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Prevalence and factors associated with functional dependency in homebound elderly people in Brazil; Prevalence and factors associated with functional dependency in homebound elderly people in Brazil

Pampolim, Gracielle; Lourenço, Christiane; Silva, Vanezia Gonçalves Da; Coelho, Maria Carlota De Rezende; Sogame, Luciana Carrupt Machado

Journal of Human Growth and Development; Vol. 27 No. 2 (2017); 235-243

UNESP 2017-09-06

Acesso online

  • Título:
    Prevalence and factors associated with functional dependency in homebound elderly people in Brazil; Prevalence and factors associated with functional dependency in homebound elderly people in Brazil
  • Autor: Pampolim, Gracielle; Lourenço, Christiane; Silva, Vanezia Gonçalves Da; Coelho, Maria Carlota De Rezende; Sogame, Luciana Carrupt Machado
  • Assuntos: Homebound Elderly; Functional Dependence; Family Health Strategy; Homebound Elderly
  • É parte de: Journal of Human Growth and Development; Vol. 27 No. 2 (2017); 235-243
  • Descrição: Introduction: Population ageing is a worldwide reality that requires attention, and a concern for healthy and functional ageing is increasingly the focus of government policies and programmes.Objective: To identify the prevalence of homebound elderly people, and the influence of sociodemographic and economic characteristics on their functional dependency.Methods: Cross-sectional study with 178 homebound elderly people assisted by a family healthcare unit in Vitória, ES, Brazil. Functional independence was measured by the Functional Independence Measure (FIM) and the sociodemographic and economic variables were collected by a questionnaire developed by the authors. Binary logistic regression was used to determine the influence of the sociodemographic and economic characteristics on the risk of being functionally dependent.Results: Forty-eight percent of the participants were functional dependents, 80% were female, 72% belonged to the fourth age, 74% were white, 63% were widowed, 78% had retired, 90% had children, 83% had a caregiver, 52% had low education and 40% had low income. Logistic regression indicated that having a caregiver increased by 40 times the chance of being functionally dependent (OR = 40.2; 95%CI 4.8–355.4) and having between one to eight years of education decreased the chance of functional dependency (OR = 0.2; 95%CI 0.04-0.9).Conclusions: The prevalence of functional dependency was very high in this sample, and since the presence of a caregiver was the strongest and significant predictor of functional dependency, we suggest that guidance and support should be offered to caregivers, followed   by a family healthcare strategy, to make consistent efforts with the objective of improving  functional recovery and independence of homebound elderly.
    Introduction: Population ageing is a worldwide reality that requires attention, and a concern for healthy and functional ageing is increasingly the focus of government policies and programmes.Objective: To identify the prevalence of homebound elderly people, and the influence of sociodemographic and economic characteristics on their functional dependency.Methods: Cross-sectional study with 178 homebound elderly people assisted by a family healthcare unit in Vitória, ES, Brazil. Functional independence was measured by the Functional Independence Measure (FIM) and the sociodemographic and economic variables were collected by a questionnaire developed by the authors. Binary logistic regression was used to determine the influence of the sociodemographic and economic characteristics on the risk of being functionally dependent.Results: Forty-eight percent of the participants were functional dependents, 80% were female, 72% belonged to the fourth age, 74% were white, 63% were widowed, 78% had retired, 90% had children, 83% had a caregiver, 52% had low education and 40% had low income. Logistic regression indicated that having a caregiver increased by 40 times the chance of being functionally dependent (OR = 40.2; 95%CI 4.8–355.4) and having between one to eight years of education decreased the chance of functional dependency (OR = 0.2; 95%CI 0.04-0.9).Conclusions: The prevalence of functional dependency was very high in this sample, and since the presence of a caregiver was the strongest and significant predictor of functional dependency, we suggest that guidance and support should be offered to caregivers, followed   by a family healthcare strategy,  to make consistent efforts with the objective of improving  functional recovery and independence of homebound elderly.
  • Títulos relacionados: https://www.revistas.usp.br/jhgd/article/view/127747/133420; https://www.revistas.usp.br/jhgd/article/view/127747/133422
  • Editor: UNESP
  • Data de criação/publicação: 2017-09-06
  • Formato: Adobe PDF
  • Idioma: Inglês;Português

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