AGING AND INDIVIDUAL VULNERABILITY: A PANORAMA OF OLDER ADULTS ATTENDED BY THE FAMILY HEALTH STRATEGY

Barbosa, Keylla Talitha Fernandes; Costa, Kátia Neyla de Freitas Macêdo; Pontes, Maria de Lourdes de Farias; Batista, Patrícia Serpa de Souza; Oliveira, Fabiana Maria Rodrigues Lopes de; Fernandes, Maria das Graças Melo

doi:10.1590/0104-07072017002700015

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Original Article • Texto contexto - enferm. 26 (02) • 2017 • https://doi.org/10.1590/0104-07072017002700015 copy

AGING AND INDIVIDUAL VULNERABILITY: A PANORAMA OF OLDER ADULTS ATTENDED BY THE FAMILY HEALTH STRATEGY^¹ 1 Article extracted from the dissertation-Vulnerabilidade física, social e programática de idosos atendidos na Atenção Primária de Saúde do município de João Pessoa, Paraíba, presented to the Programa de Pós-Graduação em enfermagem da Universidade Federal da Paraíba (UFPB) in 2015.

EL ENVEJECIMIENTO Y LA VULNERABILIDAD INDIVIDUAL: UN PANORAMA DE LOS ANCIANOS ASOCIADOS A LA ESTRATEGIA DE SALUD FAMILIAR

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

identifying conditions of individual vulnerability in older adults and investigating the relationship with health indicators through a household survey.

Method:

a descriptive cross-sectional study conducted with 368 older adults attended by the Family Health Strategy. Data collection was performed through a structured interview, supported by instruments that include sociodemographic characterization, health indicators and the Vulnerable Elders Survey. A descriptive data analysis and Person's chi-square test were also performed.

Results:

a prevalence of 52.2% individual vulnerability was found among older adults, in addition to an association with health problems, negative self-perception of health, difficulty with mobility and in performing activities of daily living.

Conclusion:

identifying vulnerability among the aged population is a relevant initiative for the adequacy of health policies and programs that prioritize the promotion of aging with the maintenance of functional capacity.

DESCRIPTORS:
Vulnerability health; Older adults; Primary health care; Nursing.

Variable	Individual vulnerability				p-value
	Yes		No
	n	%	n	%
Sex					0.115
Female	139	72.4	114	64.7
Male	53	27.6	62	35.3
Age group					0.001
60 to 69 years	61	31.8	108	61.5
70 to 79 years	79	41.1	62	35.3
80 or more	52	27.1	06	3.2
Marital status					0.001
Married	63	32.8	84	47.7
Widower	97	50.5	44	25.0
Single	22	11.5	25	14.2
Other	10	5.2	23	13.1
Years of schooling					0.002
none	72	37.5	44	25.0
1 to 3 years	47	24.5	32	18.2
4 to 8 years	54	28.1	66	37.5
5 years or more	19	9.9	34	19.3
Family income					0.588
Less than one minimum wage	6	3.1	8	4.5
1 to 3 minimum salaries	153	79.7	144	81.8
3.4 to 5 minimum wages	26	13.5	20	11.4
6 to 10 minimum wages	7	3.7	4	2.3
Total	192	100	176	100

Variable	Individual vulnerability					p-value
	Yes		No		Total
	n	%	n	%	n (%)
Impaired vision	169	55	138	45	307 (100)	0.035
Arterial hypertension	155	55.4	125	44.6	280 (100)	0.200
Rheumatism	100	61.7	62	38.3	162 (100)	0.001
Memory Problems	79	66.4	40	33.6	119 (100)	0.001
Hearing impairment	67	66.3	34	33.7	101 (100)	0.001
Diabetes mellitus	63	57.8	46	42.2	109 (100)	0.990
Depression	49	51.6	46	48.4	95 (100)	0.493

Variable	Individual vulnerability				p-value
	Yes		No
	n	%	n	%
Self-assessment of health					0.001
Bad or regular	115	59.9	44	25.0
Good, very good or excellent	77	40.1	132	75.0
Referred Mobility
Bending, kneeling, or squatting	165	62.0	101	38.0	0.001
Lifting or carrying weight of approximately 5kg	146	70.5	61	29.5	0.001
Raising or lifting the arm above shoulder level	89	71.2	36	28.8	0.001
Writing or handling small objects	78	67.8	37	32.2	0.001
Walking 400m	128	76.6	39	23.4	0.001
instrumental activities of daily living
Shopping	100	84.0	19	16.0	0.001
Managing own finances	92	76.0	29	24.0	0.001
Performing simple household chores	84	77.8	24	22.2	0.001
Performing heavy housework chores	158	71.2	64	28.8	0.001
Instrumental activities of daily
Bathing alone	71	74.7	24	25.3	0.001
Walking across a room unassisted	49	80.3	12	19.3	0.001

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] Correspondence: Keylla Talitha Fernandes Barbosa Rua Etelvina Macedo de Mendonça, 630 58040-530 - Torre, João Pessoa, PB, Brasil E-mail: keyllafernandes@gmail.com