Determinantes sociais da saúde do idoso / Social determinants of health in the elderly
Ciênc. Saúde Colet. (Impr.)
; Ciênc. Saúde Colet. (Impr.);17(1): 123-133, jan. 2012.
Article
in Pt
| LILACS
| ID: lil-610665
Responsible library:
BR1.1
RESUMO
A saúde é afetada ao longo da vida pelas características do contexto social, que geram desigualdades nas exposições e vulnerabilidades. Esses determinantes sociais interferem no bem-estar, independência funcional e qualidade de vida dos idosos, mas geralmente são desconsiderados nas intervenções e políticas. Diante disso, objetivou-se sistematizar os conhecimentos acerca dos determinantes sociais da saúde do idoso, adotando-se como marco conceitual o modelo de Dahlgren e Whitehead. No nível estrutural, abordaram-se os efeitos das mudanças demográficas no processo de envelhecimento e perfil de morbidade; no nível intermediário, as condições de vida e trabalho com impacto na saúde atual e futura e o papel da coesão social; no nível proximal, os comportamentos e estilos de vida de maior risco. Evidenciou-se que a equidade em saúde requer ação sobre os determinantes sociais no curso da vida para minimizar as doenças crônicas e deficiências do idoso que refletem as suas posições sociais no passado.
ABSTRACT
Health is affected throughout the course of life by characteristics of social context, which produce inequalities in terms of exposure and vulnerability. These social determinants interfere with the well-being, functional independence and quality of life of the elderly, but are generally overlooked in interventions and policies. Therefore, the aim of this study was to systematize the knowledge of the social determinants of health in the elderly, using the Dahlgren and Whitehead model as a conceptual guide. The effects of demographic changes in the aging process and morbidity profile were approached at the structural level. The conditions of life and work with impact on current and future health and the role of social cohesion were studied at the intermediate level. Lastly, the behavior and lifestyles of major risk were examined at close quarters. It was detected that equity in health requires attention to social determinants during the course of life in order to minimize chronic diseases and deficiencies of the elderly, which reflect their social positions in early life.
Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Health Status
/
Geriatrics
Type of study:
Prognostic_studies
Aspects:
Determinantes_sociais_saude
/
Equity_inequality
/
Patient_preference
Limits:
Aged
/
Humans
Language:
Pt
Journal:
Ciênc. Saúde Colet. (Impr.)
Journal subject:
SAUDE PUBLICA
Year:
2012
Document type:
Article
Affiliation country:
Brazil
Country of publication:
Brazil