cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.14289965.v1
title: Older adults undergoing home enteral nutrition therapy: integration of national public policy and municipal programs

description: Abstract Objective: to verify if national public policies and municipal programs contain elements that contribute to ensure the Human Right to Adequate Food (HRAF) of older adults undergoing home enteral nutrition therapy (HENT) and to propose the integration of these elements. Method: a qualitative study was carried out based on the content analysis of the documents of the National Policy for Older Adults (or PNI), the National Policy for the Health of Older Adults (or PNSPI) and the National Food and Nutrition Policy (or PNAN). Analysis of the relationships (co-occurrences) in programs of the 29 cities of the 2nd regional health region of Paraná to provide care for people with special dietary needs (SDN), such as older adults undergoing HENT, was also carried out. For the analysis of the relationships, the keywords older adult and right were used. Furthermore, the integration of national public policies and municipal programs was proposed. Results: the PNI, PNSPI and PNAN contain converging principles, guidelines and actions, but they are not fully integrated into the programs. Only seven cities with programs that aimed to organize care involving SDN were identified, documented in five protocols and two decrees. A co-occurrence was verified in three of the analyzed documents, but a relationship between the keywords older adult and right was not verified in the protocols and decrees. In the integration proposal, a network was described, based around the goal of reaching the center, which represents the HRAF for older adults undergoing HENT. Conclusion: national public policies contain elements to ensure the HRAF of older adults undergoing HENT, but the municipal programs do not include all these elements. A proposal to integrate the elements was created.
DOI: 10.6084/m9.figshare.14289967
title: The middle-aged adult and their own old age: a structural approach to social representation

description: Abstract Objective: characterize and analyze social representations of middle-aged adults over their old age. Method: Qualitative research supported by the Theory of Social Representation. The field of study was the marginal urban jurisdiction of the Toribia Castro and San Martin Health Centers, in the Lambayeque district, in Peru. Two hundred people between 40 and 59 years old were participants in the study, 50% males and 50% females. Data was collected using the Free Word Association Technique, with the inductor term “my old age”. The data was analyzed with the EVOC 2003 software. Results: middle-aged adults generated a similar representation of their old age with the use of the following elements: disease, family, uselessness, loneliness. The concepts of protection and fear only appeared in the probable central nucleus of the representation of men, while in that of women, sadness was the one that appeared the most. Conclusion: The probable central nucleus of old age shows negative representation overall and, depending on how the person copes with it in the course of their life, the meanings assigned to it will vary. Health promotion policies that highlight self-care and communicate a positive and autonomous image of old age can contribute to reconfigure such representations.
DOI: 10.6084/m9.figshare.14289967.v1
title: The middle-aged adult and their own old age: a structural approach to social representation

description: Abstract Objective: characterize and analyze social representations of middle-aged adults over their old age. Method: Qualitative research supported by the Theory of Social Representation. The field of study was the marginal urban jurisdiction of the Toribia Castro and San Martin Health Centers, in the Lambayeque district, in Peru. Two hundred people between 40 and 59 years old were participants in the study, 50% males and 50% females. Data was collected using the Free Word Association Technique, with the inductor term “my old age”. The data was analyzed with the EVOC 2003 software. Results: middle-aged adults generated a similar representation of their old age with the use of the following elements: disease, family, uselessness, loneliness. The concepts of protection and fear only appeared in the probable central nucleus of the representation of men, while in that of women, sadness was the one that appeared the most. Conclusion: The probable central nucleus of old age shows negative representation overall and, depending on how the person copes with it in the course of their life, the meanings assigned to it will vary. Health promotion policies that highlight self-care and communicate a positive and autonomous image of old age can contribute to reconfigure such representations.
DOI: 10.6084/m9.figshare.14289970
title: Nutritional Care for older adults in Primary Health Care, from the perspective of health professionals

