The Association of Health and Income in the Elderly: Experience from a Southern State of Brazil

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dc.contributor.authorFillenbaum, Gerda G.
dc.contributor.authorBlay, Sergio Luis [UNIFESP]
dc.contributor.authorPieper, Carl F.
dc.contributor.authorKing, Katherine E.
dc.contributor.authorAndreoli, Sergio Baxter [UNIFESP]
dc.contributor.authorGastal, Fabio L.
dc.contributor.institutionDuke Univ
dc.contributor.institutionVet Adm Med Ctr
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.date.accessioned2016-01-24T14:34:25Z
dc.date.available2016-01-24T14:34:25Z
dc.date.issued2013-09-13
dc.description.abstractObjectives: in high income, developed countries, health status tends to improve as income increases, but primarily through the 50th-66th percentile of income. It is unclear whether the same limitation holds in middle income countries, and for both general assessments of health and specific conditions.Methods: Data were obtained from Brazil, a middle income country. In-person interviews with a representative sample of community residents age >= 60 (N=6963), in the southern state of Rio Grande do Sul, obtained information on demographic characteristics including household income and number of persons supported, general health status (self-rated health, functional status), depression, and seven physician-diagnosed, self-reported health conditions. Analyses used household income (adjusted for number supported and economies of scale) together with higher order income terms, and controlled for demographics and comorbidities, to ascertain nonlinearity between income and general and specific health measures.Results: in fully controlled analyses income was associated with general measures of health (linearly with self-rated health, nonlinearly with functional status). for specific health measures there was a consistent linear association with depression, pulmonary disorders, renal disorders, and sensory impairment. for musculoskeletal, cardiovascular (negative association), and gastrointestinal disorders this association no longer held when comorbidities were controlled. There was no association with diabetes.Conclusion: Contrary to findings in high income countries, the association of household-size-adjusted income with health was generally linear, sometimes negative, and sometimes absent when comorbidities were controlled.en
dc.description.affiliationDuke Univ, Med Ctr, Ctr Study Aging & Human Dev, Durham, NC 27710 USA
dc.description.affiliationVet Adm Med Ctr, Ctr Geriatr Res Educ & Clin, Durham, NC 27705 USA
dc.description.affiliationUniversidade Federal de São Paulo, Dept Psychiat, Brazil Escola Paulista Med UNIFESP, São Paulo, Brazil
dc.description.affiliationDuke Univ, Med Ctr, Dept Biostat & Bioinformat, Durham, NC USA
dc.description.affiliationDuke Univ, Dept Sociol, Durham, NC 27706 USA
dc.description.affiliationSistema Saude Mae Deus, Project Sci Comm, Porto Alegre, RS, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Psychiat, Brazil Escola Paulista Med UNIFESP, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipConselho Estadual do Idoso, Secretaria do Trabalho, Cidadania e Assistencia Social
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.format.extent10
dc.identifierhttp://dx.doi.org/10.1371/journal.pone.0073930
dc.identifier.citationPlos One. San Francisco: Public Library Science, v. 8, n. 9, 10 p., 2013.
dc.identifier.doi10.1371/journal.pone.0073930
dc.identifier.fileWOS000324408400044.pdf
dc.identifier.issn1932-6203
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/36752
dc.identifier.wosWOS:000324408400044
dc.language.isoeng
dc.publisherPublic Library Science
dc.relation.ispartofPlos One
dc.rightsinfo:eu-repo/semantics/openAccess
dc.titleThe Association of Health and Income in the Elderly: Experience from a Southern State of Brazilen
dc.typeinfo:eu-repo/semantics/article
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