0013/2020 - Social participation and self-assessment of health status among older people in Brazil. Participação social e autoavaliação do estado de saúde entre idosos no Brasil.
Estimar a prevalência da participação social (exposição) e sua associação com a autoavaliação positiva do estado de saúde (AAS) (desfecho) de 7.712 idosos entrevistados na Pesquisa Nacional de Saúde 2013. Trata-se de estudo transversal que usou o Escore de Propensão (EP) para melhorar a comparação entre o grupo exposto e não exposto a participação social. Realizou-se regressão de Poisson para determinar a prevalência e associação em estudo com o modelo bruto e ajustado pelo inverso da probabilidade de seleção do EP. A participação social foi referida por 25,1% (IC: 95%: 23.4-26.9) e foi menor entre os idosos pobres, que dependem de transporte público e vivem em contextos mais precários. A maioria não avaliou positivamente sua saúde, mas a proporção foi maior quando tem participação social (48,0%; IC: 95%: 46,0-51,0). Houve associação positiva da participação social com a AAS positiva. A magnitude de associação usando o modelo ajustado (PR:1,15; IC 95%: 1,08-1,22) atenuou a estimada no modelo bruto. Idosos expostos tiveram 15% a mais de chance de referir AAS positiva. Apesar de baixa prevalência no Brasil, houve positiva influência da participação social na avaliação de saúde, confirmando que o engajamento social permite ganhos importantes para a saúde e qualidade de vida.
Palavras-chave:
Idosos, Participação social, Estado de Saúde, Inquéritos de Saúde, Escore de Propensão.
Abstract:
To estimate the prevalence of social participation (exposure) and its association with positive self-assessment of overall health status (SAH) (outcome) among 7,712 Brazilian elderly interviewed in the National Health Survey 2013. A cross-sectional study that used Propensity Score (PS) to improve comparability between the group exposed and no exposed to social participation. Poisson regression was performed to determine the prevalence and association of interest using crude and adjusted by inverse probability of ion of PS. Social participation was reported by 25.1% (CI 95%: 23.4-26.9) and was lower among poor older people, who depend on public transportation and live in more precarious contexts. Most did not SAH positively, but the proportion was higher when they had social participation (48.0%; CI: 95%: 46.0-51.0). There was a positive association of social participation with SAH positive. The association using the adjusted model (PR: 1.15, 95% CI: 1.08-1.22) attenuated the estimated in the crude model. Elderly exposed were 15% more likely to provide a positive SAH. Despite low levels in Brazil, there was a positive association between of social participation and SAH, confirming that engagement in such activities provides important gains for the health and quality of life.
Keywords:
The elderly, Social participation, Health status, Health Surveys, Propensity score.
Participação social e autoavaliação do estado de saúde entre idosos no Brasil.
Resumo (abstract):
To estimate the prevalence of social participation (exposure) and its association with positive self-assessment of overall health status (SAH) (outcome) among 7,712 Brazilian elderly interviewed in the National Health Survey 2013. A cross-sectional study that used Propensity Score (PS) to improve comparability between the group exposed and no exposed to social participation. Poisson regression was performed to determine the prevalence and association of interest using crude and adjusted by inverse probability of ion of PS. Social participation was reported by 25.1% (CI 95%: 23.4-26.9) and was lower among poor older people, who depend on public transportation and live in more precarious contexts. Most did not SAH positively, but the proportion was higher when they had social participation (48.0%; CI: 95%: 46.0-51.0). There was a positive association of social participation with SAH positive. The association using the adjusted model (PR: 1.15, 95% CI: 1.08-1.22) attenuated the estimated in the crude model. Elderly exposed were 15% more likely to provide a positive SAH. Despite low levels in Brazil, there was a positive association between of social participation and SAH, confirming that engagement in such activities provides important gains for the health and quality of life.
Palavras-chave (keywords):
The elderly, Social participation, Health status, Health Surveys, Propensity score.
Oliveira, B.L.C.A., Lima, S.F, Costa, A.S.V., Silva, A.M, Alves, M.T.S.S.B. Social participation and self-assessment of health status among older people in Brazil.. Cien Saude Colet [periódico na internet] (2020/jan). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/social-participation-and-selfassessment-of-health-status-among-older-people-in-brazil/17495?id=17495
