Banca de QUALIFICAÇÃO: ANGELA MARIA DE MEDEIROS SOARES

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
DISCENTE : ANGELA MARIA DE MEDEIROS SOARES
DATA : 16/05/2018
HORA: 14:00
LOCAL: Departamento de Odontologia da UFRN
TÍTULO:

INTERNAÇÕES EM IDOSOS E FATORES CONTEXTUAIS ASSOCIADOS NO NORDESTE BRASILEIRO

PALAVRAS-CHAVES:

Aged; hospitalization; epidemiologic factors

PÁGINAS: 80
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

The present study aimed to investigate the hospitalizations of the elderly by cause group and to identify their relationship with contextual factors in the Northeast region of Brazil. A study with ecological, descriptive and time-series design was carried out, using secondary data from the Hospital Information System (SIH-SUS) to describe the hospitalization rates in the elderly from 60 years and over since 2010 to 2015. As a dependent variable, the rate of hospital admission in the elderly by group of causes was used. In order to do so, a non-hierarchical cluster analysis was carried out, grouping the municipalities based on the chapters of the group of causes of hospitalizations. Therefore, Cluster 1 was characterized by the predominance of low hospitalization rates, Cluster 2 with predominance of high hospitalization rates and Cluster 3 with intermediate prevalence of hospitalization rates. For the association with the dependent variable, we selected 11 independent socioeconomic contextual variables, whose selection was based on a theoretical analysis based on the dimensions of the Social Determinants of Health models, followed by a descriptive analysis, in order to identify those that better discriminate the municipalities and with a distribution closer to normal. We chose to summarize the set of variables selected through the R-type Factor Analysis, with the extraction of the factors being performed from the Principal Component Analysis (PCA). In this sense, we obtained component 1 that was called "Urbanization and its reflexes", the second component being nominated as "Favorable socioeconomic context" and the third component titled "Lower education and dependence of the State". The total hospitalization rate in the period was 1,212.60, with the greatest number being due to diseases of the circulatory system, followed by diseases of the respiratory system and infectious and parasitic diseases. The clusters of causes of hospitalization differed significantly in relation to the contextual factors, so that the municipalities with the highest hospitalization rates presented the highest values for the favorable socioeconomic context, the highest values being related to the low level of schooling and state dependency of municipalities with lower hospitalization rates. Given this context, it is concluded that in the elderly population of the Northeast there is a predominance of hospitalizations due to diseases of the circulatory system and the socioeconomic context of the municipalities has influenced the greater number of hospitalizations in this population, so that the municipalities with better socioeconomic context had the highest hospitalization rates in the elderly.

MEMBROS DA BANCA:
Presidente - 277398 - KENIO COSTA DE LIMA
Interno - 1149540 - ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
Interno - 2305247 - ISABELLE RIBEIRO BARBOSA