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Functional dependence and diabetes mellitus in the elderly affiliated to the Social Health Insurance of Peru: Secondary analysis of the ENSSA-2015 / Dependencia funcional y diabetes mellitus en ancianos afiliados al Seguro Social de Salud del Perú: Análisis secundario de la ENSSA-2015
Preprint
in Spanish
| SciELO Preprints
| ID: pps-1051
Responsible library:
BR1.1
ABSTRACT
Objectives. Estimate the prevalence of functional dependence, as well as assess its association with diabetes mellitus in older adults affiliated with the Social Health Security (EsSalud) in 2015. Materials and methods. Secondary analysis of the data of the National Socioeconomic Survey of Access to Health of the EsSalud Insured 2015 (ENSSA-2015), a household survey with two-stage probabilistic sampling, nationally representative of the EsSalud affiliate population. We include seniors (60 years and older) affiliated with EsSalud. Functional dependence was assessed using the Katz index (≥ 1 point). Diabetes mellitus was assessed by participant self-reporting. We estimated adjusted prevalence ratios (aPR) for potential confounding factors using multiple log-Poisson regression. We report 95% confidence intervals (95%CI) and p values. All analyzes considered the complex sampling of ENSSA-2015. Results. We included 10,985 participants from 12,805 eligible in the analysis. The prevalence of partial and severe functional dependence was 12.9% (95%CI 11.9%-13.8%) and 6.0% (95%CI 5.3%-6.7%), respectively. The prevalence of functional dependence (partial or severe) in diabetics was 23% higher than that of non-diabetics, after controlling for potential confounding factors (aPR = 1.23; 95%CI 1.04-1.44; p = 0.013). An alternative model showed consistent results. Conclusions. About one in five older adults affiliated with EsSalud had some degree of functional dependence (partial or severe). Likewise, diabetes was associated with a higher probability of having functional dependence in this population.
RESUMEN
Objetivo. Estimar la prevalencia de dependencia funcional y evaluar su asociación con la diabetes mellitus (DM) en ancianos afiliados al seguro social de salud (EsSalud) del Perú en 2015. Materiales y métodos. Análisis secundario de los datos de la Encuesta Nacional Socioeconómica de Acceso a la Salud de los Asegurados de EsSalud 2015 (ENSSA-2015), una encuesta de hogares con muestreo probabilístico bietápico, representativa a nivel nacional de la población de afiliados a EsSalud. Incluimos ancianos (60 años a más) afiliados EsSalud. La dependencia funcional fue evaluada mediante el índice de Katz (≥ 1 punto). La DM fue evaluada mediante auto reporte del participante. Estimamos razones de prevalencia ajustadas (RPa) por potenciales factores de confusión mediante regresión log-Poisson múltiple. Reportamos intervalos de confianza al 95% (IC95%) y valores p. Todos los análisis tuvieron en cuenta el muestreo complejo de la ENSSA-2015. Resultados. Incluimos 10985 participantes de 12805 elegibles en el análisis. Las prevalencias de dependencia funcional parcial y severa fueron de 12,9% (IC 95% 11,9%-13,8%) y 6,0% (IC95% 5,3%-6,7%), respectivamente. La prevalencia de dependencia funcional (parcial o severa) en diabéticos fue 23% mayor que la de no diabéticos, luego de controlar por potenciales factores de confusión (RPa = 1,23; IC95% 1,04-1,44; p = 0,013). Un modelo alternativo mostró resultados consistentes. Conclusiones. Cerca de uno de cada cinco ancianos afiliados a EsSalud tuvieron algún grado de dependencia funcional (parcial o severa). Asimismo, la DM estuvo asociada con una mayor probabilidad de tener dependencia funcional en esta población.
Full text:
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Collection:
Preprints
Database:
SciELO Preprints
Type of study:
Prognostic study
/
Risk factors
Country/Region as subject:
South America
/
Peru
Language:
Spanish
Year:
2020
Document type:
Preprint