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Socioeconomic and lifestyle factors associated with chronic conditions among older adults in Ecuador

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Date
2015-09
Author
Guevara, Pilar Egüez
Andrade, Flávia Cristina Drumond
Type of paper
Original research
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Abstract
Objective. To explore socioeconomic and lifestyle factors associated with the prevalence of self-reported chronic conditions among older adults in Ecuador. Methods. The sample was drawn from the nationally representative observational cross-sectional data of the Health, Well-Being, and Aging survey conducted in Ecuador in 2009. Logistic regression models were used to explore the association between socioeconomic and lifestyle factors and the prevalence of selected chronic conditions. Results. Older women in Ecuador are more likely than men to have been previously diagnosed with diabetes, heart disease, high blood pressure, and arthritis. Results suggest no difference by education or health insurance on number and type of self-reported chronic conditions. However, older adults who resided in the coastal area were more likely to report having diabetes, heart disease, high blood pressure, and stroke than those in the highlands. Living in rural areas was associated with lower odds of having diabetes and high blood pressure. Compared to white older adults, indigenous older adults were less likely to report having high blood pressure, but more likely to report having arthritis. Conclusions. Older age in Ecuador is marked by low educational levels and poverty. Female gender and living in coastal areas were associated with higher risks of self-reported chronic conditions.
 
Objetivo. Explorar los factores socioeconómicos y de estilo de vida asociados con la prevalencia de afecciones crónicas autonotificadas en adultos mayores del Ecuador. Métodos. La muestra se obtuvo de los datos transversales de observación, representativos a escala nacional, de la Encuesta de Salud, Bienestar y Envejecimiento, llevada a cabo en el Ecuador el año 2009. Se utilizaron modelos de regresión logística para explorer la asociación entre los factores socioeconómicos y de estilo de vida y la prevalencia de las afecciones crónicas seleccionadas. Resultados. Las mujeres mayores del Ecuador presentan mayores probabilidades que los hombres de haber sido diagnosticadas previamente de diabetes, cardiopatía, hipertensión y artritis. Los resultados indican que no hay diferencias según el nivel de formación o la cobertura por seguro de enfermedad en cuanto al número y tipo de afecciones crónicas autonotificadas. Sin embargo, la notificación de antecedentes de diabetes, cardiopatía, hipertensión y accidente cerebrovascular era más probable en los adultos mayores residentes en la zona costera que en los que vivían en los altiplanos. La residencia en zonas rurales se asociaba con menores probabilidades de padecer diabetes e hipertensión. En comparación con los adultos mayores blancos, era menos probable que los adultos mayores indígenas notificaran antecedentes de hipertensión, pero era más probable que notificaran antecedentes de artritis. Conclusiones. En el Ecuador, en las personas mayores se observa pobreza y un escaso nivel de formación. Pertenecer al sexo femenino y residir en las zonas costeras se asociaban con mayores riesgos de autonotificación de afecciones crónicas.
 
Translated title
Factores socioeconómicos y de estilo de vida asociados con las afecciones crónicas en los adultos mayores del Ecuador
Series
Rev Panam Salud Publica;38(3),sept. 2015
Subject
Aging; Health of the Elderly; Chronic Disease; Socioeconomic Factors; Health Surveys; Ecuador; Envejecimiento; Salud del Anciano; Enfermedad Crónica; Factores Socioeconómicos; Encuestas Epidemiológicas
URI
https://iris.paho.org/handle/10665.2/10078
Citation
Guevara PE, Andrade FCD. Socioeconomic and lifestyle factors associated with chronic conditions among older adults in Ecuador. Rev Panam Salud Publica. 2015;38(3):226–32.
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  • Pan American Journal of Public Health

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