cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.7187324.v1
title: Quality of life of elderly persons in Manaus measured by the Flanagan Scale

description: Abstract Objective: the aim of the present study was to evaluate the quality of life of elderly people enrolled in specialized elderly care centers in Manaus and compare the findings with the results of already published studies. Method: a cross-sectional study was conducted with 741 elderly people enrolled in three of the centers in the city, from November 2015 to March 2017 using a socioeconomic and demographic questionnaire and the Flanagan Quality of Life Scale (FQLS). Interviews were carried out by previously trained physiotherapy students of the Federal University of Amazonas. Results: the majority of the elderly were female, with a mean age of 69±6.6 years, married, retired but still working, with a low income and low educational level. When they assessed their quality of life, however, they appeared satisfied. When compared to populations in other countries and regions of Brazil, despite their low socioeconomic profile, they demonstrated a higher quality of life than populations of developed countries. Some domains of the scale were inverted in relation to the original scale. Conclusion: the results allow us to conclude that even elderly persons with low socioeconomic status are satisfied with their quality of life.
DOI: 10.6084/m9.figshare.7187315.v1
title: Aging, mental health, and suicide. An integrative review

description: Abstract Objective: this integrative literature review aimed to systematize scientific production regarding the process of aging, mental health, and suicide. Method: the LILACS, MEDLINE, and PubMed databases were used to search for papers published between 2007 and 2017. The final analysis included 34 papers. Result: descriptive North American studies in English were most prevalent. The largest number of papers on the theme was published in 2013. The researchers used questionnaires and interviews as instruments for questions involving aging and suicidal ideation. The papers revealed an association of suicide or suicidal ideation in elderly persons who manifested anxiety, depressive symptoms, depression, physical diseases, low educational and socioeconomic levels, and chronic diseases. Conclusion: this integrative review reinforces the need for investment in public policies and spaces that offer receptiveness, listening, and safety for the aged population, as well as surveys with more robust methodologies to investigate the phenomenon under analysis.
DOI: 10.6084/m9.figshare.7187315
title: Aging, mental health, and suicide. An integrative review

description: Abstract Objective: this integrative literature review aimed to systematize scientific production regarding the process of aging, mental health, and suicide. Method: the LILACS, MEDLINE, and PubMed databases were used to search for papers published between 2007 and 2017. The final analysis included 34 papers. Result: descriptive North American studies in English were most prevalent. The largest number of papers on the theme was published in 2013. The researchers used questionnaires and interviews as instruments for questions involving aging and suicidal ideation. The papers revealed an association of suicide or suicidal ideation in elderly persons who manifested anxiety, depressive symptoms, depression, physical diseases, low educational and socioeconomic levels, and chronic diseases. Conclusion: this integrative review reinforces the need for investment in public policies and spaces that offer receptiveness, listening, and safety for the aged population, as well as surveys with more robust methodologies to investigate the phenomenon under analysis.
DOI: 10.6084/m9.figshare.7367369
title: Elderly persons who live alone in Brazil and their lifestyle

description: Abstract Objective: to assess the prevalence of elderly persons living alone in Brazil, based on covariates of health status, behavior and socio-demographic characteristics. Method: data from 11,967 individuals (aged 60 or over) were obtained from the National Health Survey (Brazil, 2013). Living alone was defined as residing in a one-person household. The prevalence of individuals living alone was stratified by socio-demographic conditions and geographic region. Living alone was also assessed as a factor for outcomes of physical functioning, behavior and health conditions. Poisson regression models were used to evaluate the prevalence ratios and a 95% confidence interval was applied. Results: in Brazil, 15.3% of people aged 60 years and over live alone. This condition is more prevalent in higher income regions; however, more lower-income individuals were affected. Prevalence was higher among women and individuals aged 75 years or more. Living alone was associated with difficulties in instrumental activities of daily living (prevalence ratio 1.15; 95% confidence interval 1.04-1.28); the reporting of an illness in the two prior to the study (PR=1.35; 95%CI=1.16-1.57); watching television (five or more hours daily) (PR=1.40; 95%CI=1.26-1.56) and falls in the previous year (PR=1.35; 95%CI=1.10-1.66). Elderly persons living alone also had worse eating habits, with a less frequent intake of meat, beans and salads than their counterparts who lived with others. Conclusion: elderly persons living alone in Brazil have a worse health status and health-related habits. These findings represent a challenge and should motivate social and health policies aimed at fulfilling the greater needs of adults who grow old alone.
DOI: 10.6084/m9.figshare.7367369.v1
title: Elderly persons who live alone in Brazil and their lifestyle

