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dc.contributor.authorReis Júnior, Wanderley Matospt_BR
dc.contributor.authorFerreira, Luciano Nerypt_BR
dc.contributor.authorBastos, Cynthia Goulart Molinapt_BR
dc.contributor.authorBispo Júnior, José Patríciopt_BR
dc.contributor.authorReis, Helca Franciolli Teixeirapt_BR
dc.contributor.authorGoulart, Bárbara Niegia Garcia dept_BR
dc.date.accessioned2024-03-28T06:25:54Zpt_BR
dc.date.issued2024pt_BR
dc.identifier.issn1471-2458pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/274363pt_BR
dc.description.abstractBackground 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.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofBMC Public Health. London : BioMed Central, 2001-. Vol. 24 (Jan. 2024), 140, 1-14 p.pt_BR
dc.rightsOpen Accessen
dc.subjectPrevalence studiesen
dc.subjectIdosospt_BR
dc.subjectChronic diseaseen
dc.subjectEstado funcionalpt_BR
dc.subjectFunctional statusen
dc.subjectDoença crônicapt_BR
dc.subjectEstudos transversaispt_BR
dc.subjectOlder adultsen
dc.subjectMultimorbidadept_BR
dc.subjectBrasilpt_BR
dc.titlePrevalence of functional dependence and chronic diseases in the community-dwelling Brazilian older adults : an analysis by dependence severity and multimorbidity patternpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001195737pt_BR
dc.type.originEstrangeiropt_BR


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