Health profile of older adults assisted by the Elderly Caregiver Program of Health Care Network of the City of São Paulo

Andrade, Suzana Carvalho Vaz de; Marcucci, Rosa Maria Bruno; Faria, Lilian de Fátima Costa; Paschoal, Sérgio Márcio Pacheco; Rebustini, Flávio; Melo, Ruth Caldeira de

doi:10.31744/einstein_journal/2020AO5263

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ORIGINAL ARTICLE • Einstein (São Paulo) 18 • 2020 • https://doi.org/10.31744/einstein_journal/2020AO5263 copy

Health profile of older adults assisted by the Elderly Caregiver Program of Health Care Network of the City of São Paulo

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

To assess the health profile of community-dwelling older adults, according to sex, assisted by the Elderly Caregiver Program of the City of São Paulo.

Methods

Secondary data of 535 older adults, assisted by ten Elderly Caregiver Program teams from the southern region of São Paulo, were collected from medical records and the Multidimensional Evaluation of Older People in Primary Care, after verifying the inclusion and exclusion criteria for the study and obtaining subjects’ consent.

Results

Older adults assisted by this program were predominantly female (77.6%), mean age of 76.2±8.0 years. They had negative self-rated health (67.8%), difficulties in instrumental activities of daily living (68.4%) and signs of mood changes (60.3%). A high prevalence of older adults with vision problems (58.8%), polypharmacy (58.1%), memory-related complaints (55.8%) and multiple morbidities (50.6%) were observed. The prevalence of multiple morbidities, polypharmacy, cognitive impairment and signs of mood changes were higher in women. On the other hand, men reported more hearing problems than women.

Conclusion

The poorer health conditions of the older adults in this study, evidenced by a high prevalence of subjects with negative self-rated health, difficulties in instrumental activities of daily living, multiple morbidities, polypharmacy and other complaints (sensorial changes, depressive and cognitive symptoms), reinforce the importance of this program as a long-term care policy and as a way to ensure these older adults can continue living in their communities.

Home care services; Home health aides; Healthcare models; Health profile; Health services for the aged; Aged

Parameter	Question	Answers	Total (%)	Female (%)	Male (%)	p value
Parameter	Question	Answers	(n=535)	(n=415)	(n=120)	p value
1. Age	How old are you?	60-74 years	42.5	44.2	36.6
		75-89 years	53.6	53.7	56.7	NS
		>90 years	3.9	3.1	6.7
2. Self-rated health	Overall, compared with other people your age, would you say your health is:	Very good/good	32.2	30.3	38.3	NS
2. Self-rated health		Fair/poor/very poor	67.8	69.7	61.7	NS
3. Family arrangement	Do you live by yourself?	No	74.2	72.5	80.0	NS
3. Family arrangement	Do you live by yourself?	Yes	25.8	27.5	20.0	NS
4. Chronic conditions	Do you have/Have you had any of the following conditions?^*	None	4.1	3.6	5.8	<0.01
		1 or 2	45.3	42.3	55.8
		3 or +	50.6	54.1	38.3
5. Medications	How many medications do you take on a daily basis?	1 to 4	41.9	37.4	57.5	<0.01
5. Medications	How many medications do you take on a daily basis?	5 or +	58.1	62.6	42.5	<0.01
6. Hospitalizations	How many times were you admitted to a hospital in the past 12 months?	None	82.7	83.3	80.8	NS
		Once	14.3	13.7	16.7
		≥Twice	3.0	3.1	2.5
7. Falls	How many times did you fall in the last 12 months?	None	61.2	61.0	62.2	NS
		Once	20.5	19.9	22.7
		≥Twice	18.2	19.1	15.1
8. Vision	Do you have any difficulty seeing? (even with glasses)	No	41.2	41.4	40.7	NS
8. Vision	Do you have any difficulty seeing? (even with glasses)	Yes	58.8	58.6	59.3	NS
9. Hearing	Do you have any difficulty hearing or do people think your hearing is poor?	No	58.9	62.8	45.2	<0.01
9. Hearing		Yes	41.1	37.2	54.6	<0.01
10. Physical limitation	Does the subject have any physical limitation?^†	No	53.3	48.9	60.8	NS
10. Physical limitation	Does the subject have any physical limitation?^†	Yes	46.7	51.1	39.2	NS
11. Cognition	Does the subject have any sign of cognitive impairment?^‡	No	44.2	41.8	52.5	<0.05
11. Cognition	Does the subject have any sign of cognitive impairment?^‡	Yes	55.8	58.2	47.5	<0.05
12. Mood	Does the subject show any mood changes?^§	No	39.7	36.0	52.5	<0.01
12. Mood	Does the subject show any mood changes?^§	Yes	60.3	64.0	47.5	<0.01
13. BADL	Does the subject need help with any BADL?^¶	No	82.6	83.8	78.3	NS
13. BADL	Does the subject need help with any BADL?^¶	Yes	17.4	16.2	21.7	NS
14. IADL	Does the subject need help with any IADL?^&	No	31.6	30.1	36.7	NS
14. IADL	Does the subject need help with any IADL?^&	Yes	68.4	69.9	63.3	NS
15. Incontinence	Does the subject have any sign of incontinence?^#	No	58.7	58.2	60.5	NS
15. Incontinence	Does the subject have any sign of incontinence?^#	Yes	41.3	41.8	39.5	NS
16. Unintentional weight loss	In the last 12 months, did you lose weight without dieting or changing your lifestyle habits?	No	74.3	73.2	78.0	NS
16. Unintentional weight loss		Yes	25.7	26.8	22.0	NS
17. Oral health	Does the subject have any oral health or food intake problems?**	No	48.7	47.5	52.9	NS
17. Oral health		Yes	51.3	52.5	47.1	NS

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[1] Corresponding author: Ruth Caldeira de Melo Av.enida Arlindo Béttio, 1.000, Vila Guaraciaba Zip code: 03828-000 − São Paulo, SP, Brazil Phone: (55 11) 3091-8136 E-mail: ruth.melo@usp.br