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Self-perceived health status in older adults: regional and sociodemographic inequalities in Spain

Fernandez-Martinez,Beatriz; Prieto-Flores,Maria-Eugenia; Forjaz,Maria João; Fernández-Mayoralas,Gloria; Rojo-Pérez,Fermina; Martínez-Martín,Pablo
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2012 EN
Relevância na Pesquisa
66.05%
OBJECTIVE: To assess regional and sociodemographic differences in self-perceived health status among older adults. METHODS: A face-to-face quality of life survey was conducted in a representative sample of the Spanish population comprising 1,106 non-institutionalized elderly aged 60 or more in 2008. Logistic regression models were used to explain self-perceived health status according to the EuroQol Group Visual Analogue Scale (EQ-VAS). Independent variables included sociodemographic and health characteristics as well as the nomenclature of territorial units for statistics level 1 (NUTS1: group of autonomous regions) and level 2 (NUTS 2: autonomous regions). RESULTS: Younger and better off respondents were more likely to have a positive self-perceived health status. Having no chronic conditions, independence in performing daily living activities and lower level of depression were also associated with positive self-perceived health status. People living in the south of Spain showed a more negative self-perceived health status than those living in other regions. CONCLUSION: The study results point to health inequality among Spanish older adults of lower socioeconomic condition and living in the south of Spain. The analysis by geographic units allows for international cross-regional comparisons.

The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community

Moura,Erly Catarina
Fonte: Associação Brasileira de Saúde Coletiva Publicador: Associação Brasileira de Saúde Coletiva
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/1998 EN
Relevância na Pesquisa
66.01%
The Brazilian government has been implementing health care policies that emphasize primary health care since 1988. Yet, to date, no study has examined the effects of the policies on children. A cohort study assessed the effects of primary care on the health status of 85 twelve-month-old infants residing in a neighborhood of São Paulo. Infants were classified as "healthy" if they had been ill no more than three times during the first year, or "ill" if they had been ill at least four times. Primary pediatric care was considered either "continuous" or "fragmented". Continuous care was defined as starting care in the first month after birth and following the guidelines of the Health Secretariat of the City as to the number and interval of medical appointments. Otherwise, the infant was defined as receiving fragmented care. Forty percent of infants were classified as ill, and 89.4% were classified as receiving fragmented care. A bivariate analysis showed an association between fragmented care and illness (p=0.003). After adjusting for other variables, health status was predicted by maternal age and number of persons per room. The results show a relationship between low socio-economic status, inadequate access to care, and illness. The transition towards an equitable primary care system in Brazil is slow and challenging.

The correlation between health status and quality of life in southern Brazil

Zubaran,Carlos; Persch,Karina; Tarso,Desire; Ioppi,Ana; Mezzich,Juan
Fonte: Associação Paulista de Medicina - APM Publicador: Associação Paulista de Medicina - APM
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2008 EN
Relevância na Pesquisa
66.03%
CONTEXT AND OBJECTIVE: The interconnections between quality of life and health status as assessed via questionnaires have not been thoroughly investigated. The objective of this study was to investigate a possible correlation between the constructs of general health status and quality of life as assessed by the Portuguese versions of two questionnaires recently adapted and tested in Brazil. DESIGN AND SETTING: This was a cross-sectional study in which two self-administered questionnaires were used. This investigation was conducted at healthcare services associated with the Universidade de Caxias do Sul, Brazil. METHODS: This study presents data from a sample of 120 volunteers who completed the Portuguese versions of the Personal Health Scale and the Multicultural Quality of Life Index questionnaires. Bivariate linear regression analysis and Pearson correlation coefficients were generated from the scores of the two questionnaires. RESULTS: A significant correlation between the concepts of quality of life and health status as evaluated by the Portuguese versions of both questionnaires was observed. Almost all of the health-related questions displayed strong correlations with the overall concept of quality of life. The magnitude of this correlation accounted for almost half of the observed variance. CONCLUSIONS: These findings indicate that...

