Quality of life of older adults in Family Health Strategy: a cross-sectional study
Keywords:
Aged, Quality of life, Healthy aging, Health promotion, Family health strategy, Older adults, Cross-sectional studyAbstract
BACKGROUND: With the increase in the older adult population, it is essential to identify the living and health conditions that can impact the quality of life of these individuals.
OBJECTIVES: To identify the domains and factors associated with the quality of life of older adults under the Family Health Strategy program.
DESIGN AND SETTING: This was a cross-sectional analytical study was conducted in the municipality of Palmas, Tocantins, Brazil.
METHODS: We assessed 449 older adults enrolled in the Family Health Strategy program. Data were collected between April and July, 2018. World Health Organization Quality of Life Assessment (WHO-QOL-OLD) was used to assess the quality of life (QoL) and multiple linear regression was used to estimate the factors associated with QoL.
RESULTS: The QoL domain with the highest score was death and dying (mean = 70.4), and the lowest score was for sensory functions (mean = 61.0 points). The factors associated with QoL were single marital status (β = -4.55; P = 0.014), level of independence for daily living activities (β = 4.92; P < 0.001), self-assessment of regular health (β = 5.35; P < 0.001), and poor health (β = -8.67; P < 0.001).
CONCLUSION: The death and dying domain of QoL presented the highest score. Marital status, impairment in daily activities, and health self-assessment were associated with QoL.
Downloads
References
World Health Organization. World report on ageing and health. Geneva: WHO; 2015. Available from: https://apps.who.int/iris/ handle/10665/186463. Accessed in 2023 (Apr 28).
Organização Pan-Americana da Saúde. Atenção Integrada para a Pessoa Idosa. Orientações sobre a avaliação centrada na pessoa e roteiros para a atenção primária. Washington, D.C: OPAS; 2020. Available from: https://iris.paho.org/handle/10665.2/51974. Accessed in 2023 (Apr 28).
The World Health Organization Quality of life Assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med. 1995;41(10):1403-9. PMID: 8560308; https://doi.org/10.1016/02779536(95)00112-k.
Santos AO, Andreotti BC, Freitas VP, et al. Qualidade de vida de idosos residentes em instituição de longa permanência: uma revisão sistemática. Rev Enf Contemp. 2017;6(2):199-210. https://doi. org/10.17267/2317-3378rec.v6i2.1395.
Manso ME, Maresti LT, Oliveira HS. Análise da qualidade de vida e fatores associados em um grupo de idosos vinculados ao setor suplementar de saúde da cidade de São Paulo, Brasil. Rev Bras Geriatr Gerontol. 2019;22(suppl 4):e190013. https://doi.org/10.1590/198122562019022.190013.
Godoy AR, Adami FS. Estado nutricional e qualidade de vida em adultos e idosos com depressão. Rev Bras Promoc Saude. 2019;32:7354. https:// doi.org/10.5020/18061230.2019.7354.
Brandão BMLDS, Silva AMBD, Souto RQ, et al. Cognition and quality of life relationship among the elderly community: a cross-sectional study. Rev Bras Enferm. 2020;73Suppl 3(Suppl 3):e20190030. PMID: 32667412; https://doi.org/10.1590/0034-7167-2019-0030.
Martins NPDR, Silqueira SMF, Souza LME, et al. Quality of life of older adults admitted to a Medical Clinic Unit of a Public Hospital in Brazil.
Rev Esc Enferm USP. 2020;54:e03573. PMID: 32696942; https://doi. org/10.1590/S1980-220X2018032903573.
von Elm E, Altman DG, Egger M, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Bull World Health Organ. 2007;85(11):867-72. PMID: 18038077; https://doi.org/10.2471/ blt.07.045120.
Instituto Brasileiro de Geografia e Estatística. Sinopse do Censo Demográfico 2010. Tocantins. Tabela 2.6 - População residente, por grupos de idade, segundo os municípios e o sexo [Internet]. Palmas, Tocantins: IBGE; 2010 [cited 2021 Oct 15]. Available from: https://www.ibge.gov.br/censo2010/apps/sinopse/index. php?uf=17&dados=26#topo_piramide. Accessed in 2023 (Apr 28).
Lourenço RA, Veras RP. Mini-Exame do Estado Mental: características psicométricas em idosos ambulatoriais [Mini-Mental State Examination: psychometric characteristics in elderly outpatients]. Rev Saude Publica. 2006;40(4):712-9. PMID: 16906312; https://doi.org/10.1590/s003489102006000500023.
Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician.
J Psychiatr Res. 1975;12(3):189-98. PMID: 1202204; https://doi. org/10.1016/0022-3956(75)90026-6.
Almeida OP. Mini-exame do estado mental e o diagnóstico de demência no Brasil. Arq Neuropsiquiatr. 1998;56(3-B):605-12. https:// doi.org/10.1590/S0004-282X1998000400014.
Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of Illness in the Aged: the index of ADL: a standardized measure of biological
and psychosocial function. JAMA. 1963;185(12):914-9. PMID: 14044222; https://doi.org/10.1001/jama.1963.03060120024016.
Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9(3):179-86. PMID: 5349366; https://doi.org/10.1097/00006199-197005000-00029.
Ermel RC, Caramelo AC, Fracolli LA, et al. Percepção sobre qualidade de vida dos idosos de Portugal e do Brasil. REAS. 2017;9(2):1315-20. https://doi.org/10.25248/REAS98_2017.
