المؤلفون: Soares, MO^Aff1, Oenning, NSX^Aff1, Ziegelmann, PK^Aff1, Goulart, BNG^Aff1

المصدر: Archives of Public Health. 76(1)

المؤلفون: Reis Júnior WM; Department of Health 1, State University of Southwest Bahia, Jequié, Bahia, Brazil., Ferreira LN; Department of Health 1, State University of Southwest Bahia, Jequié, Bahia, Brazil., Molina-Bastos CG; Department of Social Medicine, Federal University of Rio Grande Do Sul, Rio Grande Do Sul, Porto Alegre, Brazil., Bispo Júnior JP; Federal University of Bahia, Multidisciplinary Health Institute, Vitória da Conquista, Brazil., Reis HFT; Federal University of Bahia, Multidisciplinary Health Institute, Vitória da Conquista, Brazil., Goulart BNG; Department of Health 1, State University of Southwest Bahia, Jequié, Bahia, Brazil. bngoulart@gmail.com.; Federal University of Rio Grande Do Sul, Rio Grande Do Sul. Rua Ramiro Barcelos, 2777 Room 307, Porto Alegre, RS, CEP 90035-003, Brazil. bngoulart@gmail.com.

المصدر: BMC public health [BMC Public Health] 2024 Jan 10; Vol. 24 (1), pp. 140. Date of Electronic Publication: 2024 Jan 10.

نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't

بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE

مواضيع طبية MeSH: Functional Status* , Stroke*, Humans ; Aged ; Prevalence ; Activities of Daily Living ; Independent Living ; Brazil/epidemiology ; Cross-Sectional Studies ; Multimorbidity ; Chronic Disease

مستخلص: Background: Despite the advancements in knowledge about health care for older adults, essential gaps persist regarding the effects of chronic diseases as epidemiological markers of the state of functional dependence. This study aimed to identify the prevalence of moderate and severe functional dependence in Brazilian older adults and its association with chronic diseases and verify the multimorbidity patterns by dependence status.
Methods: This cross-sectional analytical study used data from 11,177 community-dwelling Brazilian older adults from the 2013 National Health Survey conducted in Brazil. The dependent variables were moderate and severe functional dependence in basic activities of daily living (BADLs) and instrumental ADLs (IADLs). The independent variables were defined based on the questions applied to measure each morbidity in a self-reported manner and asked, "Has a doctor ever diagnosed you as having (each disease)? Multimorbidity was simultaneously considered present for older adults with ≥ 2 chronic morbidities. The association between functional dependence on BADLs and IADLs separately by severity and the independent variables was verified from crude and adjusted estimates of the point prevalence ratios and their 95% confidence intervals using the regression model Poisson with robust variance. To group diseases into patterns, exploratory factor analysis was used.
Results: The prevalences of moderate and severe BADL dependence were 10.2% (95% CI, 9.6-10.7) and 4.8% (95% CI, 4.4-5.2), respectively. Moderate and severe IADL dependence prevalences were 13.8% (95% CI, 13.1-14.4) and 15.6% (95% CI, 14.9%-16.2), respectively. When changing the condition from moderate to severe dependence in BADLs, in the presence of other mental illnesses and stroke, the probability of dependence increased more than four times in the case of other mental illnesses and more than five times for stroke. There was a linear trend for dependence severity, both moderate and severe, whereas, for severe dependence on IADLs, this same factor maintained a linear trend toward an increase in probability as the number of diseases simultaneously increased.
Conclusions: Chronic diseases are associated with functional dependence, with greater emphasis on mental illnesses and stroke in severe disability, considering their acute adverse effects.
(© 2024. The Author(s).)

المؤلفون: Anderle P; Universidade Federal do Rio Grande do Sul Programa de Pós-graduação em Epidemiologia, Rua Ramiro Barcelos 2400, CEP 90035-003, Porto Alegre, Brazil. paulaanderle@hotmail.com., Ziegelmann PK; Universidade Federal do Rio Grande do Sul Programa de Pós-graduação em Epidemiologia, Rua Ramiro Barcelos 2400, CEP 90035-003, Porto Alegre, Brazil., de Goulart BNG; Universidade Federal do Rio Grande do Sul Programa de Pós-graduação em Epidemiologia, Rua Ramiro Barcelos 2400, CEP 90035-003, Porto Alegre, Brazil.

