Renata Tiene de Carvalho Yokota1,2, Lenildo de Moura3, Silvânia Suely Caribé de Araújo Andrade4, Naíza Nayla Bandeira de Sá5, Wilma Johanna Nusselder6, Herman Van Oyen7,8. 1. Department of Public Health and Surveillance, Scientific Institute of Public Health, Rue Juliette Wytsmanstraat 14, 1050, Brussels, Belgium. Renata.yokota@wiv-isp.be. 2. Department of Sociology, Interface Demography, Vrije Universiteit Brussel, Brussels, Belgium. Renata.yokota@wiv-isp.be. 3. Unit for Health Risks, Noncommunicable Diseases and Mental Health, Pan-American Health Organization, Brasília, Brazil. 4. Department of Noncommunicable Diseases Surveillance and Health Promotion, Brazilian Ministry of Health, Brasília, Brazil. 5. Institute of Health Sciences, School of Nutrition, Federal University of Pará, Belém, Brazil. 6. Department of Public Health, Erasmus MC, Rotterdam, The Netherlands. 7. Department of Public Health and Surveillance, Scientific Institute of Public Health, Rue Juliette Wytsmanstraat 14, 1050, Brussels, Belgium. 8. Department of Public Health, Ghent University, Ghent, Belgium.
Abstract
OBJECTIVES: To assess the contribution of chronic conditions to the disability burden in the older men and women in Brazil. METHODS: Data from 10,290 participants of the Brazilian National Health Survey in 2013 aged 60 years or older were used. Disability was defined based on limitations in activities of daily living (ADL) and instrumental activities of daily living (IADL). Binomial additive hazards models were fitted to assess the contribution of chronic conditions to the disability prevalence. RESULTS: Back pain was the most common condition, followed by diabetes and heart diseases in men and arthritis and diabetes in women. Stroke and mental disorders were by far the most disabling conditions in men and women. A higher disability prevalence was observed in women (34.4 %, CI 32.4; 36.2 %) compared to men (28.4 %; CI 25.9; 30.8 %). The most important contributors to the disability prevalence were stroke, back pain, and arthritis among men, and diabetes, heart diseases, and arthritis in women. CONCLUSIONS: Interventions to reduce disability in the older population in Brazil should take into account the gender gap in the occurrence of chronic conditions, focusing on the main contributors to the disability burden.
OBJECTIVES: To assess the contribution of chronic conditions to the disability burden in the older men and women in Brazil. METHODS: Data from 10,290 participants of the Brazilian National Health Survey in 2013 aged 60 years or older were used. Disability was defined based on limitations in activities of daily living (ADL) and instrumental activities of daily living (IADL). Binomial additive hazards models were fitted to assess the contribution of chronic conditions to the disability prevalence. RESULTS:Back pain was the most common condition, followed by diabetes and heart diseases in men and arthritis and diabetes in women. Stroke and mental disorders were by far the most disabling conditions in men and women. A higher disability prevalence was observed in women (34.4 %, CI 32.4; 36.2 %) compared to men (28.4 %; CI 25.9; 30.8 %). The most important contributors to the disability prevalence were stroke, back pain, and arthritis among men, and diabetes, heart diseases, and arthritis in women. CONCLUSIONS: Interventions to reduce disability in the older population in Brazil should take into account the gender gap in the occurrence of chronic conditions, focusing on the main contributors to the disability burden.
Entities:
Keywords:
ADL; Brazil; Chronic conditions; Disability; IADL; Older population
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