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Rev Saude Publica. 2018 Oct 25;52Suppl 2(Suppl 2):14s. doi: 10.11606/S1518-8787.2018052000617.

Inequalities in basic activities of daily living among older adults: ELSI-Brazil, 2015.

Author information

1
Fundação Oswaldo Cruz. Instituto René Rachou. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brasil.
2
Fundação Oswaldo Cruz. Instituto René Rachou. Programa de Pós-Graduação em Saúde Coletiva. Belo Horizonte, MG, Brasil.
3
Universidade de São Paulo. Escola de Enfermagem. São Paulo, SP, Brasil.
4
Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
5
University of Illinois at Urbana-Champaign. Kinesiology and Community Health. Champaign, IL, USA.

Abstract

OBJECTIVE:

To evaluate the magnitude of wealth-related inequalities in basic activities of daily living among community-dwelling Brazilian older adults and to determine the contribution of demographic, socioeconomic, and health conditions to the inequality.

METHODS:

We used data from the 2015 Brazilian Longitudinal Study of Aging (ELSI-Brazil) with a nationally representative sample of adults aged 50 years or older. We assessed wealth-related inequalities in basic activities of daily living by the concentration index. Concentration index was decomposed to determine the contribution of demographic, health, and socioeconomic factors to wealth-related inequalities in basic activities of daily living.

RESULTS:

The prevalence of disability in the sample was 15.7% (95%CI 14.9-17.6). The concentration index was -0.145 (95%CI -0.194- -0.097), which indicates that disability is concentrated in the poorest individuals in Brazil. Inequalities in basic activities of daily living disability are primarily explained by socioeconomic status (wealth and own education) not by demographic or health factors.

CONCLUSIONS:

There are avoidable wealth-related inequities for those with a disability in Brazil. The strong contribution of the socioeconomic status highlights the need for new public health policies that promote equity, universality, and integrality, in addition to the expansion of home nursing public services.

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