ArticleArchives of public health = Archives belges de sante publique2017
Contribution of chronic conditions to functional limitations using a multinomial outcome: results for the older population in Belgium and Brazil.
Article in Archives of public health = Archives belges de sante publique, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 6 citations in OpenAlex.
- Health conditions contribution to disability burden in Spain and the role of ethnicity and migrant status: A nation-wide study.PloS one · 2024Article
- Multimorbidity Patterns in US Adults with Subjective Cognitive Decline and Their Relationship with Functional Difficulties.Journal of aging and health · 2022Article
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Authors and funding
9 authors at 8 institutions in 4 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe global phenomenon of population ageing is creating new challenges in both high and middle income countries, as functional limitations are expected to increase with age. The attribution method has been proposed to identify which conditions contribute most to disability using cross-sectional data. Although the original method was based on binary outcomes, we recently proposed an extension to multinomial responses, since different disability levels are often investigated in surveys. This is the first application of the extended method to evaluate differences in the contribution of chronic conditions to functional limitations in the older population of Brazil and Belgium.
methodsRepresentative data from individuals aged ≥65 years who participated in the 2008 or 2013 Health Interview Surveys in Belgium (
resultsThe prevalence of moderate functional limitations was larger in men in Brazil (8.4%) compared to Belgium (6.0%) and similar in women (approximately 12.0%). Conversely, the severe prevalence in men was similar in the two countries (around 8.0%) and higher in women from Belgium (16.6%) than from Brazil (9.1%). Musculoskeletal conditions were the main contributors to the prevalence of functional limitations in men and women in Belgium but only in men and women with moderate functional limitations in Brazil. Depression and heart diseases contributed most to the severe prevalence of functional limitations in men and women in Brazil, respectively.
conclusionsOur findings provide a better understanding of differences in the prevalence of different levels of functional limitations in Brazil and Belgium. These differences can be related to differences in socioeconomic conditions, health care access and quality, disease diagnosis, stage of epidemiology transition, life expectancy, and the prevalence of lifestyle risk factors in the two countries.
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