Trends and inequalities in (healthy) life expectancy by neighbourhood during the COVID-19 epidemic in Barcelona.

OBJECTIVE: To analyse the trend in life expectancy (LE), healthy life expectancy (HLE) and socio-economic inequalities by neighbourhood in Barcelona from the pre-pandemic period (2018-2019) to the pandemic period (2020-2021). METHOD: LE and HLE at birth were computed using the municipal register of inhabitants and quality of life (EuroQol) from the Barcelona Health Survey of 2016. Inequalities were assessed with the gap between quantiles of neighbourhood income. RESULTS: In 2020, there was a reduction in LE among men (-1.98 years) and women (-2.44) and in HLE among men (-1.44). Socio-economic inequalities in LE and HLE between neighbourhoods widened since 2019 to 2021 (LE: from 3.92 to 4.86 years for men, and from 1.30 to 3.60 for women; HLE: from 6.88 to 7.70 years for men, and from 7.85 to 9.31 for women). CONCLUSIONS: The pandemic has substantially reduced LE and HLE, with larger effects among low-income neighbourhoods, especially among women.

Estudio sobre la relación entre las actividades de envejecimiento activo y el grado de satisfacción en los adultos mayores durante el Covid-19 (Study on the relationship between active ageing activities and the degree of satisfaction in older adults durin

This research aimed to study the relationship between the frequency of participation of older adults in active ageing programs and the satisfaction they obtain from this experience. The research was quantitative, cross-sectional, and relational;and an intentional non-probability sampling was applied to select 800 persons over 65, corresponding to users of various senior centres located in four districts of Madrid, Spain. The data collection instrument consisted of 29 easy-to-understand questions grouped into six dimensions. Results of the questionnaire indicate that users are satisfied with the activities and services offered by the centres since they manage to establish new relationships and learn new skills through group workshops that contribute to their personal enrichment. According to 78% of the respondents, participation in workshops and other group activities contribute to a better quality of life in the elderly, and no statistically significant differences were found between the users’ degree of satisfaction and gender. This research provides possible improvements in areas that will contribute to preventing dependence;for example, those in which there is a greater demand from users. As proposals for improvement, we suggest designing specific strategies to obtain more male participation in senior centre workshops. Alternate :Esta investigación tuvo como objetivo estudiar la relación entre la frecuencia de participación de los adultos mayores en programas de envejecimiento activo y la satisfacción que obtienen de esta experiencia. La investigación fue cuantitativa, transversal y relacional;y se aplicó un muestreo no probabilístico intencional para seleccionar a 800 personas mayores de 65 años, correspondientes a usuarios de varios centros de mayores ubicados en cuatro distritos de Madrid, España. El instrumento de recogida de datos consistió en 29 preguntas de fácil comprensión agrupadas en seis dimensiones. Los resultados del cuestionario indican que los usuarios están satisfechos con las actividades y servicios que ofrecen los centros ya que consiguen establecer nuevas relaciones y aprender nuevas habilidades a través de talleres grupales que contribuyen a su enriquecimiento personal. Según el 78% de los encuestados, la participación en talleres y otras actividades grupales contribuyen a mejorar la calidad de vida de las personas mayores, y no se encontraron diferencias estadísticamente significativas entre el grado de satisfacción de los usuarios y el género. Esta investigación aporta posibles mejoras en áreas que contribuirán a prevenir la dependencia;por ejemplo, aquellas en las que existe una mayor demanda por parte de los usuarios. Como propuestas de mejora, se sugiere diseñar estrategias específicas para conseguir una mayor participación masculina en los talleres de los centros de mayores.Alternate : Esta pesquisa teve como objetivo estudar a relação entre a frequência de participação de idosos em programas de envelhecimento ativo e a satisfação que obtêm com essa experiência. A pesquisa foi quantitativa, transversal e relacional;e uma amostragem não probabilística intencional foi aplicada para selecionar 800 pessoas com mais de 65 anos, correspondendo a usuários de vários centros de idosos localizados em quatro distritos de Madrid, Espanha. O instrumento de coleta de dados foi composto por 29 questões de fácil compreensão agrupadas em seis dimensões. Os resultados do questionário indicam que os usuários estão satisfeitos com as atividades e serviços oferecidos pelos centros, pois conseguem estabelecer novas relações e aprender novas habilidades por meio de oficinas em grupo que contribuem para o seu enriquecimento pessoal. Segundo 78% dos entrevistados, a participação em oficinas e outras atividades em grupo contribui para uma melhor qualidade de vida dos idosos, não sendo encontradas diferenças estatisticamente significativas entre o grau de satisfação dos usuários e o gênero. Esta pesquisa traz possíveis melhorias em à reas que contribuirão para a prevenção da dependência;por exemplo, aqueles em que há uma maior demanda de usuários. Como propostas de melhoria, sugerimos desenhar estratégias específicas para obter uma maior participação masculina nas oficinas do centro de idosos.

[Decline in life expectancy in Madrid's districts in 2020: its correlation with social determinants]. / Caída de la esperanza de vida en distritos de Madrid en 2020: relación con determinantes sociales.

OBJECTIVE: Estimating the decrease in life expectancy (LE) of the population of Madrid and its districts and its relationship with socioeconomic variables in the first year of the COVID-19 pandemic. METHOD: Death records were obtained from the Municipal Register of inhabitants (Municipal Statistics Service). Based on Chiang II method, life expectancy at birth and at 65 years of age (LEB and LE65) were calculated, as well as their 95% confidence intervals both for men and women and their gross, net and minimum falls for each district in 2020 over 2019, their correlation with some socioeconomic variables distribution and the existence of multiple linear regression explicative models. RESULTS: In 2020, deaths in Madrid increased by 46.1% compared with the previous year, the LEB was 79.31 years in men and 85.25 years in women, meaning a decrease of 3.67 and 2.56 years respectively (4.42% and 2.91%). All districts registered decreases in LE, with the largest decrease in men in Tetuan (4.72 years) and in women in Chamartín (3.91 years). The most affected were the southern districts, especially in men. Immigrant and people over 80 years old rates explained 24% of the drop in LE in men, using linear regression model. CONCLUSIONS: The decrease in LE recorded in Madrid and its districts in 2020 is bigger than in Spain (1.6 years), takes us back to values of 2002 (LE65) and 2008 (LEB), has a sharper fall in the south and is territorially unequally distributed, according to socioeconomic variables and being associated with some of them.