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Contribution of chronic conditions to gender disparities in disability in the older population in Brazil, 2013

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Abstract
To assess the contribution of chronic conditions to the disability burden in the older men and women in Brazil. Data from 10,290 participants of the Brazilian National Health Survey in 2013 aged 60 years or older were used. Disability was defined based on limitations in activities of daily living (ADL) and instrumental activities of daily living (IADL). Binomial additive hazards models were fitted to assess the contribution of chronic conditions to the disability prevalence. Back pain was the most common condition, followed by diabetes and heart diseases in men and arthritis and diabetes in women. Stroke and mental disorders were by far the most disabling conditions in men and women. A higher disability prevalence was observed in women (34.4 %, CI 32.4; 36.2 %) compared to men (28.4 %; CI 25.9; 30.8 %). The most important contributors to the disability prevalence were stroke, back pain, and arthritis among men, and diabetes, heart diseases, and arthritis in women. Interventions to reduce disability in the older population in Brazil should take into account the gender gap in the occurrence of chronic conditions, focusing on the main contributors to the disability burden.
Keywords
FREE LIFE EXPECTANCY, CHRONIC DISEASES, FUNCTIONAL DISABILITY, ELDERLY, INDIVIDUALS, BURDEN, ADULTS, DETERMINANTS, Disability, Chronic conditions, Older population, ADL, IADL, Brazil

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Chicago
de Carvalho Yokota, Renata Tiene, Lenildo de Moura, Silvânia Suely Caribé de Araújo Andrade, Naíza Nayla Bandeira de Sá, Wilma Johanna Nusselder, and Herman Van Oyen. 2016. “Contribution of Chronic Conditions to Gender Disparities in Disability in the Older Population in Brazil, 2013.” International Journal of Public Health 61 (9): 1003–1012.
APA
de Carvalho Yokota, R. T., de Moura, L., Caribé de Araújo Andrade, S. S., Bandeira de Sá, N. N., Nusselder, W. J., & Van Oyen, H. (2016). Contribution of chronic conditions to gender disparities in disability in the older population in Brazil, 2013. INTERNATIONAL JOURNAL OF PUBLIC HEALTH, 61(9), 1003–1012.
Vancouver
1.
de Carvalho Yokota RT, de Moura L, Caribé de Araújo Andrade SS, Bandeira de Sá NN, Nusselder WJ, Van Oyen H. Contribution of chronic conditions to gender disparities in disability in the older population in Brazil, 2013. INTERNATIONAL JOURNAL OF PUBLIC HEALTH. 2016;61(9):1003–12.
MLA
de Carvalho Yokota, Renata Tiene et al. “Contribution of Chronic Conditions to Gender Disparities in Disability in the Older Population in Brazil, 2013.” INTERNATIONAL JOURNAL OF PUBLIC HEALTH 61.9 (2016): 1003–1012. Print.
@article{8502613,
  abstract     = {To assess the contribution of chronic conditions to the disability burden in the older men and women in Brazil. 
Data from 10,290 participants of the Brazilian National Health Survey in 2013 aged 60 years or older were used. Disability was defined based on limitations in activities of daily living (ADL) and instrumental activities of daily living (IADL). Binomial additive hazards models were fitted to assess the contribution of chronic conditions to the disability prevalence. 
Back pain was the most common condition, followed by diabetes and heart diseases in men and arthritis and diabetes in women. Stroke and mental disorders were by far the most disabling conditions in men and women. A higher disability prevalence was observed in women (34.4 %, CI 32.4; 36.2 %) compared to men (28.4 %; CI 25.9; 30.8 %). The most important contributors to the disability prevalence were stroke, back pain, and arthritis among men, and diabetes, heart diseases, and arthritis in women. 
Interventions to reduce disability in the older population in Brazil should take into account the gender gap in the occurrence of chronic conditions, focusing on the main contributors to the disability burden.},
  author       = {de Carvalho Yokota, Renata Tiene and de Moura, Lenildo and Caribé de Araújo Andrade, Silvânia Suely and Bandeira de Sá, Naíza Nayla and Nusselder, Wilma Johanna and Van Oyen, Herman},
  issn         = {1661-8556},
  journal      = {INTERNATIONAL JOURNAL OF PUBLIC HEALTH},
  keywords     = {FREE LIFE EXPECTANCY,CHRONIC DISEASES,FUNCTIONAL DISABILITY,ELDERLY,INDIVIDUALS,BURDEN,ADULTS,DETERMINANTS,Disability,Chronic conditions,Older population,ADL,IADL,Brazil},
  language     = {eng},
  number       = {9},
  pages        = {1003--1012},
  title        = {Contribution of chronic conditions to gender disparities in disability in the older population in Brazil, 2013},
  url          = {http://dx.doi.org/10.1007/s00038-016-0843-7},
  volume       = {61},
  year         = {2016},
}

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