Elderly Mortality due to Ambulatory Care Sensitive Conditions and Primary Health Care Coverage in the Federal District

Costa, Geraldo Marques da; Shimizu, Helena Eri; Sanchez, Mauro Niskier

doi:10.1590/0034-7167-2022-0170

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLE • Rev. Bras. Enferm. 76 (1) • 2023 • https://doi.org/10.1590/0034-7167-2022-0170 copy

Elderly Mortality due to Ambulatory Care Sensitive Conditions and Primary Health Care Coverage in the Federal District

Mortalidad de ancianos por causas sensibles y cobertura de Atención Primaria en Distrito Federal

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

To describe the mortality coefficients of elderly due to primary care sensitive conditions, from 2008 to 2018, and determine its association with the coverage of the Primary Health Care (Family Health Strategy and Basic Care models) in the Federal District.

Methods:

Ecological time series of mortality in Federal District elderly, from 2008 to 2018. The Poisson regression model was applied, considering as significant those with p<0.05, with a CI of 95%.

Results:

There were 70,503 deaths. There was a decrease in the risk of death of elders due to cardiovascular diseases and diabetes. Higher primary care coverage decreased the chance of death by sensitive conditions, both in Basic Care (OR: 0.994, CI: 0.990-0.998) and in the Family Health Strategy (OR: 0.997, CI: 0.995-0.999).

Conclusions:

Primary Care coverage was associated with a lower chance of death of the elderly due to Ambulatory Care Sensitive Conditions, especially in Basic Care.

Descriptors:
Aged; Primary Health Care; Mortality; Aging; Family Health

Variables		No. of deaths	%
Sex	Female	35,402	50.2
	Male	35,101	49.8
Age group	From 60 to 69 years	18,993	26.9
	From 70 to 79 years	22,820	32.4
	80 yearsoldorolder	28,690	40.7
Marital Status	Single	12,467	17.7
	Married	27,105	38.4
	Widowed	22,052	31.3
	Separated/divorced	6,920	9.8
	Ignored	1,959	2.8
Race/color	White	38,816	55.1
	Black/Brown	30,699	43.5
	Asian	437	0.6
	Indigenous	43	0.1
	Ignored	508	0.7
Sensitive condition	Yes	20,606	29.2
	No	49,897	70.8

Independent variables	Total	Sensitive condition		Non-adjusted				Adjusted
		Sensitive condition		OR^* * OR: Odds Ratio	CI (95%)^ CI: Confidence interval		p	OR	CI (95%)		p
		Yes	No	OR^* * OR: Odds Ratio	LI^* ***** LL: Lower Limit	LS^** ****** UL Upper Limit.	p	OR	LI	LS	p
Sex
Female	35,402	10,953	24,449	1.181	1.143	1.220	<0.0001	-	-	-	-
Male (ref.)	35,101	9,653	25,448
Age group
From 60 to 69 years (ref.)	18,993	4,431	14,562
From 70 to 79 years	22,820	6,615	16,205	1.342	1.284	1.402	<0.0001	1.298	1.237	1.361	<0.0001
80 years old or older	28,690	9,560	19,130	1.642	1.575	1.712	<0.0001	1.534	1.462	1.608	<0.0001
Race/Color
Not black (ref.)	39,804	11,333	28,471
Black	30,699	9,273	21,426	1.087	1.052	1.123	<0.0001	1.059	1.021	1.099	0.002
Marital status
Single (ref.)	12,467	3,923	8,544
Married	27,105	7,045	20,060	0.765	0.730	0.801	<0.0001	0.852	0.809	0.897	<0.0001
Widowed	22,052	7,209	14,843	1.058	1.009	1.109	0.019	-	-	-	-
Separated/Divorced	6,920	1,858	5,062	0.799	0.749	0.853	<0.0001	0.928	0.865	0.995	0.037
Education
None	13,848	4,912	8,936	1.856	1.767	1.949	<0.0001	1.638	1.553	1.727	<0.0001
Up to 7 years	32,100	9,631	22,469	1.447	1.387	1.509	<0.0001	1.370	1.311	1.431	<0.0001
8 years or more (ref.)	18,177	4,154	14,023
Basic Care Coverage (%)	-	-	-	0.992	0.990	0.994	<0.0001	0.994	0.990	0.998	0.005
Family Health Strategy Coverage (%)	-	-	-	0.995	0.994	0.996	<0.0001	0.997	0.995	0.999	0.036

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Geraldo Marques da Costa, E-mail: geraldomarques06@gmail.com