Predictors of Functional Health Status of End Stage Renal Disease Patients

Parkerson, George R.; Gutman, Robert A.
Fonte: CENTERS for MEDICARE & MEDICAID SERVICES Publicador: CENTERS for MEDICARE & MEDICAID SERVICES
Tipo: Artigo de Revista Científica
Publicado em //1997 EN
Relevância na Pesquisa
66.01%
Potential predictors of the functional health status of 125 end stage renal disease (ESRD) patients were studied cross-sectionally. When health status was assessed by the physician with the Karnofsky Index, younger patient age, lower ESRD severity of illness, lower comorbidity severity, and higher albumin levels were predictors of better health [R-square=0.48]. When patients self-reported their health status with the Duke Health Profile, African-American race, higher family support, lower family stress, and lower ESRD severity were positive predictors [R-square=0.23]. The importance of measuring functional status, severity of illness, and social support and stress of ESRD patients is supported by these findings.

Health Status in the TORCH Study of COPD: Treatment Efficacy and Other Determinants of Change

Jones, Paul W; Calverley, Peter MA; Ferguson, Gary T; Jenkins, Christine; Yates, Julie C; Spencer, Michael D; Anderson, Julie A.; Celli, Bartolome R; Vestbo, Jorgen
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
66%
Background: Little is known about factors that determine health status decline in clinical trials of COPD. Objectives: To examine health status changes over 3 years in the TORCH study of salmeterol+fluticasone propionate (SFC) vs. salmeterol alone, fluticasone propionate alone or placebo. Methods: St George’s Respiratory Questionnaire (SGRQ) was administered at baseline then every 6 months. Measurements and Main Results: Data from 4951 patients in 28 countries were available. SFC produced significant improvements over placebo in all three SGRQ domains during the study: (Symptoms -3.6 [95% CI -4.8, -2.4], Activity -2.8 [95% CI -3.9, -1.6], Impacts -3.2 [95% CI -4.3, -2.1]) but the pattern of change over time differed between domains. SGRQ deteriorated faster in patients with Global Initiative for Chronic Obstructive Lung Disease (GOLD) stages III & IV relative to GOLD stage II (p < 0.001). There was no difference in the relationship between deterioration in SGRQ Total score and forced expiratory volume in one second (FEV1) decline (as % predicted) in men and women. Significantly faster deterioration in Total score relative to FEV1 % predicted was seen in older patients (≥ 65 years) and there was an age-related change in Total score that was independent of change in FEV1. The relationship between deterioration in (FEV_1) and SGRQ did not differ in different world regions...

Relationship Between Patient Health Status as Perceived by Heart Failure Patients and Their Designated Family Caregiver/Significant Others and Re-hospitalization

Tucker, Rebecca ; Quinn, Jill R.
Fonte: Universidade de Rochester Publicador: Universidade de Rochester
Tipo: Tese de Doutorado
ENG
Relevância na Pesquisa
66.07%
Thesis (Ph.D.)--University of Rochester. School of Nursing. Dept. of Nursing, 2012.; The purpose of this study was to conduct a secondary analysis and examine the reliability and validity, as well as the clinical significance of measuring perceived health status using the Kansas City Cardiomyopathy Questionnaire (KCCQ) and the adapted version of the KCCQ (KCCQ-SO) for the family caregiver/significant other (FC/SO) in a sample of patients hospitalized for decompensating heart failure (HF) and their identified FC/SO. Findings from other studies suggest that patient perceived health status predicts mortality, hospitalizations, and is associated with depression, but patient health status as perceived by the FC/SO had not been examined. A conceptual framework for understanding multiple proxy perspectives when evaluating health-related quality of life was adapted for this study. Data collected from a sample of 144 dyads in a parent study was used for analysis. Psychometric analysis was performed on both the KCCQ and KCCQ-SO measures. Both the KCCQ and KCCQ-SO had final factor solutions with six factors. Internal consistency for both the KCCQ and KCCQ-SO was good (> 0.70), demonstrating good reliability of the internal structure of the measures. Patient and FC/SO perspectives of patient health status were significantly correlated and positively related. Poor patient health status as perceived by both the patient and the FC/SO was also significantly associated with patient depression. This is an especially important finding...

