Apoio financeiro e de cuidado em idosos: associação com características sociodemográficas, de situação de saúde e modelo de atenção básica, 2008 e 2016

Abstract

The study examined the receipt and offer of social support of a financial and care type, according to sociodemographic characteristics, health status and basic care model in the elderly cohort in Bagé / RS, in 2008 and 2016. This is a crosssectional analysis of a cohort study with a sample of 1,593 individuals aged 60 years or over living in the urban area of the municipality of Bagé, Rio Grande do Sul. Data were collected through home interviews. The sample of the cohort of the SIGa-Bagé study was composed of individuals from urban areas, subdivided in a proportionally similar manner according to the basic health service of the territory (Traditional/Family Health Strategy) in which they lived. In order to ensure that the residence's equiprobability is selected to compose the sample, different starting points were randomly selected, with a jump of six households, where the residences on the left were considered eligible. All individuals aged 60 or over who lived at home were invited to participate in the study. The analysis was performed using Poisson Regression with a robust estimate of variance. In 2008, 20.2% (CI95% 18,3-22,3) of the elderly received financial support and 54.9% (CI95% 51,4-56,3) care. In 2016, 16.9% (CI95% 14,3-19,9) received financial support and 37.0% (CI95% 33,5-40,6) of the elderly received care. In 2008, after adjusted analysis, the prevalence of receiving financial support was 62.0%, 99.0% and 48.0% higher among non-retirees, who were unable to perform activities of daily living (ADL) and who did not leave in the last month, respectively. In 2016, the prevalence was 83.0% and 67.0% higher in women and inability to perform ADL. The probability of receiving care, in 2008, was 53.0% higher among elderly people with inability to perform instrumental activities (IADL) and in 2016 it was 84.0% and 56% higher among residents in the Family Health Strategy area and inability to do IADL. It is concluded that there is a need for health professionals to gather information about receiving financial support and care and that the State should expand and update social protection policies, including the strengthening of family support to ensure the improvement of the quality of life and health. health situation of the elderly.