description: Abstract Objective: to characterize and analyze Nutritional Care (NC) for older adults in Primary Health Care (PHC), identifying how food and nutrition actions (F&N) were performed and the conceptions that guided them. Methods: a cross-sectional, quantitative and qualitative study was performed in PHC in Santos, São Paulo, Brazil, in two phases: i) a census study was carried out of health units, N=28 (100%), with managers who answered a structured interview to assess NC; followed by descriptive analysis. ii) a deeper investigation of this diagnosis was performed, using semi-structured interviews with key informants (interviewees) of care for older adults; being a nutritionist was not a criteria, as there were only three such professionals throughout the entire PHC, and one of the health regions studied was not served by a nutrition professional. The concept of theoretical saturation was used for the sampling plan; content analysis was carried out and the inferences were supported by references of integrality and aging. Results: NC for older adults was highlighted by individual care, predominant in all the services studied (28) (100%); nutritionists participated in this activity in just nine units (32.1%). Theoretical saturation was achieved with nine interviews. According to the discourse analysis, F&N actions were generic, focused on the treatment of diseases, influenced by negative aspects attributed to aging, there was no planning based on the needs of the territory, and health professionals identified themselves as information transmitters, leaving the responsibility of acting on such information to the older adults themselves. Conclusion: F&N actions were guided by the biomedical paradigm, fragmented, restricted to disease management, imputing the responsibility for health to the individual themselves. Thus, NC distanced itself from the promotion of healthy aging, weakening its strategic role in the quest for integrated care.
DOI: 10.6084/m9.figshare.14289970.v1
title: Nutritional Care for older adults in Primary Health Care, from the perspective of health professionals

description: Abstract Objective: to characterize and analyze Nutritional Care (NC) for older adults in Primary Health Care (PHC), identifying how food and nutrition actions (F&N) were performed and the conceptions that guided them. Methods: a cross-sectional, quantitative and qualitative study was performed in PHC in Santos, São Paulo, Brazil, in two phases: i) a census study was carried out of health units, N=28 (100%), with managers who answered a structured interview to assess NC; followed by descriptive analysis. ii) a deeper investigation of this diagnosis was performed, using semi-structured interviews with key informants (interviewees) of care for older adults; being a nutritionist was not a criteria, as there were only three such professionals throughout the entire PHC, and one of the health regions studied was not served by a nutrition professional. The concept of theoretical saturation was used for the sampling plan; content analysis was carried out and the inferences were supported by references of integrality and aging. Results: NC for older adults was highlighted by individual care, predominant in all the services studied (28) (100%); nutritionists participated in this activity in just nine units (32.1%). Theoretical saturation was achieved with nine interviews. According to the discourse analysis, F&N actions were generic, focused on the treatment of diseases, influenced by negative aspects attributed to aging, there was no planning based on the needs of the territory, and health professionals identified themselves as information transmitters, leaving the responsibility of acting on such information to the older adults themselves. Conclusion: F&N actions were guided by the biomedical paradigm, fragmented, restricted to disease management, imputing the responsibility for health to the individual themselves. Thus, NC distanced itself from the promotion of healthy aging, weakening its strategic role in the quest for integrated care.
DOI: 10.6084/m9.figshare.14289971
title: Dissatisfaction with life and associated factors in older community-dwelling adults

description: Abstract Objective: To analyze the prevalence of dissatisfaction with life and associated sociodemographic factors. Method: A cross-sectional, population-based study was carried out. Data collection was performed using the Brazil Old Age Schedule (BOAS) questionnaire. A total of 573 older adults from the urban area were interviewed, selected through cluster sampling, stratified by sex. Bivariate analysis was performed using the chi-square and prevalence ratio with a 95% confidence interval (CI). For multivariate analysis, the Poisson Robust regression model was applied. Variables were entered into the model using the backward method. Results: The prevalence of dissatisfaction with life was 15.53%. Dissatisfaction with life was associated with women (PR=1.54; 95% CI: 1.02; 2.32), being illiterate (PR=2.57; 95% CI: 1.44; 4.60), having up to four years of schooling (PR=1.79; 95% CI: 1.01; 318) and having an income of less than two minimum wages (PR=3.29; 95% CI: 1.29; 8.42). In the multivariate analysis, being female (PR=1.50; 95% CI: 1.01; 2.25), being illiterate (PR=2.54; 95% CI: 1.42; 4.54) and having up to four years of schooling (PR=1.77; 95% CI: 0.99; 3.14) remained associated with dissatisfaction with life Conclusion: the prevalence of dissatisfaction is low. Dissatisfaction with life was associated with sex, education and income, in a bivariate manner. Sex and education were predictors of dissatisfaction with life. These findings reinforce the need for actions to promote social equality between men and women and to facilitate the access of older adults to education.
DOI: 10.6084/m9.figshare.14289971.v1
title: Dissatisfaction with life and associated factors in older community-dwelling adults

