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Title: Gender differences in disability among older adults in the context of social gender and income inequalities : 2013 Brazilian health survey
Other Titles: Diferenças de gênero na incapacidade entre idosos no contexto de desigualdades sociais de gênero e de renda : Pesquisa Nacional de Saúde 2013
Author: Barbosa de Lima, André Luiz
Espelt Hernández, Albert
Bosque Prous, Marina
Costa de Lima, Kenio
Others: Universidade Federal do Rio Grande do Norte
Universitat de Vic - Universitat Central de Catalunya
Universitat Autònoma de Barcelona
Universitat Oberta de Catalunya (UOC)
Keywords: health of the disabled
health status disparities
multilevel analysis
Issue Date: 21-Feb-2020
Publisher: Revista Brasileira de Epidemiologia
Citation: Barbosa de Lima, A.L., Espelt, A., Bosque-Prous, M. & Costa Lima, K. (2020). Gender differences in disability among older adults in the context of social gender and income inequalities : 2013 Brazilian health survey. Revista Brasileira de Epidemiologia, 23(), 1-16. doi: 10.1590/1980-549720200002
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Abstract: To estimate the magnitude of gender differences in disability among adults aged 60 and older and to evaluate whether they can be associated with social gender inequality and socioeconomic contextual factors at the level of Brazilian federative units. This is a multilevel study that used data from 23,575 older adults of 27 federative units who participated in the 2013 Brazilian Health Survey. The activity limitation index was developed from the item response theory, using activities of daily living and instrumental activities of daily living variables. The association of individual and contextual variables with disability was estimated by assessing the magnitude of differences between genders, using cross-level interaction effects in multilevel generalized linear models, including only the variables that were statistically significant in the final model. The prevalence of disability was higher among women (37.6%) than among men (26.5%), totaling 32.7% of the older adults. In the adjusted multilevel analysis, disability was influenced by income inequality (Ygini = 0.022, p < 0.001) among federative units. In addition, gender differences in disability were associated with social gender inequalities (YmgiiXsex = 0.020, p = 0.004).
Language: English
ISSN: 1415-790XMIAR
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