Family structure and its impacts on the restrictions of self-perception of elderly health levels in Brazil

Cruz, Mércia Santos da; Araujo, Jair Andrade; Paixão, Adriano Nascimento da

doi:10.1590/1413-81232018238.18102016

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FREE THEMES • Ciênc. saúde colet. 23 (8) • Aug 2018 • https://doi.org/10.1590/1413-81232018238.18102016 copy

Family structure and its impacts on the restrictions of self-perception of elderly health levels in Brazil

Estrutura familiar e seus impactos sobre as restrições da autopercepção dos níveis de saúde dos idosos no Brasil

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

The aim of the article is to investigate the impacts of co-residence over spouce and\or children on self-perceived health among Brazilian elderly. The database used was the health supplement of the National Sample Survey of Households (PNAD) conducted by the Brazilian Institute of Geography and Statistics (IBGE) in 2008. The sample consists of 36 551 people from all regions of the country such as urban areas and rurals. The results indicate that seniors with better socioeconomic status, who don’t have physical mobility problems are more propenspos to a better self report among their health, regardless of the gender of the elderly. Regarding the impact of co-residence family health of respondents, living with daughters increases the probability that perception is better (specifically good or very good). Moreover,the results are consistent with the hypothesis that elderly brazilians realize better their health with home living with daughters and/or spouse.

Elderly; Self-perception; Ordered logit

Dimentions	Derivated Variables	Indicators
Familiar Composition	Psons	$X_{i, 1}^{1} = \{\begin{array}{c} 1, l i v e s o n l y w i t h s o n s \\ 0, i f n o t \end{array}$
	Pdaughters	$X_{i, 1}^{2} = \{\begin{array}{c} 1, l i v e s o n l y w i t h d a u g h t e r s \\ 0, i f n o t \end{array}$
	Pcff	$X_{i, 1}^{3} = \{\begin{array}{c} 1, l i v e s w i t h s p o u s e s a n d c h i l d r e n \\ 0, i f n o t \end{array}$
	Conjsons	$X_{i, 1}^{3} = \{\begin{array}{c} 1, l i v e s w i t h s p o u s e s a n d s o n \\ 0, i f n o t \end{array}$
	Conjdaughters	$X_{i, 1}^{3} = \{\begin{array}{c} 1, l i v e s w i t h s p o u s e s a n d d a u g h t e r s \\ 0, i f n o t \end{array}$
	Npcmff	$X_{i, 1}^{3} = \{\begin{array}{c} 1, d o e s n' t h a v e s p o u s e s a n d l i v e s w i t h c h i l d r e n \\ 0, i f n o t \end{array}$
	Psc	$X_{i, 1}^{3} = \{\begin{array}{c} 1, o n l y l i v e s w i t h s p o u s e s a n d h a v e n o c h i l d r e n \\ 0, i f n o t \end{array}$
Socioeconomics	Studying years	$X_{i, 2}^{1} = \{0 t o 16 y e a r s$
Socioeconomics	Family income	$X_{i, 2}^{2} = \{0 t o 7 l e v e l s$
Demographics	Age	$X_{i, 3}^{1} = \{Y e a r s o f a g e$
Demographics	Nº of persons by room	$X_{i, 3}^{2} = \{\begin{cases} 1, i f < 3 \\ 0, i f n o t \end{cases}$
Health	Fisical Mobility	$X_{i, 4}^{1} = \{\begin{array}{c} 1, i f h a s d i f i c u l t y i n m o v i n g a n d o r d o i n g t a s k s a n d o r f e e d i n g \\ 0, i f n o t \end{array}$
	Decease mobility	$X_{i, 4}^{2} = \{\begin{array}{c} 1, i f n o t \\ 0, i f y e s \end{array}$
	Health plan	$X_{i, 4}^{3} = \{\begin{array}{c} 1, i f n o t \\ 0, i f y e s \end{array}$
Regions	North	$X_{i, 5}^{1} = \{{\begin{array}{c} 1, i f r e s i d e s o n N o r t h \\ 0, i f n o t \end{array}$
	Northeast	$X_{i, 5}^{2} = \{\begin{array}{c} 1, i f r e s i d e s o n N o r t h e a s t \\ 0, i f n o t \end{array}$
	South	$X_{i, 5}^{3} = \{\begin{array}{c} 1, i f r e s i d e s o n S o u t h \\ 0, i f n o t \end{array}$
	Southeast	$X_{i, 5}^{4} = \{{\begin{array}{c} 1, i f r e s i d e s o n S o u t h e a s t \\ 0, i f n o t \end{array}$
	Midwest	$X_{i, 5}^{5} = \{{\begin{array}{c} 1, i f r e s i d e s o n M i d w e s t \\ 0, i f n o t \end{array}$

