Factors influencing the condition of vulnerability among the elderly

Abstract

Abstract Objective: Describe health conditions and life habits using Vulnerable Elders Survey-13 scores, with the aim of understanding the factors associated with the vulnerability of the elderly. Method: A quantitative, cross-sectional study was conducted in the Distrito Federal, Brazil. Data were collected by a questionnaire containing the Vulnerable Elders Survey-13 and other variables. Descriptive statistics, correlation and regression analyses were carried out. Results: 956 people aged 60 years and older living in the Distrito Federal were interviewed. Of these, 32.4% had scores equal to or greater than three, and were therefore classified as vulnerable. Some variables exhibited a positive relation with VES-13 score, with intensity ranging from very weak, in the case of systemic arterial hypertension (p=0.035) and diabetes mellitus (p=0.027), to moderate, as was the case with depression (p<0.001), urinary loss (p<0.001) and falls (p<0.001). It was also observed that a 1% increase in the income of the elderly resulted in a reduction of 0.27 points (p<0,001) in Vulnerable Elders Survey score, reducing vulnerability. Conclusion: Depression most influenced vulnerability score, followed by urinary and hearing loss. Public policies aimed at the promotion of the physical and mental health of the elderly and the creation of a propitious environment to increase income, through reinsertion into the labor market or welfare policies, can help to reduce vulnerability.