2011, Number 1
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salud publica mex 2011; 53 (1)
Functional dependency and falls in elderly living in poverty in Mexico
Manrique-Espinoza B, Salinas-Rodríguez A, Moreno-Tamayo K, Téllez-Rojo MM
Language: Spanish
References: 48
Page: 26-33
PDF size: 286.98 Kb.
ABSTRACT
Objective. To determine the prevalence of functional dependency (FD) on Mexican elderly living in extreme poverty conditions and to estimate the association between falls and FD.
Material and Methods. A survey was conducted with three stages for selection, stratified by type of locality (rural or urban) and nationally representative of the 2006
Oportunidades Program. The target population was composed of individuals 70 years of age and older who were beneficiaries of the
Oportunidades Program. Results. A total of 30.9% of the elderly presented FD. The gender stratified logistic regression model resulted in an odds ratio (OR) for women of 1.25 (I.C:1.13-1.39) for the association between the increase in the number of falls and FD and OR=1.12 (I.C:0.97-1.29) for men.
Conclusions. Given the vulnerable conditions in which these older adults live, specific interventions need to be implemented to prevent falls in order to reduce the risk of functional dependency.
REFERENCES
Rodgers W, Miller B. A comparative analysis of ADL questions in surveys of older people. J Gerontol B Psychol Sci Soc Sci 1997;52 Spec No:21-36.
Wong R, Espinoza M, Palloni A. Adultos mayores mexicanos en contexto socioeconómico amplio: salud y envejecimiento. Salud Publica Mex 2007;49(suppl 4):S436-S447.
Solís P. La población en edades avanzadas. In: Gómez de León J, Rabell C, eds. La población de México. Tendencias y perspectivas sociodemográficas hacia el siglo XXI. México: CONAPO/ Fondo de Cultura Económica, 2001:835-869.
Rubio E, Lázaro A, Sánchez-Sánchez A. Social participation and independence in activities of daily living a cross sectional study. BMC Geriatrics 2009;9:26.
Kovar M. Functional ability and the need for care: Issues for measurement research. En: Feinleib M, editor. Vital and Health Statistics. Proceedings of 1988 International Symposium on Data on Aging. Comparative International Vital and Health Statistics Report No. 6. Hyattsville, Maryland: CDC/NCHS, 1991.
Dorantes-Mendoza G, Ávila-Funes J, Mejía-Arango S, Gutiérrez-Robledo L. Factores asociados con la dependencia funcional en los adultos mayores: un análisis secundario del Estudio Nacional sobre Salud y Envejecimiento en México, 2001. Rev Panam Salud Publica 2007;22(1):1-11.
Barrantes-Monge M, García-Mayo E, Gutiérrez-Robledo L, Miguel-Jaimes A. Dependencia funcional y enfermedades crónicas en ancianos mexicanos. Salud Publica Mex 2007;49(suppl 4):S459-S466.
Hamm R. El envejecimiento en México: El siguiente reto de la transición demográfica. México: El colegio de la Frontera Norte/ Porrúa, 2003.
Montes de Oca V, Hebrero M. Dinámica familiar, envejecimiento y deterioro funcional en México. Revista Kariós 2008;11(1):143-166.
Guralnik J, Ferrucci L, Balfour J, Volpato S, DiIorio A. Progressive versus catastrophic loss of the ability to walk implications for the prevention of mobility loss. J Am Geriatr Soc 2001;49(11):1463-1470.
Sonn U, Grimby G, Svanborg A. Activities of daily living studied longitudinally between 70 and 76 years of age. Disabil Rehabil 1996; 18(2):91-100.
Cardona D, Estrada A, Agudelo H. Calidad de vida y condiciones de salud de la población adulta mayor de Medellín. Biomedica 2006;26(2):206-215.
Díaz V, Díaz I, Rojas G, Novogrodsky D. Geriatric assessment in the primary care. Rev Med Chil 2003;131(8):895-901.
Wong R, Pelaez M, Palloni A. Self-reported general health in older adults in Latin America and the Caribbean: usefulness of the indicator. Rev Panam Salud Publica 2005;17(5-6):323-332.
Ávila-Funes J, Melano-Carranza E, Payette H, Amieva H. Síntomas depresivos como factor de riesgo de dependencia en adultos mayores. Salud Publica Mex 2007;49(5):367-375.
Hébert R, Brayne C, Spiegelhalter D. Factors associated with functional decline and improvement in a very elderly community-dwelling population. Am J Epidemiol 1999;150(5):501-510.
Reyes-Ortiz C, Al Snih S, Markides K. Falls among elderly persons in Latin America and the Caribbean and among elderly Mexican-Americans. Pan Am J Public Health 2005;17(5-6):362-369.
Olaiz G, Rojas R, Barquera S, Shamah T, Aguilar C, Cravioto P, et al (eds). Encuesta Nacional de Salud 2000. Tomo 2. La salud de los adultos. Cuernavaca, Morelos, México: Instituto Nacional de Salud Pública, 2003.
Leveille S, Bean J, Bandeen-Roche K, Jones R, Hochberg M, Guralnik J. Musculoskeletal pain and risk for falls in older disabled women living in the community. J Am Geriatr Soc 2002;50:671-678.
Suzuki M, Shimamoto Y, Kawamura I, Takahashi H. Does gender make a difference in the risk of falls? A Japanese study. J Gerontol Nurs 1997;23:41-48.
