0040/2021 - Predisposição a formas graves de COVID-19 e adesão às medidas de prevenção: o papel do apoio social Predisposing to severe forms of COVID-19 and adherence to preventive measures: the role of social support
Objetivou-se verificar a adesão às medidas de prevenção em idosos com maior predisposição a formas graves de COVID-19 e sua associação e interação com o apoio social. Trata-se de um estudo transversal realizado em amostra de 3.477 participantes do inquérito telefônico do Estudo Longitudinal da Saúde dos Idosos Brasileiros (iniciativa ELSI-COVID-19), que informaram ter saído de casa na semana anterior à realização do inquérito. A adesão foi aferida pela frequência com que saiu de casa, necessidade de sair de casa, uso de máscara e higienização das mãos. As análises basearam-se no modelo Poisson com variância robusta. Idade ?65 anos, hipertensão, diabetes e obesidade foram considerados fatores predisponentes para formas graves de COVID-19. O apoio social incluiu o arranjo domiciliar e a conexão social na pandemia. Aproximadamente 46% apresentaram melhor adesão, que foi associada positivamente ao número de fatores predisponentes para formas graves. O apoio social não foi associado à adesão e não modificou essa associação, após ajustamentos. Conclui-se que a adesão às medidas de prevenção está concentrada nos idosos com maior predisposição a formas graves de COVID-19, independentemente do apoio social, enquanto que estas deveriam ser feitas por todos. Faz-se necessário orientar a população.
The study aimed at verifying the adherence to preventive measures among older adults with increased predisposing to severe forms of COVID-19 and its association and interaction with social support. It is a cross-sectional study based on a sample of 3,477 participants of the telephone surveythe Brazilian Longitudinal Study of Aging (ELSI-COVID-19 initiative), who reported going outside the house in the past week. The adherence was based on the frequency of going outside the house, the necessity of going outside the house, the use of masks, and cleaning hands. Statistical analysis was based on the Poisson model with robust variance. Predisposing factors for severe forms of COVID-19 included age ≥65 years, hypertension, diabetes, and obesity. Social support included the living arrangement and social connectedness during the pandemic. Nearly 46% of the participants showed higher adherence, which was positively associated with the number of predisposing factors for severe forms. Social support was neither associated with nor modified this association after adjustments. We concluded that higher adherence is concentrated among older adults with increased predisposing to severe forms of COVID-19, independently of social support. However, all should do preventive measures. It is necessary to guide and support the population.
Keywords:
social support, COVID-19, predisposing factors, preventive measures.
Predisposing to severe forms of COVID-19 and adherence to preventive measures: the role of social support
Resumo (abstract):
The study aimed at verifying the adherence to preventive measures among older adults with increased predisposing to severe forms of COVID-19 and its association and interaction with social support. It is a cross-sectional study based on a sample of 3,477 participants of the telephone surveythe Brazilian Longitudinal Study of Aging (ELSI-COVID-19 initiative), who reported going outside the house in the past week. The adherence was based on the frequency of going outside the house, the necessity of going outside the house, the use of masks, and cleaning hands. Statistical analysis was based on the Poisson model with robust variance. Predisposing factors for severe forms of COVID-19 included age ≥65 years, hypertension, diabetes, and obesity. Social support included the living arrangement and social connectedness during the pandemic. Nearly 46% of the participants showed higher adherence, which was positively associated with the number of predisposing factors for severe forms. Social support was neither associated with nor modified this association after adjustments. We concluded that higher adherence is concentrated among older adults with increased predisposing to severe forms of COVID-19, independently of social support. However, all should do preventive measures. It is necessary to guide and support the population.
Palavras-chave (keywords):
social support, COVID-19, predisposing factors, preventive measures.
Ygnatios, N.T. M, de Andrade, FB, Lima-Costa, M.F., Torres, JL. Predisposição a formas graves de COVID-19 e adesão às medidas de prevenção: o papel do apoio social. Cien Saude Colet [periódico na internet] (2021/fev). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/predisposicao-a-formas-graves-de-covid19-e-adesao-as-medidas-de-prevencao-o-papel-do-apoio-social/17939?id=17939
