Fatores associados à funcionalidade em idosos usuários de uma unidade básica de saúde do município de Fortaleza

Abstract

Population-ageing is a worldwide phenomenon. The growth is due to the rise of life expectancy. In developed countries the growth of old people was followed by improvements in health and social security systems. On the other hand, in developing countries, the elderly face several difficulties, including access to health services. The objective: The present study has the objective of evaluate the funcionality, clinical and sociodemographic aspects in the elders. Methodology: This is a cross-sectional and analytical study. The study occurred in a Fortaleza’s primary health care unit. 170 people participated in the research aged 60 or over, of both sexes, registered as users and residents in the coverage area of the selected UAPS. Semi-structured questionnaires addressing sociodemographic aspects were applied, in addition to clinical and functional factors used to assess the elderly population. Word Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) was used to assess functionality. Mann-white and Kruskall-Wallis tests were used for bivariate analysis and Negative Binomial Regression Analysis for multivariate analysis. Age was associated with loss of functionality in all WHODAS domains (p<0,01). Respondents who presented clinical decompensation for some comorbidity had worse performances in the domains of self-care (p<0,05), school and work activities (p<0,05), participation (p<0,05) and in the total domain (p<0,01). Our findings reinforce the fundamental role of Primary Health Care as a strategic space for maintaining functionality in the elderly population.