Banca de QUALIFICAÇÃO: LUANA CAROLINE DE ASSUNCAO CORTEZ CORREA

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
STUDENT : LUANA CAROLINE DE ASSUNCAO CORTEZ CORREA
DATE: 12/11/2021
TIME: 16:00
LOCAL: videoconferência
TITLE:

Gender differences in late-life disability: Findings from de International Mobility and Aging Study (IMIAS)

KEY WORDS:

Disability; Aging; Gender Analysis

PAGES: 16
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

INTRODUCTION: Disability is defined as an impairment, inability or limitation in social performance tasks and considering the sociocultural environment whereas the people lives. Despite epidemiological studies with large representative samples has shown that disability prevalence had declined over the past few decades, this condition remains highly prevalent in the older population, especially among women. Previous findings showed that disability differs across high and low/middle-income countries and urban and rural areas, since better socio-economic conditions, income and environment may influence adequate access to health and social care, community participation.

The aim of the present study is to examine differences in late-life disability among men and woman, and associated factors in four countries (Canada, Brazil, Albania and Colombia). METHODOLOGY: The International Mobility in Aging Study is a population-based longitudinal study. A sample of 2.002 community-dwelling older people, ages 65-74, was recruited in 2012 (200 men and 200 women) in each study sites. The first follow-up assessment was conducted in 2014 and the second in 2016. For this study, we used data from 1725 participants evaluated in 2014. The primary outcome was assessed by disability component of the Late-Life Function Disability Instrument, that measures self-reported frequency of involvement and perceived limitation in 16 life situations. Covariates were sociodemographic variables, living situation, anthropometric measures, self-rated health, depression symptoms, physical activity and number of chronic conditions. All data were analyzed using IBM SPSS statistic version 20.0. The chi-square test (χ2) and Student’s t-test were used to compare categorical and continues variables between groups, respectively. Student’s t-test and analysis of variance (ANOVA) was used to compare means of frequency and limitation with each independent variable. Bivariate analysis was used to compare means of frequency and limitation by men and women according to study sites. Finally, to assess the influence of the independent variables on disability, multiple linear regression was used. RESULTS: The mean age of the 1725 participants in the sample (810 men and 915 women) was of 71.23±2.94 years. The mean of frequency subscale was significantly lowest among men (52.78±8.71) than in women (55.25±9.26) (p<.001), however, in terms of limitation women presents the lowest mean 69.34 (±12.09) p=.001. The mean of frequency subscale decreases according to the study site, compared to Kingston (p<0.05) for both sexes. For men low level of education β= -3.77 (95% CI -4.95; -2.59), poor self-rated health β= -3.70 (95% CI -4.90; -2.50) and depression symptoms β= -3.25 (95% CI -4.81; -1.69) are related factors to decreased frequency.  While in women, income insufficiency β= -3.48 (95% CI -5.27; -1.69), living alone β= -2.42 (95% CI 1.02;3.82) and present four or more chronic conditions β= -1.73 (95% CI -3.27; -0.19) played a negative role on frequency of participation. Income insufficiency, poor self-rated health, depressive symptoms and physical activity were associated factors to limitation subscale for both sexes. Whereas age B=-.44 [95% CI -.64; -.24] and present four or more chronic conditions B= -2.72 (95% -3.12; -1.68) are associated only with women's limitations.

BANKING MEMBERS:
Presidente - 350637 - RICARDO OLIVEIRA GUERRA
Externo ao Programa - 1066928 - CRISTIANO DOS SANTOS GOMES
Externa à Instituição - JULIANA FERNANDES DE SOUZA BARBOSA - UFPE