Prevalência de condições de saúde e associação com funcionalidade no município de Santa Cruz, Rio Grande do Norte: estudo MDS-Brasil
Introduction: The International Classification of Functioning, Disability and Health considers functionality to be influenced by the complex interaction between existing diseases and environmental and social factors based on the biopsychosocial model of care. Thus, the Model Disability Survey (MD...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/55285 |
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| Resumo: | Introduction: The International Classification of Functioning, Disability and Health considers
functionality to be influenced by the complex interaction between existing diseases and
environmental and social factors based on the biopsychosocial model of care. Thus, the Model
Disability Survey (MDS) is a tool created by the World Health Organization (WHO) in order
to assess the functionality and disability profile of a population. It was translated, adapted and
validated in Brazil in 2021, also indicated for epidemiological use, standing out for having a
more detailed analysis proposal. Objective: To describe the prevalence of health conditions
and their association with sociodemographic characteristics and functionality in the adult and
elderly population of Santa Cruz, Rio Grande do Norte. Methods: This is an observational and
cross-sectional study with data collected through a population survey. The survey was carried
out in the municipality of Santa Cruz between October 12 and November 1, 2022 in different
households with an average duration of 48 minutes, using tablets. The database was
automatically updated in the search system. People aged 18 years or over, of both sexes,
residing in the municipality were included, and participants unable to understand and/or
respond were excluded. Results: Among the 504 people who participated in the study, 98.6%
declared themselves to be Brazilian, 76.4% female, 44.6% self-declared brown, 38.3% married
and 17.6% were between 4-8 years of study. Among the three aspects of the Functionality
module, the highest prevalence for severe disability was Activity and Participation, comprising
28.2% of the population. Pain was reported by 38.3% of people with severe disability. The most
prevalent health condition, diagnosed, using medication and other treatments, was Systemic
Arterial Hypertension with 35.3% prevalence. If associated with sociodemographic conditions,
women diagnosed with arthritis/arthrosis were the most prevalent finding, representing 98.4%
of people diagnosed. The condition was more prevalent among married people (37.5%) and
self-declared white (42.2%). Discussion: The health condition Systemic Arterial Hypertension
was the most frequent finding in women, and among the self-declared white, brown and black
population, severely compromising functionality in participation in society, cognition and
mobility. In addition, among the groups evaluated regarding presence, diagnosis, medication
and treatment, SAH is highlighted, associating frequent condition of inappropriate use of
medication and commitment to perform activities of daily living, which can lead to a decrease
in functionality. In the Activity and Participation domain, those affected by severe disability
have problems with using their hands, self-care, interpersonal relationships, performing
household chores, participating in the community, caring for others, and working and studying. Conclusions: The construction of these data, which associated health conditions with
functionality, can subsidize the improvement of public policies from the recognition of the most
common problems buoyed by a biopsychosocial collection instrument accepted worldwide,
thus being able to serve as a parameter for national and international studies. |
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