المصدر: BMC public health [BMC Public Health] 2023 Mar 28; Vol. 23 (1), pp. 580. Date of Electronic Publication: 2023 Mar 28.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE

مواضيع طبية MeSH: Health Status* , Disabled Persons*, Middle Aged ; Humans ; Aged ; Brazil/epidemiology ; Cross-Sectional Studies ; Health Surveys

مستخلص: Background: Perceived health is a well-known, low-cost measure in public health, and has been used in several studies on individuals with impairment. Although many studies have related impairment to self-rated health (SRH), few have considered the origin and degree of limitation of the impairment. This study examined whether physical, hearing, or visual impairments-when analyzed according to origin (congenital or acquired) and degree of limitation (with or without)-are associated with the SRH status.
Methods: This cross-sectional study used data of 43,681 adult individuals from the Brazilian National Health Survey (NHS, 2013). The outcome SRH was dichotomized into poor (including the regular, poor, and very poor responses) or good (including the good and very good responses). Crude and adjusted (for socio-demographic characteristics and chronic diseases history) prevalence ratios (PR) estimates were evaluated using Poisson regression models with the robust variance estimator.
Results: Poor SRH prevalence was estimated at 31.8% (95%CI:31.0-33.0) among the non-impaired population, 65.6% (95%CI:60.6-70.0) among individuals with physical impairment, 50.3% (95%CI:45.0-56.0) for people with hearing impairment, and 55.3% (95%CI:51.8-59.0) for the visually impaired. Individuals with congenital physical impairment-with or without limitations-presented the strongest association with the poorest SRH status. Participants with non-limiting, congenital hearing impairment showed a protective factor to poor SRH (PR = 0.40 95%CI: 0.38-0.52). Individuals with acquired visual impairment with limitations demonstrated the strongest association with poor SRH (PR = 1.48 95%CI:1.47-1.49). Among the impaired population, middle-aged participants showed a stronger association with poor SRH than older adult participants.
Conclusions: Impairment is associated with poor SRH status, especially among people with physical impairment. The origin and degree of limitation of each type of impairment differently impacts SRH among the impaired population.
(© 2023. The Author(s).)

المؤلفون: Oenning NSX; Epidemiology Graduate Program, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.; INSERM, Univ Angers, Univ Rennes, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, ESTER Team, Angers, France., de Goulart BNG; Epidemiology Graduate Program, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil., Ziegelmann PK; Epidemiology Graduate Program, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil., Chastang JF; INSERM, Univ Angers, Univ Rennes, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, ESTER Team, Angers, France., Niedhammer I; INSERM, Univ Angers, Univ Rennes, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, ESTER Team, Angers, France. isabelle.niedhammer@inserm.fr.

المصدر: BMC public health [BMC Public Health] 2019 Oct 26; Vol. 19 (1), pp. 1381. Date of Electronic Publication: 2019 Oct 26.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE

مواضيع طبية MeSH: Diagnostic Self Evaluation*, Employment/*statistics & numerical data, Adult ; Brazil ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Risk Factors

مستخلص: Background: The literature remains seldom on the topic of self-rated health (SRH) among the national working populations of emerging countries. The objectives of the study were to examine the associations of occupational factors with SRH in a national representative sample of the working population in Brazil.
Methods: This study relied on a cross-sectional sample of 36,442 workers, 16,992 women and 19,450 men. SRH was the studied health outcome. Sixteen occupational factors related to four topics were studied: employment characteristics, working time/hours, psychosocial work factors and physical and chemical work exposures. The associations between occupational factors and SRH were studied using logistic regression models with adjustment for sociodemographic characteristics (age, ethnicity and marital status). The analyses were performed for each gender separately and using weights.
Results: The prevalence of poor SRH was 26.71%, this prevalence being higher among women (29.77%) than among men (24.23%). The following risk factors for poor SRH were found among men and women: working as a self-employed worker, clerk/service worker, manual worker, part-time (≤ 20 h/week), exposure to work stress, exposure to high physical activity and exposure to sun. The risk factors for poor SRH among women only were: working as a domestic worker and exposure to noise, and among men, working in the agriculture sector.
Conclusions: Our study suggested that occupational factors related to both physical and psychosocial work environment may be associated with SRH in the working population in Brazil. Improving working conditions may be beneficial for health at work in Brazil.