Individual- and state-level factors associated with functional limitation prevalence among Colombian elderly

A Multilevel Analysis

Dados Bibliográficos

ID5166380
AutoresSilvia Marcela Ballestero, Silvia Marcela Ballesteros (0000-0003-1382-6859, Universidad del Rosario), José Moreno-Montoya (Universidad El Bosque), José Moreno‐montoya (0000-0001-8446-1231, Universidad El Bosque)
Ano2018
Volume34
Fascículo8
Páginase00163717-e00163717
Data de publicação2018-08-20
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoCadernos de Saude Publica (JOURNAL)
Identificadores do periódicoISSN: 0102-311X • E-ISSN: 1678-4464
EditoraFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00163717
PMID30133665
OpenAlexW2886869227
SCIELO_PIDS0102-311X2018000805007
IdiomaEN
Citações recebidas9
Referências citadas53

This study aimed to identify the main regional factors associated with variations in the prevalence of functional limitation on the older adult in Colombia adjusted by individual characteristics. This multilevel study used cross-sectional data from 23,694 adults over 60 years of age in the SABE, Colombia nationwide survey. State-level factors (poverty, development, inequity, violence, health coverage, and access to improved water sources), as well as individual health related, socioeconomic and demographic characteristics, were analyzed. The overall prevalence of functional impairment for the basic activities of daily living (ADL) was 22%. The presence of comorbidities, low educational level, physical inactivity, no participation in social groups, mistreatment and being over 75 years old were associated with functional limitation. At the group level, the analysis showed significant differences in the functional limitation prevalence across states, particularly regarding the socioeconomic status measured according to the Human Development Index (median OR = 1.22; 95%CI: 1.13-1.30; p = 0.011). This study provides evidence on the impact of socioeconomic variation across states on FL prevalence in the Colombian elderly once adjusted for individual characteristics. The findings of this study, through a multilevel approach methodology, provide information to effectively address the conditions that affect the functionality in this population through the identification and prioritization of public health care in groups with economic and health vulnerability

Activities of daily living · Affect (linguistics) · Environmental health · Multilevel model · Political science · Population · Poverty · Public health · Socioeconomic status · Sociology · Vulnerability (computing) · Aging, Health, and Disability · Chronic Disease Management Strategies · Demography · Health disparities and outcomes · Medicine · Psychology · Gerontology