SOCIOECONOMIC AND HEALTH CONDITIONS ASSOCIATED WITH QUALITY OF LIFE OF ELDERLY QUILOMBOLAS

Santos, Vanessa Cruz; Boery, Eduardo Nagib; Pereira, Rafael; Rosa, Darci de Oliveira Santa; Vilela, Alba Benemérita Alves; Anjos, Karla Ferraz dos; Boery, Rita Narriman Silva de Oliveira

doi:10.1590/0104-07072016001300015

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Original Article • Texto contexto - enferm. 25 (2) • 2016 • https://doi.org/10.1590/0104-07072016001300015 copy

SOCIOECONOMIC AND HEALTH CONDITIONS ASSOCIATED WITH QUALITY OF LIFE OF ELDERLY QUILOMBOLAS^¹ 1 Paper taken from the thesis - Quality of life and associated factors among elderly quilombolas, presented to the Programa de Pós-Graduação em Enfermagem e Saúde (PPGES), Universidade Estadual do Sudoeste da Bahia (UESB), in 2014.

CONDICIONES SOCIOECONÓMICAS Y DE SALUD ASOCIADAS CON LA CALIDAD DE VIDA DE ANCIANOS QUILOMBOLAS

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

This study aimed to identify the socioeconomic and health conditions associated with quality of life of elderly quilombolas. Cross-sectional, epidemiological and census study, conducted with 427 elderly individuals of a quilombola population enrolled in Family Health Strategies of 17 quilombas communities in Vitória da Conquista, Bahia, four districts of the region. Data collection was performed using tools and analyzed based on descriptive statistics and Spearman correlation (r_sp). The factors associated with some areas of Quality of Life and the General Quality of Life Index included the per capita income, the self-assessment of health status and the classification of depression cases, which most strongly affected the quality of life of the elderly quilombolas investigated. The expanded access to health services and the integrality of health care for this group are essential, particularly involving Family Health Teams.

DESCRIPTORS:
Quality of life; Health conditions; Mental health; Access to health services; Elderly; Vulnerable communities.

Categorical variables	n	%
Sex
Male	198	46.4
Female	229	53.6
Education
None/Illiterate	351	82.2
Primary	68	15.9
Secondary	8	1.9
Race/color
Black	200	46.8
Brown	227	53.2

Continuous variables	Mean	Standard deviation	Minimum	Maximum
Age (in years)	71	8.09	60	102
Monthly individual income (R$)*	806.46	304.81	0.00	1,448.00
Family income (R$)*	1,166.05	397.27	0.00	2,172
Per capita income (R$)*	417.32	231.81	0.00	1,448.00

Variables	n	%
Self-assessed health status
Excellent	14	3.3
Good	173	40.5
Bad	209	48.9
Very bad	31	7.3
Number of main self-referred health problems
Between one and five	353	82.7
Between six and eleven	22	5.1
No self-referred health problems	52	12.2
Main self-referred health problems
Systemic Arterial Hypertension	277	73.8
Back problems	67	17.8
Diabetes Mellitus	58	15.4
Hypercholesterolemia	49	13.0
No self-referred health problems	52	12.2
Self-assessed dental conditions
Excellent	2	0.5
Good	111	26.0
Bad	167	39.1
Very bad	147	34.4
Use of medicines
Yes	326	76.3
No	101	23.7
Satisfaction with health service
Does not use or does not need	107	25.1
Yes	71	16.6
No	247	57.8
N.A./U.A. ^*	2	0.5
Number of activities able to accomplish alone
Between one and seven	28	6.6
Between eight and fifteen	399	93.4
Number of leisure activities participating
Between one and eight	350	82.0
Between nine and 17	77	18.0
Classification of depression cases
No case of depression	301	70.5
Minor depression/depressed	112	26.2
Major depression	14	3.3

WHOQOL-bref domains	Education	Monthly individual income	Family income	Per capita income
Environmental	-0.066 (0.174)	0.132^† (0.006)	0.112^* (0.021)	0.146^† (0.003)
Physical	-0.039 (0.425)	-0.010 (0.840)	0.051 (0.292)	0.131^† (0.007)
Psychological	-0.157^† (0.001)	-0.043 (0.374)	0.043 (0.374)	0.156^† (0.001)
Social Relationships	0.045 (0.355)	0.104^* (0.032)	0.128^† (0.008)	0.158^† (0.001)
GQoL	-0.060 (0.213)	0.109^* (0.024)	0.083 (0.086)	0.131^† (0.007)

WHOQOL-bref domains	Self-assessed health status	No of health problems	Self-assessed dental conditions	No of medicines taken	Satisfaction with health service	No of activities accomplished alone	No of leisure activities participating	Classification of depression cases
Environmental	-0.394^† (0.000)	-0.327^† (0.000)	-0.216^† (0.000)	0.144^† (0.009)	-0.289^† (0.000)	0.199^† (0.000)	0.216^† (0.000)	-0.346^† (0.000)
Physical	-0.441^† (0.000)	-0.437^† (0.000)	-0.223^† (0.000)	0.255^† (0.000)	-0.211^† (0.000)	0.260^† (0.000)	0.265^† (0.000)	-0.280^† (0.000)
Psychological	-0.258^† (0.000)	-0.201^* (0.000)	-0.202^† (0.000)	0.062 (0.260)	-0.203^† (0.000)	0.148^† (0.002)	0.137^† (0.005)	-0.340^† (0.000)
Social relations	-0.122^* (0.012)	-0.182^† (0.000)	-0.076 (0.118)	-0.083 (0.135)	-0.164^† (0.003)	0.001 (0.978)	-0.017 (0.722)	-0.142^† (0.003)
GQoL	-0.705^† (0.000)	-0.623^† (0.000)	-0.378^† (0.000)	0.272^† (0.000)	-0.414^† (0.000)	0.155^† (0.001)	0.146^† (0.002)	-0.449^† (0.000)

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[1] Correspondence: Vanessa Cruz Santos Instituto de Saúde Coletiva Universidade Federal da Bahia Rua Basílio da Gama, s/n 40110-040- Canela, Salvador, BA, Brasil E-mail: vanessacrus@hotmail.com