Socioeconomic Factors and Health Status Disparities Associated with Difficulty in ADLs and IADLs among Long-Lived Populations in Brazil: A Cross-Sectional Study

Nóbrega, Júlia Cristina Leite; Medeiros, Juliana Barbosa; Santos, Tácila Thamires de Melo; Alves, Saionara Açucena Vieira; Freitas, Javanna Lacerda Gomes da Silva; Silva, Jaíza M M; Simões, Raisa Fernandes Mariz; Brito, Alisson De Lima; Weller, Mathias; Santos, J L; Menezes, Tarciana Nobre de; Duarte, Yeda Aparecida de Oliveira; Zatz, Mayana; Matheson, David; Santos, Silvana

doi:10.1177/00469580211007264

Cited by 10 publications

(11 citation statements)

References 33 publications

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“…The odds of severe IADL disability were lower among urban elderly than their rural counterparts. Previous studies agree with this study in nding that rural elderly tend to have a higher risk of IADL disability than their urban counterparts [40,49]. Availability of better healthcare infrastructure in urban areas could be attributed to lower risk of IADL disability among urban elderly.…”

Section: Discussionsupporting

confidence: 90%

“…Availability of better healthcare infrastructure in urban areas could be attributed to lower risk of IADL disability among urban elderly. In rural areas, the elderly depend more on family members or other people to manage their nances, payments, and purchases and avoid traveling to carry out these functions, leading to severe IADL among them [49]. Studies have noted that the elderly in urban areas have better access to healthcare, availability of logistic support in transportation, and better nancial support in the form of retirement bene ts that keep them free from functional disabilities [46].…”

Section: Discussionmentioning

confidence: 99%

“…The foremost limitation is the self-reporting of data related to ADL and IADL. However, several previous studies measured ADL and IADL through self-reporting data only [27,49,51]. Furthermore, information related to self-rated health was also self-reported.…”

Section: Limitations and Strengths Of The Studymentioning

confidence: 99%

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Prevalence and Determinants of Activity of Daily Living and Instrumental Activity of Daily Living Among Elderly in India

Chauhan

Kumar

Bharti

et al. 2021

Preprint

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Background: The increase in life expectancy has proliferated the number of elderly and subsequently increased the prevalence of disability among the elderly. This study assesses the prevalence of Activity of Daily Living (ADL) and Instrumental Activity of Daily Living (IADL) and analyzed determinants of ADL and IADL among elderly aged 60 and over living in India.Methods: The study utilized the Longitudinal Ageing Study in India (LASI, 2017-18) data, and information was sought from 31,464 elderly aged 60 years and above. An index of ADL and IADL was created on a scale of three levels, exhibiting no, moderate, or severe levels of ADL/IADL disability. Multinomial logistic regression was used to determine the effect of sociodemographic parameters on ADL and IADL disability among the elderly.Results: Around 3 percent of the elderly reported severe ADL disability, and 6 percent elderly reported severe IADL disability. Elderly who were not involved in any physical activity than their counterparts were more likely to report severe ADL (RRR=2.68, C.I.=1.66-4.32) and severe IADL (RRR=2.70, C.I.=1.98-3.67) than no ADL and no IADL, respectively. Conclusion: Amidst the study finding, the study emphasizes the importance of setting-up of geriatric care centres in rural and urban areas. It would be feasible to provide geriatric care under the umbrella of already functioning government health facilities in different parts of the country. Community interventions earmarking the elderly with a focus on physical activity, specifically when they are based in group physical exercise and implemented through existing networks, are rewarding for the elderly.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Prevalence and Determinants of Activity of Daily Living and Instrumental Activity of Daily Living Among Elderly in India

Chauhan

Kumar

Bharti

et al. 2021

Preprint

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“… 8 Moreover, a higher prevalence of difficulties in ADLs/IADLs has been reported in studies involving urban elderly people with financial constraints. 9 However, little is known about the association between depressive symptoms and ADL/IADL disabilities among community-dwelling older Chinese individuals from urban low-income families.…”