Dunn J, Rudberg M, Furner S, Cassel C. Mortality, disability and falls in older persons the role of underlying disease and disability. Am J Public Health 1992;82:395-400.
Wolinsky F, Johnson R, Fitzgerald J. Falling, health status, and the use of health services by older adults: a prospective study. Medical Care 1992;30(7):587-597.
Martin F, Hart D, Spector T, Doyle D, Harari D. Fear of falling limiting activity in young women is associated with reduced functional mobility rather than psycological factors. Age and Ageing 2005;34:281-287.
Scheffer A, Schuurmans M, van Dijk N, van der Hooft T, de Rooij S. Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age Ageing 2008;37:19.
Murphy S, Dubin J, Gill M. The development of fear of falling among community-living older women predisposing factors and subsequent fall events. J Gerontology 2003;58A(10):943-947.
Cumming RG, Salkeld G, Thomas M, Szonyi G. Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission. J Gerontol 2000;55A(5):M299-M305.
Deshpande N, Metter E, Lauretani F, Bandinelli S, Guralnik J, Ferrucci L. Activities of daily living function and disability in older adults in a randomized trial of the health enhancement program. J Am Geriatr Soc 2008;56:615-620.
Curcio C, Gomez F, Reyes-Ortiz C. Activity restriction related to fear of falling among older people in the Colombian Andes mountains: are functional or psychosocial risk factors more important? J Aging Health 2009;21:460-479.
Tinetti M, Williams C. The effect of falls and fall injuries on functioning in community dwelling older persons. J Gerontol 1998;53(2):M112-M119.
Stel VS, Smit JH, Pluijm SM, Lips P. Consequences of falling in older men and women and risk factors for health service use and functional decline. Age Ageing 2004;33(1):58-65.
Gill T, Desai M, Gahbauer E, Holford T, Williams C. Restricted activities among community-living older persons: incidence, precipitants health care utilization. Ann Intern Med 2001;135(5):313-321.
Chu LW, Chiu AY, I C. Impact of falls on the balance, gait, and activities of daily living functioning in community-dwelling Chinese older adults. J Gerontol A Biol Sci Med Sci 2006;61(4):399-404.
Tinetti M, Inouye S, Gill T, Doucette J. Shared risk factors for falls, incontinence and functional dependence. JAMA 1995;273:1348-1353.
Norton R, Butler M, Robinson E, Lee-Joe T, Campbell J. Declines in physical functioning attributable to hip fracture among older people a follow-up study of case-control participants. Disabil Rehabil 2000;22(8):345-351.
Cree M, Carriere K, Soskolne C, Suarez-Almazor M. Functional dependence after hip fracture. Am J Phys Med Rehabil 2001;80(10):736-743.
Wolinsky F, Fitzgerald J, Stump T. The effect of hip fracture on mortality, hospitalization, and functional status: a prospective study. Am J Public Health 1997;87(3):398-403.
Bojorquez-Chapela I, Villalobos-Daniel VE, Manrique-Espinoza BS, Tellez-Rojo MM, Salinas-Rodriguez A. Depressive symptoms among poor older adults in Mexico: prevalence and associated factors. Rev Panam Salud Publica 2009;26(1):70-77.
Katz S, Branch LG, Branson MH, Papsidero JA, Beck JC, Greer DS. Active life expectancy. N Engl J Med 1983;309(20):1218-1224.
Booysen F, van der Berg S, Burger R, von Maltitz M, du Rand G. Using an Asset Index to Assess Trends in Poverty in Seven Sub-Saharan African Countries. World Development 2008;36(6):1113-1130.
Filmer D, Pritchett L. Estimating wealth effects without expenditure data – or tears: An application to educational enrollments in states of India. In: World Bank Policy Research Working Paper No. 1994. Washington DC: World Bank, 1998.
Moser C. Assets and livelihoods: a framework for asset-based social policy. En: Moser C, Anis D, eds. Assets, livelihoods, and social policy. Washington DC: The World Bank, 2008.
Kolenikov S, Angeles G. The use of discrete data in principal component analysis: theory, simulations, and applications to socioeconomic indices. Working Paper of MEASURE/Evaluation project, No. WP-04-85 2004:Carolina Population Center, UNC.
Cho L, Scarpace D, Alexander N. Test of stepping as indicator of mobility, balance and fall risk in balance impaired older adults. J Am Geriatr Soc 2004;52(3):1168-1173.
von Strauss E, Aguero-Torres H, Kareholt I, Winblad B, Fratiglioni L. Women are more disabled in basic activities of daily living than men only in very advanced ages: a study on disability, morbidity, and mortality from the Kungsholmen Project. J Clin Epidemiol 2003;56(7):669-677.
Stevens JA, Sogolow ED. Gender differences for non-fatal unintentional fall related injuries among older adults. Inj Prev 2005;11(2):115-119.
Li CY, Wu SC, Wen SW. Longest held occupation in a lifetime and risk of disability in activities of daily living. Occup Environ Med 2000;57(8):550-554.
Khokhar SR, Stern Y, Bell K, Anderson K, Noe E, Mayeux R, et al. Persistent Mobility Deficit in the Absence of Deficits in Activities of Daily Living: A Risk Factor for Mortality. J Am Geriatr Soc 2001;49(11):1539-1543.
Ferrucci L, Guralnik JM, Simonsick E, Salive ME, Corti C, Langlois J. Progressive versus catastrophic disability: a longitudinal view of the disablement process. J Gerontol A Biol Sci Med Sci 1996;51(3):M123-M130.