| Revista: | Revista de saude publica |
| Base de datos: | |
| Número de sistema: | 000535598 |
| ISSN: | 0034-8910 |
| Autors: | Plácido, Jessica1 Marinho, Valeska1 Ferreira, José Vinicius1 Teixeira, Ivan Abdalla1 Costa, Erico Castro2 Deslandes, Andrea Camaz1 |
| Institucions: | 1Universidade Federal do Rio de Janeiro, Instituto de Psiquiatria, Rio de Janeiro, Rio de Janeiro. Brasil 2Fundação Oswaldo Cruz, Instituto René Rachou, Belo Horizonte. Brasil |
| Any: | 2023 |
| Volum: | 57 |
| País: | Brasil |
| Idioma: | Inglés |
| Resumen en inglés | OBJECTIVE To investigate associations among race/color, gender, and intrinsic capacity (IC) (total and by domains) in middle-aged and older adults from a Brazilian cohort. As a secondary objective, we investigate these associations across Brazilian regions. METHODS This is a cross-sectional study conducted with baseline data from the 2015–2016 Brazilian Longitudinal Study of Aging (ELSI-Brazil). IC was investigated via cognitive (verbal fluency), physical (gait velocity/handgrip), and psychosocial (Center for Epidemiological Studies Depression) domains. Moreover, IC sensory domain was evaluated via self-reported sensory disease diagnoses (vision and/or hearing impairment) and race/color was identified via self-reported criteria. RESULTS We evaluated a total of 9,070 participants (aged ≥ 50 years). Black and Brown participants were 80% and 41% more likely to show a worse IC cognitive domain than white controls, respectively (OR = 1.80, 95%CI: 1.42–2.28, p < 0.001 and OR = 1.41, 95%CI: 1.21–1.65, p < 0.001). Moreover, Black and Brown women had almost a threefold greater chance of showing a worse IC than white men (OR = 2.91, 95%CI: 1.89–4.47, p < 0.001 and OR = 2.51, 95%CI: 2.09 - 3.02, p < 0.001) and a 62% (OR = 1.62, 95%CI: 1.02–2.57) and 32% (OR = 1.32, 95%CI: 1.10–1.57) greater risk of falling below our IC score cutoff point than white women. We found the greatest differences in the Brazilian South, whereas its North showed the lowest associations among race/color, gender, and IC. CONCLUSION IC racial and gender disparities reinforce the need for public health policies to guarantee equality during aging. Promoting greater access to good health care requires understanding how racism and sexism can contribute to health inequities and their consequences in different Brazilian regions. |
| Keyword: | Adult, Aging, Cognitive Dysfunction, Race Factors, Gender and Health |
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