Self-reported diabetes in older people: comparison of prevalences and control measures

Revista de Saúde Pública

Sheila Rizzato Stopa¹  Chester Luiz Galvão César¹  Neuber José Segri¹  Moisés Goldbaum¹  Vanessa Martins Valente Guimarães¹  Maria Cecília Goi Porto Alves¹  Marilisa Berti De Azevedo Barros¹ 

关键词: Aged;    Diabetes Mellitus;    Epidemiology;    Hypoglycemic Agents;    Self Care;    Life Style;    Health Behavior;    Health Services Accessibility;    Health Surveys;    Idoso;    Diabetes Mellitus;    Epidemiologia;    Hipoglicemiantes;    Autocuidado;    Estilo de Vida;    Comportamentos Saudáveis;    Acesso aos Serviços de Saúde;    Inquéritos Epidemiológicos;   

DOI  :  10.1590/S0034-8910.2014048005219

来源: SciELO

【 摘 要 】

OBJECTIVE The objective of this study was to analyze the prevalence of diabetes in older people and the adopted control measures.METHODS Data regarding older diabetic individuals who participated in the Health Surveys conducted in the Municipality of Sao Paulo, SP, ISA-Capital, in 2003 and 2008, which were cross-sectional studies, were analyzed. Prevalences and confidence intervals were compared between 2003 and 2008, according to sociodemographic variables. The combination of the databases was performed when the confidence intervals overlapped. The Chi-square (level of significance of 5%) and the Pearson’s Chi-square (Rao-Scott) tests were performed. The variables without overlap between the confidence intervals were not tested.RESULTS The age of the older adults was 60-69 years. The majority were women, Caucasian, with an income of between > 0.5 and 2.5 times the minimum salary and low levels of schooling. The prevalence of diabetes was 17.6% (95%CI 14.9;20.6) in 2003 and 20.1% (95%CI 17.3;23.1) in 2008, which indicates a growth over this period (p at the limit of significance). The most prevalent measure adopted by the older adults to control diabetes was hypoglycemic agents, followed by diet. Physical activity was not frequent, despite the significant differences observed between 2003 and 2008 results. The use of public health services to control diabetes was significantly higher in older individuals with lower income and lower levels of education.CONCLUSIONS Diabetes is a complex and challenging disease for patients and the health systems. Measures that encourage health promotion practices are necessary because they presented a smaller proportion than the use of hypoglycemic agents. Public health policies should be implemented, and aimed mainly at older individuals with low income and schooling levels. These changes are essential to improve the health condition of older diabetic patients.

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