Section: Introductionmentioning

confidence: 99%

Depressive Symptoms and ADL/IADL Disabilities Among Older Adults from Low-Income Families in Dalian, Liaoning

Zhao¹,

Wang²,

Deng³

et al. 2022

CIA

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Purpose This study aimed to assess the prevalence of depressive symptoms and ADL/IADL disabilities and explore their correlation and associated factors for depressive symptoms among community-dwelling older adults from low-income families in Dalian, Liaoning Province, China. Methods This cross-sectional study included 522 participants aged 60 years and older from low-income families in Dalian. The 30-Item Geriatric Depression Scale was employed to measure depressive symptoms. The Katz ADL Scale and IADL Scale were used to evaluate the performance of activities necessary for independent life. SPSS 22.0 was employed to analyze the data. Logistic regression was used to estimate the relationship between depressive symptoms and ADL/IADL disabilities in five models. Results The prevalence of depressive symptoms among older people from low-income families in Dalian was 57.3%. A total of 19.0% had difficulties performing ADLs, and 40.2% had difficulties performing IADLs. Logistic regression analysis revealed that ADL/IADL disabilities were associated with depressive symptoms even after controlling for people’s sociodemographic characteristics, welfare, health conditions and informal care. The following factors were associated with depressive symptoms: education, self-reported health, number of chronic diseases, and emotional support from families. Conclusion Given that older people from low-income families in Dalian have a notable prevalence rate of depressive symptoms, and ADL/IADL disabilities were independently associated with these symptoms, it is crucial to give priority to this particular group in geriatric health services due to economic and health disparities.

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“…The association between disability and chronic diseases has been described in recent studies [ 8 , 47 ]. In a previous study with Brazilian longevous populations, it was shown that inadequate weight, stroke, and joint disease were independently associated with limitations for ADLs, while chronic diseases were associated with difficulties for IADLs in a rural community where there is little variability in socioeconomic conditions [ 48 ]. Multimorbidity should be considered as a possible confounding variable in the analyses, since they tend to be associated both with the outcomes and explanatory variables, being a limitation of the present study.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial aspects and support networks associated with disability in two longevous populations in Brazil: a cross-sectional study

et al. 2022

Self Cite

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Background Among the oldest old, aged 80 years and over, the prevalence of disability is higher than in other age groups and can be considered a predictor of mortality. Objective To evaluate how psychosocial aspects and support networks influence the disability of these oldest-old individuals, performing a comparison between two longevous populations, one living in one of the poorest regions of Brazil, in the backlands of Paraíba, and another living in one of the largest urban centres in Latin America. Method A cross-sectional study in which 417 oldest-old persons aged 80 years and older were interviewed, with data collected through the “Health, Welfare and Ageing” survey conducted in two Brazilian cities. Disability was assessed by reporting the need for assistance in Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). Bivariate and multiple analyses were performed using R statistical software. Results Food insufficiency in the first years of life had negative repercussions on the disability of oldest old people living in the northeast. On the other hand, in this region, older people have a higher rate of support and live longer with their peers, which may contribute to reducing feelings of loneliness, depressive symptoms, and worse self-perception of health. In the Southeast, financial constraints, subjective poverty, and unmet needs may favour the development of functional limitations between long-lived people. Conclusion Our findings indicate that regional differences in Brazil may influence the disability of older people aged 80 and older. In northeast Brazil, having no partner may contribute to disability for ADLs and IADLs; while, in the longevous population of São Paulo, having a worse self-rated health may contribute to disability for IADLs.

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Socioeconomic Factors and Health Status Disparities Associated with Difficulty in ADLs and IADLs among Long-Lived Populations in Brazil: A Cross-Sectional Study

Cited by 10 publications

References 33 publications

Prevalence and Determinants of Activity of Daily Living and Instrumental Activity of Daily Living Among Elderly in India

Prevalence and Determinants of Activity of Daily Living and Instrumental Activity of Daily Living Among Elderly in India

Depressive Symptoms and ADL/IADL Disabilities Among Older Adults from Low-Income Families in Dalian, Liaoning

Psychosocial aspects and support networks associated with disability in two longevous populations in Brazil: a cross-sectional study

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