Abstract
Abstract Introduction: The CVA is the second cause of death in Brazil, presenting with serious clinical repercussions and as a public health issue. Live with the disabilities caused by it requires facing daily situations, which can increase the disability, such as the ones imposed by the environment inside or outside home. Objective: Analyze the environmental factors of ICF with a facilitator or barrier for victims of Stroke. Materials and methods: A cross-sectional study, 152 individuals; span of less than 60 months involvement and enrolled in the Family Health Units in João Pessoa, Brazil. A questionnaire was used to characterize the socio-economic and clinical form and the Core Set for stroke to identify environmental factors. The data were stored in EpiInfo 7. Associations between environmental factors and the variables age, gender, and marital status verified by chi-square test. Results: Assistive technologies and products or substances for personal consumption were the main factors recognized as facilitators, followed by interpersonal relationships. The most prevalent factors as barriers were the physical structures of public and private spaces, highlighting the physical geography of their residence. It was found that the immediate family was associated with variable marital status, use of products and technology for personal use in daily life was associated with age and, friends partnered with variable gender. Conclusions: The Core Set is shown as a sensitive instrument to capture the barriers and facilitators in population surveys. Their findings point to the need to think about public policy more appropriate for this population.{#}
Highlights
The cerebrovascular accident (CVA) is the second cause of death in Brazil, presenting with serious clinical repercussions and as a public health issue
The aim of this study is to describe and analyze the environmental factors of ICF, which can both act as facilitators or barriers in patients after CVA, and as associate them with sociodemographic pro iles
All of the male and female subjects were above 18 years old and belonged to the area each Family Health Team (FHT, a strategy to organize primary health care adopted by the Brazilian Ministry of Health since 1996) is responsible to for care in the ive Health Districts (HD) of João Pessoa
Summary
The CVA is the second cause of death in Brazil, presenting with serious clinical repercussions and as a public health issue. The high number of people with disabilities in Brazil, according to a 2010 Demographic census from the Brazilian Institute of Geography and Statistics (IBGE, 2011), 24.5 million people had some type of disability, almost 24% of the Brazilian population These numbers demonstrate the need for assessment measures, which act as interventions in disadvantages and incapacities resulting from disabilities, and provide inclusion in social, economic and politic life, bearing in mind that just 5% of these individuals are in the labor market [1]. In this context, the National Policy for health of Persons with Disabilities [2] has represented a real step forward in recognition of disability in Brazil. Studies have shown that the causes of disability are associated with chronic non-communicable diseases that increase with this life expectancy of the Brazilian population [3,4,5]
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