Reported Health Status	Percentage
Very Good	2,96
Good	11,06
Regular	42,11
Bad	36,42
Very Bad	7,45
Total	100,00

Variables	Average	Minimum	Maximum
Age	70,70	61	108
Family income strip	3,88	0	7
Studying years	4,90	0	16
Psons – lives only with sons	0,07	0	1
Pdaughters – lives only with daughters	0,06	0	1
Pcff - lives with spouses and children	0,07	0	1
Conjsons – lives with spouses and sons	0,13	0	1
Conjdaughters – lives with spouses and daughters	0,10	0	1
Npcmff – don’t have spouse but lives with children	0,16	0	1
Psc - Just lives with spouse, but no children	0,30	0	1
South	0,15	0	1
Northeast	0,26	0	1
Southwest	0,46	0	1
Midwest	0,06	0	1
Urban	0,82	0	1
Physical Mobility	0,38	0	1
Mobility affected by decease	0,77	0	1
Health plan	0,28	0	1

Variables	Men					Women
Variables	Y = Very good	Y = Good	Y = Regular	Y = Bad	Y = Very Bad	Y=Very good	Y = Good	Y = Regular	Y = Bad	Y = Very Bad
Age	0,0001	0,0005	0,0009	-0,0013	-0,0002	3,88e-06	0,00006	-0,0015	0,0007	0,0007
Age	(0,009)	(0,008)	(0,008)	(0,008)	(0,008)	(0,953)	(0,754)	(0,008)	(0,187)	(00,000)
Family income	-0,0030	-0,0141	-0,0261	0,0362	0,0070	-0,0096	-0,0073	-0,0205	0,01982	0,0089
Family income	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,061)	(0,000)	(0,000)	(0,000)	(0,000)
Studying years	-0,00095	-0,0045	-0,0083	0,0115	0,00223	-0,0007	-0,0039	-0,0114	0,0133	0,0028
Studying years	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)
Psons	-0,0018	-0,0084	-0,0168	0,0225	0,0045	-0,00333	-0,0079	0,0318	-0,0127	-0,0077
Psons	(0,437)	(00,440)	(0,475)	(0,459)	(0,477)	(0,039)	(0,170)	(0,084)	(0,515)	(0,115)
Pdaughters	-0,0020	-0,0094	-0,0191	0,02537	0,0051	-0,00170	-0,0088	-0,0281	0,0314	0,0072
Pdaughters	(0,393)	(00,396)	(0,438)	(0,419)	(0,440)	(0,048)	(0,048)	(0,067)	(0,058)	(0,078)
Pcff	-0,0020	-0,0009	-0,0017	0,0024	0,0004	0,0003	-0,0006	0,0616	-0,0409	-0,0203
Pcff	00,861	(00,861)	(0,872)	(0,862)	(0,862)	(0,905)	(0,923)	(0,000)	(0,019)	(0,000)
Conjsons	0,0022	0,0102	0,0174	-0,0251	-0,00469	0,0025	0,0046	0,0654	-0,0537	-0,0188
Conjsons	(0,044)	(0,041)	(0,028)	(0,034)	(0,029)	(0,203)	(0,406)	(0,000)	(0,000)	(0,000)
