DOI: 10.1186/s12877-019-1076-4
ISSN: 1471-2318
Copyright: open access
Appears in Collections:MG - IRR - Artigos de Periódicos

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