Historical and current predictors of self-reported health status among elderly persons in Barbados
Rev. panam. salud pblica
; 17(5/6): 342-352, May-June 2005. ilus, tab
Artigo
em Inglês
| MedCarib
| ID: med-17057
Biblioteca responsável:
TT5
Localização: TT5; W1 RE712AW
ABSTRACT
OBJECTIVE. To understand the relative contribution of past events and of current experiences as determinants of health status among the elderly in the Caribbean nation of Barbados, in order to help develop timely public health interventions for that population. METHODS. The information for this prevalence study was collected in Barbados between December 1999 and June 2000 as part of the "SABE project," a multicenter survey in seven urban areas of Latin America and the Caribbean that evaluated the determinants of health and well-being in elderly populations (persons 60 and older). We used ordinal logistic regression to model determinants of self-reported health status, and we assessed the relative contribution of historical socioeconomic indicators and three current modifiable predictor groups (current socioeconomic indicators, lifestyle risk factors, and disease indicators), using simple measures of association and model fit. RESULTS. Historical determinants of health status accounted for 5.2 percent of the variation in reported health status, and this was reduced to 2.0 percent when mediating current experiences were considered. Current socioeconomic indicators accounted for 4.1 percent of the variation in reported health status, lifestyle risk factors for 7.1 percent, and current disease indicators for 33.5 percent. CONCLUSIONS. Past socioeconomic experience influenced self-reported health status in elderly Barbadians. Over half of this influence from past events was mediated through current socioeconomic, lifestyle, and disease experiences. Caring for the sick and reducing lifestyle risk factors should be important considerations in the support of the elderly. In addition, ongoing programs for poverty reduction and increased access to health care and education should be considered as long-term strategies to improve the health of the future elderly (AU)
Buscar no Google
Coleções:
Bases de dados internacionais
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
Problema de saúde:
Objetivo 11 Desigualdades e iniquidades na saúde
Base de dados:
MedCarib
Assunto principal:
Fatores Socioeconômicos
/
Barbados
/
Idoso
/
Nível de Saúde
Tipo de estudo:
Ensaio clínico controlado
/
Estudo prognóstico
Aspecto:
Determinantes sociais da saúde
/
Equidade e iniquidade
/
Preferência do paciente
Limite:
Idoso
/
Humanos
País/Região como assunto:
Barbados
/
Caribe Inglês
Idioma:
Inglês
Revista:
Rev. panam. salud pblica
Ano de publicação:
2005
Tipo de documento:
Artigo
Instituição/País de afiliação:
University of the West Indies/Barbados
/
University of the West Indies/Jamaica