Maria Fernanda Lima-Costa1, Sérgio Viana Peixoto1,2, Deborah Carvalho Malta3, Célia Landmann Szwarcwald4, Juliana Vaz de Melo Mambrini1. 1. Núcleo de Estudos em Saúde Pública e Envelhecimento. Centro de Pesquisas René Rachou. Fundação Oswaldo Cruz. Belo Horizonte, MG, Brasil. 2. Departamento de Enfermagem Aplicada. Escola de Enfermagem. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil. 3. Departamento de Enfermagem Materno Infantil e Saúde Pública. Escola de Enfermagem. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil. 4. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Fundação Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Abstract
OBJECTIVE: To describe the prevalence and sociodemographic factors associated with informal and paid care for Brazilian older adults with functional limitations. METHODS: Of the 23,815 participants of the National Health Survey aged 60 or older, 5,978 reported needing help to perform activities of daily living and were included in this analysis. The dependent variable was the source of care, categorized as exclusively informal (unpaid), exclusively formal (paid), mixed or none. The socio-demographic variables were age (60-64, 65-74, ≥ 75 years old), gender and number of residents in the household (1, 2, ≥ 3). The multivariate analysis was based on binomial and multinomial logistic regressions. RESULTS: Informal care predominated (81.8%), followed by paid (5.8%) or mixed (6.8%) and no care (5.7%). The receipt of care from any source increased gradually with the number of residents in a same household, regardless of age and gender (OR = 4.85 and 9.74 for 2 and ≥ 3, respectively). Age was positively associated with receiving any care while the male gender showed a negative association. The number of residents in the household showed the strongest association with informal care (OR = 10.94 for ≥ 3 residents), compared with paid (OR = 5.48) and mixed (OR = 4.16) care. CONCLUSIONS: Informal care is the main source of help for community-dwelling older adults with functional limitations. In a context of rapid population aging and decline in family size, the results reinforce the need for policies to support long-term care for older Brazilians.
OBJECTIVE: To describe the prevalence and sociodemographic factors associated with informal and paid care for Brazilian older adults with functional limitations. METHODS: Of the 23,815 participants of the National Health Survey aged 60 or older, 5,978 reported needing help to perform activities of daily living and were included in this analysis. The dependent variable was the source of care, categorized as exclusively informal (unpaid), exclusively formal (paid), mixed or none. The socio-demographic variables were age (60-64, 65-74, ≥ 75 years old), gender and number of residents in the household (1, 2, ≥ 3). The multivariate analysis was based on binomial and multinomial logistic regressions. RESULTS: Informal care predominated (81.8%), followed by paid (5.8%) or mixed (6.8%) and no care (5.7%). The receipt of care from any source increased gradually with the number of residents in a same household, regardless of age and gender (OR = 4.85 and 9.74 for 2 and ≥ 3, respectively). Age was positively associated with receiving any care while the male gender showed a negative association. The number of residents in the household showed the strongest association with informal care (OR = 10.94 for ≥ 3 residents), compared with paid (OR = 5.48) and mixed (OR = 4.16) care. CONCLUSIONS: Informal care is the main source of help for community-dwelling older adults with functional limitations. In a context of rapid population aging and decline in family size, the results reinforce the need for policies to support long-term care for older Brazilians.
Authors: Nadine Genet; Wienke Gw Boerma; Dionne S Kringos; Ans Bouman; Anneke L Francke; Cecilia Fagerström; Maria Gabriella Melchiorre; Cosetta Greco; Walter Devillé Journal: BMC Health Serv Res Date: 2011-08-30 Impact factor: 2.655
Authors: César González-González; Gianluca Cafagna; María Del Carmen Hernández Ruiz; Pablo Ibarrarán; Marco Stampini Journal: Rev Panam Salud Publica Date: 2021-09-01
Authors: M Fernanda Lima-Costa; Fabíola Bof de Andrade; Paulo Roberto Borges de Souza; Anita Liberalesso Neri; Yeda Aparecida de Oliveira Duarte; Erico Castro-Costa; Cesar de Oliveira Journal: Am J Epidemiol Date: 2018-07-01 Impact factor: 4.897