description: Abstract Objective: to assess the prevalence of elderly persons living alone in Brazil, based on covariates of health status, behavior and socio-demographic characteristics. Method: data from 11,967 individuals (aged 60 or over) were obtained from the National Health Survey (Brazil, 2013). Living alone was defined as residing in a one-person household. The prevalence of individuals living alone was stratified by socio-demographic conditions and geographic region. Living alone was also assessed as a factor for outcomes of physical functioning, behavior and health conditions. Poisson regression models were used to evaluate the prevalence ratios and a 95% confidence interval was applied. Results: in Brazil, 15.3% of people aged 60 years and over live alone. This condition is more prevalent in higher income regions; however, more lower-income individuals were affected. Prevalence was higher among women and individuals aged 75 years or more. Living alone was associated with difficulties in instrumental activities of daily living (prevalence ratio 1.15; 95% confidence interval 1.04-1.28); the reporting of an illness in the two prior to the study (PR=1.35; 95%CI=1.16-1.57); watching television (five or more hours daily) (PR=1.40; 95%CI=1.26-1.56) and falls in the previous year (PR=1.35; 95%CI=1.10-1.66). Elderly persons living alone also had worse eating habits, with a less frequent intake of meat, beans and salads than their counterparts who lived with others. Conclusion: elderly persons living alone in Brazil have a worse health status and health-related habits. These findings represent a challenge and should motivate social and health policies aimed at fulfilling the greater needs of adults who grow old alone.
DOI: 10.6084/m9.figshare.7367651
title: Evaluation in distance learning: a case report of the UNASUS/UERJ postgraduate course in elderly health

description: Abstract Objective: this analytical case study aimed to evaluate the effectiveness of the UNA-SUS/UERJ Specialization Course in Elderly Health. Method: a mixed-approach evaluation was used, employing the four levels of the Kirkpatrick evaluation model as a reference. Results: the UNA-SUS/UERJ Elderly Health Specialization course presented indicators of success in the three proposed levels of the Kirkpatrick evaluation. The variables identified in the study may be related to a change in the practices of health professionals. Conclusion: the evaluation of distance learning activities in Brazil is still a developing area, a finding that is of increasing importance as large-scale distance learning specialization courses are established and require financial resources whilst lacking a proposed approach to evaluation. It is believed that the present study can contribute to the development of new evaluation projects in distance learning, especially those that impact the elderly population in Primary Health Care, supporting new distance learning projects in the area of aging and correcting the direction of current initiatives.
DOI: 10.6084/m9.figshare.7367651.v1
title: Evaluation in distance learning: a case report of the UNASUS/UERJ postgraduate course in elderly health

description: Abstract Objective: this analytical case study aimed to evaluate the effectiveness of the UNA-SUS/UERJ Specialization Course in Elderly Health. Method: a mixed-approach evaluation was used, employing the four levels of the Kirkpatrick evaluation model as a reference. Results: the UNA-SUS/UERJ Elderly Health Specialization course presented indicators of success in the three proposed levels of the Kirkpatrick evaluation. The variables identified in the study may be related to a change in the practices of health professionals. Conclusion: the evaluation of distance learning activities in Brazil is still a developing area, a finding that is of increasing importance as large-scale distance learning specialization courses are established and require financial resources whilst lacking a proposed approach to evaluation. It is believed that the present study can contribute to the development of new evaluation projects in distance learning, especially those that impact the elderly population in Primary Health Care, supporting new distance learning projects in the area of aging and correcting the direction of current initiatives.
DOI: 10.6084/m9.figshare.7368020
title: Falls and associated factors among elderly persons residing in the community

description: Abstract Objective: to identify the prevalence of falls among elderly persons and analyze fall-related factors. Method: a cross-sectional, population-based study conducted by household survey of 400 elderly subjects (aged 60 years or older) living in the city of Juiz de Fora, Minas Gerais, Brazil was carried out. The occurrence of falls in the last 12 months, sociodemographic factors, health profile and geriatric syndromes were observed. The crude and adjusted prevalence ratios (PR) were obtained using Poisson regression. A three-model hierarchical approach was applied in the multivariate analysis. In all the multivariate models, gender and age were defined as confounding variables. Variables which reached a level of p&lt;0.05 in the first model were retained in the subsequent models. For all models the significance threshold was set at 0.05 and the variables which remained associated with the occurrence of falls in the 3rd model were retained in the final analysis. Result: the prevalence of falls was 35.3% (CI 95% = 30.7;40.0). Among the elderly persons who reported falls, 44% reported that they had fallen more than once. The majority of falls occurred at home (69.2%) and in the morning (46.7%). Age a reported difficulty walking remained significantly associated with the outcome after adjustments (3rd model). Conclusion: falls are frequent and are associated with increasing age and difficulty walking. The recognition of these factors is important for strategies to reduce falls and the promotion of a healthy aging by means of preventive and rehabilitation actions that target more vulnerable groups.
DOI: 10.6084/m9.figshare.7368020.v1
title: Falls and associated factors among elderly persons residing in the community