Mental health status of the South Australian population

Taylor, A.; Wilson, D.; DalGrande, E.; Ben-Tovim, D.; Elzinga, R.; Goldney, R.; McFarlane, A.; Cheok, F.; Kirke, D.
Fonte: Public Health Assoc Australia Inc Publicador: Public Health Assoc Australia Inc
Tipo: Artigo de Revista Científica
Publicado em //2000 EN
Relevância na Pesquisa
76.01%
OBJECTIVE: To determine, by the use of a telephone survey, the mental health status of SA adults (18+ years) using the GHQ-28, SF-12 and self-report as indicators of mental health, and to examine risk factors for mental health morbidity. SAMPLE: A random representative sample of South Australian adults selected from the Electronic White Pages. Overall, 2,501 interviews were conducted (74.0% response rate). RESULTS: Overall, 19.5% of respondents had a mental health problem as determined by the GHQ-28, 11.8% as determined by the mental health component summary score of the SF-12 and 11.9% self-reported a mental health condition. The percentage of people with a mental health problem who had used a psychologist or a psychiatrist in the previous 12 months was 9.6% for people diagnosed by the GHQ-28, 16.2% by SF-12 and 23.7% for self-report. The logistic regression analyses undertaken to describe people with a mental health problem as determined by the GHQ-28 and to describe people who visited a psychologist or psychiatrist produced different age categories, demographic and co-morbidity indicators. Variables found in both analyses included living in the metropolitan area, being economically inactive and being a high user of health services. CONCLUSIONS: One in five South Australian adults has a mental problem. Although the prevalence is higher for younger age groups...

Health status assessed by the SF-36 along the diabetes continuum in an Australian population

Chittleborough, C.; Baldock, K.; Taylor, A.; Phillips, P.
Fonte: Kluwer Academic Publ Publicador: Kluwer Academic Publ
Tipo: Artigo de Revista Científica
Publicado em //2006 EN
Relevância na Pesquisa
66.02%
OBJECTIVE: To examine the association of health status with stage along the diabetes continuum. DESIGN, SETTING AND PARTICIPANTS: Self-reported health status (SF-36) was assessed in the North West Adelaide Health Study, a representative population cohort (n = 4060) aged 18 years and over in metropolitan South Australia. Impaired fasting glucose (IFG), undiagnosed diabetes, diagnosed diabetes, glycaemic control and cardiovascular disease were determined from fasting blood and self-reported data. RESULTS: The prevalence of diagnosed diabetes was 5.6% (95% CI: 4.9-6.3), with an additional 1.0% (95% CI: 0.7-1.4) previously undiagnosed. When compared to those with normal glucose, those with diabetes were significantly impaired on all SF-36 dimensions except Mental Health, and those with IFG (4.3%) were significantly impaired in terms of Physical Functioning and Bodily Pain when controlling for the effects of age, sex and cardiovascular disease. Poor glycaemic control (HbA1c >or= 7.0%) was also associated with impaired health status. CONCLUSIONS: Health status is impaired not only among those with diagnosed diabetes but also those with IFG and undiagnosed diabetes.

A life course approach to measuring socioeconomic position in population surveillance and its role in determining health status.

Chittleborough, Catherine Ruth
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2009
Relevância na Pesquisa
66.05%
Measuring socioeconomic position (SEP) in population chronic disease and risk factor surveillance systems is essential for monitoring changes in socioeconomic inequities in health over time. A life course approach in epidemiology considers the long-term effects of physical and social exposures during gestation, childhood, adolescence, and later adult life on health. Previous studies provide evidence that socioeconomic factors at different stages of the life course influence current health status. Measures of SEP during early life to supplement existing indicators of current SEP are required to more adequately explain the contribution of socioeconomic factors to health status and monitor health inequities. The aim of this thesis was to examine how a life course perspective could enhance the monitoring of SEP in chronic disease and risk factor surveillance systems. The thesis reviewed indicators of early life SEP used in previous research, determined indicators of early life SEP that may be useful in South Australian surveillance systems, and examined the association of SEP over the life course and self-rated health in adulthood across different population groups to demonstrate that inclusion of indicators of early life SEP in surveillance systems could allow health inequities to be monitored among socially mobile and stable groups. A variety of indicators...

