Abstract
to verify the association between social network and functional disability in elderly Brazilians. a cross-sectional study with secondary data of 11,177 elderly people, available on Brazilian Institute of Geography and Statistics' website. Social network components were having trusted friends/relative, living with their spouse, practicing social activity, performing voluntary or paid work. The outcome was functional disability, measured by the difficulty in performing instrumental and basic activities of daily living. Logistic regression models were used. disability prevalence for instrumental activities was 28.0% (95%CI: 26.7-29.4), and for basic activities, 15.5% (95%CI: 14.4-16.6). Not having components social network components was associated with greater chances of functional disability, especially among women. there was an association between not having social network components with functional disability. There are differences in this association according to sex. Strengthening actions that expand social network can reduce the chance of this outcome in elderly people.
Highlights
Functionality maintenance and disability prevention among elderly people are growing concerns, especially due to the rapid proportional increase of this population in the world and in Brazil[1,2]
Functional disability consists of difficulty or disability to perform Instrumental Activities of Daily Living (IADL) and/or Basic Activities of Daily Living (ADL), resulting in a complex relationship between health conditions, individual and environmental factors[4,5]
As for elderly people’s social network components, in general, it was observed that a large part had one or more friends (60.4%) and one or more relatives that they could trust (88.2%)
Summary
Functionality maintenance and disability prevention among elderly people are growing concerns, especially due to the rapid proportional increase of this population in the world and in Brazil[1,2]. People may be more susceptible to reduced functional performance due to the physiological decline secondary to age and, due to the high prevalence of multimorbidity[3]. Functional disability consists of difficulty or disability to perform Instrumental Activities of Daily Living (IADL) and/or Basic Activities of Daily Living (ADL), resulting in a complex relationship between health conditions, individual and environmental factors[4,5]. The occurrence of functional disability has been associated with dependence, worsening quality of life, reduced life expectancy, increased mortality, greater use and costs with health services, especially with prolonged hospitalizations and readmissions[8,9,10]
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