Functional disability of adults in Brazil: prevalence and associated factors
Functional disability of adults in Brazil: prevalence and associated factors
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DOI：
10.1590/s0034-8910.2015049005945
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发表时间：
2015-01-01
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影响因子：
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通讯作者：
Pereira, Maurício Gomes
中科院分区：
文献类型：
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作者：
Andrade, Keitty Regina Cordeiro de;Silva, Marcus Tolentino;Pereira, Maurício Gomes
目的：估计巴西成人功能性残疾的患病率和相关因素。方法：采用2008年全国住户抽样调查健康补充资料。因变量为18 - 65岁成年人的功能障碍，以行走约100米的困难程度衡量；自变量为：健康计划成员、居住地区、居住州、教育程度、家庭收入、经济活动、健康自我认知、住院、慢性病、年龄组、性别和肤色。我们计算了总优势比（OR）及其各自的置信区间（95%），并根据研究变量采用有序逻辑回归，按照层次模型进行调整。在所有计算中都考虑了样本权重。结果：纳入18745名受试者，其中74.0%为女性。超过三分之一的成年人报告有功能性残疾。在男性（OR = 1.17; 95%CI 1.09; 1.27）、35 - 49岁（OR = 1.30; 95%CI 1.17; 1.45）和50 - 65岁（OR = 1.38; 95%CI 1.24; 1.54）人群中，致残率明显更高；非经济活动个体（OR = 2.21; 95%CI 1.65; 2.96）；报告患有心脏病（OR = 1.13; 95%CI 1.03; 1.24）、糖尿病（OR = 1.16; 95%CI 1.05; 1.29）、动脉全身性高血压（OR = 1.10; 95%CI 1.02; 1.18）和关节炎/风湿病（OR = 1.24; 95%CI 1.15; 1.34）的成年人；以及最近12个月内入院的患者（OR = 2.35; 95%CI 1.73; 3.2）。结论：功能障碍在巴西成年人中很常见。住院是最密切相关的因素，其次是经济活动和慢性病。性别、年龄、教育程度和收入也有关联。结果表明了具体的行动目标，以解决与功能残疾相关的主要因素，并有助于预测改善福祉和促进成人生活质量的干预措施。
OBJECTIVE: To estimate the prevalence and factors associated with functional disability in adults in Brazil.METHODS: We used information from the health supplement of the National Household Sample Survey in 2008. The dependent variable was the functional disability among adults of 18 to 65 years, measured by the difficulty of walking about 100 meters; independent variables were: health plan membership, region of residence, state of domicile, education level, household income, economic activity, self-perception of health, hospitalization, chronic diseases, age group, sex, and color. We calculated the gross odds ratios (OR), and their respective confidence intervals (95%), and adjusted them for variables of study by ordinal logistic regression, following hierarchical model. Sample weights were considered in all calculations.RESULTS: We included 18,745 subjects, 74.0% of whom were women. More than a third of adults reported having functional disability. The disability was significantly higher among men (OR = 1.17; 95%CI 1.09; 1.27), people from 35 to 49 years (OR = 1.30; 95%CI 1.17; 1.45) and 50 to 65 years (OR = 1.38; 95%CI 1.24; 1.54); economically inactive individuals (OR = 2.21; 95%CI 1.65; 2.96); adults who reported heart disease (OR = 1.13; 95%CI 1.03; 1.24), diabetes mellitus (OR = 1.16; 95%CI 1.05; 1.29), arterial systemic hypertension (OR = 1.10; 95%CI 1.02; 1.18), and arthritis/rheumatism (OR = 1.24; 95%CI 1.15; 1.34); and participants who were admitted in the last 12 months (OR = 2.35; 95%CI 1.73; 3.2).CONCLUSIONS: Functional disability is common among Brazilian adults. Hospitalization is the most strongly associated factor, followed by economic activity, and chronic diseases. Sex, age, education, and income are also associated. Results indicate specific targets for actions that address the main factors associated with functional disabilities and contribute to the projection of interventions for the improvement of the well-being and promotion of adults' quality of life.