Health status outcomes in patients presenting for coronary angiography for the evaluation of chest pain.

Tavella, Rosanna
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2012
Relevância na Pesquisa
66.12%
Background and Objectives: This thesis investigates health outcomes among patients undergoing coronary angiography for the assessment of chest pain. In particular, this research focuses on health status in relation to the presence/absence of significant coronary artery disease (CAD) on angiography, management strategies initiated following the procedure, and self–reported patient depression status. Health status refers to measurement of patient symptoms, their associated limitation on physical/mental functioning and the impact on health–related quality of life (HRQoL). The specific objectives include: (1) comparing the 12–month health status of patients undergoing coronary angiography with insignificant CAD (ICAD) to those with (i) significant CAD and (ii) healthy individuals with no history of coronary heart disease (CHD); (2) evaluating the health status in stable CAD patients who undergo percutaneous coronary intervention (PCI) or medical therapy (MT) as initial management strategies; (3) to develop and validate a procedure for identifying a depressed patient cohort using generic HRQoL data; and (4) evaluate the influence of cardiac rehabilitation (CR) on HRQoL in CAD patients. Methods. This thesis employs a number of methods to evaluate patient outcomes. Although cardiac events (death and myocardial infarction) have been undertaken...

Do patients' health status reports predict future hospital stays for patients with an acute myocardial infarction?

Nelson, Eugene C.; Ferreira, Pedro Lopes; Cleary, Paul D.; Gustafson, David; Wasson, John U.
Fonte: Universidade de Coimbra Publicador: Universidade de Coimbra
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
66.03%
Objective: Although patients' reports of health status and functioning have been shown to be reliable and valid measures for use in health care research, there is limited information on their practical utility in clinical settings. The purpose of this study was to determine if patients' reports of physical and psychosocial health status have prognostic value by predicting future hospitalstays in acute myocardial infarction (AMI) patients. Methods: Research design was an obsen1ational, longitudinal follow-up study involving a sample of /32 AMI patients recently discharged from nine commwlity hospitais. One hundred twelve patients (85%) completed the study. Patient reports of general health status, diagnosis-specific measures of health status, medica I history, and demographic characteristics were collected one to two months post AM/; follow-up data were gathered six months later to identify occurrence of new cardiac-related stays. Results: Poor psychosocial functioning and cardiac symptoms were significantly associated with the likelihood of being rehospitalized (odds ratios of 4.62 and 4.00). Multivariate results, however, show that poor psychosocial function and younger age-but not cardiac symptoms-are significant independent predictors of new hospital stays...

Correlation between breastfeeding and maternal health status

Zubaran,Carlos; Foresti,Katia
Fonte: Instituto Israelita de Ensino e Pesquisa Albert Einstein Publicador: Instituto Israelita de Ensino e Pesquisa Albert Einstein
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2013 EN
Relevância na Pesquisa
66.03%
OBJECTIVE: To examine the relation between breastfeeding efficacy and health status in a sample of 88 mothers from Southern Brazil. METHODS: Research participants completed the Portuguese version of the General Health Questionnaire and the Personal Health Scale. Breastfeeding efficacy was evaluated using the Breastfeeding Self-Efficacy Scale. Correlations between breastfeeding and health status scores were examined using Pearson's correlation coefficient. RESULTS: The results of this study revealed significant correlations between the scores of the two general health and well-being questionnaires and the Breastfeeding Self-Efficacy Scale. Bivariate regression analyses revealed that both health status instruments significantly predicted Breastfeeding Self-Efficacy Scale scores. CONCLUSION: Breastfeeding efficacy is significantly related to maternal health status in Southern Brazil.

