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Contribution of chronic conditions to gender disparities in disability in the older population in Brazil, 2013

Author

Listed:
  • Renata Tiene de Carvalho Yokota

    (Scientific Institute of Public Health
    Vrije Universiteit Brussel)

  • Lenildo Moura

    (Pan-American Health Organization)

  • Silvânia Suely Caribé de Araújo Andrade

    (Brazilian Ministry of Health)

  • Naíza Nayla Bandeira Sá

    (Federal University of Pará)

  • Wilma Johanna Nusselder

    (Erasmus MC)

  • Herman Oyen

    (Scientific Institute of Public Health
    Ghent University)

Abstract

Objectives To assess the contribution of chronic conditions to the disability burden in the older men and women in Brazil. Methods Data from 10,290 participants of the Brazilian National Health Survey in 2013 aged 60 years or older were used. Disability was defined based on limitations in activities of daily living (ADL) and instrumental activities of daily living (IADL). Binomial additive hazards models were fitted to assess the contribution of chronic conditions to the disability prevalence. Results Back pain was the most common condition, followed by diabetes and heart diseases in men and arthritis and diabetes in women. Stroke and mental disorders were by far the most disabling conditions in men and women. A higher disability prevalence was observed in women (34.4 %, CI 32.4; 36.2 %) compared to men (28.4 %; CI 25.9; 30.8 %). The most important contributors to the disability prevalence were stroke, back pain, and arthritis among men, and diabetes, heart diseases, and arthritis in women. Conclusions Interventions to reduce disability in the older population in Brazil should take into account the gender gap in the occurrence of chronic conditions, focusing on the main contributors to the disability burden.

Suggested Citation

  • Renata Tiene de Carvalho Yokota & Lenildo Moura & Silvânia Suely Caribé de Araújo Andrade & Naíza Nayla Bandeira Sá & Wilma Johanna Nusselder & Herman Oyen, 2016. "Contribution of chronic conditions to gender disparities in disability in the older population in Brazil, 2013," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(9), pages 1003-1012, December.
    • Handle: RePEc:spr:ijphth:v:61:y:2016:i:9:d:10.1007_s00038-016-0843-7
    DOI: 10.1007/s00038-016-0843-7
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    References listed on IDEAS

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    1. Verbrugge, Lois M. & Jette, Alan M., 1994. "The disablement process," Social Science & Medicine, Elsevier, vol. 38(1), pages 1-14, January.
    2. Herman Oyen & Wilma Nusselder & Carol Jagger & Petra Kolip & Emmanuelle Cambois & Jean-Marie Robine, 2013. "Gender differences in healthy life years within the EU: an exploration of the “health–survival” paradox," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(1), pages 143-155, February.
    3. Nusselder, W.J. & Looman, C.W.N. & Mackenbach, J.P. & Huisman, M. & Van Oyen, H. & Deboosere, P. & Gadeyne, S. & Kunst, A.E., 2005. "The contribution of specific diseases to educational disparities in disability-free life expectancy," American Journal of Public Health, American Public Health Association, vol. 95(11), pages 2035-2041.
    4. Wilma Nusselder & Caspar Looman, 2004. "Decomposition of differences in health expectancy by cause," Demography, Springer;Population Association of America (PAA), vol. 41(2), pages 315-334, May.
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