description: Abstract Objective: to identify the prevalence of falls among elderly persons and analyze fall-related factors. Method: a cross-sectional, population-based study conducted by household survey of 400 elderly subjects (aged 60 years or older) living in the city of Juiz de Fora, Minas Gerais, Brazil was carried out. The occurrence of falls in the last 12 months, sociodemographic factors, health profile and geriatric syndromes were observed. The crude and adjusted prevalence ratios (PR) were obtained using Poisson regression. A three-model hierarchical approach was applied in the multivariate analysis. In all the multivariate models, gender and age were defined as confounding variables. Variables which reached a level of p&lt;0.05 in the first model were retained in the subsequent models. For all models the significance threshold was set at 0.05 and the variables which remained associated with the occurrence of falls in the 3rd model were retained in the final analysis. Result: the prevalence of falls was 35.3% (CI 95% = 30.7;40.0). Among the elderly persons who reported falls, 44% reported that they had fallen more than once. The majority of falls occurred at home (69.2%) and in the morning (46.7%). Age a reported difficulty walking remained significantly associated with the outcome after adjustments (3rd model). Conclusion: falls are frequent and are associated with increasing age and difficulty walking. The recognition of these factors is important for strategies to reduce falls and the promotion of a healthy aging by means of preventive and rehabilitation actions that target more vulnerable groups.
DOI: 10.6084/m9.figshare.7367588
title: Notification of cases of HIV/AIDS among the elderly in the state of Ceará: the historical sequence between 2005 and 2014

description: Abstract Objective: to describe the historical sequence and characteristics of reported cases of HIV/AIDS among the elderly in the state of Ceará from 2005 to 2014. Method: a descriptive study was carried out, based on the Ministry of Health database, available in SINAN (Disease Cases Notification Information System) from January 2005 to December 2014. The variables studied were: gender, race, schooling, marital status and exposure category. Result: a total of 10,299 new cases were reported in the state, 1.5% (151) of which related to the elderly. The majority of those affected lived in Fortaleza (85.6%), were aged between 60 and 69 years (86.8%), were male (60.9%), brown (61.6%), had a level of schooling below unfinished elementary (42%), were heterosexual (85.4%) and had a marital status of married (29.3%). The proportion of male/female cases peaked in 2005 (5.5: 1) and declined thereafter reaching an average value of 0.8: 1 in the period between 2008 and 2011, then increased again, reaching 3.3: 1 in 2014. The highest coefficients were observed in the groups with lower schooling. Conclusion: according to the notifications during the period evaluated, AIDS among the elderly showed a tendency of growth among men, aged between 60 and 69 years old, who were heterosexual, less educated and married. This justifies the strengthening of specific strategies aimed at this population with the objective of tackling the disease.
DOI: 10.6084/m9.figshare.7367588.v1
title: Notification of cases of HIV/AIDS among the elderly in the state of Ceará: the historical sequence between 2005 and 2014

description: Abstract Objective: to describe the historical sequence and characteristics of reported cases of HIV/AIDS among the elderly in the state of Ceará from 2005 to 2014. Method: a descriptive study was carried out, based on the Ministry of Health database, available in SINAN (Disease Cases Notification Information System) from January 2005 to December 2014. The variables studied were: gender, race, schooling, marital status and exposure category. Result: a total of 10,299 new cases were reported in the state, 1.5% (151) of which related to the elderly. The majority of those affected lived in Fortaleza (85.6%), were aged between 60 and 69 years (86.8%), were male (60.9%), brown (61.6%), had a level of schooling below unfinished elementary (42%), were heterosexual (85.4%) and had a marital status of married (29.3%). The proportion of male/female cases peaked in 2005 (5.5: 1) and declined thereafter reaching an average value of 0.8: 1 in the period between 2008 and 2011, then increased again, reaching 3.3: 1 in 2014. The highest coefficients were observed in the groups with lower schooling. Conclusion: according to the notifications during the period evaluated, AIDS among the elderly showed a tendency of growth among men, aged between 60 and 69 years old, who were heterosexual, less educated and married. This justifies the strengthening of specific strategies aimed at this population with the objective of tackling the disease.
DOI: 10.6084/m9.figshare.7367507
title: Relation between family functionality and the household arrangements of the elderly