description: Abstract Objective: To analyze the prevalence of dissatisfaction with life and associated sociodemographic factors. Method: A cross-sectional, population-based study was carried out. Data collection was performed using the Brazil Old Age Schedule (BOAS) questionnaire. A total of 573 older adults from the urban area were interviewed, selected through cluster sampling, stratified by sex. Bivariate analysis was performed using the chi-square and prevalence ratio with a 95% confidence interval (CI). For multivariate analysis, the Poisson Robust regression model was applied. Variables were entered into the model using the backward method. Results: The prevalence of dissatisfaction with life was 15.53%. Dissatisfaction with life was associated with women (PR=1.54; 95% CI: 1.02; 2.32), being illiterate (PR=2.57; 95% CI: 1.44; 4.60), having up to four years of schooling (PR=1.79; 95% CI: 1.01; 318) and having an income of less than two minimum wages (PR=3.29; 95% CI: 1.29; 8.42). In the multivariate analysis, being female (PR=1.50; 95% CI: 1.01; 2.25), being illiterate (PR=2.54; 95% CI: 1.42; 4.54) and having up to four years of schooling (PR=1.77; 95% CI: 0.99; 3.14) remained associated with dissatisfaction with life Conclusion: the prevalence of dissatisfaction is low. Dissatisfaction with life was associated with sex, education and income, in a bivariate manner. Sex and education were predictors of dissatisfaction with life. These findings reinforce the need for actions to promote social equality between men and women and to facilitate the access of older adults to education.
DOI: 10.6084/m9.figshare.14289974
title: Public policies and the insertion of old people in the labor market in Brazil

description: Abstract Objective: Discuss how Brazilian public policies aimed at old people address the right of the old people to decent work, and the promotion of their insertion and maintenance at work. Method: Bibliographic research was carried out to analyze the Brazilian public policies aimed at old people. In order to deepen the analysis of these policies, they were consulted in full on Brazilian government websites. The data was analyzed based on content analysis. Results: Among the public policies aimed at the old people those having some type of work-related disposition provision are: the National Policy for Old People, State Policy for Old People, Statute of the Elderly, and National Health Policy for Old People. The work-related propositions were categorized into: I. Creation of working conditions for old people; II. Preventing discrimination and encouraging the hiring of old people; III. Continuing education for old people; IV. Retirement; V. Work as a choice. Conclusion: Over time, Brazilian public policies aimed at old people have been improving the approach to decent work, and the promotion of the insertion and maintenance of old people in their work. However, there is still a lack of better advances and clarifications about the guidelines and recommendations related to work for old people, emphasizing the importance of work contexts considering the conditions and organizations impacting the possibility of insertion and maintenance of old people at work.
DOI: 10.6084/m9.figshare.14289974.v1
title: Public policies and the insertion of old people in the labor market in Brazil

description: Abstract Objective: Discuss how Brazilian public policies aimed at old people address the right of the old people to decent work, and the promotion of their insertion and maintenance at work. Method: Bibliographic research was carried out to analyze the Brazilian public policies aimed at old people. In order to deepen the analysis of these policies, they were consulted in full on Brazilian government websites. The data was analyzed based on content analysis. Results: Among the public policies aimed at the old people those having some type of work-related disposition provision are: the National Policy for Old People, State Policy for Old People, Statute of the Elderly, and National Health Policy for Old People. The work-related propositions were categorized into: I. Creation of working conditions for old people; II. Preventing discrimination and encouraging the hiring of old people; III. Continuing education for old people; IV. Retirement; V. Work as a choice. Conclusion: Over time, Brazilian public policies aimed at old people have been improving the approach to decent work, and the promotion of the insertion and maintenance of old people in their work. However, there is still a lack of better advances and clarifications about the guidelines and recommendations related to work for old people, emphasizing the importance of work contexts considering the conditions and organizations impacting the possibility of insertion and maintenance of old people at work.
DOI: 10.6084/m9.figshare.14289976.v1
title: Spatial analysis of traffic accidents involving older adults in a city in the northeast of Brazil

description: Abstract Objective: to describe the epidemiological characteristics of traffic accidents involving older victims, responded to by the Mobile Emergency Service (or SAMU), and to analyze the spatial distribution of these events in the city of Olinda, Pernambuco, Brazil, from 2015 to 2018. Method: a composite cross-sectional study was performed, using SAMU service records as a data source. Descriptive statistics were applied, based on frequency distribution. For the mapping and detection of spatial clusters, the Kernel intensity estimator was used. Results: SAMU responded to 137 traffic accidents with older victims. The most affected age group were older adults aged 60 to 69 years (81; 59.1%), and there was a predominance of male victims (90; 65.7%). The day of the week when most accidents occurred was Wednesday (29; 21.25%), and the highest number of accidents occurred in the morning (46; 33.6%). As for the nature of the accident, accidents involving pedestrians (80; 58.4) predominated over collisions (57; 41.6%). The Kernel intensity estimator identified a significant focus in the Peixinhos neighborhood, with other foci distributed throughout the coastal area. Conclusion: the study identified the characteristics of older victims of traffic accidents and areas of greatest risk for their occurrence in the city studied. This information can be useful when planning environmental engineering measures to be carried out in the regions identified, in order to reduce the frequency of accidents and injuries.
DOI: 10.6084/m9.figshare.11609706
title: The role of cultural engagement for older adults: an integrative review of scientific literature

