Abstract
Objective:
to assess the prevalence of elderly persons living alone in Brazil, based on covariates of health status, behavior and socio-demographic characteristics.
Method:
data from 11,967 individuals (aged 60 or over) were obtained from the National Health Survey (Brazil, 2013). Living alone was defined as residing in a one-person household. The prevalence of individuals living alone was stratified by socio-demographic conditions and geographic region. Living alone was also assessed as a factor for outcomes of physical functioning, behavior and health conditions. Poisson regression models were used to evaluate the prevalence ratios and a 95% confidence interval was applied.
Results:
in Brazil, 15.3% of people aged 60 years and over live alone. This condition is more prevalent in higher income regions; however, more lower-income individuals were affected. Prevalence was higher among women and individuals aged 75 years or more. Living alone was associated with difficulties in instrumental activities of daily living (prevalence ratio 1.15; 95% confidence interval 1.04-1.28); the reporting of an illness in the two prior to the study (PR=1.35; 95%CI=1.16-1.57); watching television (five or more hours daily) (PR=1.40; 95%CI=1.26-1.56) and falls in the previous year (PR=1.35; 95%CI=1.10-1.66). Elderly persons living alone also had worse eating habits, with a less frequent intake of meat, beans and salads than their counterparts who lived with others.
Conclusion:
elderly persons living alone in Brazil have a worse health status and health-related habits. These findings represent a challenge and should motivate social and health policies aimed at fulfilling the greater needs of adults who grow old alone.
Keywords:
Housing; Health Status Disparities; Epidemiology