• André Luiz Barbosa de Lima - Lima, André Luiz Barbosa - Natal, Rio Grande do Norte - Post-graduate Program in Collective Health, Federal University of Rio Grande do Norte - <allima@aspb.cat>
Co-author(s):
• Marina Bosque-Prous - Bosque-Prous, Marina - Barcelona Public Health Agency, Barcelona, Spain. - <mbosque@aspb.cat> • Albert Espelt - Espelt, Albert - Facultat de Ciències de la Salut de Manresa, Universitat de Vic Universitat Central de Catalunya (UVicUCC) - <aespelt@aspb.cat> • Kenio Costa Lima - Lima, Kenio Costa - Post-graduate Program in Collective Health, Federal University of Rio Grande do Norte - <limke@uol.com.b> ORCID: https://orcid.org/0000-0002-5668-4398
Thematic Area:
Saúde do Idoso
Abstract:
Objective: The objective of the present study was to examine the magnitude of gender differences in activity limitations among the elderly, and the effect of the health and social individual factors and the context of gender inequality in Europe. Methods: Cross-sectional design was performed. The study population included residents aged 60 years or over from 17 countries that participated in the Survey of Health, Ageing and Retirement in Europe conducted in 2010-13 (n = 49,685). Gender differences on activity limitation in each country was estimated. For multilevel analysis adjusted linear mixed effect models were used, where the intercept and ‘sex’ were considered random effects, with the 95% confidence intervals (95% CI). The activity limitation index was created from a two parameter logistic combined models of item response theory. Results: The average activity limitation index was significantly higher in women, γ ̂_10=β ̂_1j=0.36, p<0.001), and was then controlled by individual and contextual factors, while the extent of these differences varied among countries. Conclusion: The European countries with the greatest gender differences in activity limitations were those with the greatest gender inequalities, with women presenting a significant disadvantage.
Keywords:
Statistics on Sequelae and DisabilityAgedMultilevel analysisGender and Health
Activity limitation in elderly people in the European context of gender inequality: a multilevel approach.
Abstract(resumo):
Objective: The objective of the present study was to examine the magnitude of gender differences in activity limitations among the elderly, and the effect of the health and social individual factors and the context of gender inequality in Europe. Methods: Cross-sectional design was performed. The study population included residents aged 60 years or over from 17 countries that participated in the Survey of Health, Ageing and Retirement in Europe conducted in 2010-13 (n = 49,685). Gender differences on activity limitation in each country was estimated. For multilevel analysis adjusted linear mixed effect models were used, where the intercept and ‘sex’ were considered random effects, with the 95% confidence intervals (95% CI). The activity limitation index was created from a two parameter logistic combined models of item response theory. Results: The average activity limitation index was significantly higher in women, ? ?_10=? ?_1j=0.36, p<0.001), and was then controlled by individual and contextual factors, while the extent of these differences varied among countries. Conclusion: The European countries with the greatest gender differences in activity limitations were those with the greatest gender inequalities, with women presenting a significant disadvantage.
Keywords(palavra-chave):
Statistics on Sequelae and DisabilityAgedMultilevel analysisGender and Health
Lima, André Luiz Barbosa, Bosque-Prous, Marina, Espelt, Albert, Lima, Kenio Costa. Activity limitation in elderly people in the European context of gender inequality: a multilevel approach.. Cien Saude Colet [periódico na internet] (2016/Nov). [Citado em 28/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/en/articles/activity-limitation-in-elderly-people-in-the-european-context-of-gender-inequality-a-multilevel-approach/15929?id=15929&id=15929