description: Abstract Objective: to understand the role of cultural engagement in the lives of older adults. Method: an integrative literature review of publications from 2014 and 2019 in English, Portuguese, and Spanish was conducted. The Scopus, Web of Science, MEDLINE/PubMed, CINAHL, PsycNET®, LILACS, SciELO Citation Index and Science Direct databases were used as sources of information. The descriptors “aged” and the related term “cultural engagement” in the three idioms were used in the search, together with the Boolean operators “AND” or “ OR”. A total of 12 articles that met the inclusion criteria were found. These were categorized based on the theme. No Brazilian studies were found. Results: the panorama found revealed that older adults are more interested in receptive cultural activities, such as going to museums, exhibitions and the theater, as these enrich and add greater social value to their lives. Cultural engagement was associated with a reduction in the incidence of neuropsychiatric disorders (dementia and depression), as well as reducing the incidence of episodes of violence. Participation in cultural activities also constituted a protective factor for cognitive abilities and for the reduction of chronic pain. There is also evidence that associates cultural engagement with a better perception of quality of life and greater well-being, happiness and positive affect, as well as the reduction of negative affect. Conclusion: engaging in cultural activities is a way of understanding and respecting cultural diversity, salvaging social identities, and enjoying and providing experiences of great social value, with beneficial impacts in the lives of older adults.
DOI: 10.6084/m9.figshare.14289976
title: Spatial analysis of traffic accidents involving older adults in a city in the northeast of Brazil

description: Abstract Objective: to describe the epidemiological characteristics of traffic accidents involving older victims, responded to by the Mobile Emergency Service (or SAMU), and to analyze the spatial distribution of these events in the city of Olinda, Pernambuco, Brazil, from 2015 to 2018. Method: a composite cross-sectional study was performed, using SAMU service records as a data source. Descriptive statistics were applied, based on frequency distribution. For the mapping and detection of spatial clusters, the Kernel intensity estimator was used. Results: SAMU responded to 137 traffic accidents with older victims. The most affected age group were older adults aged 60 to 69 years (81; 59.1%), and there was a predominance of male victims (90; 65.7%). The day of the week when most accidents occurred was Wednesday (29; 21.25%), and the highest number of accidents occurred in the morning (46; 33.6%). As for the nature of the accident, accidents involving pedestrians (80; 58.4) predominated over collisions (57; 41.6%). The Kernel intensity estimator identified a significant focus in the Peixinhos neighborhood, with other foci distributed throughout the coastal area. Conclusion: the study identified the characteristics of older victims of traffic accidents and areas of greatest risk for their occurrence in the city studied. This information can be useful when planning environmental engineering measures to be carried out in the regions identified, in order to reduce the frequency of accidents and injuries.
DOI: 10.6084/m9.figshare.11609706.v1
title: The role of cultural engagement for older adults: an integrative review of scientific literature

description: Abstract Objective: to understand the role of cultural engagement in the lives of older adults. Method: an integrative literature review of publications from 2014 and 2019 in English, Portuguese, and Spanish was conducted. The Scopus, Web of Science, MEDLINE/PubMed, CINAHL, PsycNET®, LILACS, SciELO Citation Index and Science Direct databases were used as sources of information. The descriptors “aged” and the related term “cultural engagement” in the three idioms were used in the search, together with the Boolean operators “AND” or “ OR”. A total of 12 articles that met the inclusion criteria were found. These were categorized based on the theme. No Brazilian studies were found. Results: the panorama found revealed that older adults are more interested in receptive cultural activities, such as going to museums, exhibitions and the theater, as these enrich and add greater social value to their lives. Cultural engagement was associated with a reduction in the incidence of neuropsychiatric disorders (dementia and depression), as well as reducing the incidence of episodes of violence. Participation in cultural activities also constituted a protective factor for cognitive abilities and for the reduction of chronic pain. There is also evidence that associates cultural engagement with a better perception of quality of life and greater well-being, happiness and positive affect, as well as the reduction of negative affect. Conclusion: engaging in cultural activities is a way of understanding and respecting cultural diversity, salvaging social identities, and enjoying and providing experiences of great social value, with beneficial impacts in the lives of older adults.