RESUMO
This cross-sectional study aimed to trace the epidemiological profile of elders associated to a private healthcare insurance and to check their functional capacity, through the Barthel index and associated factors. The population of the study included all associates of the insurance over 60 years old. The data was collected with two self-answered questionnaires: one about family socioeconomic factors and another related to individual health issues. Regarding the functional capacity among the 254 aged participants, four (1.6%) individuals presented total dependence, one (0.4%) was seriously dependent, one (0.4%) was moderately dependent, 29 (11.4%) were somewhat dependent, and 219 (86.2%) were classified as independent. Thus, the variable was added in such way that 86.2% had been classified as independents and 13.8% (CI 95%: 9.5 to 18.0) as dependents. The adjusted analysis showed that only age remained associated to the outcome. Results showed that the individuals over 80 years old presented greater probability of functional incapacity. It was also pointed that in populations with improved socioeconomic conditions there is the possibility of survival bias.
Assuntos
Geriatria , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Epidemiologia , Feminino , Humanos , Seguro Saúde , Masculino , Pessoa de Meia-Idade , Setor PrivadoRESUMO
O presente estudo transversal objetivou traçar o perfil epidemiológico dos idosos associados a um plano de saúde e verificar a capacidade funcional dos indivíduos, através do Índice de Barthel, e os fatores associados. A população deste estudo incluiu todos os associados do plano (titulares e seus respectivos dependentes), pertencentes à faixa etária de 60 anos ou mais. Para a coleta de dados, foram utilizados dois questionários: um socioeconômico familiar e outro individual de saúde. Ambos os instrumentos foram autorrespondidos. Quanto à capacidade funcional entre 254 participantes idosos, quatro (1,6 por cento) indivíduos apresentavam dependência total, uma (0,4 por cento) pessoa com dependência grave, uma (0,4 por cento) moderada, 29 (11,4 por cento) leve e 219 (86,2 por cento) foram classificados como independentes. Assim, a variável foi agregada de forma que 86,2 por cento foram classificados como independentes e 13,8 por cento (IC95 por cento 9,5 a 18,0) com dependência. Na análise ajustada, apenas idade manteve-se associado ao desfecho. Os resultados mostraram que os indivíduos a partir dos 80 anos apresentaram maior probabilidade de incapacidade funcional. Apontou-se, também, que em populações com condições socioeconômicas mais elevadas existe a possibilidade de viés de sobrevivência.
This cross-sectional study aimed to trace the epidemiological profile of elders associated to a private healthcare insurance and to check their functional capacity, through the Barthel index and associated factors. The population of the study included all associates of the insurance over 60 years old. The data was collected with two self-answered questionnaires: one about family socioeconomic factors and another related to individual health issues. Regarding the functional capacity among the 254 aged participants, four (1.6 percent) individuals presented total dependence, one (0.4 percent) was seriously dependent, one (0.4 percent) was moderately dependent, 29 (11.4 percent) were somewhat dependent, and 219 (86.2 percent) were classified as independent. Thus, the variable was added in such way that 86.2 percent had been classified as independents and 13.8 percent (CI95 percent: 9.5 to 18.0) as dependents. The adjusted analysis showed that only age remained associated to the outcome. Results showed that the individuals over 80 years old presented greater probability of functional incapacity. It was also pointed that in populations with improved socioeconomic conditions there is the possibility of survival bias.