Banca de DEFESA: ARTHUR ALEXANDRINO

FACTORS ASSOCIATED WITH MULTIMORBITY AND FUNCTIONALITY IN THE AGED IN THE RURAL AREA: 

A POPULATIONAL STUDY BASED ON THE FAMILY HEALTH STRATEGY

Multimorbidity. Comorbidity. International Classification of Functioning and Health. Aged. Rural Areas.

Introduction: The population set is identified as a worldwide phenomenon, which reflects the increase in population observation. Linked to this, note an increase in the number of chronic non-communicable diseases, as well as an increase in the decline in the functional capacity of elderly people, especially those who live in rural areas. Objectives: The general objective of this study is to investigate the multimorbidity and functionality of elderly people living in rural areas. As specific: to identify sociodemographic, clinical-therapeutic factors and those related to lifestyle and access to health services, associated with multimorbidity and objective functionality in elderly people living in rural areas. Method: This is an observational and cross-sectional epidemiological investigation with an observational approach. Descriptive procedure and deviation of a data analysis (univariate), using simple measures of absolute and relative frequency, in addition to measures of central tendency as mean and standard. Then, inferential statistics are used to relate the analysis to the independent variables, version 2.0 of the IBM SPSS software (Statistical Package for the Social Sciences). In the bivariate statistics, the data were analyzed using the chidrate test, being considered significant when the p-value < 0.05. Results: Most of the elderly have multimorbidity, independent as basic activities of daily living, the more dependent on instrumental and independent activities for the main displacements. When crossing the data independent and dependent variables, we observed as variable variables sex, significant, age group, state, family arrangement, work, religion, literacy, years studied, occupation, function, government, types of benefits, retirement, time living in rural areas, number of residents in the residence, number of rooms in the residence, BMI, family income, self-reported stress, physical activity, leisure activity, meals, access to treated water, smoking, consumption of alcohol, health status, quality of life, satisfied with life, enjoy living life, access to transportation, medication use, chronic pain, taking the COVID-19 vaccine, number of doses taken of the COVID vaccine - 19, access to serv. of health, use of serv. of health, companion, last consultation, last year, number of self-reported diseases and self-reported health problem. Final considerations: It is envisaged as a reinforcement of services and health care for the elderly population residing in rural areas. Thus, the study will allow better management of diseases and their intervention proposals and strategies within the scope of the health maintenance network, aiming to enhance the functional capacity of this segment. The findings of this study, therefore, may support the system as public health policies, empowerment of health professionals after caring for the elderly, as well as reducing the health burden by strengthening the promotion of active aging and well-being. Finally, it is expected to build articles to be published in journals with a high impact factor, as well as to take these findings to scientific events.