Factors associated with use of assistive walking devices among older adults in Brazil

Abstract Background Walking devices and other forms of assistive technology (AT) can benefit older adults by supporting mobility and social interactions, but usage outside of high-income countries is generally low. Objective To examine the factors associated with AT use and whether AT use is assoc...

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Main Authors: Flavia Cristina Drumond Andrade, Nessa Steinberg, Shondra L. Clay, Reginald Alston
Format: Article
Language:English
Published: Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro 2022-01-01
Series:Cadernos de Saúde Coletiva
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2022005023205&tlng=en
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author Flavia Cristina Drumond Andrade
Nessa Steinberg
Shondra L. Clay
Reginald Alston
author_facet Flavia Cristina Drumond Andrade
Nessa Steinberg
Shondra L. Clay
Reginald Alston
author_sort Flavia Cristina Drumond Andrade
collection DOAJ
description Abstract Background Walking devices and other forms of assistive technology (AT) can benefit older adults by supporting mobility and social interactions, but usage outside of high-income countries is generally low. Objective To examine the factors associated with AT use and whether AT use is associated with higher levels of social participation among older adults in Brazil. Method The 2013 Brazilian National Health Survey interviewed 23,815 individuals 60 years or older. Descriptive and logistic regression analyses were used to examine AT use, including canes and walkers, to assist with walking and social participation. Results Among older adults with mobility difficulty, 34.0% (95% CI 31.2- 36.9) reported using AT. Prevalence of the use of AT for walking increases with age: 21.4% of those 60-69 years reported using AT while 58.5% of those 90 years or older did. AT was negatively associated with participation in social activities. Conclusion Our analyses focused on older adults with mobility limitations who need appropriate transportation and environment adaptations to engage socially. Contrary to studies in more developed countries, among Brazilians, AT use is negatively associated with social interactions. The resulting confinement seems to lead to social isolation.
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spelling doaj.art-09fa7796794c4a0f8043f8543e5ed6922022-12-21T21:29:03ZengInstituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de JaneiroCadernos de Saúde Coletiva1414-462X2022-01-0110.1590/1414-462x202199010420Factors associated with use of assistive walking devices among older adults in BrazilFlavia Cristina Drumond Andradehttps://orcid.org/0000-0002-3856-3816Nessa Steinberghttps://orcid.org/0000-0002-8643-1922Shondra L. Clayhttps://orcid.org/0000-0002-8607-9463Reginald Alstonhttps://orcid.org/0000-0002-8180-1621Abstract Background Walking devices and other forms of assistive technology (AT) can benefit older adults by supporting mobility and social interactions, but usage outside of high-income countries is generally low. Objective To examine the factors associated with AT use and whether AT use is associated with higher levels of social participation among older adults in Brazil. Method The 2013 Brazilian National Health Survey interviewed 23,815 individuals 60 years or older. Descriptive and logistic regression analyses were used to examine AT use, including canes and walkers, to assist with walking and social participation. Results Among older adults with mobility difficulty, 34.0% (95% CI 31.2- 36.9) reported using AT. Prevalence of the use of AT for walking increases with age: 21.4% of those 60-69 years reported using AT while 58.5% of those 90 years or older did. AT was negatively associated with participation in social activities. Conclusion Our analyses focused on older adults with mobility limitations who need appropriate transportation and environment adaptations to engage socially. Contrary to studies in more developed countries, among Brazilians, AT use is negatively associated with social interactions. The resulting confinement seems to lead to social isolation.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2022005023205&tlng=enassistive deviceswalkinghealth of the elderlysocial participationBrazil
spellingShingle Flavia Cristina Drumond Andrade
Nessa Steinberg
Shondra L. Clay
Reginald Alston
Factors associated with use of assistive walking devices among older adults in Brazil
Cadernos de Saúde Coletiva
assistive devices
walking
health of the elderly
social participation
Brazil
title Factors associated with use of assistive walking devices among older adults in Brazil
title_full Factors associated with use of assistive walking devices among older adults in Brazil
title_fullStr Factors associated with use of assistive walking devices among older adults in Brazil
title_full_unstemmed Factors associated with use of assistive walking devices among older adults in Brazil
title_short Factors associated with use of assistive walking devices among older adults in Brazil
title_sort factors associated with use of assistive walking devices among older adults in brazil
topic assistive devices
walking
health of the elderly
social participation
Brazil
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2022005023205&tlng=en
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