Impact of COVID-19 Pandemic on Life-Space Mobility of Older Adults Living in Brazil: REMOBILIZE Study.
Impact of COVID-19 Pandemic on Life-Space Mobility of Older Adults Living in Brazil: REMOBILIZE Study.
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DOI：
10.3389/fpubh.2021.643640
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发表时间：
2021
影响因子：
5.2
通讯作者：
REMOBILIZE Research Network (CANSORT-SCI)
中科院分区：
文献类型：
--
作者：
Perracini MR;de Amorim JSC;Lima CA;da Silva A;Trombini-Souza F;Pereira DS;Pelicioni PHS;Duim E;Batista PP;Dos Santos RB;de Lima MDCC;REMOBILIZE Research Network (CANSORT-SCI)
背景：2019冠状病毒病疫情在社会经济和健康严重不平等的情况下袭击了巴西。目前尚不清楚社会限制建议的直接影响（即，锁定，呆在家里）对老年人的生活空间的流动性。目的：调查COVID-19大流行对巴西社区老年人生活空间流动性的直接影响，并研究与生活空间流动性变化相关的健康社会决定因素。设计：基线数据来自前瞻性队列研究（REMOBILIZE研究）。设置：社区。主题：生活在巴西22个州的60岁及以上参与者（n = 1，482）的方便雪球样本。方法：我们使用生活空间评估（LSA）的改编版本进行了在线和电话调查。线性回归模型被用来调查的LSA评分的变化的健康的社会决定因素。结果如下：无论性别和健康的社会决定因素如何，自COVID-19大流行爆发以来，参与者的生活空间流动性显着减少。生活空间流动性减少在黑人个体中更高，那些独居和年龄在70到79岁之间的人。与生活空间流动性变化相关的其他变量在较小程度上是性别、教育和收入。结论：在巴西，由于流行病而采取的社会限制措施导致老年人的生活空间流动性大幅减少。社会不平等严重影响弱势群体。应采取协调一致的行动，克服这些群体生活节奏流动性的恶化。如果不能最大限度地减少因这一流行病而扩大的保健不平等现象，可能会危及健康老龄化十年的预期成就。
Background: The COVID-19 pandemic hit Brazil in a scenario of substantial socioeconomic and health inequalities. It is unknown the immediate impact of social restriction recommendations (i.e., lockdown, stay-at-home) on the life-space mobility of older people. Objective: To investigate the immediate impact of COVID-19 pandemic on life-space mobility of community-dwelling Brazilian older adults and examine the social determinants of health associated with change in life-space mobility. Design: Baseline data from a prospective cohort study (REMOBILIZE Study). Setting: Community. Subject: A convenience snowball sample of participants aged 60 and older (n = 1,482) living in 22 states in Brazil. Methods: We conducted an online and phone survey using an adapted version of the Life-Space Assessment (LSA). Linear regression models were used to investigate social determinants of health on the change in LSA score. Results: Regardless of their gender and social determinants of health, participants showed a significant reduction in life-space mobility since COVID-19 pandemic outbreak. Life-space mobility reduction was higher among black individuals, those living alone and aged between 70 and 79. Other variables associated with change in life-space mobility, to a lesser extent, were sex, education and income. Conclusion: Social restriction measures due to pandemic caused substantial reduction in older adults' life-space mobility in Brazil. Social inequalities strongly affected vulnerable groups. Concerted actions should be put in place to overcome the deterioration in life-pace mobility amongst these groups. Failure in minimizing health inequalities amplified by the pandemic may jeopardize the desired achievements of the Decade of Healthy Aging.
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影响因子：
4.1
作者：
Dreyer K;Steventon A;Fisher R;Deeny SR
通讯作者：
Deeny SR
影响因子：
2.1
作者：
Diaz, MDM
通讯作者：
Diaz, MDM
影响因子：
4.1
作者：
Ho, Soon Hoe;Tan, Dion Piu Sem;Wong, Chek Hooi
通讯作者：
Wong, Chek Hooi
影响因子：
4
作者：
Curcio, Carmen-Lucia;Alvarado, Beatriz E.;Zunzunegui, Maria Victoria
通讯作者：
Zunzunegui, Maria Victoria
影响因子：
7.2
作者：
Groll, DL;To, T;Wright, JG
通讯作者：
Wright, JG