Protective behaviors for COVID-19 among Brazilian adults and elderly living with multimorbidity: the ELSI-COVID-19 initiative

Protective behaviors for COVID-19 among Brazilian adults and elderly living with multimorbidity: the ELSI-COVID-19 initiative
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DOI:
10.1590/0102-311x00196120
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发表时间:
2020-01-01
期刊:
Cadernos de Saúde Pública
影响因子:
--
通讯作者:
Nunes, Bruno Pereira
Nunes, Bruno Pereira
中科院分区:
其他
文献类型:
--
作者:
Batista, Sandro Rodrigues;Souza, Ana Sara Semeão de;Nunes, Bruno Pereira

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根据巴西50岁或以上人群多发病的发生情况,衡量新冠肺炎保护性行为和社会人口学因素的发生情况是本研究的目的。我们使用了巴西ELSI(巴西老龄化纵向研究)参与者的电话调查数据,该研究在2020年5月至6月期间进行。对新冠肺炎非药物预防措施的使用、根据多发病的存在而离开家的原因和社会人口学变量进行评估。在6149个人中。多发病多见于女性、已婚、50-59岁及市区居民。大多数人在上周离家一到两次,根据患病人数的不同而增加(22.3%没有患病,38%患有多发病)。在患有多发病的人中,每天离开家的情况较少(10.3%),9.3%的人在最后一周离开家寻求医疗保健。手卫生(>98%)和出门总是戴口罩(>96%)几乎是普遍的习惯。与男性相比,患有多发病的女性对社会隔离的依从性更强(PR=1.49,95%CI:1.23-1.79)。这种坚持性随着年龄的增长成比例增加,与教育水平成反比。尽管与社会隔离和医疗保健相关的问题值得强调,但多发病患者的保护性行为似乎比其他人更强。这些发现可能有助于制定应对当前大流行的战略。
To measure the occurrence of protective behaviors for COVID-19 and sociodemographic factors according to the occurrence of multimorbidity in the Brazilian population aged 50 or over was the objective of this study. We used data from telephone surveys among participants of ELSI-Brazil (Brazilian Longitudinal Study of Aging), conducted between May and June 2020. The use of non-pharmacological prevention measures for COVID-19, reasons for leaving home according to the presence of multimorbidity and sociodemographic variables were evaluated. among 6,149 individuals. Multimorbidity was more frequent in females, married, aged 50-59 years and residents of the urban area. Most of the population left home between once and twice in the last week, increasing according to the number of morbidities (22.3% no morbidities and 38% with multimorbidity). Leaving home every day was less common among individuals with multimorbidity (10.3%) and 9.3% left home in the last week to access health care. Hand hygiene (> 98%) and always wearing a mask when leaving home (> 96%) were almost universal habits. Greater adherence to social isolation was observed among women with multimorbidity when compared to men (PR = 1.49, 95%CI: 1.23-1.79). This adherence increased proportionally with age and inversely with the level of education. The protective behavior in people with multimorbidity seems to be greater in relation to the others, although issues related to social isolation and health care deserve to be highlighted. These findings can be useful in customizing strategies for coping with the current pandemic.