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Search Results: 1 - 10 of 42449 matches for " Elizabeth;Lima-Costa "
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An anthropologic study on strategies for addressing health problems among the elderly in Bambuí, Minas Gerais State, Brazil
Uch?a, Elizabeth;Firmo, Josélia O. A.;Lima-Costa, Maria Fernanda;Corin, Ellen;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011001500007
Abstract: this paper explores the contribution of anthropological perspectives for clarifying the mechanisms through which socioeconomic circumstances influence the strategies developed by elderly for addressing their health problems in a small brazilian city. interviews with 20 key-informants explored the community's broad perception of the health situation of the elderly. life histories collected from 30 elderly women examined their own perception of their health status and their health strategies. narratives converge in emphasising the important role played by financial factors in accessing health services and medication. life histories also describe some damaging strategies resorted to by the elderly to deal with their lack of resources. elderly women emphasize the crucial support they receive from their family and/or neighbours to overcome health problems. thus, the issue of poverty is not only a matter of socioeconomic circumstances, but also the poverty of broader social networks.
Projeto Bambuí: fatores associados ao conhecimento da condi??o de hipertenso entre idosos
Firmo, Josélia Oliveira Araújo;Uch?a, Elizabeth;Lima-Costa, Maria Fernanda;
Cadernos de Saúde Pública , 2004, DOI: 10.1590/S0102-311X2004000200019
Abstract: this study aimed to assess factors associated with awareness of hypertension among older adults living in the community. all the 919 hypertensive participants (aged: > 60 years) from the baseline cohort in bambui, minas gerais state, brazil, were selected. 76.6% of these individuals did not know that they were hypertensive. the following variables showed both a positive and independent association with awareness of being hypertensive: female gender (or = 2.04; 1.45-2.87); health perception as bad/very bad (or = 1.93; 1.16-3.20); attempt to lose weight in the last 12 months (or = 1.86; 1.14-3.04); number of visits to a doctor during this period (1-3: or = 2.14; 1.34-3.41; > 4: or = 2.23; 1.76-5.03), and less time elapsed since the last blood pressure measurement (or = 2.97; 1.69-4.93). a negative association was found for age > 80 years (or = 0.40; 0.24-0.68). these results call our attention to the importance of: 1) access to health services by senior citizens, so that their hypertension is diagnosed and treated and 2) information provided by the health care service, so that individuals are aware of being hypertensive and can receive satisfactory treatment.
Bambuí Project: a qualitative approach to self-medication
Loyola Filho, Ant?nio I. de;Lima-Costa, Maria Fernanda;Uch?a, Elizabeth;
Cadernos de Saúde Pública , 2004, DOI: 10.1590/S0102-311X2004000600025
Abstract: representations related to self-medication were investigated, seeking to identify contextual elements that can reinforce or inhibit such practice. an anthropological approach based on the model of signs, meanings, and actions was used. twenty-nine inhabitants from the town of bambuí, minas gerais state, brazil, were interviewed (17 women and 12 men), selected among participants in a health survey that had been on medication in the previous 90 days. the research focused on the identification of different types of self-medication practiced by the interviewee or by a relative, and then "ways of thinking and behaving" associated with this practice were investigated. the influence of pharmacists/drugstore sales attendants as well as family and friends, perception of the health problem as transitory and a minor issue, familiarity with and easy access to certain pharmaceuticals, as well as difficulties in access to (and negative assessment of) health care were determinant factors for self-medication.
Differences in self-rated health among older adults according to socioeconomic circumstances: the Bambuí Health and Aging Study
Lima-Costa, Maria Fernanda;Firmo, Josélia Oliveira Araújo;Uch?a, Elizabeth;
Cadernos de Saúde Pública , 2005, DOI: 10.1590/S0102-311X2005000300017
Abstract: self-rated health is influenced by socioeconomic circumstances, but related differences in its structure have received little attention. the objective of this study was to examine whether self-rated health structure differs according to socioeconomic circumstances in later life. the study included 1,505 individuals (86.4%) residing in bambui and aged 60 years or older. correlates of self-rated health among lower-income older adults (monthly household income < us$ 240.00) and higher-income seniors were assessed. social network stood out as a major factor in the structure of self-rated health among the poorest. psychological distress was independently associated with worse self-rated health among the poorest, while perceptions by the wealthiest were broader, including psychological distress, insomnia, trypanosoma cruzi infection, use of medications, and access to health services. physician visits and hospitalizations were associated with self-rated health in both groups. our results show important differences in the structure of self-rated health according to socioeconomic circumstances and reinforce the need for policies to reduce health inequalities in later life.
Projeto Bambuí: a experiência do cuidado domiciliário por esposas de idosos dependentes
Giacomin, Karla C.;Uchoa, Elizabeth;Lima-Costa, Maria Fernanda F.;
Cadernos de Saúde Pública , 2005, DOI: 10.1590/S0102-311X2005000500024
Abstract: this paper investigates the characteristics of caregiving and the experience of women that care for their elderly husbands in bambuí, minas gerais, brazil. among the elderly population in this community, the authors interviewed ten wives, using a survey exploring the main themes on the subject of caregiving. the data were interpreted based on an anthropological model of analysis. this model places the interaction between the individual and the context in the center of the interpretative process, underlying the construction and expression of diverse forms of human experience. the results of the survey highlighted the role, responsibilities, and obligations of women in brazilian society with respect to caregiving for dependent elders. women are seen as "natural" caregivers, whereby it is their given obligation to take care of their husbands, providing all kinds of support. both the individual in need of care and the caregiver live the reality of functional disability in a society lacking the proper mechanisms to provide for the elderly population. the current study clearly shows the need to systematize home caregiving in brazilian society.