Tavares DM, Matias TG, Ferreira PC, et al. Quality of life and selfesteem among the elderly in the community. Cien Saude Colet. 2016;21(11):3557-64. PMID: 27828588; https://doi.org/10.1590/1413812320152111.03032016.
Serbim AK, Figueiredo AEP. Qualidade de vida de idosos em um grupo de convivência. Scientia Medica (Porto Alegre) 2011;21(4):166-72. Available from: https://repositorio.pucrs.br/dspace/bitstream/10923/12954/2/ Qualidade_de_vida_de_idosos_em_um_grupo_de_convivencia.pdf. Accessed in 2023 (Apr 28).
Fontes AP, Neri AL. Resilience in aging: literature review. Cien Saude Colet. 2015;20(5):1475-95. PMID: 26017950; https://doi.org/10.1590/141381232015205.00502014.
Fortes TFR, Portuguez MW, Argimon IIL. A resiliência em idosos e sua relação com variáveis sociodemográficas e funções cognitivas. Estud Psicol. 2009;26(4):455-63. https://doi.org/10.1590/S0103166X2009000400006.
Ciorba A, Bianchini C, Pelucchi S, Pastore A. The impact of hearing loss on the quality of life of elderly adults. Clin Interv Aging. 2012;7:159-63. PMID: 22791988; https://doi.org/10.2147/CIA.S26059.
Tseng YC, Liu SH, Lou MF, Huang GS. Quality of life in older adults with sensory impairments: a systematic review. Qual Life Res. 2018;27(8):1957-
PMID: 29404924; https://doi.org/10.1007/s11136-018-1799-2.
Varela FR, Ciconelli RM, Campolina AG, Soarez PC. Quality of life evaluation of frail elderly in Campinas, São Paulo. Rev Assoc Med Bras (1992). 2015;61(5):423-30. PMID: 26603005; https://doi.org/10.1590/18069282.61.05.423.
Andrade A, Martins R. Funcionalidade familiar e qualidade de vida dos idosos. Millenium - Journal of Education, Technologies, and Health. 2011;40(16):185-99. Available from: https://revistas.rcaap.pt/millenium/ article/view/8227 .
Guedes MB, Lima KC, Caldas CP, Veras RP. Apoio social e o cuidado integral à saúde do idoso. Physis. 2017;27(4):1185-204. https://doi. org/10.1590/S0103-73312017000400017.
Pagotto V, Bachion MM, Silveira EA. Autoavaliação da saúde por idosos brasileiros: revisão sistemática da literatura [Self-assessment of health by older Brazilians: systematic review of the literature]. Rev Panam Salud Publica. 2013;33(4):302-10. PMID: 23698180; https://doi.org/10.1590/ s1020-49892013000400010.
Borim FS, Neri AL, Francisco PM, Barros MB. Dimensions of self-rated health in older adults. Rev Saude Publica. 2014;48(5):714-22. PMID: 25372161; https://doi.org/10.1590/s0034-8910.2014048005243.
Santos EC, Couto BM, Bastone AC. Fatores associados à autoavaliação negativa da saúde em idosos cadastrados nas Unidades Básicas de Saúde. ABCS Health Sci. 2018;43(1):47-54. https://doi.org/10.7322/abcshs.v43i1.999.
Kagawa CA, Corrente JE. Análise da capacidade funcional em idosos do município de Avaré-SP: fatores associados. Rev Bras Geriatr e Gerontol. 2015;18(3):577-86. https://doi.org/10.1590/1809-9823.2015.14140.
Cohen AA, Legault V, Li Q, Fried LP, Ferrucci L. Men Sustain Higher Dysregulation Levels Than Women Without Becoming Frail. J Gerontol A Biol Sci Med Sci. 2018;73(2):175-84. PMID: 28977345; https://doi. org/10.1093/gerona/glx146.
Alexandre Tda S, Cordeiro RC, Ramos LR. Factors associated to quality of life in active elderly. Rev Saude Publica. 2009;43(4):613-21. PMID: 19488665; https://doi.org/10.1590/S0034-89102009005000030.
Camargos MC, Gonzaga MR. Viver mais e melhor? Estimativas de expectativa de vida saudável para a população brasileira [Live longer and better? Estimates of healthy life expectancy in the Brazilian population].
Cad Saude Publica. 2015;31(7):1460-72. PMID: 26248101; https://doi. org/10.1590/0102-311X00128914.
Van Nguyen T, Van Nguyen H, Duc Nguyen T, Van Nguyen T, The Nguyen T. Difference in quality of life and associated factors among the elderly in rural Vietnam. J Prev Med Hyg. 2017;58(1):E63-E71. PMID: 28515634.
Martins MR, Guerra MS, Azeredo Z. Qualidade de vida da pessoa idosa: estudo comparativo de alguns determinantes. Gestão e Desenvolvimento. 2020;(28):139-58. https://doi.org/10.34632/ gestaoedesenvolvimento.2020.9469.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde Departamento de Ações Programáticas e Estratégicas. Orientações técnicas para a implementação de Linha de Cuidado para Atenção Integral à Saúde da Pessoa Idosa no Sistema Único de Saúde – SUS [recurso eletrônico]/ Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Ações Programáticas e Estratégicas. Brasília: Ministério da Saúde; 2018. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/ linha_cuidado_atencao_pessoa_idosa.pdf. Accessed in 2023 (Apr 28).
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 São Paulo Medical Journal

This work is licensed under a Creative Commons Attribution 4.0 International License.