Conjdaughters	-0,0004	-0,0018	-0,0035	0,0048	0,0009	-0,0022	0,0057	0,0629	-0,0498	-0,0166
Conjdaughters	(0,695)	(00,695)	(0,699)	(0,697)	(0,699)	(0,261)	(0,358)	(0,000)	(0,002)	(0,000)
Npcmff	-0,0018	-0,0087	-0,0035	0,0231	0,0046	0,00078	0,0040	0,0114	-0,0134	-0,0028
Npcmff	(0,334)	(0,337)	(0,366)	(0,352)	(0,371)	(0,368)	(0,368)	(0,354)\|	(0,360)	(0,351)
Psc	0,0017	0,0082	0,0146	-0,0206	-0,00392	0,00412	0,0209	0,0557	-0,0671	-0,01357
Psc	(0,053)	(0,050)	(0,046)	(0,048)	(0,046)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)
South	-0,0056	-0,0271	0,06129	0,0771	0,0168	-0,0027	-0,0140	-0,0454	0,0504	0,01180
South	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,001)	(0,000)	(0,000)	(0,001)	(0,003
Northeast	-0,0019	-0,0092	-0,01792	0,0243	0,0048	-0,0001	-0,0009	-0,0028	0,0032	0,0006
Northeast	(0,003)	(0,034)	(0,045)	(0,040)	(0,047)	(0,822)	(0,822)	(0,823)	(0,823)	(0,824)
Southeast	-0,0069	-0,0329	-0,0616	0,0847	0,0168	0,0004	-0,0180	-0,0568	0,0661	0,0083
Southeast	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,741)	(0,000)	(0,000)	(0,000)	(0,043)
Midwest	-0,0047	-0,0228	-0,0528	0,0658	0,0145	-0,0016	-0,0083	-0,0265	0,0296	0,0067
Midwest	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,054)	(0,054)	(0,073)	(0,064)	(0,085)
Urban	0,0077	0,00861	-0,0405	0,0190	0,0051	0,0038	-0,0008	-0,0136	-0,0024	0,0130
Urban	(0,000)	(0,135)	(0,002)	(0,106)	(0,164)	(0,005)	(0,857)	(0,330)	(0,862)	(0,006)
Physical Mobility	0,0529	0,18239	0,0992	-0,2862	-0,0483	0,0420	0,1219	0,1441	-0,2598	-0,0483
Physical Mobility	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)
Mobility affected by decease	0,0091	0,0702	0,2638	-0,2589	-0,08429	0,0090	0,0509	0,2819	-0,2661	0,0758
Mobility affected by decease	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)
Health Plan	0,0079	-0,00554	-0,0150	0,0086	0,0039	-0,0035	-0,0253	-0,0220	0,0402	0,0106
Health Plan	(0,003)	(0,346)	(0,228)	(0,469)	(0,184)	(0,008)	(0,000)	(0,043)	(0,000)	(0,004)
Statistics F	150,14	-	Observations	36.551		98,84	-	Observations	36.457	-
Statistics F	(0,000)					(0,00)

