yeda a. o. duarte (eeusp/sp) rosalina a. p. rodrigues ... · yeda a. o. duarte (eeusp/sp) rosalina...
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Yeda A. O. Duarte (EEUSP/SP)Rosalina A. P. Rodrigues (EERP/SP)
GRADUATE PROGRAM IN ADULT HEALTH NURSING
AGING RESEARCH
.
Health,well-being and agingSalud, Bienestar y Envejecimiento
Saude, Bem estar e Envelhecimento
Longitudinal and Multiple Cohort Study aboutelderly health and life conditions
Began in 2000 multicenterstudy coordinated by PAHO toevaluate life and healthconditions of elderly people inseven cities of Latin Americaand the Caribbean (urbanarea):
• Buenos Aires (Argentina)• Bridgetown (Barbados) • São Paulo (Brasil) • Santiago (Chile)• Habana (Cuba) • México city (México) • Montevideu (Uruguai)
SIXTH LARGEST CITY IN THE WORLD
11,253,500 inhabitants
11,253,500 inhabitants
47.4%men
52.6% women
1,253,503 elderlypeople (≥ 60 years)
(11.9%)
1,253,503 elderlypeople (≥ 60 years)
(11.9%)
204.475 veryold(≥ 80 years)
(1.8%)
.
C. GRANDE
PEDREIRA
C. ADEMAR
CAMPOGRANDE
J. SÃO LUIZ
SOCORRO
C. REDONDO
J. ÃNGELA CIDADE DUTRA
GRAJAÚ
PARELHEIROS
MARSILAC
S
.
V. MARIA
VISTA
B
JOSÉ
J
JAGUARA
ARI-
CANDIVA
S. MATEUS
TREMEMBÉ
MOEMA
CONS
LAÇÃO
RE-
PUBL
ICA
CECÍLI
ANHANGUERA
SÃO
DOMINGOS FREGUESIADO Ó
MAN-
DA-
QUI
JAÇANÃ
V. MEDEIROS
CACHO-
EIRINHA
PERUS
JARAGUÁ
PIRITUBA
BRASILÂNDIA
LIMÃO
CASA
VERDE
TUCURUVI
SANTANA
V. GUI-
LHERMEBARRAFUNDA
PARB. RETIRO
SÉ BRÁS
LIBER
DADE
CAM-
BUCI
PONTE RASA
J. HELENA
V. CURUÇA
LAJEADOARTUR
ALVIM
BONIFÁ
CIO
C.
TIRADENTE
PARQUE DO
CARMO
IGUATEMI
CIDADE LÍDER
S. RAFAEL
SÃO
MIGUELITAIM
PAULISTA
ITAQUERA
GUAIANAS
S. LUCAS
ÁGUA
RASA
JABAQUARA
V.MARIANA
SAÚDE
BELEM
MOÓCA
IPIRANGA
TATUAPÉ
CANGAÍBA
PENHA
VILA MATILDE
SAPOPEMBA
VILA
PRUDENT
FORMOS
VILA
CARRÃO
CUR-
SINOSACOMÃ
LAPA
PERDIZES
V.
LEOPOLDINA
ajaguaraALTO DE
PINHIERO
PINHEIROSRIO
PEQUENO
BUTANTÃ
RAPOSO TAVARES VILA SÔNIA MORUMBI
ITAIM
BIBI
JD.
PAULISTA
C. BELO
SANTO AMARO
V. ANDRADE
C. LIMPO
ERMELINO
MATARAZZO
V. JACUÍ
JAGUARÉ
Socioeconomic status of municipal districts
São PauloVILAMARIA
1. Very low
2. Low
3. Medium
4. High medium
5. High
until 9%
between 9% and 18%
more than 18%
Proportion of older adults population(≥ 60 years = 11,9%)São Paulo City – 2010
SABE STUDY PROBABILISTIC SAMPLE DISTRIBUTION, SÃO PAULO CITY .
Sections:A. Demographic and social characteristicsB. Cognition and depressionC. Health conditionsD. Functional statusE. MedicationsF. Access and use of health servicesG. Network of family and social supportH. Work history and incomesJ. Household characteristicsK. Anthropometry (weight, height, etc)L. Mobility and flexibility
Elder abuse Sexuality Caregiver burdenFamily APGARSpirituality
2000 2006 2010 2015 2020 ...A00 A06 A10 A15 A20
B06 B10 B15 B20
C10 C15 C20
D15 D20
2,143 1,115
298
400
274
859
E20
60 to 64 years
60 to 64 years
collect information about heathand living conditions of elderlyresidents in urban areas and,
assess differential cohort, genderand socioeconomic status inrelation to health, access and useof health care.
Frailty is an important health
problem associated with high risk for
adverse health outcomes including
mortality, institutionalization, falls,
decrease of functional capacity and
hospitalization.
All of these outcomes (except
mortality) compromise elderly quality
of life and increase, a lot, health
system costs.
The public health implications of
these statistics command
increasing attention, particularly
because frailty has been
documented not be inevitable and it
can be reversible by active
intervention strategies.
A00 A06 A10 A15 A20
B06 B10 B15 B20
C10 C15 C20
D15 D20
FRAILTY
≥≥ 75 years
2008/2009
A06 A08
Monitoring six/six months. Interview by phone. Interview at home
A09
2006 (%)
NO FRAIL 35,4PRE FRAIL 49,2FRAIL 15,4
2006 2008NO FRAIL 23,8 5,6PRE FRAIL 51,5 49,1FRAIL 24,7 45,3
fallls
hospita
liatio
n
Disab
ility
ADL
Disab
ility
IADL
NO FRAIL 19,9 11,6 12,2 11,2
PRE FRAIL 57,4 38,8 43,2 48,3
FRAIL 22,7 49,6 44,6 40,5
KAPLAN MEIER SURVIVAL ESTIMATES FOR FRAILTY
Our main interest now
is….
How to improve the care for the very old people (≥ 80 years)?
Khim Horton Sara Arber
www.fsp.usp.br/sabe