SP3-11 Ten-year trends in the health of Brazilian elderly: evidences from a nationally representative health survey (PNAD 1998, 2003, 2008)

Abstract

Background To investigate myocardial infarction (MI) morbidity, mortality and death rates between 1977 and 2006, and their determinants in a high-risk population in Russia. Materials and Methods The WHO programs "Register of Acute Myocardial Infarction", "MONICA". Results During 30 years (1977e2006), 23 137 MI cases were registered, of which 7630 were fatal. The 30-year MI morbidity rates were relatively stabile, with the exception of increases in 1988, 1994, 1998 and decreases in 2002e2004 and 2006. Mortality rates were also stable with the exception of increases in 1988, 1994, 1998, and 2002e2005 and decreases in 1977e1978 and 2006. Increases in anxiety levels were recorded by three screening studies in 1984, 1988, 1994 which roughly correspond with increases in MI morbidity and mortality rates. Conclusions Our results have shown the MI morbidity in population (Novosibirsk) in Russia to be among the highest in the world. They may be markers of the increasing social and economic instability in the country. Objectives To know the range of services provided by the various health providers, to study their criteria for determining fees for the services provided, to understand their barriers in providing the services and to study the factors responsible for their job satisfaction and dissatisfaction in rural areas of Udupi taluk, Karnataka state, India. Materials and Methods A cross sectional study was conducted in rural areas of Udupi taluk between September 2007 and October 2008 among 150 rural practitioners. Data were collected by interviewing the practitioners using pre-tested, semi-structured questionnaire. The quantitative data were analysed using SPSS 14.0. The qualitative data were collected using In-depth interview technique. Results and Conclusion Provision of preventive health services and participation in national programmes by the private practitioners was found to be inadequate. Practitioners determine their fees based on the economic status of the patient and the cost of medicines dispensed. Inadequate and irregular income is the major barrier for both government and private sector doctors and most of them were moderately satisfied with their job. Background To study connection of arterial hypertension (AH) with psychosocial factors (PF) at men in the age of 25e64 years in Russia. SP3-9 AN EPIDEMIOLOGICAL STUDY ON HEALTH PROVIDER PRACTICES AND THE FACTORS INFLUENCING THEM IN SP3-10

Prevalência de dependência em idosos e fatores de risco associados

“…This influence was also observed in other studies (12,14,(21)(22)(23)(24)(25)(26)(27) . Incapacity is a distinct phenomenon for men and women.…”

“…According to literature, the probability of widowers developing incapacity is greater due to the fact that widowhood is aggregated with financial and psychological issues related to the loss of a partner (25) . Seniors with low income and insufficient years of study are more vulnerable to the loss of the CF (24) . Better financial conditions permitted the access of the elderly to programs of prevention, treatment and rehabilitation, consequently, improving the possibility of preserving their functionality.…”

Nível de atividade física e ocorrência de doenças crônicas em pacientes atendidos pelo Sistema Único de Saúde de Presidente Prudente – SP

“…NTCDs are the main cause of death in the world 3 , impacting on health expenditures 4,5 . In Brazil, NTCDs have become prominent in recent years 6 , being responsible for 72% of the cases of death in the country, affecting mainly the elderly population 7,8 .…”

Autoavaliação de saúde, envolvimento social e fragilidade em idosos ambulatoriais

“…Os idosos geralmente avaliam sua saúde de forma positiva ou muito positiva. 1,10 O Estudo Fibra Campinas investigou a autopercepção de saúde em 689 indivíduos com 65 anos de idade e mais, residentes na comunidade, e verificou que 71,3% da amostra consideraram sua saúde como boa e muito boa; 24,3% como regular; e 4,3% como ruim e muito ruim. 10 Rodrigues et al 11 analisaram as características de 4.003 idosos brasileiros das regiões Nordeste e Sul que faziam uso de serviços ambulatoriais.…”

“…A Pesquisa Nacional por Amostra de Domicílios (PNAD) avaliou, entre os anos de 1998 a 2008, as tendências de saúde da população idosa brasileira (105.254 idosos), e constatou aumento gradativo da boa autoavaliação da saúde ao longo de dez anos, passando de 39,3% para 43,5%, e posteriormente 45,0% para os anos de 1998, 2003 e 2008. 1 A saúde percebida avaliada positivamente relaciona-se com maior sobrevida, percepção de controle e uso de estratégias de manutenção da saúde e do bem-estar, além de maior envolvimento em atividades complexas da vida diária. 12 A autopercepção negativa de saúde entre os idosos guarda forte associação com gênero feminino, baixa renda, comorbidades, depressão, incapacidades, inatividade física, acesso e uso deficitário de serviços de saúde 7,13 e isolamento social; 14 insatisfação com os relacionamentos pessoais, menor frequência a clubes e associações, sintomas depressivos, queixa de insônia, maior número de medicamentos prescritos, dificuldade de acesso aos serviços de saúde, maior número de consultas médicas nos últimos 12 meses e mais internações hospitalares no período; 6 baixo status de saúde e incapacidades funcionais, 2 inatividade e isolamento social.…”