Insights into the healthy immigrant effect: health status and health service use of immigrants to Canada

McDonald, James Ted; Kennedy, Steven
Fonte: Elsevier Publicador: Elsevier
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
66.01%
This paper combines multiple cross-sections of data drawn from the National Population Health Survey and Canadian Community Health Survey to confirm the existence of the 'healthy immigrant effect', specifically that immigrants are in relatively better health on arrival in Canada compared to native-born Canadians, and that immigrant health converges with years in Canada to native-born levels. The paper finds robust evidence that the healthy immigrant effect is present for the incidence of chronic conditions for both men and women, and results in relatively slow convergence to native-born levels. There is only weak evidence in terms of self-assessed health status. The inclusion of controls for region of origin and year of arrival does not account for the observed effects, although region of origin is an important determinants of immigrant health. The paper then considers some alternative explanations for the observed differences, and support is found for the idea that the healthy immigrant effect reflects convergence in physical health rather than convergence in screening and detection of existing health problems.

Estado de saúde percebido em idosos: desigualdades regionais e sociodemográficas na Espanha; Estado de salud percibido en ancianos: disparidades regionales y sociodemográficas en España; Self-perceived health status in older adults: regional and sociodemographic inequalities in Spain

Fernandez-Martinez, Beatriz; Prieto-Flores, Maria-Eugenia; Forjaz, Maria João; Fernández-Mayoralas, Gloria; Rojo-Pérez, Fermina; Martínez-Martín, Pablo
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/04/2012 ENG
Relevância na Pesquisa
66.05%
OBJETIVO: Analisar as diferenças regionais e sociodemográficas no estado de saúde percebido por adultos mais velhos. MÉTODOS: Realizou-se um inquérito de qualidade de vida mediante entrevista pessoal com amostra representativa da população espanhola de 1.106 pessoas com 60 e mais anos não institucionalizadas, em 2008. Aplicaram-se modelos de regressão logística para explicar a saúde percebida segundo a escala visual analógica do EuroQol Group (EQ-VAS). As variáveis independentes incluíram características sociodemográficas e de saúde, assim como unidades territoriais estatísticas de nível 1 (grupo de comunidades autônomas) e nível 2 (comunidades autônomas). RESULTADOS: Os participantes dos grupos mais jovens e os que tinham uma melhor situação econômica mostraram maior probabilidade de ter uma percepção positiva da sua saúde. A ausência de problemas crônicos de saúde, a independência para realizar atividades da vida diária e menor nível de depressão também se associaram positivamente à saúde percebida como boa. Os idosos que viviam no sul mostraram uma percepção mais negativa da saúde do que as que vivem noutras regiões. CONCLUSÕES: Os resultados indicam uma desigualdade relativa no estado de saúde dos adultos mais velhos de níveis socioeconômicos inferiores e dos habitantes do sul do país. A análise por unidades territoriais estatísticas permite estabelecer comparações entre regiões em nível internacional.; OBJETIVO: Analizar las diferencias regionales y sociodemográficas en el estado de salud percibido por ancianos. MÉTODOS: Se realizó una encuesta de calidad de vida mediante entrevista personal en una muestra representativa de la población española de 1.106 personas con 60 y más años no institucionalizadas en 2008. Se aplicaron modelos de regresión logística para explicar la salud percibida de acuerdo con la escala visual analógica del EuroQol Group (EQ-VAS). Las variables independientes incluyeron características sociodemográficas y de salud...

