Banca de DEFESA: LAERCIO ALMEIDA DE MELO

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : LAERCIO ALMEIDA DE MELO
DATA : 18/02/2019
HORA: 09:00
LOCAL: Departamento de Odontologia
TÍTULO:

PREVALENCE AND FACTORS ASSOCIATED WITH MULTIMORBIDITIES IN BRAZILIAN OLDER ADULTS

PALAVRAS-CHAVES:

Multimorbity; Elderly; Chronic diseases. 

PÁGINAS: 75
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Epidemiologia
RESUMO:

The objective of this study was to identify the prevalence of multimorbidity in the elderly in Brazil and its factors associated with socioeconomic and lifestyle variables. This is a cross-sectional, population-based study. The database was used for the National Health Survey. The elderly were considered multimorbital when they had a diagnosis of two or more chronic diseases. In the analysis of the data, the chi-square test was used and then the prevalence ratios were estimated by means of Poisson multiple regression, both with 95% confidence level. A total of 11,697 elderly people with a mean age of 70.1 years participated in the study. The prevalence of multimorbidity was 53.1%. As a result of the multivariate analysis, the elderly (p<0.001), the older (p=0.002), those who are not single, more strongly associated with widowers (p=0.001) and those with health insurance in the (p<0.001) are associated with multimorbidity. Compared with the elderly with two chronic diseases, women are associated with three (p=0.003) and four or more chronic diseases (p<0,001). In addition, hypertension and high cholesterol (31.3%), hypertension and stroke (30.9%) and hypertension and diabetes (23.3%) were found to be the most prevalent conditions for those with multimorbidity. There was association of the first condition with the female sex (p<0.001), younger elderly people (p<0.001) and the fact of not smoking (p = 0.005). On the other hand, the second condition was associated with female gender (p = 0.001) and low level of education (p<0,001). The third group was associated with low educational level (p=0.020), those who did not exercise (p<0.001) and did not smoke (p<0.001). It is concluded that multimorbidity in Brazilian elderly is a very common condition and that it has been influenced by socioeconomic factors and little related to lifestyle. However, for the main multimorbities, in addition to socioeconomic conditions, lifestyle also influenced their prevalence.

MEMBROS DA BANCA:
Presidente - 277398 - KENIO COSTA DE LIMA
Interna - 2305247 - ISABELLE RIBEIRO BARBOSA MIRABAL
Externa ao Programa - 2330137 - VILANI MEDEIROS DE ARAUJO NUNES
Externo à Instituição - LEANDRO DE ARAUJO PERNAMBUCO - UFPB
Externo à Instituição - MANUEL ANTONIO GORDON NUNEZ - UEPB