Disability and multimorbidity in women older than 50 years: a population-based household survey

作者：Aguiar Luiza Borges; Baccaro Luiz Francisco; Santos Machado Vanessa de Souza; Pinto Neto Aarao Mendes; Costa Paiva Lucia^*

来源：Menopause-The Journal of the North American Menopause Society, 2015, 22(6): 660-666.

DOI：10.1097/gme.0000000000000355

• Disability evaluation
• Menopause
• Risk factors
• Lifestyle
• Exercise
• Morbidity

Objective: This study aims to evaluate the prevalence of disability and associated factors in Brazilian women older than 50 years.
Methods: We conducted a cross-sectional study (in the form of a population survey) of 622 women older than 50 years and residing in Campinas, Brazil. Disability was assessed through a questionnaire with seven items and defined as "being completely unable to perform any of them.[Independent variables included self-perception of health, sociodemographic data, health-related habits, and morbidities. Statistical analysis was carried out by chi(2) test and Poisson regression.
Results: The mean age of women was 64.1 years, and the prevalence of disability was 43.4%. Age (prevalence ratio [PR], 1.02; 95% CI, 1.01-1.03), fear of falling (PR, 1.59; 95% CI, 1.17-2.16), higher body mass index (PR, 1.03; 95% CI, 1.01-1.05), personal history of myocardial infarction (PR, 1.36; 95% CI, 1.06-1.76), smoking more than 15 cigarettes per day (PR, 1.34; 95% CI, 1.04-1.72), hospitalization in the past year (PR, 1.29; 95% CI, 1.03-1.62), multimorbidity (PR, 1.43; 95% CI, 1.02-2.02), and use of any medication prescribed by a doctor (PR, 1.57; 95% CI, 1.02-2.41) were associated with a higher prevalence of disability. Self-perception of health as good/very good (PR, 0.67; 95% CI, 0.52-0.86), use of alternative medications (PR, 0.54; 95% CI, 0.33-0.90), and more years of schooling (PR, 0.65; 95% CI, 0.45-0.93) were associated with a lower prevalence of disability.
Conclusions: The results improve our understanding of the factors associated with disability in Brazilian women and may help identify those who need multidisciplinary support to reduce effects on quality of life.

• 出版日期2015-6