Estudo epidemiológico de base populacional sobre uso de medicamentos entre idosos na Regi?o Metropolitana de Belo Horizonte, Minas Gerais, Brasil
Loyola Filho, Ant?nio I. de;Uchoa, Elizabeth;Lima-Costa, Maria Fernanda;
Cadernos de Saúde Pública , 2006, DOI: 10.1590/S0102-311X2006001200015
Abstract: the aim of this study was to investigate the use of medication and associated factors (sociodemographics, health conditions, and health services use) in a representative sample of 1,598 elderly individuals (60+ years) in greater metropolitan belo horizonte, minas gerais state, brazil. the dependent variable was the number of drugs used in the preceding two weeks. prevalence of medication was 72.1%, and mean consumption was 2.18 drugs, most of which acting on the cardiovascular system. use of medication (any amount) was independently associated with gender (female), age (80+ years), having consulted a physician, and presence of any chronic health condition. use of five or more drugs was significantly associated with schooling (8+ years, or=2.28), worse self-rated health (fair, or = 5.45; bad/very bad, or = 5.35). the results show that the types of medications used and factors associated with consumption were similar to those observed in other populations, suggesting some uniformity among various populations in the use of medication and its determinants.
The Bambuí Cohort Study of Aging: methodology and health profile of participants at baseline
Lima-Costa, Maria Fernanda;Firmo, Josélia O. A.;Uch?a, Elizabeth;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011001500002
Abstract: the cohort study was initiated in 1997 to investigate the incidence and predictors of health outcomes in an elderly population with low socio-economic level. the eligible population consisted of all 1,742 residents in bambuí, minas gerais state, brazil, aged 60 years and over (1,606 participated). during 10 years of follow-up, 641 participants died and 96 were lost, leading to 13,739 person-years of observation. the baseline health profile of participants revealed a double burden of diseases with high prevalence of chronic non-transmissible diseases and widespread trypanosoma cruzi infection. the most common health condition was hypertension (61.5%), followed by chronic knee or hand symptoms (43.6%), common mental disorders (38.5%), t. cruzi infection (38.1%), and insomnia (36.7%). in general, the baseline prevalence of mental symptoms and cardiovascular diseases or risk factors was comparable to those found in populations in high income countries.
Balking blood pressure "control" by older persons of Bambuí, Minas Gerais State, Brazil: an ethno-epidemiological inquiry
Nations, Marilyn;Firmo, Josélia O. A.;Lima-Costa, Maria Fernanda;Uch?a, Elizabeth;
Cadernos de Saúde Pública , 2011, DOI: 10.1590/S0102-311X2011001500008
Abstract: this ethno-epidemiological inquiry aims to comprehend hypertension-related experiences in the elderly population of bambuí, in the state of minas gerais, brazil. it combines ethnographic descriptions with statistical data. the subjective significance of factors associated with adequate arterial pressure control is explored. a baseline cohort of 26 people with hypertension, randomly selected from a total number of 1,494 residents over the age of 60, was interviewed utilizing signs, meanings and actions methodology. multivariate analysis shows an association (p < 0.001) between female gender and monthly household income and treatment of hypertension and adequate blood pressure control. the number of doctor visits is associated with treatment but not with adequate blood pressure control. conflicting cultural construction of "blood pressure problems" contributes to "non-adherence" to treatment. there is a fine line between blood pressure "control" and what is perceived as health professionals "controlling" patients' lives. doctor-prescribed regimes are perceived as "prohibiting life's pleasures" and "controlling" personal liberty and free choice. giving elderly people a voice regarding their social context can promote autonomy, well-being and happiness in later life.
Estudo de base populacional dos fatores associados à incapacidade funcional entre idosos na Regi?o Metropolitana de Belo Horizonte, Minas Gerais, Brasil
Giacomin, Karla C.;Peixoto, Sérgio V.;Uchoa, Elizabeth;Lima-Costa, Maria Fernanda;
Cadernos de Saúde Pública , 2008, DOI: 10.1590/S0102-311X2008000600007
Abstract: this study assessed factors associated with functional disability in old age in greater metropolitan belo horizonte, minas gerais state, brazil. the theoretical model was based on predisposing (socio-demographic), extra-individual (social support, use of health services), and intra-individual factors (health conditions). the study was conducted in a probabilistic sample of 1,786 subjects aged > 60 years. the dependent variable was disability defined as mild (some difficulty) or severe (total dependence) in performing at least one basic activity of daily living. prevalence of disability was 16% (8% mild; 8% severe). age and worse self-rated health were independently and positively associated with mild and severe disability. self-reported hypertension and arthritis were associated with mild disability, while diabetes and stroke were associated with severe disability. severe disability was independently and negatively associated with number of visits by friends in the previous 30 days. according to the results, chronic conditions associated with disability in the study population are preventable, and severely disabled elderly had less extra-family social support.
The Bambuí Health and Aging Study (BHAS): factors associated with hospitalization of the elderly
Guerra, Henrique L.;Firmo, Josélia O. A.;Uchoa, Elizabeth;Lima-Costa, Maria Fernanda F.;
Cadernos de Saúde Pública , 2001, DOI: 10.1590/S0102-311X2001000600018
Abstract: this study aimed to identify factors associated with hospital admissions of the elderly. all residents of bambuí, minas gerais state 3 60 years (n = 1,742) were selected. some 1,606 of these (92.2%) participated in the study. the dependent variable was the number of hospital admissions (none, one, and two or more) during the previous 12 months. independent variables were grouped as enabling, predisposing, and need-related factors. the strongest associations with multiple hospital admissions were: living alone; financial constraints to purchase of medication; and various indicators of need (worse self-perceived health, more visits to physician, greater use of prescription medications, and history of coronary heart disease). such variables could help identify older adults at greatest risk and thus prevent hospitalization.
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