Oral health status and oral health-related quality of life in pregnant women from socially deprived populations

Cornejo,Celina; Rossi,Glenda ; Rama,Andres; Gomez-Gutierrez,Narda; Alvaredo,Gabriela; Squassi,Aldo; Klemonskis,Graciela
Fonte: Acta Odontológica Latinoamericana Publicador: Acta Odontológica Latinoamericana
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2013 EN
Relevância na Pesquisa
66.04%
The aim of the present work was to explore whether there is a relationship between oral health status and oral health-related quality of life in pregnant women from socially deprived populations in Buenos Aires City. Eighty pregnant women (age18-39 x=25.19}6.56) in their 1st/2nd trimester were sampled from the population of women visiting a health center located in the south of Buenos Aires City for their pregnancy check-ups. The impact of oral disease was assessed using the Spanish validated version (Lopez, 2006) of OHIP-49 (Slade and Spencer, 1994), which includes 49 items grouped into 7 domains. Each question has five possible answers, to which values ranging from 1 to 5 were assigned. To assess oral health status, 4 calibrated researchers performed a clinical examination and recorded: Gingival Index (Loe and Silness, 1963); depth on probing, clinical attachment level, bleeding on probing and DMFT discriminating its components. Variables were analyzed in the population as a whole and in groups regarding previous dental attention (presence of fillings). Statistical analysis included: Chi Square test to establish association between variables and t-test to compare groups. 93.75% of the patients showed clinical signs of gingivitis...

Investigation into the relationship between the socio-economic and health status of the Coloured people of the Western Cape in an urban setting

Stellenberg,EL; Welmann,EB; Groenewald,JC
Fonte: Curationis Publicador: Curationis
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2008 EN
Relevância na Pesquisa
66.06%
A descriptive non-experimental approach was applied to investigate and describe the prevalence of factors influencing the health status of the Coloured people of the Western Cape in an urban setting as a dissertation for a doctorate degree. For the purpose of this article the relationship between the socio-economic and health status of the Coloured people of the Western Cape in an urban setting are described. The study only included economically active persons < 21 ^ 50 years. The objective was to determine the relationship between the health status and the socio-economic status of economically active Coloured people in an urban area as defined. The objectives set for the study were reached through a cross sectional study. The hypothesis, an association between the health status and the socio-economic status of the Coloured people of an urban area in the Western Cape was tested using the chi square statistical test. A purposeful stratified sample of 353 participants was drawn from the residential areas as defined for the purpose of the study. All social classes were well represented in the suburbs. Statistical associations on a 95% confidence interval were shown between the socio-economic status (i.e. educational level, income and occupation) social habits...

Health status and health-seeking behaviour of Jamaican men fifty-five years and over

Morris,C; James,K; Laws,H; Eldemire-Shearer,D
Fonte: West Indian Medical Journal Publicador: West Indian Medical Journal
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2011 EN
Relevância na Pesquisa
66.03%
OBJECTIVE: The Caribbean including Jamaica is undergoing rapid population ageing with implications for health service planning and delivery. Such planning should take into account gender differentials. This study describes and analyses the health status and health-seeking behaviour of men 55 years and over in Jamaica. METHOD: A quantitative cross-sectional survey employing cluster sampling techniques was utilized to recruit 2000 men, 55 years and older, in the parish of St Catherine, Jamaica. A 126-item questionnaire was administered and standard instruments utilized to assess functional status. RESULTS: Respondents (74%) rated their health status as excellent/good. Few men were highly dependent with regard to Activities of Daily Living with incontinence being a major concern. Medication management and shopping were the major Instrumental Activities of Daily Living domains where assistance was needed. Depression was associated with non-involvement in community/social organizations and not being in physical contact with their children. Major health conditions reported were cancers (16%), kidney/bladder conditions (12.7%), hypertension (9.2%) diabetes (6.5%) and prostate problems (7.3%). Most men (67.6%) had not visited a health provider in the year prior to the survey; 17.1% had been hospitalized after age 55 years. Only 35% of men ever had a prostate check/examination and 8.2% of men eligible for drug benefits under the Jamaica Drugs for the Elderly Programme registered for that programme. CONCLUSION: There is need to focus on older men's health and ensure that primary prevention and early interventions reach middle-aged and older men while improving health literacy. Taking programmes to 'where men are'...