description: Abstract Objective :to verify the association between family functionality and the household arrangements of the elderly in an urban area of Minas Gerais. Method: a quantitative, household survey type study that was analytical, cross-sectional and observational in nature was carried out with 637 elderly persons. The Mini Mental State Examination, a characterization of sociodemographic and economic data and the Family Apgar test were used. Descriptive analysis was performed by absolute and relative frequencies for the categorical variables. The Chi-squared test (p &lt;0.05) was used to identify relationships between household arrangements and family functionality. Results: elderly women (66.6%), aged 60 to 70 years (42.1%), who were married (42.7%), and received the minimum wage (45.1%), with up to four years of education (51%) predominated. It was found that the majority of the elderly persons interviewed (87.8%) considered their family as a unit of care with good functionality. There was a significant association between poor family functionality and elderly individuals who lived alone (p = 0.007). Conclusion: it is important to understand the family dynamics of the elderly so that multidisciplinary teams can promote actions and interventions aimed at the needs of each family, helping to strengthen family relationships.
DOI: 10.6084/m9.figshare.7367507.v1
title: Relation between family functionality and the household arrangements of the elderly

description: Abstract Objective :to verify the association between family functionality and the household arrangements of the elderly in an urban area of Minas Gerais. Method: a quantitative, household survey type study that was analytical, cross-sectional and observational in nature was carried out with 637 elderly persons. The Mini Mental State Examination, a characterization of sociodemographic and economic data and the Family Apgar test were used. Descriptive analysis was performed by absolute and relative frequencies for the categorical variables. The Chi-squared test (p &lt;0.05) was used to identify relationships between household arrangements and family functionality. Results: elderly women (66.6%), aged 60 to 70 years (42.1%), who were married (42.7%), and received the minimum wage (45.1%), with up to four years of education (51%) predominated. It was found that the majority of the elderly persons interviewed (87.8%) considered their family as a unit of care with good functionality. There was a significant association between poor family functionality and elderly individuals who lived alone (p = 0.007). Conclusion: it is important to understand the family dynamics of the elderly so that multidisciplinary teams can promote actions and interventions aimed at the needs of each family, helping to strengthen family relationships.
DOI: 10.6084/m9.figshare.7368128
title: Disability relating to instrumental activities of daily living in the elderly with rheumatic diseases

description: Abstract Objective: to characterize the sociodemographic profile of elderly persons with arthritis/rheumatism in relation to gender, as well as to estimate the prevalence and factors associated with functional disability for the performance of instrumental activities of daily living (IADL). Method: a cross-sectional population-based study with a sample of 1,136 elderly persons (≥65 years old) from seven Brazilian municipal regions was carried out. Functional capacity was assessed by the self-reports of the elderly in terms of the performance of IADL, using the Lawton Scale. Differences between the genders, according to sociodemographic variables, were verified by the chi-squared test (p&lt;0.05). The prevalence of inability to perform IADL was calculated and the independent associations were verified through multiple logistic regression. Results: the mean age was 72.4 years, 79.1% of the sample were women, and 45.9% of the elderly with arthritis/rheumatism were dependent for the performance of IADL. Differences were observed between the genders in relation to age, marital status, income and household arrangements (p&lt;0.05). A higher prevalence of disability was observed among older elderly persons, those with no schooling and lower incomes, who lived in multigenerational households and who were frail. In the evaluation of the performance of specific activities, elderly persons with arthritis/rheumatism had greater difficulty taking medication (OR: 1,90; CI 95%: 1.19 - 3.06), after adjusting for gender and age. Conclusion: associations were found between functional disability and sociodemographic variables and frailty. Independence in daily activities such as those evaluated in this study is one of the primary conditions for the well-being of the elderly, even in conditions of frailty or chronic diseases.
DOI: 10.6084/m9.figshare.7368128.v1
title: Disability relating to instrumental activities of daily living in the elderly with rheumatic diseases

description: Abstract Objective: to characterize the sociodemographic profile of elderly persons with arthritis/rheumatism in relation to gender, as well as to estimate the prevalence and factors associated with functional disability for the performance of instrumental activities of daily living (IADL). Method: a cross-sectional population-based study with a sample of 1,136 elderly persons (≥65 years old) from seven Brazilian municipal regions was carried out. Functional capacity was assessed by the self-reports of the elderly in terms of the performance of IADL, using the Lawton Scale. Differences between the genders, according to sociodemographic variables, were verified by the chi-squared test (p&lt;0.05). The prevalence of inability to perform IADL was calculated and the independent associations were verified through multiple logistic regression. Results: the mean age was 72.4 years, 79.1% of the sample were women, and 45.9% of the elderly with arthritis/rheumatism were dependent for the performance of IADL. Differences were observed between the genders in relation to age, marital status, income and household arrangements (p&lt;0.05). A higher prevalence of disability was observed among older elderly persons, those with no schooling and lower incomes, who lived in multigenerational households and who were frail. In the evaluation of the performance of specific activities, elderly persons with arthritis/rheumatism had greater difficulty taking medication (OR: 1,90; CI 95%: 1.19 - 3.06), after adjusting for gender and age. Conclusion: associations were found between functional disability and sociodemographic variables and frailty. Independence in daily activities such as those evaluated in this study is one of the primary conditions for the well-being of the elderly, even in conditions of frailty or chronic diseases.