Does health status explain gender dissimilarity in healthcare use among older adults?

This study investigates the extent to which gender dissimilarity in healthcare use in later life is explained by variation in health and social-economic statuses. It is based on a nationwide sample in Brazil of 12,757 men and 16,186 women aged 60+ years. Individuals with great difficulties or unable...

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Main Authors: Sandhi Maria Barreto, Alexandre Kalache, Luana Giatti
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
Series:Cadernos de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2006000200012&lng=en&tlng=en
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author Sandhi Maria Barreto
Alexandre Kalache
Luana Giatti
author_facet Sandhi Maria Barreto
Alexandre Kalache
Luana Giatti
author_sort Sandhi Maria Barreto
collection DOAJ
description This study investigates the extent to which gender dissimilarity in healthcare use in later life is explained by variation in health and social-economic statuses. It is based on a nationwide sample in Brazil of 12,757 men and 16,186 women aged 60+ years. Individuals with great difficulties or unable to perform at least one daily living activity and/or to walk 100m were classified as "established disability". Those who had interrupted their activities in the previous 15 days because of a health problem were regarded as "temporarily disabled". The remaining we classified as "healthy". These categories were analyzed by multinomial logistic regression, taking "healthy" as the reference category. Prevalences of established disability were 6% among men and 11% among women. Temporary disabilities were 7.9% and 10.1%, respectively. Poor health status was associated with increased use of healthcare among men and women, but men and women differed significantly in relation to use pattern after adjustment for age, health status, and income. Older women were greater consumers of outpatient services and older men of inpatient care.
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spelling doaj.art-65105a1e04ee4e588d5f0a5d559c138d2022-12-22T02:47:07ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-4464222347355S0102-311X2006000200012Does health status explain gender dissimilarity in healthcare use among older adults?Sandhi Maria Barreto0Alexandre Kalache1Luana Giatti2Universidade Federal de Minas GeraisWorld Health OrganizationUniversidade Federal de Minas GeraisThis study investigates the extent to which gender dissimilarity in healthcare use in later life is explained by variation in health and social-economic statuses. It is based on a nationwide sample in Brazil of 12,757 men and 16,186 women aged 60+ years. Individuals with great difficulties or unable to perform at least one daily living activity and/or to walk 100m were classified as "established disability". Those who had interrupted their activities in the previous 15 days because of a health problem were regarded as "temporarily disabled". The remaining we classified as "healthy". These categories were analyzed by multinomial logistic regression, taking "healthy" as the reference category. Prevalences of established disability were 6% among men and 11% among women. Temporary disabilities were 7.9% and 10.1%, respectively. Poor health status was associated with increased use of healthcare among men and women, but men and women differed significantly in relation to use pattern after adjustment for age, health status, and income. Older women were greater consumers of outpatient services and older men of inpatient care.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2006000200012&lng=en&tlng=enCondições de SaúdeServiços de SaúdeSaúde do IdosoGênero
spellingShingle Sandhi Maria Barreto
Alexandre Kalache
Luana Giatti
Does health status explain gender dissimilarity in healthcare use among older adults?
Cadernos de Saúde Pública
Condições de Saúde
Serviços de Saúde
Saúde do Idoso
Gênero
title Does health status explain gender dissimilarity in healthcare use among older adults?
title_full Does health status explain gender dissimilarity in healthcare use among older adults?
title_fullStr Does health status explain gender dissimilarity in healthcare use among older adults?
title_full_unstemmed Does health status explain gender dissimilarity in healthcare use among older adults?
title_short Does health status explain gender dissimilarity in healthcare use among older adults?
title_sort does health status explain gender dissimilarity in healthcare use among older adults
topic Condições de Saúde
Serviços de Saúde
Saúde do Idoso
Gênero
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2006000200012&lng=en&tlng=en
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