Historical and current predictors of self-reported health status among elderly persons in Barbados

Hambleton,Ian R.; Clarke,Kadene; Broome,Hedy L.; Fraser,Henry S.; Brathwaite,Farley; Hennis,Anselm J.
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2005 EN
Relevância na Pesquisa
66.07%
OBJECTIVE: To understand the relative contribution of past events and of current experiences as determinants of health status among the elderly in the Caribbean nation of Barbados, in order to help develop timely public health interventions for that population. METHODS: The information for this prevalence study was collected in Barbados between December 1999 and June 2000 as part of the "SABE project," a multicenter survey in seven urban areas of Latin America and the Caribbean that evaluated determinants of health and well-being in elderly populations (persons 60 and older). We used ordinal logistic regression to model determinants of self-reported health status, and we assessed the relative contribution of historical socioeconomic indicators and of three current modifiable predictor groups (current socioeconomic indicators, lifestyle risk factors, and disease indicators), using simple measures of association and model fit. RESULTS: Historical determinants of health status accounted for 5.2% of the variation in reported health status, and this was reduced to 2.0% when mediating current experiences were considered. Current socioeconomic indicators accounted for 4.1% of the variation in reported health status, lifestyle risk factors for 7.1%...

The relationship between the use of primary health care and infant health status at 12 months in a Brazilian community

Moura,Erly Catarina
Fonte: Associação Brasileira de Pós -Graduação em Saúde Coletiva Publicador: Associação Brasileira de Pós -Graduação em Saúde Coletiva
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/1998 EN
Relevância na Pesquisa
66.01%
The Brazilian government has been implementing health care policies that emphasize primary health care since 1988. Yet, to date, no study has examined the effects of the policies on children. A cohort study assessed the effects of primary care on the health status of 85 twelve-month-old infants residing in a neighborhood of São Paulo. Infants were classified as "healthy" if they had been ill no more than three times during the first year, or "ill" if they had been ill at least four times. Primary pediatric care was considered either "continuous" or "fragmented". Continuous care was defined as starting care in the first month after birth and following the guidelines of the Health Secretariat of the City as to the number and interval of medical appointments. Otherwise, the infant was defined as receiving fragmented care. Forty percent of infants were classified as ill, and 89.4% were classified as receiving fragmented care. A bivariate analysis showed an association between fragmented care and illness (p=0.003). After adjusting for other variables, health status was predicted by maternal age and number of persons per room. The results show a relationship between low socio-economic status, inadequate access to care, and illness. The transition towards an equitable primary care system in Brazil is slow and challenging.

Self-perceived health status in older adults: regional and sociodemographic inequalities in Spain

Fernandez-Martinez,Beatriz; Prieto-Flores,Maria-Eugenia; Forjaz,Maria João; Fernández-Mayoralas,Gloria; Rojo-Pérez,Fermina; Martínez-Martín,Pablo
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2012 EN
Relevância na Pesquisa
66.05%
OBJECTIVE: To assess regional and sociodemographic differences in self-perceived health status among older adults. METHODS: A face-to-face quality of life survey was conducted in a representative sample of the Spanish population comprising 1,106 non-institutionalized elderly aged 60 or more in 2008. Logistic regression models were used to explain self-perceived health status according to the EuroQol Group Visual Analogue Scale (EQ-VAS). Independent variables included sociodemographic and health characteristics as well as the nomenclature of territorial units for statistics level 1 (NUTS1: group of autonomous regions) and level 2 (NUTS 2: autonomous regions). RESULTS: Younger and better off respondents were more likely to have a positive self-perceived health status. Having no chronic conditions, independence in performing daily living activities and lower level of depression were also associated with positive self-perceived health status. People living in the south of Spain showed a more negative self-perceived health status than those living in other regions. CONCLUSION: The study results point to health inequality among Spanish older adults of lower socioeconomic condition and living in the south of Spain. The analysis by geographic units allows for international cross-regional comparisons.