Older adults under a mixed regime of infectious and chronic diseases
Salud pública Méx
;
54(5): 487-495, sept.-oct. 2012. graf, tab
Article
in English
| LILACS
| ID: lil-649921
ABSTRACT
OBJECTIVE:
Analyze the impact of a mixed regime of infectious and chronic conditions among older adults in Mexico on their health progression. MATERIALS ANDMETHODS:
A total of 12 207 adults from the Mexican Health and Aging Study were included. Logistic regression analyses were conducted to assess the relationship between self-reported health (SRH) and covariates, including infectious and chronic diseases. Changes in SRH between 2001-2003 were analyzed using multinomial analysis.RESULTS:
Older age, low SES, poor SRH and type of disease at baseline increase the odds of poor SRH at follow-up. Odds of poor SRH are highest for persons with both types of diseases (OR 2.63, SE 0.24), followed by only chronic (OR 1.86; SE 0.12) and finally only infectious (OR 1.55; SE 0.25).CONCLUSION:
Mexico is experiencing a mixed regime of diseases that affects the health and wellbe-ing of older adults. Despite the rising importance of chronic diseases in countries like Mexico, it is premature to disregard the relevance of infectious diseases for public health.RESUMEN
OBJETIVO:
Analizar el impacto del régimen epidemiológico mixto presente en México sobre la salud de los adultos mayores. MATERIAL YMÉTODOS:
Participaron adultos mayores de la Encuesta Nacional de Salud y Envejecimiento en México (n=12 207). Se usaron regresiones logísticas para evaluar la relación entre autorreporte de salud (ARS) y variables como enfermedades infecciosas y crónicas. Se analizó el cambio en ARS mediante análisis multinomiales.RESULTADOS:
Edad, estatus socioeconómico, pobre ARS y tipo de enfermedad aumentan el riesgo de pobre ARS en el futuro. La razón de probabilidades de pobre ARS fue más alta para individuos con ambos tipos de enfermedad (OR 2.63, SE 0.24), seguida por aquellos con crónicas (OR 1.86; SE 0.12) y aquellos con infecciosas (OR 1.55; SE 0.25).CONCLUSIÓN:
El régimen mixto presente en México afecta a los adultos mayores. En países como México, es prematuro dejar de lado el impacto de las enfermedades infecciosas para enfocarse únicamente en prevenir las crónicas.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Chronic Disease
/
Communicable Diseases
Type of study:
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Country/Region as subject:
Mexico
Language:
English
Journal:
Salud pública Méx
Journal subject:
Public Health
Year:
2012
Type:
Article
/
Project document
Affiliation country:
United States
Institution/Affiliation country:
University of Texas Medical Branch/US
/
University of Wisconsin/US
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