Variables	Less = to 69 years					Over 70 years
Variables	Y = Very good	Y = Good	Y = Regular	Y = Bad	Y = Very Bad	Y=Very good	Y = Good	Y = Regular	Y = Bad	Y = Very Bad
Age	0,00001	0,00009	0,0002	-0,0003	-0,00006	0,00004	0,0005	-0,0040	0,0031	0,0002
Age	(0,800)	(0,799)	(0,797)	(0,798)	(0,796)	(0,618)	(0,056)	(0,000)	(0,000)	(0,359)
Family income	-.0028	-0,0130	-0,0172	0,0254	0,0076	-0,0007	-0,0095	-0,0234	0,0231	0,0002
Family income	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,225)	(0,000)	(0,000)	(0,000)	(0,000)
Studying years	-.0008	-0,0041	-0,0107	0,0130	0,0025	-.0007	-0,0036	-0,0087	0,0107	0,0024
Studying years	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)
Psons	-.00002	-0,0001	-0,0003	0,0004	0,00009	7.49e-06	0,00003	0,00008	-0,0001	-0,00002
Psons	(0,983)	(0.983)	(0,983)	(0,983)	(0,983)	(0,996)	(0,996)	(0,996)	(0,996)	(0,996)
Pdaughters	-0,0031	-0,0161	-0,0495	0,0562	0,0125	-0,0007	-0,0034	-0,0085	0,0104	0,0023
Pdaughters	(0,004)	(0,004)	(0,013)	(0,008)	(0,020)	(0,608)	(0,608)	(0,619)	(0,615)	(0,621)
Pcff	0,0029	0,01463	0,0335	-0,0432	-0,0079	0,0036	0,0164	0,0333	-0,0442	-0,0091
Pcff	(0,002)	(0,002)	(0,000)	(0,001)	(0,000)	(0,006)	(0,003)	(0,000)	(0,001)	(0,001)
Conjsons	0,0029	0,0176	0,0401	-.0518	-0,0094	.0070	0,0311	0,0572	-.0795	-0,0158
Conjsons	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)
Conjdaughters	0,0034	0,0171	0,0386	-.0501	-0,0091	.0026	0,0120	0,0255	-0,0332	-0,0070
Conjdaughters	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,014)	(0,010)	(0,004)	(0,006)	(0,004)
Npcmff	0,0005	0,0026	0,0068	-.0083	-0,0016	-0,0006	-.0030	-0,0073	0,0090	0,0020
Npcmff	(0,642)	(0,642)	(0,635)	(0,638)	(0,634)	(0,616)	(0,618)	(0,626)	(0,622)	(0,628)
Psc	0,0043	0,0216	0,0513	-.0651	-0,0122	0,0053	0,0243	0,0515	-.0671	-0,0142
Psc	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)
South	0,0041	-0,0121	-0,0867	0,0736	0,0211	-0,0044	-.0209	-0,0586	0,0672	0,0167
South	(0,181)	(0,171)	(0,000)	(0,001)	(0,001)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)
Northeast	0,0040	-0,0073	-0,0207	0,0127	0,0112	-.0007	-0,0036	-0,0088	0,0108	0,0024
Northeast	(0,120)	(0,262)	(0,303)	(0,514)	(0,033)	(0,390)	(0,388)	(0,399)	(0,394)	(0,400)
Southeast	0,0034	-0,0200	-0,0914	0,0900	0,0180	-0,00469	-.0215	-0,0518	0,0636	0,0144
Southeast	(0,115)	(0,001)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)
Midwest	-0,0025	-0,0127	-.0378	0,0436	0,0094	-0,0033	-.0158	-0,0443	0,0509	0,0126
Midwest	(0,006)	(0,005)	(0,012)	(0,008)	(0,018)	(0,000)	(0,000)	(0,002)	(0,001)	(0,003)
Urban	0,0041	0,0029	-.0377	0,0223	.0083	0,0068	-.0002	-0,0150	.00006	0,0084
Urban	(0,011)	(0,568)	(0,007)	(0,094)	(0,020)	(0,000)	(0,958)	(0,266)	(0,996)	(0,120)
Physical mob.	0,0428	0,1345	0,1537	-0,2853	-0,0457	0,0483	0,1417	0,1045	-0,2460	-.04859
Physical mob.	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)
Decease mob.	0,0087	0,0615	0,2884	-0,2685	-0,0902	0,090	0,0512	0,2461	-0,2378	-0,0685
Decease mob.	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)
Health plan	0,0013	-.0204	-0,0257	0,0381	0,0066	-0,0025	-0,0116	-0,0291	0,0352	0,0081
Health plan	(0,484)	(0,000)	(0,029)	(0,001)	(0,054)	(0,000)	(0,000)	(0,000)	(0,000)	(0,000)
Statistics F	125.99	-	Observations	19.132	-	113,16	-	Observations	17.419	-
Statistics F	(0,00)					(0,000)

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[1] Collaborations

MS Cruz worked on research and review of analyzes and methods of the article; JA Araujo worked on the analysis of the article; AN Paixão worked on article research and discussion.