Inequalities in basic activities of daily living among older adults

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dc.creatorFabíola Bof de Andrade
dc.creatorYeda Aparecida de Oliveira Duarte
dc.creatorPaulo Borges
dc.creatorJuliana Lustosa Torres
dc.creatorMaria Fernanda Lima-costa
dc.creatorFlavia Cristina Drumond Andrade
dc.date.accessioned2023-11-01T21:10:00Z
dc.date.accessioned2025-09-08T23:13:24Z
dc.date.available2023-11-01T21:10:00Z
dc.date.issued2019
dc.format.mimetypepdf
dc.identifier.doi10.11606/s1518-8787.2018052000617
dc.identifier.issn15188787
dc.identifier.urihttps://hdl.handle.net/1843/60450
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofRevista de Saúde Pública
dc.rightsAcesso Aberto
dc.subjectAged
dc.subjectActivities of Daily Living
dc.subjectDisabled Persons
dc.subjectSocioeconomic Factors
dc.subjectHealth Inequities
dc.subject.otherAged
dc.subject.otherActivities of Daily Living
dc.subject.otherDisabled Persons
dc.subject.otherSocioeconomic Factors.
dc.subject.otherHealth Inequities
dc.titleInequalities in basic activities of daily living among older adults
dc.typeArtigo de periódico
local.citation.epage9s
local.citation.issueSuppl 2
local.citation.spage1s
local.citation.volume52
local.description.resumoOBJECTIVE: To evaluate the magnitude of wealth-related inequalities in basic activities of daily living among community-dwelling Brazilian older adults and to determine the contribution of demographic, socioeconomic, and health conditions to the inequality. METHODS: We used data from the 2015 Brazilian Longitudinal Study of Aging (ELSI-Brazil) with a nationally representative sample of adults aged 50 years or older. We assessed wealth related inequalities in basic activities of daily living by the concentration index. Concentration index was decomposed to determine the contribution of demographic, health, and socioeconomic factors to wealth-related inequalities in basic activities of daily living.RESULTS: The prevalence of disability in the sample was 15.7% (95%CI 14.9–17.6). Theconcentration index was -0.145 (95%CI -0.194– -0.097), which indicates that disability is concentrated in the poorest individuals in Brazil. Inequalities in basic activities of daily living disability are primarily explained by socioeconomic status (wealth and own education) not by demographic or health factors.CONCLUSIONS: There are avoidable wealth-related inequities for those with a disability in Brazil. The strong contribution of the socioeconomic status highlights the need for new public health policies that promote equity, universality, and integrality, in addition to the expansion of home nursing public services.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
local.publisher.initialsUFMG
local.url.externahttps://doi.org/10.11606/S1518-8787.2018052000617

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